COMMUNITY HEALTH CH 5-10
QUESTIONS AND ANSWERS 2025
Health People 2020 (HP 2020) is a guidepost for nurses and interdisciplinary teams
in community and public health. New focal areas for HP 2020 include - Adolescent
health
Genomics
Social determinants of health
The nurse identifies the specific indicators and focal areas needed to establish
immunization and well-child clinics in a low-income neighborhood. What actions are
needed to meet the health outcomes of the project? - Develop a plan to meet the
costs and promote the benefits of the project.
Absenteeism due to illness has increased recently in the local middle school. The
increase is noted to be related to exacerbation of asthma symptoms in the
student population. Which would be the most effective approach in decreasing
absenteeism among this population? - Develop an asthma education and
surveillance program that addresses students, families, and faculty members.
Multiple family units in an underserved neighborhood have children who have not
been
vaccinated per health guidelines. The nurse researches the problem and establishes
a well-child clinic within walking distance to the neighborhood. The clinic is poorly
attended. Which would be the nurse's best action to revise the program and
improve attendance to the clinic? - Interview members of the neighborhood to
determine why they do not use the
clinic.
The local clinic is dedicated to the well adult and child. It has evening hours and
offers
varied programs for the community. The programs include immunizations and
classes on fire safety, health education, and car safety, to name a few. How would
the nurse explain the level of prevention used in this setting to your colleagues? -
Primary
COMMUNITY HEALTH CH 5-10 QUESTIONS AND ANSWERS 2025
,Using the tenets of secondary prevention, the committee seeks to establish an
HIV/AIDS clinic. The nurse states that it is important for the location of the clinic to
be associated with the local hospital. The committee states that the cost of the
clinic associated with the hospital is higher than one that is free standing. Which
presents the best rationale for the nurse's suggestion? - The hospital can more
easily implement programs of care for the clients.
The nurse works in a facility that provides hospice care for clients with cancer
diagnoses. The nurse recognizes that the care provided in this facility is tertiary in
nature. The nurse develops a plan for the clients that would include the tenets of
tertiary prevention. The plan would include: - Palliative care
Pain control
Supportive spiritual development
An immigrant from Guatemala, age 47, is admitted to the coronary care unit with
congestive heart failure. This is the fourth admission for this client, and the
physician believes that the client's inability to adhere to his diet and medication
regimen is the reason for his frequent admissions. The physician refers the client to
the local community health nurse, on discharge from the hospital. Which would be
most appropriate for the nurse to include in this client's plan of care? - Developing
culturally relevant and gender-sensitive interventions
The nurse conducts a class on the basics of nutrition to a group of obese adults. The
nurse counsels the audience, telling them that they need to change their behaviors.
By the end of the class, the nurse has lost the audience. To enhance audience
participation and learning in the next class, the nurse should: - Encourage the group
to participate in the decision making
The nurse decided to use a learning model based on Skinner with a client with
diabetes
to improve compliance with dietary and blood glucose assessment requirements.
Which would be the best way to implement this program? - Give rewards for a
lower blood sugar level and a food diary that reflects moderate dietary
compliance.
COMMUNITY HEALTH CH 5-10 QUESTIONS AND ANSWERS 2025
, The nurse decides to use the health belief model for a wellness walking program for
older adults. The walk is to begin each day at 8 PM. Each day a different participant
is to start a chain of phone calls to other participants to remind all to attend. The
nurse informs the clients in the clinic that walking will improve their overall health
and well-being. Two older adults show up the first night and none the second. Which
information should the nurse gather to explain the failure of the program? (Select all
that apply.) - A) The severity of the physical challenge related to the client
population B) What stands in the way of taking action toward the goal of health
promotion
C) The presence or absence of cues needed for the program to achieve success
The committee has established the need for a sick child clinic in an impoverished
neighborhood. The demographic data have been collected, and the committee is
ready to meet with a group of local businesspeople who are willing to support the
project financially. The plan is for the committee and group to combine to facilitate
the establishment of the clinic. Using a transtheoretical model, which level of
readiness has the committee achieved? - Preparation
A 34-year-old client is recovering from a below-the-knee amputation secondary to a
motor vehicle accident. The nurse meets with the client to update his care plan, and
client states that he knows that he will walk again. He asks for physical therapy
schedules and timelines for prosthetics on the basis of his healing process. On the
basis of knowledge of the theory of reasoned action, the client's behavior reflects: -
An enhanced ability to meet his goals on the basis of his intention and behaviors
A 47-year-old client and three members of his neighborhood have had their homes
robbed and belongings scattered. The client contacts the police and, with their
assistance, develops a neighborhood watch. The watch is organized and 24 families
have been recruited to participate. The watch will be active throughout vacation
months and as needed. This organization is representative of: - Relapse prevention
model
A 27-year-old client comes from a background of physical and sexual abuse.
