Nokea
Which from vital statistics records is useful to community health nurses? (Select all that apply.)
- A. Relatively early age of death may suggest a new pathogen in the community
- B. Divorce rate, suggesting whether children will need additional services
- C. Stability of marriages, making family structure become obvious
- D. Indication of whether the total population is growing or declining
Correct Answer: D
Rationale: Vital statistics record births, marriages, divorce, adoptions, and deaths in the community. Useful information would include conditions of birth, such as congenital malformations from the birth records. Death records suggest local mortality and morbidity trends. Overall growth or decline in the community's population can be seen. Options A, B, and F, while potentially informative, are not directly cited as primary uses of vital statistics in this context.
You may also like to solve these questions
What responsibility does the American Nurses Association (ANA) Code of Ethics require of the nurse beyond giving excellent care to patients?
- A. Accept longer work schedules to ensure that professional care is always available to clients.
- B. Recognize the need for experienced nurses to mentor new graduates to help increase and expand the number of professionals available.
- C. Support health legislation to improve accessibility and cost of health care.
- D. Volunteer to work overtime as needed to ensure maximum quality of care.
Correct Answer: C
Rationale: The ANA Code of Ethics promotes social reform by focusing on health policy and legislation to positively affect accessibility, quality, and cost of health care. The code does not directly address workplace issues, such as work schedules or need for overtime.
A very busy day is planned at a community health fair, and a nurse spends time greeting and meeting each person who walks in. Which best describes the rationale for this action?
- A. To distribute evaluation forms immediately so the participants can fill in the appropriate answers after each interaction with a professional
- B. To immediately establish a friendly relationship and a level of trust
- C. To make sure everyone knew who was sponsoring this free event
- D. To most efficiently send the person to the area consistent with his or her apparent health need
Correct Answer: B
Rationale: The core of health education is the therapeutic and healing relationship between the nurse and clients. Inclusion and trust must be established before creating change. The nurse enhances inclusion by greeting clients on arrival in a warm fashion. Distribution of evaluation forms, informing participants of program sponsorship, and sending clients to the appropriate area of the health fair are not as important as the need for establishing a relationship.
A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident, and states that he
- A. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide?
- B. Wearing a helmet or not is certainly an individual decision.
- C. You should seriously consider wearing a helmet.
- D. Riding a motorcycle with a helmet increases your safety.
Correct Answer: C
Rationale: Rationale for Choice C:
1. Choice C empowers the client by encouraging him to consider wearing a helmet, promoting his safety.
2. It acknowledges the client's autonomy while emphasizing the importance of helmet use.
3. The nurse's response aligns with the principles of health promotion and injury prevention.
Summary of Other Choices:
- Choice A: TTM focuses on stages of behavior change, not the immediate safety concern of helmet use.
- Choice B: This response fails to address the critical safety issue at hand, prioritizing individual choice over safety.
- Choice D: While true, this choice does not address the client's current behavior or provide guidance for future actions.
The nurse is evaluating a community health program focused on smoking cessation. Which of the following would indicate a positive outcome?
- A. Increase in the number of participants in the program
- B. Reduction in smoking rates in the community
- C. Increase in public awareness about smoking risks
- D. Improvement in the economic status of smokers
Correct Answer: B
Rationale: The correct answer is B because a reduction in smoking rates in the community directly reflects the success of the smoking cessation program. This outcome indicates that the program is effectively helping individuals quit smoking, leading to improved community health.
A: An increase in participants does not necessarily indicate success; quality over quantity is essential.
C: Increased awareness is beneficial but does not directly measure program effectiveness in helping individuals quit smoking.
D: While improved economic status can be a positive outcome, it does not directly relate to the success of a smoking cessation program.
The public health RN is called to investigate a report of several cases of varicella at a day care center. The day care workers state that 5 children have been sent home over the past 2 weeks w/ fever & itchy blisters. Which intervention should the RN implement first?
- A. Validate that the children who were sent home had chickenpox.
- B. Ask the parents to take the child to see their pediatrician COMMUNITY HEALTH PRACTICE EXAM - VERSION A
- C. Ask the parents to not send the child back to daycare until after 6 weeks
- D. Tell the parents to send the child back to daycare it was a mistake they were sent home
Correct Answer: A
Rationale: The correct answer is A: Validate that the children who were sent home had chickenpox. The first step in investigating a potential outbreak of a communicable disease like varicella (chickenpox) is to confirm the diagnosis. By validating that the children indeed had chickenpox, the RN can accurately assess the situation and take appropriate actions to prevent further spread.
Choice B is incorrect because sending the child to their pediatrician should come after confirming the diagnosis to ensure proper medical care. Choice C is incorrect as it recommends a prolonged exclusion period without confirmation of the disease, which may not be necessary. Choice D is incorrect as it dismisses the seriousness of the situation and could lead to further spread of the illness if the children do have chickenpox.