Chapter 16: Community Diagnosis, Planning, And Intervention Nursing School Test Banks

According to the American Nurses Association (ANA) and the American Public Health Association (APHA), the community/public health nurse is responsible primarily for the community as a whole. This means that their main focus is on promoting and improving the health and well-being of the entire community, rather than just one individual or the employer who pays their salary. They work towards preventing disease, promoting healthy lifestyles, and addressing health disparities within the community. Their goal is to ensure the overall health and well-being of the community they serve.

The correct answer is "It must represent the values, beliefs, and perceptions of the involved aggregate." This aspect of a solution is crucial because it ensures that the chosen solution aligns with the specific needs and preferences of the individuals or group affected by the problem. By considering the values, beliefs, and perceptions of the involved aggregate, the nurse can ensure that the solution is culturally appropriate and acceptable, leading to better outcomes and increased patient satisfaction. Financial reimbursement, support from the clinical agency, and the number of advantages and disadvantages are important considerations, but they do not necessarily guarantee that a solution is the best choice for the involved aggregate.

The acceptability of a nurse's plan of care for a community is likely determined by whether it was created in coordination with community members. This is because involving community members in the planning process ensures that their needs, preferences, and values are taken into account, making the plan more relevant and effective. By actively involving the community, the nurse can gain their trust and support, leading to better acceptance and implementation of the plan.

The target population for a new program would be persons for whom some change in health or lifestyle behaviors is desired. This means that the program is specifically aimed at individuals who need to make improvements in their health or lifestyle choices. The other options, such as persons for whom the nurse is most comfortable caring, persons eligible for care according to federal guidelines, and persons that can afford to pay for their care, do not directly address the goal of the program, which is to bring about positive changes in health or lifestyle behaviors.

The nurse should remember that even though the proposed intervention was not accepted due to poor timing and lack of funds, there are always other options available that can still achieve the same goals. This means that the nurse and the planning group can explore alternative approaches or strategies to address the issue at hand. It is important to remain open-minded and flexible in finding different solutions that can be effective in improving the situation.

Determining the degree of community concern about the problem is the most effective way of prioritizing nursing diagnoses because it takes into account the needs and priorities of the community. By understanding the level of concern, nurses can identify which diagnoses are most urgent and require immediate attention. This approach ensures that resources are allocated to address the most pressing health issues and that the care provided aligns with the community's needs.

The correct answer is that the intervention is inconsistent with cultural, ethnic, or religious beliefs. This situation will cause difficulties when a nurse tries to persuade a community to accept a particular intervention because cultural, ethnic, and religious beliefs are deeply ingrained in individuals and communities. When an intervention goes against these beliefs, it can be challenging to gain acceptance and cooperation from the community. People may resist or reject the intervention due to their strong attachment to their cultural, ethnic, or religious values. This can hinder the nurse's efforts to persuade and implement the intervention effectively.

In order to initiate program planning, the nurse must first conduct an accurate and thorough assessment of the community. This step is essential as it helps the nurse gather relevant information about the community's health needs, resources, and existing programs. By understanding the community's strengths, weaknesses, and priorities, the nurse can develop a program that is tailored to meet the specific needs of the community. This assessment will serve as a foundation for the rest of the planning process, including identifying leaders, determining the budget, and analyzing the employer's perspective.

The data of a child in the school system admitted for insulin overdose would be more typical of an acute care diagnosis rather than a community/public health nursing diagnosis. This is because an acute care diagnosis focuses on the immediate medical needs and treatment of an individual, such as in this case where the child requires immediate medical attention for an overdose. On the other hand, a community/public health nursing diagnosis focuses on the health needs and promotion of a larger population or community, such as health promotion needs for the neighborhood school or mortality and morbidity rates for the city. Services unavailable in the county may also pertain to community/public health nursing, but the immediate medical attention required by the child in this scenario indicates an acute care diagnosis.

Before final decisions are made, the nurse must validate the diagnosis/conclusion with the community or client. This is important to ensure that the diagnosis is accurate and appropriate for the specific situation. By involving the community or client in the validation process, the nurse can gather additional information, perspectives, and feedback that can help in making informed decisions. This collaborative approach also promotes patient-centered care and ensures that the diagnosis aligns with the individual's needs, preferences, and goals.

