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Chapter 11 Community Assessment
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Chapter 11 Community Assessment
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Chapter 11 Community AssessmentOrigin: Chapter 11- Community Assessment, 1
1. Community assessment is a critical process for the future because it can:
A) Identify the need for a community commission
B) Identify a method to improve the health of at-risk clients
C) Provide a means of grant funding for clinics
D) Provide a client base for at-risk neighborhoods
Ans: B
Feedback:
Community assessment has been called a critical process for the future that can be used
as a means for understanding the interactions between people, health, and environment
in a community, as well as finding a way to improve both the health status of at-risk
populations and outreach activities.
Origin: Chapter 11- Community Assessment, 2
2. The nurse conducts a community assessment in a town once supported by multiple
paper factories. The factories closed 2 years ago and most of the population is now out
of work. The school nurse notes that 68% of the students are behind schedule in their
physicals and immunizations. On the basis of this community assessment, the nurse
should recommend:
A) Initiation of neighborhood clinics at low or no cost to the community
B) Creation of a task force to assess the impact of low income on immunization
compliance
C) A formal petition to the local government to mandate immunizations by imposing
monetary fines on parents whose children are not immunized
D) A tax relief program for new companies wishing to settle in the community
Ans: A
Feedback:
,Whenever nurses conduct an assessment of a community, they examine biological,
psychological, and sociocultural influences of the environment of a group of people who
share specific characteristics. Knowledge gained from this endeavor provides valuable
insight into the ways that people's health behaviors directly and indirectly influence the
overall health and well-being in their community. The neighborhood clinics meet the
immediate need for childhood immunizations. The assessment has already determined
that immunization compliance is low, so there is no need to create a task force to assess
this. A mandate from the local government to either immunize one's children or pay a
fine would only place a further financial burden on the parents and would likely not
improve immunization rates, as the parents would be no more able to afford it than
before. Although it would be beneficial in the long term to attract companies to the
community to provide jobs, there is no indication that a tax relief program would
provide adequate incentive to achieve this goal, as taxes are likely not the primary
barrier to new employers' coming. Moreover, even if it did succeed, it might be several
years before such an effort produced the jobs and income needed to address the barrier
to immunization, and in the meantime many children would go without being
immunized.
, Origin: Chapter 11- Community Assessment, 3
3. While completing a community assessment, the nurse notes that the computer
companies in the community hire a disproportionate number of their employees from
local suburban communities rather than the community in which the company is housed.
To create an accurate assessment, the nurse should collect data on:
A) All of the company's employees but count those living outside the community
separately, as outliers
B) Only the employees that live in the community, disregarding the others as
statistically irrelevant
C) All of the company's employees and include those living outside the community
as part of the aggregate
D) Only the employees that live in the community in your initial assessment; then
collect data on the others as part of a separate assessment for the community in
which they live.
Ans: C
Feedback:
The group of people, or an aggregate as it is often called in the literature, consists of
those who live within the boundary of the geopolitical community. However, these
borders are really ambiguous. The aggregate could also include people who work within
the community who do not necessarily live there, as well as those living close to
community boundaries who visit the communities to purchase goods or use facilities for
nonwork activities. Thus, the nurse should collect data on all of the company's
employees and include those living outside the community as part of the aggregate.
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