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

Persons for whom the nurse is most comfortable caring

Persons for whom some change in health or lifestyle behaviors is desired

Persons eligible for care according to federal guidelines

Persons that can afford to pay for their care

It created the program that yielded the first evidence that managed care reduced costs.

 It funded nationwide health planning to improve health care and reduce costs.

It provided additional federal money to the states to spend on health care.

It allowed states to take responsibility for planning health care services.

Hospital stays were shortened, which placed a greater responsibility on family care.

Payments to the hospitals and physicians that fulfilled the new rules were higher.

Nursing staffing was increased to meet the needs of more acutely ill patients.

Diagnoses were more accurate and complete before clients were admitted to acute care.

The community as a whole

The employer who is paying the nurses salary

The individual for whom the nurse is caring

The governmental unit that is responsible for its citizens

It was created in coordination with community members.

It was financially feasible.

 It was politically correct and feasible.

It was something in which the nurse really believes.

Motivating bankers and financial advisers to help the community in its development

Obtaining the best experts available to help the community develop

Using a grassroots approach and democratic decision making

Writing grants to obtain money for the community and health care programs

Bankers and other money people are very busy and often uninterested.

Grants, although beautifully written, may not get funded.

It is hard to persuade experts to volunteer their time.

It is the slowest approach and takes the longest to obtain results.

A process of experts engaging in rational, deliberate problem solving

A process of group meetings that take place until everyone reaches consensus

A process of collaboration to write grants to fund health care programs

A process of using democratic decision making through a grassroots approach

A process of experts engaging in rational, deliberate problem solving

A process of group meetings that take place until everyone reaches consensus

A process in which groups seek redistribution of power or basic change in organizational policies

A process in which groups work together to write several grants to get money for health care programs

Admitting that the nurse may not know the best approach

Cooperating with a large number of community agencies

Confronting power brokers directly

Sharing decision making with other people

Determining whether anyone else agrees

Having a careful plan as to what change is desirable

Making community members aware of the need for change

Assessing community needs to determine whether change is possible

Ask the formal leader of the group to speak out against the closure.

Ask the informal leader to offer a rationale for the closure.

Offer help and support for those involved.

Offer to write legislators opposing the decision.

Freezing the change by constant persuasion, reinforcement, and use of focus groups

Increasing driving forces, decreasing restraining forces, or doing both

Stabilizing change by decree, rules and procedures, or legislation

Unfreezing the change by using the three techniques described by Lewin

To enable assessment by different health institutions in order to maximize resources

To encourage assessment of high-risk groups so that efforts can be focused

To engage entire geopolitical communities in assessing their health needs

To suggest that states cooperate with federal departments to ensure continuity

An accurate and thorough assessment of the community

A confirmation of the formal and informal leaders of the community

A determination of the budget available for obtaining relevant data

An analysis of the employers perspective on potential program needs

Categorizing the data and identifying the implications

Creating graphs, charts, and maps to display the data

Determining the aggregates at high risk for specific problems

Identifying target populations by demographic characteristics

There is a data gap.

There is insufficient information to draw appropriate conclusions.

Further effort by the team is required.

Further analysis needs to be performed.

A child in the school system admitted for insulin overdose

Health promotion needs for the neighborhood school

Mortality and morbidity rates for the city

Services unavailable in the county

Choosing a diagnosis from the 12 functional health patterns

Choosing from an agency-approved list of NANDA International diagnoses

Describe a situation and suggest an etiologic component focused on an aggregate

Use appropriate NANDA International wellness-focused diagnoses

The afflicted individual or family, risk factors, and the desired outcome

The aggregate at high risk and the nurses decision as to appropriate care

The target population, the health response desired, and host or environmental factors

The NANDA International terminology with associated evidence and outcomes

Ensuring that it is a diagnosis used in the Omaha diagnosis system

Checking to see whether the diagnosis is reimbursable

Prioritizing the diagnosis within the agencys mission

Validating the diagnosis/conclusion with the community or client

Ensuring that the diagnoses are reimbursable by third-party payers

Determining the degree of community concern about the problem

Comparing the diagnoses with the agencys mission statement

Discussing conclusions with another community/public health nurse

A convenience selection of local citizens

Formal and informal leaders of the community

Those who are probably going to be against the intervention

The aggregate for which the intervention is going to be implemented

Administrators from the local hospital or hospitals

Administrators of the health care agency

Leaders in the community

Those initially expected to resist the proposal

It must be financially reimbursable.

It must have the support of the clinical agency.

It must represent the values, beliefs, and perceptions of the involved aggregate.

It must have the most advantages and the fewest disadvantages.

The solution is oriented to the future, not the present.

Powerful groups in the community may not be committed to this intervention.

The intervention is inconsistent with cultural, ethnic, or religious beliefs.

The intervention may need more tax dollars than have currently been funded.

At least an effort was made to intervene.

The situation will probably not get worse

The communities can function without the proposed program.

There are always other options that might meet the same goals.

It is required by the nursing process procedure.

It is the way in which agencies expect to see performance by the nurse.

It saves time, and the implementation process goes more smoothly.

It allows the nurse to remember what was going to be done.

It creates a deadline for each step.

It describes potential program problems.

It identifies the process needed to achieve a certain result.

It outlines the steps of the assessment process.

It creates a flowchart of activities in sequence with time estimates.

It identifies potential program problems and possible solutions.

It identifies the process needed to achieve a certain result.

It outlines the steps of the assessment process.

Having many handouts so that the audience can remember what was said

Ordering a microphone so that everyone in the room can hear easily

Using pictures and posters of professionals demonstrating the needed behaviors

Using many different methods of presentation with multimedia art

Being sure that each client had identification so that no false names could be used

Keeping legal documentation of both negative and positive results

Telling the person with positive test results where they might go for treatment

Using the cheapest screening approach possible

Providing direct care to individuals at high risk for health problems and for their families

Offering health education and screening programs

Using media campaigns to raise awareness of the health needs

Teaching fellow staff professionals about community needs and beliefs