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A) Research-based best practices
B) Population's make up
C) Amount of services to be provided D) Scarcity of the available resources Ans: A
Feedback:
Decisions for programs or services are often made on the basis of cost -effectiveness or cost–benefit.
Therefore, community health nurses must provide policy makers with information about best practices,
grounded in research. Although population make up, amount of services to be provided, and scarcity of
resources are factors that may need to be considered, the community health nurse
must demonstrate evidence-based practice.
18. After a class that described the differences between acute care nursing and community health
nursing, which statement by the class about community health nurses indicates successful teaching?
A) Use a reactive approach.
B) Seek out potential health problems.
C) Concentrate on the illness end of the continuum.
D) Emphasize curative care. Ans: B
Feedback:
Community health nurses, in contrast to acute care nurses, seek out potential health
problems, identifying high-risk groups and instituting preventive programs; use a proactive approach;
concentrate on the wellness end of the health continuum; and put
less emphasis on curative care.
19. Which of the following activities would be associated with a community health nurse?
Select all that apply.
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their homes
C) Providing emergency care in an acute care facility
D) Carrying out epidemiologic research
E) Participating in health policy analysis
Ans: A, B, D, E Feedback:
Community health nurses work in every conceivable kind of community agency, from a state public
health department to a community-based advocacy group. Their duties rang from
examining infants in a well- baby clinic or teaching elderly stroke victims in their homes to
carrying out epidemiologic research or engaging in health policy analysis and decision making. Providing
care in an acute care facility would not be an activity
associated with a community health nurse.
20. The term health can be described in many different ways. A community health nurse would view
health as which of the following?
A) The absence of disease
B) The potential to lead a productive life
C) An environment free of toxins D) A holistic state of well-being Ans: D
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Feedback:
Community health nurses view health as a holistic state of well-being, which includes soundness of
mind, body, and spirit. Along with this foundational view is the emphasis on wellness, which includes the
definition of health as well as the capacity to develop a person's potential to lead a fulfilling and
productive life. Health is more than just the absence of disease or an environment free of
toxins.
21. While interviewing a client, which of the following statements would a nurse identify as reflecting
an objective dimension of
health?
A) “I'm feeling better since I started taking that
medication.”
B) “Life is pretty good right now, except for an occasional upset stomach.”
C) “I'm able to wash myself in the mornings with just a bit of help.”
D) “Sometimes when I wake up, I don't even
want to face the day.”
Ans: C Feedback:
The objective dimension of health involves one's ability to function in daily activities. The statement
about being able to care for one's self is an example. The statements of feeling better with medication,
life being pretty good, and not wanting to face the day are examples of the subjective dimension of
health, which involves how peoplefeel.
22. When employing a population-oriented focus, the community health nurse would do which
of the following?
A) Assess the groups' relationships looking for a
common need.
B) Consider the members individually for
similarities.
C) Focus on the geographical area of the
population.
D) Promote the groups' dependency for
improving health. Ans: A
Feedback:
A population-oriented focus requires the assessment of relationships, considering the
groups or communities in relationship to the rest of the community to discover common needs or risks
for a common health problem. The nurse does not consider the groups or communities separately but
rather in context. The population may ormay not be delineated by the
geographical area. The community health nurse encourages individuals' participation to promote
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their autonomy rather
than permitting dependency.
23. A community health nurse is involved in a project to evaluate the health of a city. Which of the
following findings would suggest that the city would most likely need additional programs?
A) Citizens are actively involved in the city's department of recreation and after-school programs.
B) The construction of affordable organized
housing developments and communities is nearing completion.
C) Approximately one third of the people are recently unemployed due to closure of the automotive
factory.
D) Several new recreational facilities for adults and children have been created at several locations.
Ans: C
Feedback:
A healthy city is one in which there is continual creation and improvement the physical
and social environments with expansion of community resources so that people can mutually support
one another. It is characterized by the meeting of basic needs for all of the city's people. This would
include food, water, shelter, income, safety, and work. Loss of employment of one third of the city's
workforce would be a threat to the health of the city and necessitate intervention. Active involvement in
the city's functioning, affordable housing, and recreational facilities
are suggestive of a healthy city.
Chapter 2 Public Health Nursing in the Community
1. A community health nurse is engaging in assurance activities. Which of the following would best
explain these activities?
A) Gathering and analyzing information that will affect the health of the people to be served
B) Providing leadership in facilitating communitygroups toward meeting their needs, often involving
changes in and
additions to existing laws
C) Being involved in activities to make certain that necessary services are being provided to the
community
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A) Research-based best practices
B) Population's make up
C) Amount of services to be provided D) Scarcity of the available resources Ans: A
Feedback:
Decisions for programs or services are often made on the basis of cost -effectiveness or cost–benefit.
