1.
Which of the following would be the best way to determine the health of a community?
Correct Answer
C. Ask people living in the neighborhood if they are happy with where they live.
Explanation
Asking people living in the neighborhood if they are happy with where they live would be the best way to determine the health of a community because it directly assesses the satisfaction and well-being of the residents. Their happiness and contentment reflect the overall quality of life, social connections, and access to amenities and services in the community. This approach provides valuable insights into the community's overall health and can help identify areas that may need improvement or further support.
2.
Which of the following characteristics would be most indicative of a healthy community?
Correct Answer
D. Clean air and water and a sense of community cohesion
Explanation
Clean air and water and a sense of community cohesion are the most indicative characteristics of a healthy community. Clean air and water are essential for the overall well-being and health of the community members. They promote good physical health and reduce the risk of diseases. Additionally, a sense of community cohesion indicates that people in the community have strong social connections, support each other, and work together for the betterment of the community. This fosters a positive and supportive environment, leading to better mental health and overall community well-being.
3.
A nurse was assessing the neighborhood near the health agency. The nurse drove around observing the condition of the buildings, sidewalks, and the people in the community. Which of the following best describes the actions of the nurse?
Correct Answer
D. A windshield survey
Explanation
The nurse's actions of driving around and observing the condition of the buildings, sidewalks, and people in the community can be best described as a windshield survey. This term is commonly used in healthcare to refer to a systematic approach of gathering data about a community by physically observing the environment from a vehicle. It allows the nurse to assess the overall health and social needs of the community, identify potential health risks, and determine the availability of healthcare resources.
4.
Which of the following would be the best definition of a community?
Correct Answer
C. People with a sense of belonging or common identity
Explanation
A community can be defined as a group of people who share a sense of belonging or common identity. This means that they feel connected to one another and share a common bond, whether it be through shared values, interests, or experiences. This definition emphasizes the importance of the social and emotional connections within a community, rather than focusing solely on physical proximity or demographic characteristics.
5.
Which of the following is an essential characteristic of a community?
Correct Answer
B. A particular place over time for common purposes
Explanation
An essential characteristic of a community is a particular place over time for common purposes. This means that a community is not just defined by its geographic boundaries, but also by the shared goals, interests, and activities of its members. It implies that the community has a sense of identity and continuity, as it exists and functions over a period of time. This characteristic distinguishes a community from a mere geographic area or a group of people with common demographic characteristics.
6.
Which of the following is an example of a phenomenologic community?
Correct Answer
A. The employees of Delco Manufacturing
Explanation
The employees of Delco Manufacturing can be considered an example of a phenomenologic community because they share a common experience or phenomenon related to their work at the company. They likely have a shared understanding of the company's culture, processes, and goals, which creates a sense of community among them. This community is based on their direct involvement and experience with Delco Manufacturing, distinguishing it from the other options which do not have the same level of shared experience or connection.
7.
Which of the following best describes a group?
Correct Answer
C. Those who engage in repeated face-to-face communication
Explanation
This answer best describes a group because engaging in repeated face-to-face communication is a defining characteristic of a group. It suggests that members of a group regularly interact and communicate with each other in person, which helps to build relationships and foster a sense of belonging within the group. This level of communication allows for the exchange of ideas, collaboration, and the development of shared goals and norms.
8.
When community/public health personnel speak of a community of solution, to what are they referring?
Correct Answer
B. The area in which some problems are approached on a wider regional basis
Explanation
The term "community of solution" refers to the approach of addressing certain problems on a wider regional basis. This means that instead of individual communities tackling problems on their own, they come together and collaborate to find solutions that can benefit the entire region. This approach recognizes that some issues are too complex or widespread to be effectively addressed at a local level, and therefore require a broader regional perspective and collective effort.
9.
When a community is assessed from a developmental framework, which data must be determined?
Correct Answer
C. The history of the community
Explanation
When assessing a community from a developmental framework, it is important to determine the history of the community. Understanding the history provides valuable context and insight into the community's past experiences, challenges, and successes. This information helps in identifying patterns, trends, and factors that have influenced the community's development. It also helps in understanding the community's cultural heritage, traditions, and values, which can shape its current state and future trajectory. By considering the history of the community, one can gain a deeper understanding of its unique characteristics and make informed decisions for its future development.
10.
Which of the following would be the focus of a nurse who is using an epidemiologic framework to assess a community?
Correct Answer
D. Discovering groups among the community residents who are most at risk
Explanation
A nurse using an epidemiologic framework to assess a community would focus on discovering groups among the community residents who are most at risk. This approach involves identifying specific populations or subgroups within the community that may have a higher likelihood of developing certain health conditions or facing specific health risks. By identifying these at-risk groups, the nurse can then develop targeted interventions and strategies to address their unique needs and improve overall community health outcomes.
11.
