A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey?
Demographic data.
Mortality rate.
Informant interviews.
Housing quality.
The Correct Answer is D
Choice A reason: Demographic data is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from census reports, health statistics, or other documents. Demographic data includes information such as age, gender, race, ethnicity, income, education, and occupation of the community members.
Choice B reason: Mortality rate is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from vital records, health reports, or other documents. Mortality rate is a measure of the number of deaths in a given population, usually expressed as deaths per 1000 or 100,000 people.
Choice C reason: Informant interviews are not part of the windshield survey, but rather a primary source of information that the nurse can obtain by talking to key informants or community leaders who have knowledge and insight about the community. Informant interviews can help the nurse to identify the community's strengths, needs, problems, and resources.
Choice D reason: Housing quality is part of the windshield survey, which is a direct observation of the community by driving or walking through it. Housing quality includes information such as the type, age, condition, size, and value of the houses, as well as the availability and accessibility of utilities, sanitation, and safety features. Housing quality can reflect the socioeconomic status, health status, and environmental risks of the community.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Determining the client's understanding of her living situation is the first action that the nurse should take. This is based on the principle of client-centered care, which states that the nurse should respect the client's values, preferences, and needs, and involve the client in the decision-making process. The nurse should assess the client's perception of her homelessness, the factors that contributed to it, and the resources that are available to her.
Choice B reason: Assisting the client to develop goals for obtaining shelter is not the first action that the nurse should take. This is an important intervention, but it should be done after the nurse has assessed the client's understanding of her living situation and explored the client's readiness and motivation to change.
Choice C reason: Discussing the risks of being homeless with the client is not the first action that the nurse should take. This is an important intervention, but it should be done after the nurse has assessed the client's understanding of her living situation and established a trusting relationship with the client. The nurse should avoid being judgmental or paternalistic, and instead use a harm reduction approach that focuses on minimizing the negative consequences of homelessness.
Choice D reason: Developing client teaching using a variety of strategies is not the first action that the nurse should take. This is an important intervention, but it should be done after the nurse has assessed the client's understanding of her living situation and identified the client's learning needs and preferences. The nurse should use strategies that are appropriate for the client's literacy level, language, culture, and cognitive ability.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Investigating potential health and environmental issues is a key function of community-oriented nursing, as it helps to identify and address the factors that affect the health of the population.
Choice B reason: Initiating support groups for parents of autistic children is not a specific task of community-oriented nursing, as it focuses on a particular subgroup rather than the whole population. This is more aligned with community-based nursing, which provides care to individuals and families in their natural settings.
Choice C reason: Providing wound care for clients in their homes is not a specific task of community-oriented nursing, as it focuses on individual needs rather than population needs. This is also more aligned with community-based nursing, which provides direct care to clients in their homes.
Choice D reason: Participating in local health surveillance activities is a key function of community-oriented nursing, as it helps to monitor and evaluate the health status and trends of the population.
Choice E reason: Providing health-related education to community groups is a key function of community-oriented nursing, as it helps to promote health and prevent disease among the population.
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