Therefore, community health nurses must provide policy makers with information about best practices,
grounded in research. Although population make up, amount of services to be provided, and scarcity of
resources are factors that may need to be considered, the community health nurse
must demonstrate evidence-based practice.
18. After a class that described the differences between acute care nursing and community health
nursing, which statement by the class about community health nurses indicates successful teaching?
A) Use a reactive approach.
B) Seek out potential health problems.
C) Concentrate on the illness end of the continuum.
D) Emphasize curative care. Ans: B
Feedback:
Community health nurses, in contrast to acute care nurses, seek out potential health
problems, identifying high-risk groups and instituting preventive programs; use a proactive approach;
concentrate on the wellness end of the health continuum; and put
less emphasis on curative care.
19. Which of the following activities would be associated with a community health nurse?
Select all that apply.
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their homes
C) Providing emergency care in an acute care facility
D) Carrying out epidemiologic research
E) Participating in health policy analysis
Ans: A, B, D, E Feedback:
Community health nurses work in every conceivable kind of community agency, from a state public
health department to a community-based advocacy group. Their duties rang from
examining infants in a well- baby clinic or teaching elderly stroke victims in their homes to
carrying out epidemiologic research or engaging in health policy analysis and decision making. Providing
care in an acute care facility would not be an activity
associated with a community health nurse.
20. The term health can be described in many different ways. A community health nurse would view
health as which of the following?
A) The absence of disease
B) The potential to lead a productive life
C) An environment free of toxins D) A holistic state of well-being Ans: D
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, ytrew
Feedback:
Community health nurses view health as a holistic state of well-being, which includes soundness of
mind, body, and spirit. Along with this foundational view is the emphasis on wellness, which includes the
definition of health as well as the capacity to develop a person's potential to lead a fulfilling and
productive life. Health is more than just the absence of disease or an environment free of
toxins.
21. While interviewing a client, which of the following statements would a nurse identify as reflecting
an objective dimension of
health?
A) “I'm feeling better since I started taking that
medication.”
B) “Life is pretty good right now, except for an occasional upset stomach.”
C) “I'm able to wash myself in the mornings with just a bit of help.”
D) “Sometimes when I wake up, I don't even
want to face the day.”
Ans: C Feedback:
The objective dimension of health involves one's ability to function in daily activities. The statement
about being able to care for one's self is an example. The statements of feeling better with medication,
life being pretty good, and not wanting to face the day are examples of the subjective dimension of
health, which involves how peoplefeel.
22. When employing a population-oriented focus, the community health nurse would do which
of the following?
A) Assess the groups' relationships looking for a
common need.
B) Consider the members individually for
similarities.
C) Focus on the geographical area of the
population.
D) Promote the groups' dependency for
improving health. Ans: A
Feedback:
A population-oriented focus requires the assessment of relationships, considering the
groups or communities in relationship to the rest of the community to discover common needs or risks
for a common health problem. The nurse does not consider the groups or communities separately but
rather in context. The population may ormay not be delineated by the
geographical area. The community health nurse encourages individuals' participation to promote
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their autonomy rather
than permitting dependency.
23. A community health nurse is involved in a project to evaluate the health of a city. Which of the
following findings would suggest that the city would most likely need additional programs?
A) Citizens are actively involved in the city's department of recreation and after-school programs.
B) The construction of affordable organized
housing developments and communities is nearing completion.
C) Approximately one third of the people are recently unemployed due to closure of the automotive
factory.
D) Several new recreational facilities for adults and children have been created at several locations.
Ans: C
Feedback:
A healthy city is one in which there is continual creation and improvement the physical
and social environments with expansion of community resources so that people can mutually support
one another. It is characterized by the meeting of basic needs for all of the city's people. This would
include food, water, shelter, income, safety, and work. Loss of employment of one third of the city's
workforce would be a threat to the health of the city and necessitate intervention. Active involvement in
the city's functioning, affordable housing, and recreational facilities
are suggestive of a healthy city.
Chapter 2 Public Health Nursing in the Community
1. A community health nurse is engaging in assurance activities. Which of the following would best
explain these activities?
A) Gathering and analyzing information that will affect the health of the people to be served
B) Providing leadership in facilitating communitygroups toward meeting their needs, often involving
changes in and
additions to existing laws
C) Being involved in activities to make certain that necessary services are being provided to the
community
ytrew
