Nursing Elites

1. Community health nurses help influence the health of communities through which of the following actions?

• A. legislating health behavior
• B. recording health status of individuals in a similar geographic region
• C. influencing health status and behavior, and engaging in health promotion
• D. none of the above

Correct answer: C

Rationale: Community health nurses play a crucial role in influencing the health of communities by engaging in health promotion activities and influencing health behaviors. Choice A is incorrect as community health nurses do not legislate health behavior but rather educate and promote healthy behaviors. Choice B is incorrect as while community health nurses may record health data, their main focus is on proactive health promotion and intervention, not just documenting health status. Choice D is incorrect because community health nurses actively work to influence health status and behaviors.

2. The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, what is the most important information for the RN to obtain as part of the community assessment?

• A. Availability of clean fresh water to wash hands after work.
• B. Proper housing
• C. Access to health care services
• D. Access to transportation

Correct answer: A

Rationale: The correct answer is A: Availability of clean fresh water to wash hands after work. Proper hand hygiene, including washing hands with clean water, is crucial in preventing dermatitis, especially in farm workers who are exposed to potential irritants in their work environment. While proper housing (choice B), access to health care services (choice C), and access to transportation (choice D) are important factors in overall community health, they are not directly linked to preventing dermatitis in this scenario.

3. As a supervisor, you plan to conduct a seminar in response to the midwife's training need for skills in community diagnosis. Which is an appropriate method to use to enable midwives to apply the knowledge they will gain in actual practice?

• A. lecture
• B. problem-solving
• C. group discussion
• D. nominal group technique

Correct answer: B

Rationale: Problem-solving is an effective method to enable midwives to apply the knowledge gained in actual practice. By engaging in problem-solving activities during the seminar, midwives can enhance their critical thinking skills and directly apply the information to real-life scenarios they may encounter in community diagnosis. Choice A (lecture) is less effective as it primarily involves passive listening and may not provide the hands-on experience needed for practical application. Choice C (group discussion) can be helpful for sharing perspectives but may not directly translate to practical application as problem-solving would. Choice D (nominal group technique) focuses more on generating ideas and reaching consensus rather than hands-on application of knowledge.

4. What is the primary goal of community health nursing?

• A. Promote health and prevent disease
• B. Provide care to the sick
• C. Conduct research
• D. Develop health policies

Correct answer: A

Rationale: The primary goal of community health nursing is to promote health and prevent disease. Community health nurses focus on preventive care, health promotion, and education to improve the overall health of the community. Providing care to the sick (Choice B) is part of nursing but not the primary goal of community health nursing. While research (Choice C) and developing health policies (Choice D) may be components of community health nursing, they are not the primary goal, which is centered around promoting health and preventing disease.

5. The nurse working in a community health clinic that serves recent Somali immigrants notes that most mothers refuse to give permission for routine immunizations of their preschoolers. Which individual is likely to have the most influence on these women's perceptions about their children's healthcare needs?

• A. husbands
• B. clinic healthcare providers
• C. older females
• D. tribal chief

Correct answer: D

Rationale: In many Somali communities, the tribal chief holds significant influence over health decisions. The tribal chief often plays a crucial role in shaping community beliefs and practices, including healthcare decisions. While husbands may have some influence, the tribal chief typically holds more authority in community matters. Clinic healthcare providers have a role in educating and advising, but the tribal chief's influence is often more profound in this cultural context. Older females may have some influence, especially in familial matters, but the tribal chief is usually the key decision-maker in community health issues.

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