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NUR 388 Midterm Exam Module 5-6.
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NUR 388 Midterm Exam Module 5-6.
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NUR 388 Midterm Exam Module 5-6A community health nurse is developing an education program about substance use
disorders. Which statement should the nurse include when discussing nicotine and
smoking?
a. Smoking is the fifth-most preventable cause of death in the United States.
b. Nicotine is a central nervous system depressant.
c. Withdrawal effects from smoking are minimal.
d. Tolerance to nicotine develops quickly. - ANS-d. Tolerance to nicotine develops
quickly.
A public health nurse is meeting with community leaders about interventions to assist
specific populations. Which statement should the nurse make when discussing health
disparities among these populations?
a. Some populations have multiple risk factors that impact their health outcomes.
b. Some populations are more affected by nonmodifiable genetic factors than by social
determinants of health.
c. Some populations demonstrate chronic overuse of the health care system.
d. Some populations have negative cultural beliefs about the health care system. -
ANS-a. Some populations have multiple risk factors that impact their health outcomes.
Which of the following is the best brief definition of community?
a. A geographic area or political division under common leadership
b. A group sharing a common bond such as a profession or occupation
c. A group working together to confront a common problem
d. A social group with common goals within a geographic area - ANS-d. A social group
with common goals within a geographic area
A nurse is practicing in the community but also has the community as the target of
practice. Which of the following best describes the activities of this nurse?
a. Providing care to an active caseload of 50 families in the neighborhood
b. Inviting all the parents of asthmatic children in the school to meet together for mutual
support
c. Sharing assessment findings and health goals with every community group that will
listen
,d. Writing articles for the local newspaper highlighting the various programs and
services of the local health department - ANS-c. Sharing assessment findings and
health goals with every community group that will listen
Meeting with all interested community groups is the only way to keep the focus on the
community rather than on individuals. Although it is not possible to know the nurse's
goals from the nurse's behavior, giving care to select groups does not represent the
whole community.
Persons often point out that smokers choose to light their cigarettes; alcoholics lift the
glass to their mouth, and drug addicts inject or ingest their drugs. Which of the following
statements best describes why nurses don't simply focus on helping persons who
engage in poor health behaviors to behave appropriately?
a. Addicts don't have the willpower to change their behavior.
b. It is too rewarding to continue the behavior for a person to be able to change.
c. Laws and policies must reward good healthy behaviors and punish unhealthy
behaviors to help individuals recognize the importance of change.
d. Society must offer healthy choices, offer support, and practice helpful policies. -
ANS-d. Society must offer healthy choices, offer support, and practice helpful policies.
A nurse is focusing on the process dimension of a community's health. Which of the
following interventions will the nurse most likely implement?
a. Assessing the health care services available in a community
b. Establishing screening programs to diagnose diseases as early as possible so that
the treatment can begin
c. Implementing health promotion activities such as education programs
d. Planning for new programs to be developed based on identified needs - ANS-c.
Implementing health promotion activities such as education programs
When the emphasis is on the process dimension—usually the level of intervention of the
nurse in community health—the best strategy is usually health promotion, such as
various primary prevention strategies. The other responses represent the structure
dimension of the community. Structure is defined as the services and resources within
the community. This includes service use patterns, treatment data from various health
agencies, and provider-to-client ratios.
,A nurse has invited community members to participate as full partners in creating
changes to improve the health of the community. Which of the following may be an
unexpected consequence of this action?
a. A change in the distribution or redistribution of power and influence
b. An increase in awareness of the importance of health
c. Continued ongoing interest in community health activities
d. Improved family functioning and involvement in health activities - ANS-a. A change in
the distribution or redistribution of power and influence
Collaborative practice models involving the community and nurses in joint
decision-making and specific nursing roles are required. Nurses must remember that
collaboration means shared roles and a cooperative effort in which participants want to
work together. These participants must see themselves as part of a group effort and
share in the process, beginning with planning and including decision-making.
During the assessment phase, the nurse compiles and interprets available data and
draws conclusions as to the community's strengths and concerns. Which of the
following best describes why the nurse would also conduct interviews with key
informants?
a. To ensure that others agree with the nurse's plans for interventions
b. To confirm the nurse's initial findings and conclusions
c. To encourage community partners to feel they "own" the data
d. To generate non-statistical data such as values, beliefs, and perceived needs -
ANS-d. To generate non-statistical data such as values, beliefs, and perceived needs
A nurse just accepted a position in community health and has been assigned to a
neighborhood very close to where she lives. Which of the following best describes the
rationale for this assignment?
a. To allow participant observation by the nurse
b. To ensure that the nurse would care about her intervention outcomes
c. To maximize convenience and minimize commuting time for the nurse
d. To save gasoline in these difficult economic times - ANS-a. To allow participant
observation by the nurse
Such an assignment allows for participant observation or the deliberate sharing in the
life of a community. If the nurse lives in the community, activities such as participating in
clinical organizations and church life and reading the newspaper give the nurse
, "observations" of the community's life. The nurse should care about the interventions
that are performed regardless of where the nurse lives. The priority is that the nurse is
knowledgeable of and can observe the community, the assignment does not have to do
with the convenience of the nurse.
A community health nurse drives through an assigned community before visiting the
community groups scheduled for the day. The nurse then drives through the community
again that evening before going home. Which of the following best describes the nurse's
reason for driving through the community twice in the same day?
a. On the second trip, the nurse can carefully confirm the results of the first
assessment.
b. Repeating the experience ensures that the nurse absorbed all the relevant details.
c. Driving through twice allows the nurse to see the community when many
residents are at work or at school and then again when most are at home.
d. When leaving in the evening, the nurse has more time to write down the results of the
earlier assessment. - ANS-c. Driving through twice allows the nurse to see the
community when many residents are at work or at school and then again when most are
at home.
Before beginning to survey the community to assess its health needs and strengths, the
nurse reviews various documents, including local statistical data and the minutes of the
previous meeting of the health care agency. Which of the following best explains why
the nurse would start with this activity?
a. To avoid confronting the community until the nurse is thoroughly oriented
b. To become familiar with previous goals and priorities of the agency
c. To help get a better understanding of the assigned community
d. To save time and effort and perhaps have new insights - ANS-d. To save time and
effort and perhaps have new insights
The nurse uses previously gathered data because it saves time and effort. Many
sources of data are readily available and useful for secondary analysis. Being familiar
with the community before the assessment is important; however, being thoroughly
oriented is not necessary. The nurse should become familiar with the community, not
the goals and priorities of the agency.
A new nurse is overwhelmed with the needs of the community. Which of the following
should be the first priority of the nurse?
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