Philosophy, goals, objectives, principles, concept and importance of community health nursing, qualities and functions of community health nurse, steps of nursing process.
Time: 15:00
Which statement best describes the core philosophy of community health nursing?
[a] The primary focus is on treating acute and chronic diseases in individuals.
[b] To achieve the "greatest good for the greatest number" of people.
[c] To provide episodic care to families in their homes after hospitalization.
[d] To prioritize the healthcare needs of the most affluent community members.
What is the primary goal of community health nursing?
[a] To ensure all community members have private health insurance.
[b] To cure all existing diseases within a community.
[c] To provide direct care for critically ill patients in a hospital setting.
[d] To promote health, preserve health, and prevent disease for the entire community.
The concept of "community as the client" in community health nursing means that the nurse's primary focus is on:
[a] The collective health needs and problems of the population.
[b] The individual health needs of each person living in the area.
[c] The administrative and political leaders of the community.
[d] Providing one-on-one care in a specialized clinic setting.
Which of the following is a fundamental principle of community health nursing practice?
[a] The nurse should make all decisions for the community's health programs.
[b] Health education should be limited to written materials only.
[c] Community participation and involvement in planning and implementation are essential.
[d] Services should only be provided to those who can afford to pay.
What is a key importance of community health nursing in the broader healthcare system?
[a] It increases the number of hospital admissions for preventable conditions.
[b] It focuses solely on tertiary care, which is the most expensive.
[c] It helps decrease healthcare costs by focusing on prevention and early intervention.
[d] It replaces the need for doctors and specialists in a community.
A specific, measurable objective for a community health nursing program could be:
[a] "To improve the overall health of the local school children."
[b] "To increase the rate of handwashing among elementary students by 30% within 3 months."
[c] "To make everyone in the community feel healthier."
[d] "To conduct general health education sessions."
The principle of health promotion in community health nursing is best demonstrated by which activity?
[a] Administering medication to a patient with hypertension in their home.
[b] Changing the dressing on a post-operative wound.
[c] Conducting a workshop on healthy meal planning and exercise for all age groups.
[d] Referring a patient with end-stage renal disease to hospice care.
A vital quality for a community health nurse is autonomy. This means the nurse must be able to:
[a] Work effectively only when under direct supervision.
[b] Make independent, sound judgments and decisions in diverse settings.
[c] Follow a rigid set of instructions without any deviation.
[d] Avoid interacting with other healthcare professionals.
When a community health nurse teaches a group of new mothers about infant care and safety, what primary function is being performed?
[a] Case Manager
[b] Researcher
[c] Health Educator
[d] Policy Developer
A community health nurse who speaks to the city council to secure funding for a free immunization clinic is acting in the role of a(n):
[a] Caregiver
[b] Advocate
[c] Epidemiologist
[d] Clinician
The function of a collaborator is best exemplified when the community health nurse:
[a] Works independently to design and run a health program without input.
[b] Focuses only on the tasks assigned by a single supervisor.
[c] Partners with local schools, government agencies, and faith-based organizations to address a community health issue.
[d] Provides direct wound care to an individual patient at home.
Which quality is essential for a community health nurse to effectively work with diverse populations?
[a] The ability to impose one's own cultural beliefs on others for their own good.
[b] Ignoring cultural differences to treat everyone exactly the same.
[c] Cultural competence and a non-judgmental attitude.
[d] A preference for working with only one specific cultural group.
As a case manager, the community health nurse's primary responsibility is to:
[a] Diagnose rare medical conditions.
[b] Perform complex surgical procedures.
[c] Develop new public health laws and regulations.
[d] Coordinate and link clients with necessary health and social services.
What is the first and most critical step of the nursing process in community health?
[a] Implementation
[b] Evaluation
[c] Assessment
[d] Planning
Which of the following lists the steps of the nursing process in the correct order?
During the community assessment phase, the community health nurse would primarily be engaged in:
[a] Carrying out the planned health interventions.
[b] Determining if the program goals were met.
[c] Collecting data about the community's health status, resources, and needs.
[d] Writing specific, measurable objectives for the program.
A community nursing diagnosis differs from an individual nursing diagnosis because it:
[a] Focuses on the health problem of a single person.
[b] Can only be determined by a medical doctor.
[c] Identifies a health problem or risk for the entire community or a specific aggregate.
[d] Is the final step in the nursing process.
The planning step of the nursing process in community health critically involves:
[a] Gathering statistics and interviewing community leaders.
[b] Prioritizing community health problems and developing interventions with measurable goals.
[c] Putting the planned health education sessions into action.
[d] Collecting feedback from participants after a program has concluded.
Which activity is part of the implementation phase of the nursing process in a community setting?
[a] Analyzing data from a community survey to identify health needs.
[b] Setting a goal to reduce teen smoking by 15% in one year.
[c] Conducting a smoking cessation clinic at the local high school.
[d] Measuring the rate of teen smoking six months after the clinic has ended.
The main purpose of the evaluation step in the community health nursing process is to:
[a] Identify potential health problems in the community.
[b] Formulate a community nursing diagnosis based on assessment data.
[c] Determine the effectiveness, impact, and outcome of the nursing interventions.
[d] Design the health program from the beginning.
In community health nursing, providing immunizations against communicable diseases is a classic example of which level of prevention?
[a] Primary Prevention
[b] Secondary Prevention
[c] Tertiary Prevention
[d] Diagnostic Prevention
When a community health nurse collects and analyzes data on the incidence of a specific disease to identify trends and risk factors, they are functioning as a:
[a] Clinician
[b] Manager
[c] Health Educator
[d] Researcher/Epidemiologist
The principle of "equity in health" means that the community health nurse should strive to:
[a] Give everyone the exact same resources, regardless of need.
[b] Focus services only on the easiest-to-reach populations.
[c] Allocate resources to reduce health disparities and address the needs of vulnerable groups.
[d] Provide services only to those who have historically used them.
The nursing process is described as cyclical and dynamic. This means that:
[a] The steps must be followed rigidly in order and never revisited.
[b] The process ends permanently once evaluation is complete.
[c] The findings from the evaluation phase can lead back to reassessment and a new plan.
[d] The nurse can skip steps like planning or diagnosis if they are short on time.
Why is leadership an important quality for a community health nurse?
[a] To give orders and ensure they are followed without question.
[b] To guide, influence, and empower the community to take action on its own health.
[c] To perform all the work themselves to ensure it is done correctly.
[d] To compete with other healthcare agencies in the area for clients.
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