EPP 101-Chapter 07: Community Health Planning, Implementation, and Evaluation Nies: Community/Public Health Nursing, 7th Edition

EPP 101-Chapter 07: Community Health Planning, Implementation, and Evaluation Nies: Community/Public Health Nursing, 7th Edition MULTIPLE CHOICE 1. Which best describes what Lillian Wald suggested in regards to providing care to individuals and families? a. Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families. b. Public health nurses should focus on providing care in the client’s home. c. Public health nurses should recognize the larger social and economic forces that the family cannot control. d. Public health nurses should try to understand that educating clients on how to stay healthy is the nurse’s primary responsibility. ANS: C Wald emphasized that one could not understand an individual without understanding the family, and the family is in the grip of larger social and economic forces that they cannot control. It was not suggested by Wald that clients be encouraged to join the Henry Street settlement, focus on providing care in the client’s home, or that it was the nurse’s responsibility to keep clients healthy. DIF: Cognitive Level: Understand (Comprehension) 2. Which best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals? a. As nurses travel to meet with clients, they must know the community to find the client’s residence. b. On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform. c. Community health nurses are expected to have information about the community to share with individual clients. d. Individuals and families are strongly influenced by the community and environment around them. ANS: D The nurse must be particularly aware of how individuals and families are influenced by the community and environment around them although it is indeed important to be an advocate for health care reform and to have information regarding resources available for client services in the process of giving care. It is assumed that community health nurses can read maps—or use a global positioning system in their car—to find client addresses. DIF: Cognitive Level: Understand (Comprehension) 3. Which best describes how the Health Planning Model for care of aggregates differs from the customary nursing process applied to the care of an individual? a. The nurse must be aware of age, gender, race, ethnic group, religion, educational background, occupation, and marital status of the aggregate. b. The nurse must first decide on and define the aggregate to receive care. c. The nurse must determine how best to ensure that each participant receives an NURSINGTB.COM Community Public Health Nursing 7th Edition Nies Test Bank NU RS IN GT B.CO M equal number of services. d. The nurse must choose which health care need should have first priority. ANS: B The nurse decides which aggregate to focus on and then carefully defines that aggregate. Whether caring for an individual, a family, or an aggregate, the nurse must know the demographics of the client and choose which health need has first priority. In caring for aggregates, each participant does not receive an equal number of services, but only those services that each participant needs. DIF: Cognitive Level: Understand (Comprehension) 4. A nurse is using a systems framework when caring for individuals, families, and aggregates in the community. Which best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual? a. Ability to communicate clearly with the client b. Analyzing power and decision-making within the system c. Defining the system’s structure and functions d. Recognizing the system’s goals ANS: B Although all aspects can be challenging, it is probably more challenging to recognize the interacting aspects of a large aggregate system in its power distribution, consensus activities, accommodation, and authority within the decision-making process. DIF: Cognitive Level: Apply (Application) 5. A nurse is caring for an aggregate as his or her client. Which task would the nurse complete first? a. Determine the setting of the aggregate. b. Gain access into the aggregate. c. Identify the nurse’s own strengths and preferences. d. Review the resources available to use in the community. ANS: C A nurse should also consider personal interests and strengths in selecting an aggregate for intervention. For example, the nurse should consider whether he or she has an interest in teaching health promotion and preventive health or in planning for organizational change, whether his or her communication skills are better suited to large or small groups, and whether he or she has a preference for working with the elderly or with children. Thoughtful consideration of these and other variables will facilitate assessment and planning. After self-reflection, the nurse will need to determine the setting of the aggregate, consider how to gain access, and identify the community resources available. DIF: Cognitive Level: Apply (Application) 6. A nurse decided that a high-risk aggregate most needed education about diabetes. Which would be the best approach when teaching the group? a. Involve participants in small group activities applying the information. b. Organize the information into a visual presentation such as a PowerPoint presentation. NURSINGTB.COM Community Public Health Nursing 7th Edition Nies Test Bank NU RS IN GT B.CO M c. Share the nurse’s expertise directly with the group at a meeting for that purpose. d. Use handouts and pamphlets with pictures consistent with the local cultural groups throughout. ANS: A Most persons do not enjoy lectures, so the nurse must initiate small group involvement and participation. Those with less educational experience are more comfortable in informal learning settings. Visual only presentations, such as power point presentations and handouts are not the best approach to use with adult learners. Sharing of the nurse’s expertise is an important part of the teaching process but will not be effective if the participants are not actively involved in the learning process. DIF: Cognitive Level: Apply (Application) 7. A community health nurse has determined that the number one priority is to help families in which one member has diabetes. Which action would be most appropriate to maximize services to persons with diabetes? a. Ask friends with diabetes about what services they want improved. b. Duplicate the diabetic organization’s services, because not all patients w