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

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

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Questions and Answers
  • 1. 
    A community/public health nurse employed by the local health department is told by the director to engage in health planning. Which of the following actions will the nurse perform?
    • A. 

      Collecting and analyzing data

    • B. 

      Serving vulnerable populations

    • C. 

      Planning for health care needs of individuals

    • D. 

      Applying the nursing process to community-based care

  • 2. 
    The director of a public health agency suggested that the community/public health nurse select the target population for a new program. Of the following populations, which would be considered the target population?
    • A. 

      Persons for whom the nurse is most comfortable caring

    • B. 

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

    • C. 

      Persons eligible for care according to federal guidelines

    • D. 

      Persons that can afford to pay for their care

  • 3. 
    What was the significance of the National Health Planning and Resources Development Act of 1974?
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

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

  • 4. 
    What was the result of the prospective payment system legislation?
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

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

  • 5. 
    According to the American Nurses Association (ANA) and the American Public Health Association (APHA), the community/public health nurse is responsible primarily for whom?
    • A. 

      The community as a whole

    • B. 

      The employer who is paying the nurses salary

    • C. 

      The individual for whom the nurse is caring

    • D. 

      The governmental unit that is responsible for its citizens

  • 6. 
    Whether a nurses plan of care for a community is acceptable is probably determined by which aspect of the plan?
    • A. 

      It was created in coordination with community members.

    • B. 

      It was financially feasible.

    • C. 

       It was politically correct and feasible.

    • D. 

      It was something in which the nurse really believes.

  • 7. 
    Which of the following actions is a nurse most likely to perform in an approach to community health planning with the community empowerment model?
    • A. 

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

    • B. 

      Obtaining the best experts available to help the community develop

    • C. 

      Using a grassroots approach and democratic decision making

    • D. 

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

  • 8. 
    Which of the following facts is a drawback of the community empowerment model?
    • A. 

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

    • B. 

      Grants, although beautifully written, may not get funded.

    • C. 

      It is hard to persuade experts to volunteer their time.

    • D. 

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

  • 9. 
    How might the social planning model best be defined?
    • A. 

      A process of experts engaging in rational, deliberate problem solving

    • B. 

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

    • C. 

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

    • D. 

      A process of using democratic decision making through a grassroots approach

  • 10. 
     How might the social action approach be summarized?
    • A. 

      A process of experts engaging in rational, deliberate problem solving

    • B. 

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

    • C. 

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

    • D. 

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

  • 11. 
    A community/public health nurse is using the social action model to facilitate change in the community. Which of the following aspects of this model may make the nurse feel uncomfortable?
    • A. 

      Admitting that the nurse may not know the best approach

    • B. 

      Cooperating with a large number of community agencies

    • C. 

      Confronting power brokers directly

    • D. 

      Sharing decision making with other people

  • 12. 
    Lewins change theory is being applied as the community is addressing improvements in public safety. Which of the following would be one of the first steps in creating change?
    • A. 

      Determining whether anyone else agrees

    • B. 

      Having a careful plan as to what change is desirable

    • C. 

      Making community members aware of the need for change

    • D. 

      Assessing community needs to determine whether change is possible

  • 13. 
    People in the community are feeling insecure and vulnerable because the neighborhood is considering closing one of the local elementary schools. Which of the following actions should a nurse take?
    • A. 

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

    • B. 

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

    • C. 

      Offer help and support for those involved.

    • D. 

      Offer to write legislators opposing the decision.

  • 14. 
    A nurse would like to facilitate a change within the community. Which of the following actions is the nurse likely to take, in view of Lewins theory of change?
    • A. 

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

    • B. 

      Increasing driving forces, decreasing restraining forces, or doing both

    • C. 

      Stabilizing change by decree, rules and procedures, or legislation

    • D. 

      Unfreezing the change by using the three techniques described by Lewin

  • 15. 
    What is the purpose of Planned Approach to Community Health (PATCH)?
    • A. 

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

    • B. 

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

    • C. 

      To engage entire geopolitical communities in assessing their health needs

    • D. 

      To suggest that states cooperate with federal departments to ensure continuity

  • 16. 
    A nurse is initiating program planning. Which of the following actions will the nurse perform first?
    • A. 

      An accurate and thorough assessment of the community

    • B. 

      A confirmation of the formal and informal leaders of the community

    • C. 

      A determination of the budget available for obtaining relevant data

    • D. 

      An analysis of the employers perspective on potential program needs

  • 17. 
    Which of the following actions should the nurse perform when analyzing collected assessment data?
    • A. 

      Categorizing the data and identifying the implications

    • B. 

      Creating graphs, charts, and maps to display the data

    • C. 

      Determining the aggregates at high risk for specific problems

    • D. 

      Identifying target populations by demographic characteristics

  • 18. 
    A nurse is reviewing the collected data and discovers some information is not available. Which of the following conclusions will the nurse make?
    • A. 

      There is a data gap.

    • B. 

      There is insufficient information to draw appropriate conclusions.

    • C. 

      Further effort by the team is required.

    • D. 

      Further analysis needs to be performed.

  • 19. 
    Which of the following data would be more typical of an acute care diagnosis than a community/public health nursing diagnosis?
    • A. 

      A child in the school system admitted for insulin overdose

    • B. 

      Health promotion needs for the neighborhood school

    • C. 

      Mortality and morbidity rates for the city

    • D. 

      Services unavailable in the county

  • 20. 
    A nurse is preparing to write a community diagnosis. Which of the following actions must the nurse take?
    • A. 

      Choosing a diagnosis from the 12 functional health patterns

    • B. 

      Choosing from an agency-approved list of NANDA International diagnoses

    • C. 

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

    • D. 

      Use appropriate NANDA International wellness-focused diagnoses

  • 21. 
    What do most community/public health nursing diagnoses include?
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

      The NANDA International terminology with associated evidence and outcomes

  • 22. 
    Which of the following actions must the nurse take when confirming the diagnosis before final decisions are made?
    • A. 

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

    • B. 

      Checking to see whether the diagnosis is reimbursable

    • C. 

      Prioritizing the diagnosis within the agencys mission

    • D. 

      Validating the diagnosis/conclusion with the community or client

  • 23. 
    Which of the following is the most effective way of prioritizing nursing diagnoses?
    • A. 

      Ensuring that the diagnoses are reimbursable by third-party payers

    • B. 

      Determining the degree of community concern about the problem

    • C. 

      Comparing the diagnoses with the agencys mission statement

    • D. 

      Discussing conclusions with another community/public health nurse

  • 24. 
    A nurse decided to set up a planning group. All of the following groups of people expressed interest in being involved in the planning along with the nursing staff. If the nurse must eliminate one group to keep the size of the group manageable, which of the following groups should the nurse eliminate?
    • A. 

      A convenience selection of local citizens

    • B. 

      Formal and informal leaders of the community

    • C. 

      Those who are probably going to be against the intervention

    • D. 

      The aggregate for which the intervention is going to be implemented

  • 25. 
    Which of the following groups should be included in any planning group to ensure that weaknesses are addressed and counterarguments are known?
    • A. 

      Administrators from the local hospital or hospitals

    • B. 

      Administrators of the health care agency

    • C. 

      Leaders in the community

    • D. 

      Those initially expected to resist the proposal

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