Chapter 01: Health: A Community View
Test Bank
A community health nurse is overwhelmed with all that needs to be done in one day.
Which task could most easily be postponed?
a. Reviewing the most recent hospital patient data collected by the local college of
nursing
b. Deciding which of several possible new clinic options would be most effective in better
meeting the needs of the local community
c. Evaluating the results of the most recent community-wide screening program before
planning for the next community health program
d. Giving testimony to the state legislature on a new health and safety bill - ANS ANS: A
All of the tasks are related to assessing needs, implementing new care options, or
evaluating health outcomes measures in the community except reviewing hospital
patient data. Hospital patient data may be helpful but not directly related to the agency's
ability to promote primary health and prevent disease.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 11 | p. 13
\A new public health nurse carefully assessed all the local mortality and morbidity data in
preparation for making appropriate planning suggestions at a meeting next week. What
other action is crucial before the nurse can feel prepared?
a. Ask other nursing staff their perceptions of the community's needs
b. Assess the nurse's own assets, strengths, and ability to contribute
c. Meet members of the community to determine their culture and values
d. Review discussions and decisions from previous meetings - ANS ANS: C
Community health nurses must work with the community. It is essential to assess an
aggregate's needs and resources and identify its values. The best way to do this is by
meeting with the members of the community to determine their culture and values.
Assessing one's own assets, asking other nursing staff, and reviewing previous
discussions will not allow the nurse to assess the needs of the community.
DIF: Cognitive Level: Apply (Application) REF: p. 13
\A nurse has begun to lobby with politicians for changes to the health care system. Why
is this involvement important?
a. Nurses, as central characters in several popular TV series, are currently very visible in
American media.
b. Nurses are primarily responsible for managing the various units in our health care
system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. - ANS
ANS: C
, As the largest group of health care providers, nurses are informed about the current
health care system and all the problems that result from people not seeking care until
they are desperately ill. Nurses, as the American Nurses Association (ANA) emphasize,
usually believe that health care is a right, not a privilege. Therefore, nurses, whose work
is central to our current health care delivery system, can also be instrumental in working
politically to create a health care delivery system that will meet health needs. While
nurses are in several current TV series and are employed both inside and outside of
hospitals, physicians and other health care providers are as well. Nurses are often
managers, but managers often have other backgrounds, such as business
administration.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
\A nurse who works on the surgical unit at the local hospital was asked by the home
health unit to make a home visit to a patient who had been discharged the previous day
and to give follow-up care (for overload pay). What kind of nursing would this nurse be
doing?
a. Acute care hospital nursing
b. Community-based nursing
c. Community health nursing
d. Public health nursing - ANS ANS: B
The nurse is caring for a patient in the home. Community-based nursing is nursing
somewhere in the community. As the nurse is not focusing on the health of the
community but on an individual, it is not community or public health nursing. It is not
acute care hospital nursing because the nurse is seeing the patient in his or her home.
DIF: Cognitive Level: Apply (Application) REF: p. 11
\A nurse works hard to develop alliances among various community organizations
toward improving health in the community. What are actions such as this called?
a. Building coalitions
b. Collaboration
c. Communication
d. Community cooperation - ANS ANS: A
By definition, the nurse's actions are coalition building. Although collaboration has a
very similar meaning, Table 1-4 stresses that collaboration is focused more on enhancing
the capacity of an individual or a group. The nurse is establishing cooperative alliances,
but not yet working with them toward a goal.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 15
\After completing a master's degree, a nurse took a course in marketing. Should the
agency reimburse the nurse's tuition costs?
a. No, courses taken for personal enjoyment are not eligible.
b. No, courses taken outside the professional's responsibilities are not eligible.
c. Yes, the nurse is demonstrating professional commitment by continuing education.
Test Bank
A community health nurse is overwhelmed with all that needs to be done in one day.
Which task could most easily be postponed?
a. Reviewing the most recent hospital patient data collected by the local college of
nursing
b. Deciding which of several possible new clinic options would be most effective in better
meeting the needs of the local community
c. Evaluating the results of the most recent community-wide screening program before
planning for the next community health program
d. Giving testimony to the state legislature on a new health and safety bill - ANS ANS: A
All of the tasks are related to assessing needs, implementing new care options, or
evaluating health outcomes measures in the community except reviewing hospital
patient data. Hospital patient data may be helpful but not directly related to the agency's
ability to promote primary health and prevent disease.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 11 | p. 13
\A new public health nurse carefully assessed all the local mortality and morbidity data in
preparation for making appropriate planning suggestions at a meeting next week. What
other action is crucial before the nurse can feel prepared?
a. Ask other nursing staff their perceptions of the community's needs
b. Assess the nurse's own assets, strengths, and ability to contribute
c. Meet members of the community to determine their culture and values
d. Review discussions and decisions from previous meetings - ANS ANS: C
Community health nurses must work with the community. It is essential to assess an
aggregate's needs and resources and identify its values. The best way to do this is by
meeting with the members of the community to determine their culture and values.
Assessing one's own assets, asking other nursing staff, and reviewing previous
discussions will not allow the nurse to assess the needs of the community.
DIF: Cognitive Level: Apply (Application) REF: p. 13
\A nurse has begun to lobby with politicians for changes to the health care system. Why
is this involvement important?
a. Nurses, as central characters in several popular TV series, are currently very visible in
American media.
b. Nurses are primarily responsible for managing the various units in our health care
system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals. - ANS
ANS: C
, As the largest group of health care providers, nurses are informed about the current
health care system and all the problems that result from people not seeking care until
they are desperately ill. Nurses, as the American Nurses Association (ANA) emphasize,
usually believe that health care is a right, not a privilege. Therefore, nurses, whose work
is central to our current health care delivery system, can also be instrumental in working
politically to create a health care delivery system that will meet health needs. While
nurses are in several current TV series and are employed both inside and outside of
hospitals, physicians and other health care providers are as well. Nurses are often
managers, but managers often have other backgrounds, such as business
administration.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
\A nurse who works on the surgical unit at the local hospital was asked by the home
health unit to make a home visit to a patient who had been discharged the previous day
and to give follow-up care (for overload pay). What kind of nursing would this nurse be
doing?
a. Acute care hospital nursing
b. Community-based nursing
c. Community health nursing
d. Public health nursing - ANS ANS: B
The nurse is caring for a patient in the home. Community-based nursing is nursing
somewhere in the community. As the nurse is not focusing on the health of the
community but on an individual, it is not community or public health nursing. It is not
acute care hospital nursing because the nurse is seeing the patient in his or her home.
DIF: Cognitive Level: Apply (Application) REF: p. 11
\A nurse works hard to develop alliances among various community organizations
toward improving health in the community. What are actions such as this called?
a. Building coalitions
b. Collaboration
c. Communication
d. Community cooperation - ANS ANS: A
By definition, the nurse's actions are coalition building. Although collaboration has a
very similar meaning, Table 1-4 stresses that collaboration is focused more on enhancing
the capacity of an individual or a group. The nurse is establishing cooperative alliances,
but not yet working with them toward a goal.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 15
\After completing a master's degree, a nurse took a course in marketing. Should the
agency reimburse the nurse's tuition costs?
a. No, courses taken for personal enjoyment are not eligible.
b. No, courses taken outside the professional's responsibilities are not eligible.
c. Yes, the nurse is demonstrating professional commitment by continuing education.
