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Population and Community Nursing Chapter 15

Terms in this set (10)

Ethnicity of the population
Correct: Biological determinants are human biologic factors such as ethnicity.

Age distribution among the population
Correct: Biological determinants are human biologic factors such as age.

Death rate
Correct: Biological determinants are human biologic factors such as death rate.
A population health nurse is making the assessment of a population according to biological determinants. Select those that would apply to this assessment.

a. Adequacy of ED personnel
b. Communication networks
c. Ethnicity of the population
d. Age distribution among the population
e. Death rate
Herd immunity

Correct: The protective element of general community immunization levels is referred to as "herd immunity."
A school health nurse is working with college students who contracted an upper-respiratory viral infection. The nurse is concerned that other members of the campus will develop this illness. The nurse is assessing the campus':

a. Mortality rate
b. General health
c. Morbidity rate
d. Herd immunity
Behavioral

Correct: Behavioral determinants influence the health status of a population and its members. Areas to be considered in this dimension include consumption patterns, leisure pursuits, and other health-related behaviors. Consumption patterns play a major part in the development of health or illness. In assessing consumption patterns in the community, the assessment team would examine dietary patterns and the use of potentially harmful substances.
A community in a rural state has an increasingly high number of motor vehicle fatalities related to under-age alcohol abuse. The nurse's assessment of this information would be part of which factors associated with the health of the population?

a. Psychological
b. Behavioral
c. Biophysical
d. Environmental
Collaboration

Correct: At the collaborative level officials and members of the public share power and responsibility for needs identification, program design, and evaluation.
A population health nurse is completing a population assessment and documenting the involvement of civil leaders, as well as leaders at the state level, and their investiture of the community's health. This nurse is documenting which level of community assessment?

a. Consultation
b. Cooperation
c. Collaboration
d. Conceptualization
Driving through the community.

Correct: The nurse or other members of the assessment team might drive through the community to assess its geographic features, nuisance factors, and the general adequacy of housing. This may be discussed as a "windshield survey."
A nurse making a community assessment would be able to find first-hand information about the community's physical environment by:

a. Driving through the community.
b. Checking the hospital admission records.
c. Visiting with local insurance providers.
d. Visiting the chamber of commerce.
65% of school-age children will be immunized before the end of the current school year.

Correct: Outcomes must be measurable (65%), precise, time specific (end of the current school year), reasonable (small gain), within group capability, legal, and congruent with population social norms.
A population nurse has determined that just less than half of school age children in the area have complete immunizations. What is an appropriate outcome for a program addressing this need?

a. 65% of school-age children will be immunized before the end of the current school year.
b. Health care providers will document the number of immunized children within their care.
c. Improvement of immunization compliance.
d. Parents will be able to identify the importance of child immunization.
Prioritize the issue to address

Correct: Generally there are many issues that could be addressed in every community. The first step in a good program is to prioritize these issues and choose the issue of highest priority.
The planning process of community health programs incorporates several stages. Which stage is first?

a. Develop the program
b. Prioritize the issue to address
c. Analyze the issue
d. Create the planning group
Task allocation

Correct: Task allocation involves identifying the expertise of program implementers relative to the skills needed to effectively implement the program.
A community health nurse is working with a group to implement a health care program for adult nutrition classes. The nurse, as well as members of the community that have been instrumental in this program, are delegating responsibility for various tasks that help keep the program running as part of the community's regularly offered activities. This is an example of which task of implementation?

a. Task allocation
b. Task performance
c. Activity delineation
d. Sequencing
Prospective

Correct: In a prospective evaluation, the evaluation is planned and evaluative criteria are determined prior to program implementation.
As part of a new program in the community health department, the community health nurse identified the evaluation criteria to be implemented during the planning stage of the process. This is an example of which approach to evaluation?

a. Outcome evaluation
b. Process evaluation
c. Retrospective
d. Prospective
Interpret the data.

Correct: Once data have been collected, they must be analyzed and interpreted. Analysis may involve conducting statistical tests of relationships or identification of concepts and themes from qualitative information.
A community health nurse is evaluating the effectiveness of a new training program for day care providers. After gathering data about the program, the next step is to:

a. Disseminate the data.
b. Interpret the data.
c. Communicate the findings to the stakeholders.
d. Make decisions about the program.
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