Chapter 07: Community Health Planning, Implementation, and Evaluation Nies: Community/Public Health Nursing, 7th Edition

MULTIPLE CHOICE 1. Which best describes what Lillian Wald suggested in regards to providing care to individuals and families? a. Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families. b. Public health nurses should focus on providing care in the client’s home. c. Public health nurses should recognize the larger social and economic forces that the family cannot control. d. Public health nurses should try to understand that educating clients on how to stay healthy is the nurse’s primary responsibility. ANS: C Wald emphasized that one could not understand an individual without understanding the family, and the family is in the grip of larger social and economic forces that they cannot control. It was not suggested by Wald that clients be encouraged to join the Henry Street settlement, focus on providing care in the client’s home, or that it was the nurse’s responsibility to keep clients healthy. DIF: Cognitive Level: Understand (Comprehension) 2. Which best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals? a. As nurses travel to meet with clients, they must know the community to find the client’s residence. b. On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform. c. Community health nurses are expected to have information about the community to share with individual clients. d. Individuals and families are strongly influenced by the community and environment around them. ANS: D The nurse must be particularly aware of how individuals and families are influenced by the community and environment around them although it is indeed important to be an advocate for health care reform and to have information regarding resources available for client services in the process of giving care. It is assumed that community health nurses can read maps—or use a global positioning system in their car—to find client addresses. DIF: Cognitive Level: Understand (Comprehension) 3. Which best describes how the Health Planning Model for care of aggregates differs from the customary nursing process applied to the care of an individual? a. The nurse must be aware of age, gender, race, ethnic group, religion, educational background, occupation, and marital status of the aggregate. b. The nurse must first decide o