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Chapter 06: Community Assessment

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Chapter 06: Community Assessment

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Community Public Health Nursing 7th Edition Nies Test Bank


Chapter 06: Community Assessment
Nies: Community/Public Health Nursing, 7th Edition


MULTIPLE CHOICE

1. Which best describes how care can be appropriately given in a community?
a. Provide individualized care to unique individuals as much as resources allow.
b. Consider the community itself as the “client.”
c. Administer care according to the priorities of the local health department.
d. Prioritize care for the sickest populations first.
ANS: B
As it is clearly impossible and impractical to give service to each person in a community, the
best approach considers the community itself to be the unit of service. The nurse partners with
community members to identify community problems and develop solutions to ultimately
improve the community’s health. The community health nurse does not administer care
according to the priorities of the health department or care for the sickest populations first.

DIF: Cognitive Level: Understand (Comprehension)

2. Which provides the most accurate way to explain community health nursing?
a. Being employed outside a medical center, such as in a physician’s office
b. Focusing care on the community as a whole
c. Providing care within the community, rather than a hospital or extended-care
facility
d. Working for a public health department
N R I G B.C M
ANS: B
Not only is community a context or place where a community health nurse gives care, but the
community as a whole is the focus of the nurse’s efforts. Being employed outside a medical
center, providing care within the community, and working for a public health department all
describe settings where a community health nurse may be employed, but do not demonstrate
the emphasis on providing population-focused care.

DIF: Cognitive Level: Understand (Comprehension)

3. Which activity would be most helpful to a person in whom a serious chronic illness has been
diagnosed?
a. Discuss it with a religious leader on a confidential, do-not-tell basis.
b. Join a support group of others with the same illness.
c. Share the diagnosis with coworkers and neighbors to gain sympathy and support.
d. Tell extended family because many diseases have a genetic component.
ANS: B
Although a person might choose to do any of these, the most helpful action over the long term
is to join a support group with persons having the same diagnosis for mutual learning, sharing
of resources, and support. Religious leaders could also be helpful, but many people do not
have a religious leader.

DIF: Cognitive Level: Apply (Application)

, Community Public Health Nursing 7th Edition Nies Test Bank


4. Which is a major factor in determining which people or groups are most likely to be helpful to
a particular individual?
a. Anyone who has time to be available
b. Environmental proximity
c. Same employment responsibilities
d. Similar religious faith
ANS: B
Although it is certainly more common to have friends who are similar to ourselves in many
ways, those most likely to be called on and respond are those in close environmental
proximity. Proximity facilitates the recognition of commonality and the development of
cohesion among members.

DIF: Cognitive Level: Understand (Comprehension)

5. Which best describes how people typically respond when asked of what community are they a
member?
a. Geographic community (neighborhood or city)
b. House of worship participants or members
c. Occupational or professional group
d. Those who are devoted to a particular craft or hobby
ANS: A
Although individuals might well respond in terms of any of the possible responses, the most
common response is in terms of geographic location of one’s home or place of residence.
Traditionally, a community is an entity delineated by geopolitical boundaries; this view best
exemplifies the dimension ofNloUcR ioI
atS n.NGTB.COM
DIF: Cognitive Level: Understand (Comprehension)

6. Which best describes what community members receive from each other?
a. Safe environment to live and work
b. Entertainment and recreational opportunities
c. Socialization and role fulfillment
d. Useful services such as physicians and medical centers
ANS: C
A major feature of a community is the relationships that community members form with one
another. These functions provide socialization, role fulfillment, goal achievement, and
member support. Not all communities are safe environments, have medical centers, or offer
recreational opportunities.

DIF: Cognitive Level: Understand (Comprehension)

7. An individual lives in a healthy community. Which characteristic would this community most
likely display?
a. Ability to adapt and respond to changes
b. Lack of environmental pollution
c. Low unemployment rate
d. Ongoing growth in population

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