Planning every step of an intervention before implementation saves time and ensures that the process goes smoothly. By having a well-thought-out plan, the nurse can anticipate potential challenges and address them beforehand, reducing the likelihood of delays or mistakes during implementation. Additionally, planning allows for better coordination and organization of resources, ensuring that everything needed for the intervention is readily available. This approach helps to streamline the process and maximize efficiency, ultimately saving time and improving the overall effectiveness of the intervention.

When analyzing collected assessment data, the nurse should categorize the data and identify the implications. This involves organizing the data into meaningful categories or groups and then determining the potential implications or consequences of the findings. By categorizing the data, the nurse can identify patterns or trends that may be relevant to patient care. This process helps the nurse to better understand the data and make informed decisions about patient care based on the implications of the assessment findings.

The nurse must describe a situation and suggest an etiologic component focused on an aggregate when writing a community diagnosis. This involves identifying a specific situation or issue within the community and then determining the underlying cause or contributing factors that are affecting a group or population. This approach helps to address the broader health needs of the community and allows for the development of targeted interventions and strategies to improve health outcomes. It is important for the nurse to consider the unique characteristics and needs of the community when formulating the diagnosis.

The nurse will collect and analyze data in order to engage in health planning. This is because collecting and analyzing data is an essential step in the process of identifying health needs and developing appropriate interventions. By collecting data, the nurse can gather information about the health status of the community, identify areas of concern, and determine the specific needs and priorities. Analyzing the data allows the nurse to make informed decisions and develop strategies to address the identified health issues. Therefore, collecting and analyzing data is a crucial action for the nurse to perform in order to engage in health planning.

The nurse will conclude that there is a data gap because some information is not available. This means that there are missing pieces of data that are necessary to draw accurate conclusions or perform further analysis. The nurse may need to gather additional information or investigate why the data is missing in order to fill the gap and make informed decisions based on the complete data set.

Most community/public health nursing diagnoses include the target population, the health response desired, and host or environmental factors. This information helps nurses to identify the specific population they are working with, the desired health outcome they want to achieve, and the factors in the environment or within the individual that may influence their health. By considering these factors, nurses can develop appropriate care plans and interventions to address the health needs of the community or population they are serving.

In the approach to community health planning with the community empowerment model, a nurse is most likely to perform the action of using a grassroots approach and democratic decision making. This means that the nurse will involve the community members in the decision-making process, giving them a voice and empowering them to actively participate in planning and implementing health programs. This approach ensures that the community's needs and preferences are taken into account, leading to greater community engagement and ownership of the health initiatives. It also promotes sustainable and long-term solutions that are tailored to the specific needs of the community.

The drawback of the community empowerment model is that it is the slowest approach and takes the longest to obtain results. This means that the process of empowering the community and achieving the desired outcomes may be time-consuming and require a significant amount of patience and perseverance. Other options mentioned in the question, such as bankers and money people being busy, grants not getting funded, and difficulty in persuading experts to volunteer their time, may pose challenges but are not specifically stated as drawbacks of the community empowerment model.

The National Health Planning and Resources Development Act of 1974 was significant because it funded nationwide health planning to improve healthcare and reduce costs. This act provided financial support for the development of comprehensive health plans at both national and state levels, aiming to coordinate and improve the delivery of healthcare services. By funding health planning initiatives, the act sought to address the inefficiencies and disparities in the healthcare system, ultimately aiming to enhance the quality of care while also reducing costs.

Using many different methods of presentation with multimedia art is important for the nurse to remember when planning an educational program. This approach ensures that the information is presented in various formats, catering to different learning styles and preferences of the audience. It also enhances engagement and retention by incorporating multimedia elements such as videos, images, and interactive tools. By utilizing a diverse range of presentation methods, the nurse can effectively communicate the information and make the educational program more interactive and impactful.

Health education and screening programs are the most common type of intervention used to improve the health of a community. These programs aim to educate individuals about healthy behaviors and promote early detection and prevention of diseases through screening. By providing information and resources, these programs empower individuals to make informed decisions about their health and take proactive steps to prevent and manage health problems. Additionally, screening programs help identify health issues at an early stage when they are more easily treatable, leading to better health outcomes for the community.

