A community health nurse is tasked with prioritizing the needs of a diverse community. The community faces multiple challenges, including high rates of chronic illness, limited access to healthcare services, and socio-economic disparities. Considering these factors, which of the following approaches would be most effective for the nurse to use in prioritizing the community's needs?
Increase outreach efforts to provide information about available health services, regardless of specific community needs.
Conduct a comprehensive community assessment to identify key health issues and resource gaps, then develop targeted interventions based on the findings.
Focus on providing immediate emergency care services to address urgent health issues.
Implement a health education program aimed at promoting general wellness and preventive care for all community members.
The Correct Answer is B
A. Increasing outreach efforts without understanding specific needs may lead to ineffective or misaligned interventions.
B. Conducting a comprehensive community assessment allows the nurse to identify and prioritize key health issues and resource gaps, leading to more targeted and effective interventions based on actual community needs.
C. Immediate emergency care addresses urgent issues but does not address the broader, long-term needs of the community.
D. Health education programs are beneficial but should be based on a thorough assessment of community needs to ensure they are relevant and effective.
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Related Questions
Correct Answer is D
Explanation
A. Establish a rapport with the victim and the abuser: While establishing rapport with the victim is important, it is essential to first ensure the victim’s safety and privacy. The abuser should not be present during this interview because it could lead to intimidation and prevent the victim from being open and honest.
B. Request the presence of a security guard: While security may be necessary if there is a concern about the victim’s immediate safety, the priority should be to establish privacy for the interview. If the situation becomes dangerous, security can be called afterward.
C. Contact the appropriate legal services: Legal services may be contacted later, but the immediate priority is to ensure that the victim has the opportunity to speak without fear of the abuser’s presence. Legal support and other services can be arranged after the interview.
D. Ensure privacy for interviewing the victim away from the abuser: The victim must feel safe to speak honestly and openly about the abuse. To ensure confidentiality and prevent the abuser from overhearing, the nurse must first create a private space for the interview. This step is critical for establishing trust and gaining accurate information about the situation.
Correct Answer is A
Explanation
A. Offering spiritual counseling and emotional support aligns with the parish nurse's role in providing holistic care that integrates physical, emotional, and spiritual support within the faith community.
B. Conducting health screenings and providing immunizations are more aligned with public health nurses or community health nurses rather than parish nurses.
C. Administering medications and performing advanced medical procedures fall outside the typical scope of parish nursing, which focuses more on support and counseling rather than clinical procedures.
D. Developing public health policy is beyond the individual role of a parish nurse and is typically handled by public health officials and policymakers.
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