Community Health Nursing: Assessment & Evaluation
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Questions and Answers

When involving the community-client as partner, during which phase does data collection take place to determine the community's health and structure?

  • Implementation phase
  • Assessment phase (correct)
  • Evaluation phase
  • Planning phase

During which phase would the community health nurse (CHN) determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?

  • Assessment phase
  • Implementation phase
  • Planning phase
  • Evaluation phase (correct)

Which objective is most appropriate for developing a community health nursing process?

  • All monitored clients will receive abortion therapy within 3 minutes following recognition of lethal dysrhythmia.
  • Of mothers receiving nutrition counselling, 80% will identify five sources of calcium by the end of class. (correct)
  • At least 95% of children will be immunized by the age of 1 year.
  • There will be a 25% reduction in health disparities by 2015.

Which of the following represents a challenge when gathering background statistical population-based information on specific minority aggregates?

<p>It is difficult to find comparative health information for small communities. (C)</p> Signup and view all the answers

Which one of the following groups has the highest life expectancy?

<p>First Nations, Métis, and Inuit females (A)</p> Signup and view all the answers

Which of the following demonstrates the second phase of application of the community health nursing process?

<p>Developing a 6-week wellness program (A)</p> Signup and view all the answers

Which of the following demonstrates the first phase of application of the community health nursing process?

<p>Determining the needs of the community (D)</p> Signup and view all the answers

Whenever possible, population-based practice focuses on which level of prevention?

<p>Primary prevention (A)</p> Signup and view all the answers

Which one of the following is a feature of community capacity building?

<p>Asking why (C)</p> Signup and view all the answers

Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?

<p>Partnership building (D)</p> Signup and view all the answers

Indigenous ways of knowing are approaches to:

<p>Understanding life that underscore the histories, experiences, and teachings of the people who originate from a land (B)</p> Signup and view all the answers

Flashcards

Assessment phase

The initial phase of the community health nursing process, involving data collection to determine the community's health and structure.

Evaluation Phase

The phase where the community health nurse measures the outcomes of interventions.

SMART Objective

Specific, measurable, achievable, relevant, and time-bound. Outlines what to achieve with community health interventions.

Challenge in Gathering Data

Finding comparable health information for small communities is challenging.

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First Nations, Métis, and Inuit females

They generally have the highest life expectancy among Indigenous groups in Canada.

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Second Phase of CHN Process

Developing an exercise program.

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First Phase of CHN Process

Determining the needs of the community after assessment.

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Third Phase of CHN Process

Supervising an activity or program.

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Final Phase of CHN Process

Presenting feedback for a 6-week fitness class.

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Primary prevention

Focuses on preventing diseases before they occur through health promotion and risk reduction.

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Feature of Community Capacity Building

Asks 'why' to uncover the reasons behind community issues.

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Partnership building

Developing a communication strategy to keep community members informed.

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Indigenous ways of knowing

Ways of understanding life that value the unique teachings.

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Community health assessment

A logical, systematic approach to the initial phase of the community health nursing process.

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Appropriate Objective

Goal: 80% of mothers identify five calcium sources after nutrition counseling.

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Relational practice

Applying skills, knowledge, and judgment through a relationship with a person or people.

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Indigenous data sovereignty

Access to survey data is often restricted to only the participating community.

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Evaluation Process

Measurement of intervention results.

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Cultural Bias

Culturally based statistical information which may contain bias.

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Impacts of Colonization

Reversing the political effects will lead to improvements in healthcare.

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Wellness Program

Addresses overall wellness.

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Promotion Lecture

The nurse promotes health.

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Health Promotion

A type of prevention of disease.

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Asking Why

What is the underlying reason?

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Documentation of Progress

Maintaining an updated record of the community's evolution.

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Relational Practice application

Applying nursing skills through empathy and understanding.

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Indigenous data sovereignty challenge

Data access restricted by the participating group.

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Community impact

A specific objective will help achieve a positive outcome.

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Study Notes

Community Health Nursing

  • Involving the community client as a partner requires data collection during the assessment phase to determine the community's health and structure.
  • The community health assessment phase involves a logical, systematic approach, identifying strengths, resources, assets, capacities, and opportunities.
  • Clarifying health concerns, identifying community constraints, and understanding economic, political, and social factors are key aspects.
  • The ability of interventions to achieve specific increases is determined during the evaluation phase.
  • Measuring outcomes is a component of the evaluation process.
  • An appropriate objective includes identifying concrete goals like having 80% of mothers receiving nutrition counseling identify five sources of calcium by the end of class.
  • It's difficult to find comparative health information for small communities challenging the gathering of background statistical population-based information on specific minority aggregates.
  • While several Indigenous communities participate in regional health surveys, access to that data is restricted to the participating community, part of a global concern for indigenous data sovereignty.
  • First Nations, Métis, and Inuit females have the highest life expectancy at 78-80 years, compared to 73-74 years for First Nations, Métis, and Inuit men and 64 years for Inuit men.
  • Life expectancy for non-Indigenous men, also notably higher, stands at 79 years, while for non-Indigenous women, it's 83 years.
  • Developing a wellness program demonstrates the second phase, which is planning.
  • Actually participating in a health promotion lecture or an intervention for wellness demonstrates the third phase, action.
  • Determining the needs of the community demonstrates the first phase, which is assessment.
  • Supervising a fitness class demonstrates the third phase, which is action.
  • Assessments related to feedback show the fourth phase of the application of the community health nursing process, which is evaluation.
  • Determining the community's needs is part of the first phase (assessment).
  • Population-based practice focuses on primary prevention whenever possible.
  • "Asking why" is a feature of community capacity building, using a community process to uncover the root causes of community issues.
  • Developing a communication strategy to keep community members informed is an example of partnership building.
  • Indigenous ways of knowing are approaches to understanding life that underscore the histories, experiences, and teachings of people who originate from a land.
  • Indigenous ways of knowing informs community health nurses, also known as CHNs in providing culturally safe, relational nursing practice.

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Description

Community health nursing involves partnering with the community to assess health and structure. Assessment identifies strengths, resources, and constraints. Evaluation measures intervention outcomes, with objectives like having 80% of mothers identify five calcium sources after nutrition counseling.

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