Nursing Elites

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

3. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

• A. Reviewing the most recent hospital patient data collected by the local college of nursing
• B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
• C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
• D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

4. Which best describes the impact of social support on health?

• A. It enhances recovery and improves outcomes.
• B. It provides emotional and practical support.
• C. It reduces stress and promotes well-being.
• D. It improves adherence to treatment plans.

Correct answer: B

Rationale: Social support provides emotional and practical support, which can enhance recovery, improve outcomes, and promote well-being.

5. Which method of gathering data is most effective for remote and vulnerable segments of a community and for those communities with underdeveloped opinions?

• A. Interviewing community informants
• B. Community forum
• C. Focus groups
• D. Telephone surveys

Correct answer: A

Rationale: Interviewing community informants is the most effective method for gathering data from remote and vulnerable segments of a community and for communities with underdeveloped opinions. This approach allows for obtaining in-depth information from key individuals who have a deep understanding of the community dynamics and can provide valuable insights that might not be captured through other methods like community forums, focus groups, or telephone surveys.

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