Which of the following situations is a reason why a community/public health nurse would choose to focus on a particular subgroup instead of on the entire community?
Correct Answer
C. The subgroup has notably higher statistical risk for experiencing health problems.
Explanation
A community/public health nurse may choose to focus on a particular subgroup instead of the entire community if that subgroup has notably higher statistical risk for experiencing health problems. This means that the subgroup is more vulnerable and in greater need of healthcare interventions and support. By targeting this subgroup, the nurse can allocate resources and interventions more effectively to address their specific health needs and reduce the overall burden of health problems within the community.
12.
When assessing a community by using the structural-functional framework, the nurse recognizes that all communities must
Correct Answer
C. Provide for socialization and a sense of identity.
Explanation
When using the structural-functional framework to assess a community, the nurse understands that all communities must provide for socialization and a sense of identity. This means that the community should have opportunities for individuals to interact and form relationships, as well as a shared understanding of their collective identity. This is important for the overall well-being and cohesion of the community. Addressing financial needs, engaging in measurable functions, and having public safety structures are also important aspects of a community, but they are not the primary focus of the structural-functional framework.
13.
A nurse is completing a community assessment by using a systems framework. Which of the following is the key to the success of the assessment?
Correct Answer
C. Using a tool to systematically identify, collect, and organize appropriate data
Explanation
The key to the success of the community assessment is using a tool to systematically identify, collect, and organize appropriate data. This approach ensures that the assessment is conducted in a structured and organized manner, allowing for accurate and comprehensive data collection. It helps the nurse to gather relevant information efficiently and effectively, leading to a more thorough and reliable assessment.
14.
What is the first step in beginning a community assessment?
Correct Answer
C. Defining the community and determining its boundaries or parameters
Explanation
The first step in beginning a community assessment is to define the community and determine its boundaries or parameters. This is important because it provides a clear understanding of the scope of the assessment and helps in identifying the specific population that will be assessed. By defining the community and determining its boundaries, the assessment process can be focused and targeted, ensuring that the data collected is relevant and meaningful.
15.
Why would a nurse be concerned when a community has relatively closed, rigid boundaries?
Correct Answer
B. The community is probably resistant to change.
Explanation
When a community has relatively closed, rigid boundaries, it suggests that the community is resistant to change. This means that the community may be unwilling to adopt new practices or interventions recommended by the nurse. This can hinder the nurse's ability to provide effective healthcare and support to the community members. It may also make it challenging for the nurse to implement any community-based programs or initiatives. Therefore, the nurse would be concerned about the community's resistance to change as it can impact the overall health and well-being of its members.
16.
Which of the following events illustrates how the suprasystem affects a community as a system?
Correct Answer
D. The state legislature passes a law that all communities must build some housing for homeless persons.
Explanation
The correct answer illustrates how the suprasystem, in this case the state legislature, affects the community as a system by passing a law that impacts all communities. This decision directly influences the community's actions and requires them to build housing for homeless persons. This demonstrates the influence and impact of the suprasystem on the community as a whole.
17.
How might the goals of communities best be summarized?
Correct Answer
D. Promoting survival and maximizing the well-being of members
Explanation
The goals of communities can be best summarized as promoting survival and maximizing the well-being of members. This means that communities strive to ensure the safety, health, and overall quality of life for their members. This includes providing access to basic needs such as food, shelter, and healthcare, as well as creating a supportive and inclusive environment where individuals can thrive and fulfill their potential. By prioritizing the survival and well-being of their members, communities can foster a sense of belonging and cohesion, leading to stronger and more resilient societies.
18.
Which demographic factors of a community are important for the nurse to consider when assessing a community?
Correct Answer
C. Ethnicity determines how health is defined and protected.
Explanation
Ethnicity determines how health is defined and protected. This is because different ethnic groups may have different cultural beliefs, practices, and behaviors related to health and healthcare. Understanding the ethnic composition of a community can help the nurse tailor their assessment and interventions to meet the specific needs and preferences of different ethnic groups. It can also help identify any disparities or inequities in health outcomes and access to healthcare services among different ethnic groups, allowing for targeted interventions to address these issues.
19.
Which of the following is an example of the relationship between demographic factors and health needs?
Correct Answer
C. Religion may suggest beliefs concerning use of contraception, health care, and food choices.
Explanation
The correct answer is "Religion may suggest beliefs concerning use of contraception, health care, and food choices." This option highlights the relationship between demographic factors (specifically, religious beliefs) and health needs. Religion can influence an individual's beliefs and practices related to contraception, healthcare, and food choices, which in turn can affect their health needs. This demonstrates how demographic factors can play a role in shaping health needs.
20.
What might be the implications of knowing where members of the community are employed (i.e., their occupations)?
