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Chapter 16: Creating a Healthy Community

10 problems · 0 figures

16-1 §16.RQ source ↗

Which action is an example of the community health nurse engaged in nursing the community as the client?
  1. a.
    Providing individualized care for multiple patients with a specific chronic illness
  2. b.
    Conducting health screenings for individuals in a specific town or city
  3. c.
    Administering vaccines to individuals at high risk of disease complications
  4. d.
    Treating a client’s acute illness in a hospital setting

Answer

B. Conducting health screenings for individuals in a specific town or city
When the community is the client, the nurse addresses the health needs of a community or population instead of one or more individual clients. Conducting health screenings for individuals in a specific town or city would help the nurse assess the health needs in the community.

16-2 §16.RQ source ↗

Which activity would the nurse recognize as meeting the Healthy People 2030 goal of civic participation?
  1. a.
    Voting in local, state, and federal elections
  2. b.
    Planting a home garden
  3. c.
    Running in a 5-mile road race
  4. d.
    Keeping vaccinations current

Answer

A. Voting in local, state, and federal elections
Healthy People 2030 identifies voting, volunteering, participating in group activities and activities like community gardening, and participating in a recreational sports team as methods of civic participation. Such activities can benefit the health of individuals and populations.

16-3 §16.RQ source ↗

Which of the following explains why community health nurses should involve community members in assessment processes?
  1. a.
    To allow the community to make improvements prior to a windshield survey
  2. b.
    To share the workload of change with the community members
  3. c.
    To increase the likelihood of community participation in interventions and programs
  4. d.
    To exert control over the community members

Answer

C. To increase the likelihood of community participation in interventions and programs
Nurses should involve community members in community assessments to increase the likelihood that the community will embrace the change and participate in health programs.

16-4 §16.RQ source ↗

When developing a community profile guided by Gordon’s functional health patterns, which of the following patterns would the nurse identify as focusing on the community’s view of itself?
  1. a.
    Cognitive-perceptual
  2. b.
    Health perception–health management
  3. c.
    Nutritional-metabolic
  4. d.
    Self-perception–self-concept

Answer

D. Self-perception–self-concept
The self-perception–self-concept pattern focuses on how community members perceive themselves and the role of the community.

16-5 §16.RQ source ↗

Which phase of the nursing process is the community health nurse performing when they identify patterns and trends in data?
  1. a.
    Assessment
  2. b.
    Diagnosis
  3. c.
    Planning
  4. d.
    Evaluation

Answer

B. Diagnosis
During the diagnosis stage of the nursing process, the nurse analyzes the data collected to identify areas of opportunity in the community in the context of health. The nurse will identify patterns, trends, or key problems in the data that point to a need for intervention in order to improve health.

16-6 §16.RQ source ↗

Using the Robert Wood Johnson Foundation’s Culture of Health Action Framework, which action would the nurse take when engaged in cross-sector collaboration to reduce overdose deaths in adolescents?
  1. a.
    Encouraging community members to vote on a referendum for substance misuse education
  2. b.
    Working with schools and law enforcement to reduce drug overdoses
  3. c.
    Supporting research for substance misuse prevention programs
  4. d.
    Creating community-based substance misuse treatment programs

Answer

B. Working with schools and law enforcement to reduce drug overdoses
The RWJF Culture of Health initiative was developed to promote a shared understanding that good health is a fundamental right and essential to well-being and prosperity across the United States. Cross-sector collaboration involves organizations outside of those traditionally or directly associated with health care, such as schools and law enforcement, working together to support better health across communities.

16-7 §16.RQ source ↗

According to the Robert Wood Johnson Foundation’s Culture of Health Action Framework, which action is a driver of change in making health a shared value?
  1. a.
    Increasing partnerships between hospitals
  2. b.
    Supporting working parents
  3. c.
    Providing access to routine dental and vision care
  4. d.
    Changing the mindset and expectations of a community

Answer

D. Changing the mindset and expectations of a community
Making health a shared value requires society as a whole to commit to developing power structures and social systems that allow access to health for all. The mindset and expectations, sense of community, and civic engagement of a community are all drivers of change toward making health a shared value.

16-8 §16.RQ source ↗

How does the first step of the nursing process inform community health interventions?
  1. a.
    Assessment provides the nurse with data to identify patterns, trends, or key health problems.
  2. b.
    Planning determines the goals or outcomes of possible community interventions.
  3. c.
    Implementation allows for the use of evidence-based practices.
  4. d.
    Evaluation informs the nurse of needed changes to community health programs.

Answer

A. Assessment provides the nurse with data to identify patterns, trends, or key health problems.
The first stage of the nursing process is assessment. Data collected in this stage informs community health interventions. Without actual data from the community, the nurse would not be able to identify patterns, trends, or problems that indicate health risk or a need for support.

16-9 §16.RQ source ↗

Which of the following best describes the concept of holism in community-based nursing?
  1. a.
    Focuses on the physical health of individuals living in the community
  2. b.
    Treats hospitals and clinics, transportation, food stores, and green space as separate entities
  3. c.
    Recognizes the interconnectedness of community policies, health risks, and medical services
  4. d.
    Implements evidence-based practices for the needs and wants of specific communities

Answer

C. Recognizes the interconnectedness of community policies, health risks, and medical services
Holism is the concept that all parts of a whole are interconnected and do not exist or function without each other. When applied to community-based nursing, holism means that the nurse must consider that the whole community comprises multiple dimensions of health.

16-10 §16.RQ source ↗

Which of Gordon’s functional health patterns is the nurse assessing by looking at community disaster plans and public safety?
  1. a.
    Coping–stress tolerance
  2. b.
    Health perception–health management
  3. c.
    Value-belief
  4. d.
    Role-relationship

Answer

B. Health perception–health management
When applied to community health, Gordon’s health perception–health management pattern assesses the health and safety of a community, including its disaster plans and public safety.

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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.