c18(1).rtf - Chapter 18 Community as Client Assessment and...

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Chapter 18: Community as Client: Assessment and Analysis Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 9th Edition MULTIPLE CHOICE 1. What are the critical attributes in the definition of community? a. Families, groups, and health organizations b. Health needs, geographical boundaries, and target population c. People, place, and functions d. Populations and health resources ANS: C People, place, and function are the critical attributes in the definition of community. These attributes are found in most definitions of community. The people are community members or residents; place refers to geographic and time dimensions; and function refers to the aims and activities of the community. DIF: Cognitive level: Understanding REF: p. 398 TOP: Nursing process: Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of Care 2. A nurse has collected data about the services available in the community and is using the seven “A”s to evaluate these services. Which of the following questions will the nurse most likely ask? a. Can the community members allocate resources to support the service? b. Can the community members afford the service? c. Will the community members allow strategies to be implemented to improve the service? d. Will the community members approve of the services provided? ANS: B The seven “A”s include: Is the community aware of its needs and of the service? Is it accessible to community members? Is the service available when the community needs it? Can the community members afford the service? Does the community find the service acceptable ? Is the service adequate to meet the needs of the community? And, are the services appropriate to meet the needs of the community? The following questions do not address the seven “A”s: Can the community members allocate resources to support the service? Will the community members allow strategies to be implemented to improve the service? And, will the community members approve of the services provided? DIF: Cognitive level: Applying REF: p. 414 (Box 18-4) TOP: Nursing process: Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of Care 3. A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurse’s care? a. Providing care for aggregates living in the community b. The collective good of the population
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c. The provision of care for families in the home setting d. Providing health education in the community ANS: B The community is considered the client when the nursing focus is on the collective good of the population. Providing education is one way the nurse can care for the community as the client; however, the focus of nursing care is larger in scope than only education. Provision of care for aggregates and families does not address the larger scope of community as client.
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