Chapter 06: Community Assessment Nies: Community/Public Health Nursing, 7th Edition

1. Which best describes how care can be appropriately given in a community? a. Provide individualized care to unique individuals as much as resources allow. b. Consider the community itself as the “client.” c. Administer care according to the priorities of the local health department. d. Prioritize care for the sickest populations first. ANS: B As it is clearly impossible and impractical to give service to each person in a community, the best approach considers the community itself to be the unit of service. The nurse partners with community members to identify community problems and develop solutions to ultimately improve the community’s health. The community health nurse does not administer care according to the priorities of the health department or care for the sickest populations first. DIF: Cognitive Level: Understand (Comprehension) 2. Which provides the most accurate way to explain community health nursing? a. Being employed outside a medical center, such as in a physician’s office b. Focusing care on the community as a whole c. Providing care within the community, rather than a hospital or extended-care facility d. Working for a public health department ANS: B Not only is community a context or place where a community health nurse gives care, but the community as a whole is the focus of the nurse’s efforts. Being employed outside a medical center, providing care within the community, and working for a public health department all describe settings where a community health nurse may be employed, but do not demonstrate the emphasis on providing population-focused care. DIF: Cognitive Level: Understand (Comprehension) 3. Which activity would be most helpful to a person in whom a serious chronic illness has been diagnosed? a. Discuss it with a religious leader on a confidential, do-not-tell basis. b. Join a support group of others with the same illness. c. Share the diagnosis with coworkers and neighbors to gain sympathy and support. d. Tell extended family because many diseases have a genetic component. ANS: B Although a person might choose to do any of these, the most helpful action over the long term is to join a support group with persons having the same diagnosis for mutual learning, sharing of resources, and support. Religious leaders could also be helpful, but many people do not have a religious leader. DIF: Cognitive Level: A