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Chapter 16: Community Diagnosis, Planning, and Intervention Questions & Answers

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a. Collecting and analyzing data Community health planning is a continuous social process by which data about clients are collected and analyzed for the purpose of developing a plan to generate new ideas, meet identified client needs, solve health problems, and guide changes in health care delivery. - ANSWERA 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? b. Serving vulnerable populations c. Planning for health care needs of individuals d. Applying the nursing process to community-based care b. Persons for whom some change in health or lifestyle behaviors is desired Although clients may be chosen as recipients of care for any of the reasons listed, the target population is typically persons for whom change in health-related behaviors is desired whom the community/public health nurse desires change, whether in lifestyle behaviors or health outcomes. - ANSWERThe 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 b. It funded nationwide health planning to improve health care and reduce costs. Before this Act was signed into law, planning was primarily at the state level. The Act provides federal funding to coordinate resources to meet documented needs. - ANSWERWhat 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. a. Hospital stays were shortened, which placed a greater responsibility on family care.

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Chapter 16: Community Diagnosis,
Planning, and Intervention Questions &
Answers
a. Collecting and analyzing data

Community health planning is a continuous social process by which data about clients
are collected and analyzed for the purpose of developing a plan to generate new ideas,
meet identified client needs, solve health problems, and guide changes in health care
delivery. - ANSWERA 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

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

Although clients may be chosen as recipients of care for any of the reasons listed, the
target population is typically persons for whom change in health-related behaviors is
desired whom the community/public health nurse desires change, whether in lifestyle
behaviors or health outcomes. - ANSWERThe 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

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

Before this Act was signed into law, planning was primarily at the state level. The Act
provides federal funding to coordinate resources to meet documented needs. -
ANSWERWhat 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.

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

The prospective payment system changed the patterns of hospital billing and thereby
altered patterns of inpatient hospital stays. Hospital stays were shortened, and more
health service delivery responsibilities were the responsibility of community agencies
and family members. - ANSWERWhat 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.

a. The community as a whole

Both the ANA and the APHA state that the nurses primary responsibility is to the
community or population as a whole and that nurses must acknowledge the need for
comprehensive health program planning to implement this responsibility. -
ANSWERAccording 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

a. It was created in coordination with community members.

Stressed throughout Chapter 16 is the importance and need for the community to be
involved in the planning. If the community is not involved from the beginning, the
program may not be effective. The program is more likely to be successful if the
community is involved. - ANSWERWhether 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.

c. Using a grassroots approach and democratic decision making
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