Solutions
#5 Collecting and analyzing current information Correct
Answer Windshield Survey
Census data
Vital statistics (Births, deaths, cause of death)
#6 Collect any additional information Correct Answer -Needs
assessment (Key informant interviews, focus groups, surveys,
community forums)
-Asset Mapping (cataloging strengths/resources of the
community)
#9 Setting priorities for action Correct Answer -Diagnosing
health concerns
-Strategic planning
1. A community health nurse encourages members of the
community to partner and assist in creating health programs.
Which of the following best describes the rationale for this
action? (Select all that apply.)
a. Partnering results in increased effectiveness
b. Involving community members results in contributions of
time and money into the program
c. Having many partners results in increased publicity for the
program
,d. Participating in planning results in having a vested interest in
the outcome Correct Answer ANS: A, D
Although partners do indeed contribute time and effort in
participation, the primary reason community partnership is
crucial is that community members and professionals who are
active participants in a collaborative decision-making process
have a vested interest in the success of efforts to improve the
health of their community. The significance and effectiveness of
partnership in improving community health are supported by a
growing body of literature.
1. A member of a community weight-loss group has maintained
a healthy weight for 2 years through healthy eating and daily
exercise. Which of the following steps of the affective domain is
this participant demonstrating?
a. Analysis
b. Application
c. Evaluation
d. Knowledge Correct Answer ANS: C
Steps in the affective domain have the learner doing the
following in this sequence: (1) knowledge: receives the
information; (2) comprehension: responds to what is being
taught; (3) application: values the information; (4) analysis:
makes sense of the information; (5) synthesis: organizes the
information; (6) evaluation: adopts behaviors consistent with the
,new values. In this example, the individual has adopted the
behavior and this has resulted in the ability to maintain the value
of a healthy weight.
1. A nurse considered copying last months surveillance report
and changing the date because the number of occurrences per
month had not noticeably changed. Which of the following best
explains why the nurse should continue to spend time collecting
and reporting data that is always nearly the same?
a. Because such data are legally required
b. Because it is still part of the nurses responsibilities, even if it
is a waste of time
c. To determine a local baseline rate and immediately notice any
change
d. To determine differences among communities in need for
state assistance Correct Answer ANS: C
Disease surveillance helps establish baseline (endemic) rates of
disease occurrence and patterns of spread. Surveillance makes it
possible to initiate a rapid response to an outbreak of a disease
or event that can cause a health problem.
1. A nurse has been making ongoing visits to a preschool to help
the staff teach the children important skills, such as brushing
their teeth after meals. Now the nurse is scheduled to teach
carbohydrate counting to adults newly diagnosed with diabetes.
, Which of the following actions will the nurse need to take when
teaching this population? (Select all that apply.)
a. Appeal to the need for autonomy and choice.
b. Emphasize that anyone with diabetes must know this
information.
c. Explain how to cope with being a guest at a dinner.
d. Recognize that this audience will depend on the instructor to
set goals for learning. Correct Answer ANS: A, C
For this audience, the best approach will be to use adult
experiences and practical problems as learning motivatorsfor
instance, appealing to adults sense of autonomy and choice,
basing examples on practical adult situations such as cooking
meals or eating in restaurants, and discussing how clients can
cope with possibly awkward situations such as being a guest at
dinner but having diet restrictions.
1. A nurse is employed by a state public health department.
Which of the following functions would most likely be
completed by this agency? (Select all that apply.)
a. Delegating power to engage in certain activities such as
quarantine
b. Enforcing laws and regulations that protect public health