Chapter 4: Introduction to Community Assessment

Chapter 4: Introduction to Community Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A public health nurse (PHN) conducts a community health assessment to identify the needs of a population. For example, the PHN might gather data to provide the rationale for a pediatric clinic in a low income area. He or she would take into account the sociodemographics of the community, as well as the:

A.	Preventive health concerns
B.	Need for medical facilities
C.	Collaboration of the community
D.	Lifestyle concerns

 

 

ANS:  A

Objective: 1. Define a community assessment.

1. 78-79

Heading: Introduction

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Promoting Health

Difficulty: Moderate

	Feedback
A	Preventative health concerns would drive the need for the community assessment. In the example, the prevalence of childhood illnesses might indicate a need for a clinic.
B	The need for medical facilities would be a part of the assessment, but also a plan of action for health intervention.
C	The willingness of a community to create a healthy environment is always essential to the success of a program, but this factor would be more necessary at the intervention stage than at the assessment stage.
D	Lifestyle concerns, such as diet and exercise, would affect noncommunicable diseases, but not communicable diseases.

 

 

PTS:   1                    CON:  Assessment | Promoting Health

 

2. A PHN is assigned to an area to do a community assessment. The demographic data the nurse collects includes:

A.	Insurance company preference
B.	Religious affiliation
C.	Educational levels
D.	Medical results

 

 

ANS:  C

Objective: 9. Analyze primary and secondary data to identify strengths and needs of a community.

1. 79-80

Heading: Definitions of Community and Community Health

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Promoting Health

Difficulty: Easy

	Feedback
A	The names of the insurance companies used in a community are not considered demographic information and are not necessary data to collect during a community assessment.
B	The religious affiliations of the community are not considered demographic data. Demographic data include age, gender, socioeconomic indicators, racial or ethnic distributions, and educational levels.
C	Educational levels, as well as age, gender, socioeconomic indicators, and racial or ethnic distributions, are considered demographic data.
D	Medical results are not considered demographic data. Demographic data include age, gender, socioeconomic indicators, racial or ethnic distributions, and educational levels.

 

 

PTS:   1                    CON:  Assessment | Promoting Health

 

3. A nursing instructor explains to a nursing student that information about a community’s health services and resources includes all of the following factors except:

A.	Service use patterns
B.	Treatment data
C.	Insurance costs
D.	Provider/client ratios

 

 

ANS:  C

Objective: 9. Analyze primary and secondary data to identify strengths and needs of a community.

1. 79-80

Heading: Definitions of Community and Community Health

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis [Analyzing]

Concept: Nursing Roles; Promoting Health

Difficulty: Easy

	Feedback
A	Service use patterns look at how medical services and resources are used.
B	Treatment data examines what types of health-care issues are currently being treated.
C	Insurance costs are not considered part of a community’s health services and resources.
D	Provider/client ratios report whether there is enough, too little, or too much staff working with the population.

 

 

PTS:   1                    CON:  Nursing Roles | Promoting Health

 

4. A nursing instructor describes one approach to conducting an assessment as a collection of data about the populations living within the community; an assessment of the assets within the community, such as the local health department capacity; and the identification of problems and issues in the community, such as unmet needs and health disparities, and opportunities for action. The instructor explains that this type of approach is called a:

A.	Rapid needs assessment
B.	Comprehensive community assessment
C.	Population-focused assessment
D.	Health impact assessment

 

 

ANS:  B

Objective: 2. Describe six approaches to conducting an assessment (comprehensive community assessment, population focused, setting specific, problem focused, health impact, rapid needs assessments).

1. 80

Heading: Types of Community Health Assessment > Comprehensive Assessment

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Nursing Roles; Promoting Health

Difficulty: Easy

	Feedback
A	A rapid needs assessment is a tool that helps establish the extent and possible evolution of an emergency by measuring the present and potential public health impact of the emergency.
B	This definition describes a comprehensive community assessment.
C	A population-focused assessment can be focused on a specific population for purposes of planning and developing intervention programs.
D	A health impact assessment is a combination of procedures, methods, and tools by which a policy, program, or project may be judged as to its potential effects on the health of a population and the distribution of those effects within the population.

 

 

PTS:   1                    CON:  Assessment | Nursing Roles | Promoting Health