Correct Answer
C. The diseases or injuries for which they may be at risk
Explanation
Knowing where members of the community are employed can have implications for the diseases or injuries they may be at risk for. Certain occupations may expose individuals to specific health hazards or risks. For example, individuals working in construction or manufacturing may be at a higher risk for injuries or accidents, while healthcare workers may be at a higher risk for exposure to infectious diseases. Understanding the employment patterns of community members can help identify potential health concerns and inform targeted interventions or preventive measures.
21.
When a nurse assesses a community, which of the following components is essential to determine first?
Correct Answer
A. Areas of strength
Explanation
When a nurse assesses a community, it is essential to determine the areas of strength first. This is important because identifying the strengths of a community allows the nurse to build upon them and utilize them as resources to address the areas of need effectively. Understanding the areas of strength helps in developing interventions and strategies that can be tailored to the community's existing strengths, fostering a more positive and collaborative approach to healthcare.
22.
A community/public health nurse is planning to implement a new community-based education program. Why is it crucial for the nurse to understand the organizational structure of a community, as well as its leadership?
Correct Answer
A. The nurse may have to convince the informal leaders of the need for the program before it can be successful.
Explanation
Understanding the organizational structure and leadership of a community is crucial for a nurse planning to implement a new community-based education program because they may need to convince the informal leaders of the need for the program before it can be successful. Informal leaders hold significant influence within the community and their support is necessary to gain community acceptance and participation in the program. By understanding the organizational structure and leadership dynamics, the nurse can effectively engage with these informal leaders and build relationships that will contribute to the success of the program.
23.
Which group of persons is least likely to be considered a vulnerable group at high risk for medical problems?
Correct Answer
D. Single adolescent boys
Explanation
Single adolescent boys are least likely to be considered a vulnerable group at high risk for medical problems because they generally have fewer health issues compared to other groups listed. Homeless women and children, intravenous drug users, and pregnant single teenage girls are all more likely to face health challenges and have higher risks due to their specific circumstances.
24.
A community/public health nurse determines there are 200 persons in a particular community who are older than age 65, another 300 younger than 21, and about 1500 persons aged 21 to 65. What is that communities dependency ratio?
Correct Answer
A. 1:3
Explanation
The dependency ratio is a measure of the number of dependents (those who are too young or too old to work) compared to the number of working-age individuals in a population. In this case, the community has 200 individuals older than 65 and 300 individuals younger than 21, making a total of 500 dependents. The working-age population is 1500 individuals aged 21 to 65. Therefore, the dependency ratio is 500:1500, which simplifies to 1:3. This means that for every 3 working-age individuals, there is 1 dependent in the community.
25.
Which of the following is a very practical and feasible way of obtaining comprehensive community health data?
Correct Answer
D. Using data already collected and available on the Internet
Explanation
While all the options could potentially provide community health data, using existing data from reliable internet sources is the most practical and feasible approach. It saves time and resources compared to conducting surveys and can offer a broader range of data, including demographics, health statistics, and socioeconomic factors.
26.
What is the primary reason why entire populations are not surveyed to determine a communities health needs?
Correct Answer
C. Such a survey would be too expensive and time consuming.
Explanation
The primary reason why entire populations are not surveyed to determine a community's health needs is because conducting such a survey would be too expensive and time-consuming. It would require significant resources and manpower to survey every individual in a community, which may not be feasible. Additionally, the process of reaching out to and collecting data from every member of a population would be time-consuming and may not yield efficient results. Therefore, conducting a survey of the entire population is not a practical approach.
27.
A community/public health nurse wants to use key informants to gather additional information. Which of the following actions would be useful to perform first?
Correct Answer
B. Conducting a focus group with informal leaders from the community
Explanation
Conducting a focus group with informal leaders from the community would be useful to perform first because informal leaders often have a deep understanding of the community and can provide valuable insights and information. This approach allows the nurse to gather information from individuals who have influence and knowledge within the community, providing a more comprehensive understanding of the community's needs and resources. This initial step can help guide the nurse in developing appropriate strategies and interventions to address the community's health concerns.
28.
The nurse is using previously collected data about the incidence and prevalence of lead poisoning in the community as a starting point when conducting a community assessment. What would be the nurses next step?
Correct Answer
A. Assessing the community in relation to lead poisoning
Explanation
The nurse's next step would be to assess the community in relation to lead poisoning. This would involve gathering information about the community's demographics, environmental factors, and potential sources of lead exposure. By conducting this assessment, the nurse can identify specific areas or populations that are at a higher risk for lead poisoning and develop targeted interventions to address the issue.
29.
Which of the following conclusions would require the nurse to obtain more assessment data?
Correct Answer
C. Data that have been collected are incongruent and contradictory.
Explanation
The nurse would need to obtain more assessment data if the data that have been collected are incongruent and contradictory. This suggests that there may be inconsistencies or discrepancies in the information gathered, which could potentially affect the accuracy and reliability of the conclusions drawn. Therefore, further assessment would be necessary to clarify and validate the data before making any definitive conclusions.