A community health nurse is conducting a windshield survey. Which of the following actions should the nurse take to gather data using this method?
Sending out written surveys to community members over the age of 50
Travelling through the community neighborhoods for visual observations
Holding a community meeting to gather information
Researching national statics on disease outbreaks among adolescents
The Correct Answer is B
Rationale:
A. Sending out written surveys to community members over the age of 50: This method involves direct input from residents and is useful for targeted data collection, but it is not part of a windshield survey, which relies on direct environmental observation.
B. Travelling through the community neighborhoods for visual observations: A windshield survey involves driving or walking through an area to make observations about housing, resources, infrastructure, and visible health risks. It provides firsthand, contextual insight into the community environment.
C. Holding a community meeting to gather information: Community meetings are effective for engaging stakeholders and collecting qualitative data, but they are not part of the observational method used in a windshield survey.
D. Researching national statics on disease outbreaks among adolescents: While useful for broader epidemiological insight, national statistics are not specific to the local community and are not obtained through a windshield survey approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Periorbital ecchymosis: Also known as “raccoon eyes,” this may indicate a basilar skull fracture or leakage of cerebrospinal fluid, which can be life-threatening. It is not an expected postoperative finding after a craniotomy and should be reported immediately to prevent serious complications.
B. Urinary output of 280 mL over the past 8 hr: This amount of urine output is appropriate and does not immediately indicate acute kidney injury or concern unless it continues to decline or is accompanied by other signs of hypoperfusion or shock.
C. Rapid pupil reaction to light: A brisk pupil response is a normal neurological finding. It reflects intact cranial nerve function and does not require immediate reporting unless it becomes sluggish, unequal, or nonreactive.
D. Incisional drain output of 75 mL over the past 4 hr: This amount of output is within the expected range in the early postoperative period following cranial surgery. Drainage should be monitored for color and consistency, but this quantity is not alarming.
Correct Answer is A
Explanation
Rationale:
A. Identify an industry performance standard: The first step in a quality control audit is to establish a benchmark or standard to measure against. By identifying an industry standard, the nurse can determine what constitutes acceptable rates of healthcare-associated infections and use this as a reference for evaluating the facility’s performance.
B. Compare collected data to industry data: This step occurs later in the audit process after data has been gathered. It helps determine how the facility measures up, but it is not the initial step in planning the audit.
C. Gather facility information for analysis: While essential, data collection comes after the audit’s objectives and standards are clearly defined. Without knowing what to measure or compare against, collecting data may be misdirected or ineffective.
D. Establish methods to collect necessary data: Creating a structured data collection process is important, but it must be guided by the specific performance standards and metrics established in the initial step.
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