A community health nurse is planning a health fair at a local church. Which activity best reflects a primary goal of community health nursing?
Providing blood pressure screenings and education on diet/exercise
Focusing only on participants who already have heart disease
Admitting participants with hypertension to the hospital
Prescribing anti-hypertensive medications
The Correct Answer is A
Community health nursing focuses on population-based interventions to improve epidemiological outcomes. It emphasizes health promotion through identifying social determinants of health, utilizing primary prevention to reduce incidence rates of chronic non-communicable diseases.
Rationale:
A. Screening for hypertension represents a secondary prevention strategy that facilitates early detection. Providing education on lifestyle modifications serves as primary prevention, effectively reducing the community-wide risk of cardiovascular events through proactive behavioral changes and health literacy.
B. Focusing exclusively on individuals with established disease describes a clinical, curative approach. This ignores the preventative mandate of community health, which requires addressing the entire population to mitigate risk factors before chronic conditions actually develop.
C. Hospital admission is an acute care intervention rather than a community-based function. Community nurses aim to manage health within the neighborhood setting, reducing the necessity for inpatient hospitalization through effective outpatient monitoring and specialized resource coordination.
D. The act of prescribing medications falls under the medical model of practice. Nursing interventions in community settings prioritize holistic education and advocacy, as nurses do not independently prescribe pharmacotherapy unless they hold advanced practice registered nurse credentials.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Clinical assessment is a dynamic process involving the systematic collection of objective and subjective data to evaluate patient progress. Nurses utilize clinical judgment to detect subtle changes in physiological status, ensuring that the frequency of monitoring aligns with the patient's hemodynamic stability and acuity level.
Rationale:
A. Assessing a patient only once every 24 hours is insufficient in an acute care setting. Physiological status can deteriorate rapidly within minutes or hours, making such a long interval unsafe. Standard acute care protocols typically require assessments at least every 8 hours or shiftly.
B. The frequency of nursing reassessment must be individualized based on the patient's current clinical condition and stability. An unstable patient requires continuous or high-frequency monitoring, whereas a stable patient may only require assessments at standard intervals. This ensures patient safety through early detection of complications.
C. Timing assessments solely based on the physician's visit is reactive rather than proactive nursing care. Nurses must maintain independent surveillance to ensure that any change in status is addressed immediately. Waiting for a provider's arrival could delay critical interventions for a declining patient.
D. While nurses have professional autonomy, the frequency of assessment should be guided by evidence-based protocols and the patient's needs rather than simple discretion. Using clinical status as the primary determinant provides a standardized approach to monitoring. Discretion without clinical justification can lead to negligent oversight.
Correct Answer is D
Explanation
Role theory in nursing describes how individuals experience role expectations, role performance demands, and role conflict, where mismatches between expected and actual responsibilities can create psychological tension, performance difficulty, and stress within professional roles such as nurse management.
Rationale:
A. Role burnout refers to chronic emotional exhaustion, depersonalization, and reduced personal accomplishment resulting from prolonged occupational stress. The scenario describes conflict in expectations, not long-term exhaustion or burnout syndrome.
B. Role stress is a general term describing stress related to role demands, but it is not the specific concept described in Hardy’s role theory for conflict between expected and perceived duties within a role structure.
C. Role exploration involves actively learning and clarifying expectations within a new role. It is a developmental process, not distress caused by conflicting expectations between self and supervisor.
D. Role strain is correct. It occurs when there is incompatibility between role expectations and perceived responsibilities, such as conflict between what the nurse manager believes should be done and what the supervisor expects, creating internal tension and difficulty fulfilling the role.Top of FormBottom of Form
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