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. Which term describes a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or the client?

• A. Health deficit
• B. Health need
• C. Health problem
• D. Foreseeable crisis

Correct answer: C

Rationale: A health problem specifically refers to a situation where a health need is identified, resources are available or potentially available to address it, and there is a commitment from either the provider or the client to take action. This term encapsulates the combination of a demonstrated need for remedial measures with the readiness and commitment to act upon it.

3. What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?

• A. Motivating
• B. Counseling
• C. Disease prevention
• D. Health education

Correct answer: D

Rationale: Health education is a structured process that focuses on enhancing health outcomes by modifying individuals' knowledge, attitudes, and behaviors. It aims to empower individuals, families, or communities to make informed decisions and adopt healthy practices, thereby improving overall health status.

4. James' illness can be classified as:

• A. Pneumonia
• B. Very severe illness
• C. Severe pneumonia
• D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

5. What is the most important factor in planning a community health intervention?

• A. Availability of funding
• B. Understanding the community’s needs
• C. Identifying health trends
• D. Engaging health professionals

Correct answer: B

Rationale: Understanding the community’s needs is the most important factor in planning a community health intervention. It ensures that the intervention is tailored to address the specific health concerns and requirements of the community, leading to more effective and sustainable outcomes.

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