A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey?
- A. Demographic data
- B. Mortality rate
- C. Informant interviews
- D. Housing quality
Correct Answer: D
Rationale: The correct answer is D: Housing quality. In a windshield survey, the nurse observes the community from a car to assess physical environment, including housing conditions. This information is crucial for identifying health risks and community needs. Demographic data (A) and mortality rates (B) are important but are typically gathered through other means. Informant interviews (C) involve talking to community members, not part of a windshield survey. Other choices (E, F, G) are not relevant to a windshield survey.
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A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host?
- A. The vaccine
- B. The virus
- C. The school
- D. The children
Correct Answer: D
Rationale: The correct answer is D: The children. In the epidemiological triangle, the host refers to the organism that harbors the disease. In this case, the school-age children are the host as they are the ones affected by the mumps virus. The virus (option B) is the agent causing the disease, the vaccine (option A) is a preventative measure, and the school (option C) is the environment where transmission may occur but not the host. Therefore, the children (option D) being the individuals who are infected and affected by the mumps outbreak, are correctly identified as the host in this scenario.
A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?
- A. Conducting counseling for at-risk parents
- B. Assessing a family for marital discord
- C. Teaching parenting techniques to new parents
- D. Providing treatment for a young adult who has a substance use disorder
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting techniques to new parents. This is a primary prevention strategy because it focuses on educating parents before any violence occurs. By providing new parents with effective parenting techniques, the nurse is helping to prevent the occurrence of violence in the first place. This intervention addresses the root cause and promotes a positive family environment.
Choices A, B, and D are not primary prevention strategies. Conducting counseling for at-risk parents (A) is a secondary prevention strategy as it aims to intervene with individuals already at risk. Assessing a family for marital discord (B) is also a secondary prevention strategy as it involves identifying existing issues. Providing treatment for a young adult with a substance use disorder (D) is a tertiary prevention strategy, focusing on treating the individual after the issue has already developed.
A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?
- A. Determine potential funding sources for the program
- B. Inquire about the availability of volunteers
- C. Identify alternative solutions to address concerns
- D. Perform a needs assessment
Correct Answer: D
Rationale: The correct answer is D: Perform a needs assessment. This is because conducting a needs assessment is the first crucial step in program planning. It helps the nurse to gather data on the specific needs and preferences of older adults in the community. This data will guide the nurse in developing a mobile meal program that is tailored to meet the actual needs of the target population.
Option A: Determining potential funding sources should come after identifying the specific needs of the population, as funding sources will be based on the program's requirements.
Option B: Inquiring about the availability of volunteers is important but should be considered after understanding the needs of the older adults.
Option C: Identifying alternative solutions is premature without first understanding the actual needs of the population through a needs assessment.
In summary, performing a needs assessment is the first step as it provides essential information to guide the development of an effective and targeted mobile meal program for older adults.
A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
- A. Investigate potential health and environmental issues
- B. Initiate support groups for parents of autistic children
- C. Provide wound care for clients in their homes
- D. Participate in local health surveillance activities
- E. Provide health-related education to community groups
Correct Answer: A,B,D,E
Rationale: The correct answer includes choices A, B, D, and E. Choice A is essential as investigating potential health and environmental issues is crucial in community-oriented nursing to identify and address health concerns. Choice B is important as initiating support groups for parents of autistic children promotes community well-being. Choice D is necessary as participating in local health surveillance activities helps in monitoring community health trends. Choice E is crucial as providing health-related education to community groups promotes health awareness and prevention. Choices C, F, and G are incorrect as they do not directly align with the scope of community-oriented nursing, which focuses on population-based care and health promotion rather than individual wound care or unspecified activities.
A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first?
- A. Collect data to identify barriers to learning
- B. Establish methods to evaluate program outcomes
- C. Obtain visual aids that feature adolescents
- D. Provide computer-based education
Correct Answer: A
Rationale: The correct answer is A: Collect data to identify barriers to learning. This should be the first step because understanding the specific challenges and obstacles that adolescents face in learning about preventing STIs is crucial for designing an effective program. By collecting data, the nurse can tailor the program to address the specific needs of the target audience, ensuring that the information is relevant and accessible.
Choice B, establishing methods to evaluate program outcomes, would come later in the program planning process after the content has been developed and implemented. Choice C, obtaining visual aids featuring adolescents, and choice D, providing computer-based education, are also important but should be considered after identifying barriers to learning to enhance the effectiveness of the program.