Community-Based Nursing Care of the Child and Family

1. Which of the following terms best describes the identification of the distribution and causes of disease, injury, or illness?
a. Nursing process
b. Epidemiologic process

c. Community-based statistics
d. Mortality and morbidity statistics

ANS: B
b. Epidemiology is the science of population health applied to the detection of morbidity and mortality in a population. It identifies the distribution and causes of diseases across a population.
a. Nursing process is a systematic problem-solving approach for the delivery of nursing care.
c and d. Morbidity and mortality statistics, along with natal rates, may provide an objective picture of a community’s health status.

DIF: Cognitive Level: Comprehension REF: Page 22
TOP: Integrated Process: Nursing Process: Assessment
MSC: AreaofClientNeeds:HealthPromotionandMaintenance:Healthand Wellness

2. One of the community nurses at the health department is trying to identify how many new cases of acquired immunodeficiency syndrome (AIDS) have occurred in her city this past year. The term that best describes this measurement is:
a. mortality.

b. morbidity. c. incidence. d. prevalence.

ANS: C
c. Incidence will provide the number of cases of a particular disease process. a. Mortality statistics specify the number of deaths from a given cause.
b and d. Morbidity statistics specify the prevalence of specific illnesses in a population at a particular time.

DIF: Cognitive Level: Comprehension REF: Page 22
TOP: Integrated Process: Nursing Process: Assessment
MSC: AreaofClientNeeds:HealthPromotionandMaintenance:Healthand

Pub Review 2-2

Wellness

3. The nurse is collecting subjective and objective information about the target population to diagnose problems based on community needs. Which step in the community nursing process is this?
a. Planning

b. Diagnosis
c. Assessment
d. Establishing objectives

ANS: C
c. The nursing process stages are similar, whether the client is one child or a population of children. The assessment phase of the nursing processes focuses on collecting subjective and objective data.
a and d. Planning is the development of community-centered goals and objectives. b. Diagnosis is the identification of problems specific to the community.

DIF: Cognitive Level: Comprehension REF: Page 24
TOP: Integrated Process: Communication and Documentation
MSC: AreaofClientNeeds:SafeandEffectiveCareEnvironment:Managementof Care

4. The nurse is establishing several health programs such as bicycle safety to improve the health status of the target population. Which step in the community nursing process is this?
a. Planning

b. Evaluation
c. Assessment
d. Implementation

ANS: D
d. The nurse working with the community to put into practice a program to reach community goals is the implementation phase of the community nursing process.
a. Planning involves designing the program to meet community-centered goals.
b. The evaluation stage would determine the effectiveness of the program.
c. During the assessment phase, the nurse would identify the resources necessary and the barriers that would interfere with implementation.

DIF: Cognitive Level: Comprehension REF: Page 24
TOP: Integrated Process: Nursing Process: Implementation
MSC: AreaofClientNeeds:SafeandEffectiveCareEnvironment:Managementof Care