The nursing education coordinator is creating employee orientation materials for staff
- A. What COMMUNITY HEALTH PRACTICE EXAM - VERSION A information should the educator include regarding the clinic's client population? (Select all that apply.)
- B. Most of the clients are unemployed or disable
- D. Access to mass transit may be an issu
Correct Answer: A
Rationale: The correct answer is A because understanding the community health practice is crucial for providing effective care. Educating staff on client demographics, health needs, and cultural considerations can enhance patient outcomes. Option B is incorrect as it provides specific information rather than a general guideline. Options C and D are incomplete and do not address the community health aspect.
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After accepting the position of school nurse in an public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?
- A. Review all of the health records of the students presently registered for classes.
- B. Talk with the current officers of the parent-teacher association.
- C. Send home a survey form to parents of third grade students.
- D. Conduct a windshield survey of the geographic areas served by the school.
Correct Answer: D
Rationale: The correct answer is D because conducting a windshield survey of the geographic areas served by the school allows the nurse to visually observe the community, identify resources, potential health risks, and demographics. This method provides a holistic understanding of the student body beyond health records or parent interactions. Reviewing health records (A) would only provide medical information, not a comprehensive overview. Talking with PTA officers (B) may give insight into school activities but not a complete student body profile. Sending a survey form to parents (C) only captures information from a limited group and may not be representative of the entire student population. Conducting a windshield survey is the most effective strategy to gain an overview understanding of the student body.
Which of the following is the first step in the nursing process?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: A
Rationale: The correct answer is A: Assessment. Assessment is the first step in the nursing process as it involves gathering data about the patient's health status, needs, and concerns. This step sets the foundation for the rest of the process by providing essential information for making informed decisions. Diagnosis (B) follows assessment and involves analyzing the data collected. Planning (C) comes next, where goals and interventions are determined based on the assessment and diagnosis. Implementation (D) is the final step, where the care plan is put into action. Therefore, Assessment is the initial and critical step in the nursing process.
A nurse begins to collect information about a particular health problem from community residents. Which potential problem would most likely arise?
- A. Residents might become suspicious about why the nurse needs this information.
- B. Residents might believe the nurse is becoming intrusive in their personal lives.
- C. Residents might wonder why they are being asked about the problem when previous surveys may also have asked about the same problem.
- D. Residents might begin to expect service to be given to address the problem.
Correct Answer: D
Rationale: Although the process of needs assessment can indicate strengths and weaknesses, it can also raise expectations for new services to address problems. It is also possible that this data collection may cause residents to become suspicious and wonder why this data collection is necessary. However, in most cases, this is not problematic. The problem will arise if residents expect that services will be provided when they may not.
A nurse who is providing education spends more time being quiet than giving information. Which best explains this behavior?
- A. The nurse had previously reviewed the day's material.
- B. The nurse is demonstrating respect for the participants.
- C. The nurse is encouraging group discussion.
- D. The nurse is listening to the group's dialogue to identify problems.
Correct Answer: D
Rationale: The exchange of ideas and concerns creates a problem-posing dialogue and identifies root problems or generative themes. The group members themselves create relevant action plans that are congruent with their own reality. Therefore to be effective, the nurse must listen to ensure that teaching reflects what the group wants to learn. Demonstrating respect, encouraging group discussion, and being prepared are all important roles of the nurse, but the reason why the nurse is quiet is to listen and understand the issues the group faces.
Which primary prevention would the school nurse choose to address the school's number of unwed pregnancies?
- A. Create a class on parenting for both the moms-to-be and the dads-to-be.
- B. Convince the school board to allow sex education classes to include birth control measures.
- C. Employ the moms-to-be as 1-hour-a-day employees in the school daycare center for children born to school students.
- D. Establish a class where all the unwed moms-to-be can learn infant care.
Correct Answer: B
Rationale: Primary prevention aims to prevent a problem before it occurs. Education on sexuality and birth control directly addresses the prevention of future pregnancies, unlike the other options which focus on post-pregnancy support.
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