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. When writing a community diagnosis, the community health nurse notes that the 'among' phrase:

• A. Presents a synthesis of all assessment data.
• B. Provides the supporting data.
• C. Specifies the aggregate that will benefit from the nurse's plan.
• D. Describes the cause of the health problem and directs focus of interventions.

Correct answer: C

Rationale: In community diagnosis, the 'among' phrase is used to specify the particular population group that will benefit from the nurse's plan. It helps in targeting interventions and tailoring healthcare activities to the identified group within the community.

3. What is a primary objective of public health?

• A. Lowering the prevalence of chronic diseases
• B. Eliminating health disparities among populations
• C. Delivering health education
• D. Extending life expectancy

Correct answer: B

Rationale: A fundamental goal of public health is to address and eliminate health disparities among different populations, aiming to ensure that everyone has equal access to resources and opportunities for good health outcomes.

4. For a complete spinal injury, which statement is true?

• A. Some of the motor and sensory functions are lost
• B. Only the motor functions are lost
• C. Only the sensory functions are lost
• D. Both the motor and sensory functions are lost

Correct answer: D

Rationale: In a complete spinal injury, there is total loss of motor and sensory functions below the level of the injury. This means that both motor (ability to move) and sensory (ability to feel) functions are affected. It is important to distinguish between complete and incomplete spinal injuries, as complete injuries result in the loss of all functions below the level of injury, while incomplete injuries allow for some preservation of motor or sensory functions.

5. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:

• A. Families in their homes, school population, workers in factories
• B. All except workers in factories
• C. Families in their homes, school population, workers in factories, patients in hospitals
• D. All except patients in hospitals

Correct answer: D

Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.

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