Violence
victimization continued with her partners until recently. She is currently in a support
group for victims of abuse. The client's social background places her at risk for:
(Select all that apply.) - Decreased safe sex behaviors
COMMUNITY HEALTH CH 5-10 QUESTIONS AND ANSWERS 2025
QUESTIONS AND ANSWERS 2025
Health People 2020 (HP 2020) is a guidepost for nurses and interdisciplinary teams
in community and public health. New focal areas for HP 2020 include - Adolescent
health
Genomics
Social determinants of health
The nurse identifies the specific indicators and focal areas needed to establish
immunization and well-child clinics in a low-income neighborhood. What actions are
needed to meet the health outcomes of the project? - Develop a plan to meet the
costs and promote the benefits of the project.
Absenteeism due to illness has increased recently in the local middle school. The
increase is noted to be related to exacerbation of asthma symptoms in the
student population. Which would be the most effective approach in decreasing
absenteeism among this population? - Develop an asthma education and
surveillance program that addresses students, families, and faculty members.
Multiple family units in an underserved neighborhood have children who have not
been
vaccinated per health guidelines. The nurse researches the problem and establishes
a well-child clinic within walking distance to the neighborhood. The clinic is poorly
attended. Which would be the nurse's best action to revise the program and
improve attendance to the clinic? - Interview members of the neighborhood to
determine why they do not use the
clinic.
The local clinic is dedicated to the well adult and child. It has evening hours and
offers
varied programs for the community. The programs include immunizations and
classes on fire safety, health education, and car safety, to name a few. How would
the nurse explain the level of prevention used in this setting to your colleagues? -
Primary
COMMUNITY HEALTH CH 5-10 QUESTIONS AND ANSWERS 2025
,Using the tenets of secondary prevention, the committee seeks to establish an
HIV/AIDS clinic. The nurse states that it is important for the location of the clinic to
be associated with the local hospital. The committee states that the cost of the
clinic associated with the hospital is higher than one that is free standing. Which
presents the best rationale for the nurse's suggestion? - The hospital can more
easily implement programs of care for the clients.
The nurse works in a facility that provides hospice care for clients with cancer
diagnoses. The nurse recognizes that the care provided in this facility is tertiary in
nature. The nurse develops a plan for the clients that would include the tenets of
tertiary prevention. The plan would include: - Palliative care
Pain control
Supportive spiritual development
An immigrant from Guatemala, age 47, is admitted to the coronary care unit with
congestive heart failure. This is the fourth admission for this client, and the
physician believes that the client's inability to adhere to his diet and medication
regimen is the reason for his frequent admissions. The physician refers the client to
the local community health nurse, on discharge from the hospital. Which would be
most appropriate for the nurse to include in this client's plan of care? - Developing
culturally relevant and gender-sensitive interventions
The nurse conducts a class on the basics of nutrition to a group of obese adults. The
nurse counsels the audience, telling them that they need to change their behaviors.
By the end of the class, the nurse has lost the audience. To enhance audience
participation and learning in the next class, the nurse should: - Encourage the group
to participate in the decision making
The nurse decided to use a learning model based on Skinner with a client with
diabetes
to improve compliance with dietary and blood glucose assessment requirements.
Which would be the best way to implement this program? - Give rewards for a
lower blood sugar level and a food diary that reflects moderate dietary
compliance.
COMMUNITY HEALTH CH 5-10 QUESTIONS AND ANSWERS 2025
, The nurse decides to use the health belief model for a wellness walking program for
older adults. The walk is to begin each day at 8 PM. Each day a different participant
is to start a chain of phone calls to other participants to remind all to attend. The
nurse informs the clients in the clinic that walking will improve their overall health
and well-being. Two older adults show up the first night and none the second. Which
information should the nurse gather to explain the failure of the program? (Select all
that apply.) - A) The severity of the physical challenge related to the client
population B) What stands in the way of taking action toward the goal of health
promotion
C) The presence or absence of cues needed for the program to achieve success
The committee has established the need for a sick child clinic in an impoverished
neighborhood. The demographic data have been collected, and the committee is
ready to meet with a group of local businesspeople who are willing to support the
project financially. The plan is for the committee and group to combine to facilitate
the establishment of the clinic. Using a transtheoretical model, which level of
readiness has the committee achieved? - Preparation
A 34-year-old client is recovering from a below-the-knee amputation secondary to a
motor vehicle accident. The nurse meets with the client to update his care plan, and
client states that he knows that he will walk again. He asks for physical therapy
schedules and timelines for prosthetics on the basis of his healing process. On the
basis of knowledge of the theory of reasoned action, the client's behavior reflects: -
An enhanced ability to meet his goals on the basis of his intention and behaviors
A 47-year-old client and three members of his neighborhood have had their homes
robbed and belongings scattered. The client contacts the police and, with their
assistance, develops a neighborhood watch. The watch is organized and 24 families
have been recruited to participate. The watch will be active throughout vacation
months and as needed. This organization is representative of: - Relapse prevention
model
A 27-year-old client comes from a background of physical and sexual abuse.
Violence
victimization continued with her partners until recently. She is currently in a support
group for victims of abuse. The client's social background places her at risk for:
(Select all that apply.) - Decreased safe sex behaviors
COMMUNITY HEALTH CH 5-10 QUESTIONS AND ANSWERS 2025