The nurse should eliminate a convenience selection of local citizens from being involved in the planning group. This group is likely to be less committed and may not have a genuine interest in the planning process. It is important to have individuals who are genuinely interested and committed to the planning process to ensure effective decision-making and implementation of the intervention.

The result of the prospective payment system legislation was that hospital stays were shortened, which placed a greater responsibility on family care. This means that under the new legislation, hospitals were incentivized to reduce the length of patient stays, leading to a shift in responsibility for care from the hospital to the patient's family. This could have been done to reduce healthcare costs and promote more efficient use of resources.

The most important aspect in this situation is to inform the person with positive test results about where they can seek treatment. This ensures that they receive the necessary medical care and support for their condition. It is crucial to prioritize the well-being and health of the individuals who have tested positive, and providing them with information on treatment options is an essential step in that process.

Including those initially expected to resist the proposal in the planning group is important because it allows for a comprehensive and balanced approach to addressing weaknesses and potential counterarguments. By including this group, their concerns and perspectives can be taken into account, leading to a more effective and well-rounded plan. This also helps in anticipating and addressing any potential obstacles or objections that may arise during the implementation of the proposal.

In this situation, the community members are feeling insecure and vulnerable due to the potential closure of a local elementary school. As a nurse, it is important to prioritize the well-being of the individuals involved. Offering help and support can provide emotional and practical assistance to those affected by the decision. This action demonstrates empathy and a willingness to assist the community members during a difficult time. It also aligns with the nurse's role in promoting health and well-being within the community.

A Gantt chart is a visual tool that helps in planning and scheduling tasks in a project. It displays the timeline of activities, their dependencies, and the duration of each task. By using a Gantt chart, project managers can identify the sequence of tasks and the process required to achieve a specific result. It allows them to allocate resources effectively, track progress, and ensure that all necessary steps are completed in the correct order. Therefore, the primary usefulness of a Gantt chart is to identify the process needed to achieve a certain result.

Making community members aware of the need for change would be one of the first steps in creating change because it is important to gain their support and buy-in. By making the community members aware of the need for change, they can understand the reasons behind the proposed changes and become more willing to participate and contribute to the change process. This step helps to create a sense of urgency and a shared understanding of the need for change, which can motivate and mobilize the community towards implementing the desired improvements in public safety.

A Program Evaluation and Review Technique (PERT) chart is primarily useful for creating a flowchart of activities in sequence with time estimates. This allows project managers to visualize the order of tasks and their estimated durations, helping them to plan and schedule the project effectively. The PERT chart also helps in identifying dependencies between tasks and critical paths, which are essential for determining the project's overall timeline and identifying potential bottlenecks. By providing a visual representation of the project's activities and their estimated durations, the PERT chart aids in project planning and management.

Confronting power brokers directly may make the nurse feel uncomfortable because it involves challenging individuals or groups who hold significant influence or authority in the community. This can be intimidating and may create tension or conflict. It requires the nurse to advocate for change and challenge existing power structures, which can be met with resistance or backlash.

According to Lewin's theory of change, in order to facilitate a change within the community, the nurse is likely to take the action of increasing driving forces, decreasing restraining forces, or doing both. This means that the nurse will work towards strengthening the factors that support the change (driving forces) and reducing or eliminating the factors that hinder the change (restraining forces). By doing so, the nurse aims to create a favorable environment that promotes and sustains the desired change within the community.

The social action approach can be summarized as a process in which groups seek redistribution of power or basic change in organizational policies. This approach focuses on addressing social inequalities and advocating for systemic change to improve the lives of marginalized individuals or groups. It involves collective action, mobilizing resources, and challenging existing power structures to achieve social justice and equality.

The social planning model can be best defined as a process where experts come together to engage in rational and deliberate problem-solving. This implies that professionals with specialized knowledge and skills analyze social issues, gather relevant information, and develop strategies to address them in a logical and thoughtful manner. It emphasizes the importance of expertise and evidence-based decision-making in finding effective solutions to social problems.

The purpose of Planned Approach to Community Health (PATCH) is to engage entire geopolitical communities in assessing their health needs. This means that the program aims to involve the entire community in the process of identifying and understanding their health needs. By doing so, PATCH promotes community ownership and participation in addressing health issues, which can lead to more effective and sustainable solutions.