test bank Exam 2
3. When the nursing student identifies the three dimensions of the health of a community, the nurse
educator is aware that the student has grasped which of the following concepts?
A) Status/people, structure, and process
B) Assessment, policy development, and assurance
C) Primary, secondary, and tertiary
D) Function, structure, and process - ✔✔✔A
The three dimensions of the health of the community are status/people, structure, and process.
Assessment, policy development, and assurance are the three core public health functions.
Primary, secondary, and tertiary are the levels of prevention. Function, structure, and process are
the descriptions of Human Anatomy and Physiology.
4. A community health nurse is working as part of a health planning team to determine the needs of
pregnant teenagers in the community. Which of the following population variables would be
important to assess? Select all that apply.
A) Rate of growth or decline among those in need
B) Health needs and practices of subculture groups
C) Geographic placement of proposed health services
D) Functions of community organizations
E) Social class of the community
F) Level of agreement on community goals - ✔✔✔Ans: A, B, E
5. A community health nurse avoids focusing care on illness and health problems, considering
,clients as which of the following?
A) Aggregate
B) Agent
C) Community
D) Total system - ✔✔✔D
It was proposed by Mundinger and Jauron that the use of nursing diagnoses in the community
could be formulated by substituting the terms, client, family, group, or aggregate for the word
patient. Community health nurses look for evidence of all kinds of needs that relate to or
influence a client's levels of wellness. Needs cover the whole span of the health-illness
continuum and the total person, family, group, aggregate, population, or community—the total
system. Not all clients are communities. They may be individuals or families. Not all clients are
in the category of groups, aggregates, or populations. A client can be an individual or a family.
When using the epidemiological triad, there are three components: host, agent, and environment.
A client would be considered the host. An agent is a factor that causes or contributes to a health
problem or condition.
6. When the nursing student identifies the concept of community as client as which of the following
the instructor knows that the student has grasped this concept?
A) The community is comprised of individual clients.
B) The community is comprised of families.
C) The community is a group or population of people as the focus of nursing service.
D) The community cannot be a client. Persons who are hospitalized are patients. - ✔✔✔C
Which of the following statements about the structural dimension of the community as client are
accurate? Select all that apply.
,A) Structure of a community refers to its services and resources.
B) Community associations, groups, and organizations provide a means for accessing
needed services.
C) Adequacy and appropriateness of health services can be determined by examining
patterns of use, number and types of health and social services, and quality measures.
D) Demographic data, such as socioeconomic and racial distribution, age, gender, and
educational level, are important indicators of community structure.
E) Structure is the most common measure of the health of a community. - ✔✔✔A B C D
8. The community health nurse is determining the health of a community by examining status.
Which of the following would the nurse examine?
A) Leading causes of death and illness
B) Adequacy of health services
C) Socioeconomic distributions
D) Strengths of the community - ✔✔✔A
he community health nurse is assessing the health of a community by reviewing the dimension
of process. Which of the following is true of this dimension?
A) Process of a community refers to its services and resources.
B) Process reflects the community's ability to function effectively.
C) It usually consists of morbidity and mortality data.
D) It refers to the physical, emotional and social determinants of health. - ✔✔✔B
Feedback:
Process reflects the community's ability to function effectively. Structure of a community refers
to its services and resources. Status/people dimension usually refers to the morbidity and
, mortality data and the physical, emotional, and social determinants of health.
Status/people dimension usually refers to - ✔✔✔mortality and morbidity and the physical, emotional,
and social determinants of health.
structure of community refers to - ✔✔✔services and resources
reflects the community's ability to function effectively. - ✔✔✔process
11. When building a coalition, which of the following would the community health nurse do first?
A) Conduct a community assessment
B) Identify key players
C) Identify potential members
D) Define goals and objectives - ✔✔✔Ans: D
Feedback:
Steps to coalition building include defining goals and objectives, conducting a community
assessment, identifying key players or leaders, and identifying potential coalition members.
11. When building a coalition, which of the following would the community health nurse do first?
A) Conduct a community assessment
B) Identify key players
C) Identify potential members
D) Define goals and objectives - ✔✔✔Ans: D
Feedback:
Steps to coalition building include defining goals and objectives, conducting a community
assessment, identifying key players or leaders, and identifying potential coalition members.
