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. As a community health nurse engaged in the process of community empowerment, what is essential for you to do?

• A. Gather data from the community
• B. Make decisions for people in the community
• C. Form partnerships with people in the community
• D. Accept responsibility for people's actions

Correct answer: C

Rationale: Forming partnerships with people in the community is crucial for community empowerment. It fosters collaboration, mutual support, and shared decision-making in health initiatives, empowering the community members to take charge of their own health.

3. Which best describes the role of a nurse in health policy development?

• A. Advocating for policy changes
• B. Providing direct patient care
• C. Conducting health screenings
• D. Developing new health technologies

Correct answer: A

Rationale: A nurse's role in health policy development involves advocating for policy changes that enhance health outcomes and increase access to care. Nurses contribute their expertise to influence policy decisions that impact patient care, healthcare systems, and public health initiatives. By participating in health policy development, nurses can address healthcare disparities, improve quality of care, and promote the well-being of individuals and communities.

4. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

• A. 0 crude death rate for the year 2012
• B. 50% (Swaroop's) index for the year 2011
• C. 0 infant mortality rate for the year 2011
• D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.

5. Which of the following is NOT a part of the community assessment process?

• A. Identifying available resources such as time, money, and team skills
• B. Setting action priorities based on the needs of the community and available resources
• C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
• D. Collecting and analyzing information

Correct answer: C

Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.

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