A community health nurse is preparing to collect data to study the health of a local community. The nurse should plan to obtain information about which of the following factors during a windshield survey?
The availability of religious facilities
Influenza incidence rates for the current year
The leading cause of death for the prior year
Individual perceptions about how residents interact
The Correct Answer is A
A. The availability of religious facilities: A windshield survey involves direct observation of the community environment. Observing resources such as religious facilities, schools, parks, and stores provides information about community assets, social support, and infrastructure, which are key factors in assessing community health.
B. Influenza incidence rates for the current year: Incidence rates require access to public health records or databases, not visual observation. This type of epidemiological data is collected through statistical reports, not a windshield survey.
C. The leading cause of death for the prior year: Mortality data are obtained from health department statistics or vital records. This information cannot be gathered through direct community observation and therefore is not part of a windshield survey.
D. Individual perceptions about how residents interact: Perceptions and attitudes require interviews, surveys, or focus groups. A windshield survey captures observable, physical, and environmental characteristics, not subjective opinions, so this information would need other data collection methods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who has a burn requiring a sterile dressing change: While burn care is important to prevent infection and promote healing, a dressing change is not immediately life-threatening. This task can be safely addressed after assessing clients with higher-priority acute risks.
B. A client who had an appendectomy 6 hr ago and has diminished bowel sounds: Diminished bowel sounds are common in the immediate postoperative period and do not usually indicate an emergent problem. This client requires ongoing monitoring, but there is no acute threat to life at this time.
C. A client who received a chemotherapy treatment and reports nausea: Nausea following chemotherapy is uncomfortable and should be managed promptly, but it is not immediately life-threatening. Interventions such as antiemetics can be provided after more urgent needs are addressed.
D. A client who has hypothyroidism and is stuporous: Stupor in a client with hypothyroidism may indicate myxedema or severe hypothyroid crisis, which can be life-threatening due to risk of respiratory depression, cardiovascular compromise, or altered mental status. This client requires immediate assessment and intervention, making them the highest priority.
Correct Answer is D
Explanation
A. A series of four hepatitis vaccines is recommended: This is incorrect. Vaccines are available for hepatitis A and hepatitis B only, and they are not given as a single four-vaccine series to prevent all viral hepatitis types.
B. Hepatitis B is transmitted by contaminated food: This describes hepatitis A, not hepatitis B. Hepatitis B is transmitted through blood, sexual contact, and perinatal exposure.
C. Chronic hepatitis can lead to renal cell cancer: Chronic hepatitis (especially B and C) increases the risk of hepatocellular carcinoma (liver cancer), not renal cell cancer.
D. Individuals with a history of viral hepatitis are not eligible to donate blood due to the risk of transmitting hepatitis viruses to recipients. Blood donation screening excludes donors with past hepatitis infection to ensure blood safety.
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