Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?

Collaborate with local schools in screening children.

Develop a community educational program.

Provide referrals for home health care follow up.

Perform a community health assessment.

Answer and Explanation

The Correct Answer is D

A) Collaborate with local schools in screening children:
While screening children in local schools is an important step in controlling the spread of tuberculosis (TB), it is a more specific action that should come after a broader community assessment. Identifying high-risk groups and areas within the community is crucial before targeting specific populations for screening. This ensures that resources are allocated effectively and that screening efforts are well-directed.

B) Develop a community educational program:
Developing a community educational program is essential for raising awareness about TB, its transmission, and prevention strategies. However, before implementing such a program, it is important to conduct a community health assessment to understand the current level of knowledge, the prevalence of the disease, and the specific needs of the community. This assessment will provide valuable information to tailor the educational program appropriately.

C) Provide referrals for home health care follow up:
Providing referrals for home health care follow-up is crucial for managing and monitoring individuals with TB. However, this action is more focused on individual care rather than addressing the community-wide impact of the disease. Before setting up individual follow-ups, a community health assessment will help in understanding the overall scope of the TB outbreak and guide the development of more comprehensive intervention strategies.

D) Perform a community health assessment:
Conducting a community health assessment is the most appropriate initial action. This step involves evaluating the overall health status of the community, identifying the extent of the TB outbreak, and determining the community’s needs and resources. The assessment will provide a foundation for implementing targeted interventions, such as educational programs, screening efforts, and follow-up care. Understanding the community's health status and needs is essential for planning effective responses and controlling the spread of TB.

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Correct Answer is D

Explanation

A) Suicide discussion is dangerous with people with depression:
Discussing suicide with individuals who have depression is not inherently dangerous and can actually be an essential part of the assessment and intervention process. Open discussions about suicidal thoughts can help in identifying those at risk and connecting them with appropriate help.

B) The majority of suicides occur in lower socioeconomic groups:
While socioeconomic factors can influence suicide risk, stating that the majority of suicides occur in lower socioeconomic groups oversimplifies the issue. Suicide affects individuals across all socioeconomic levels, and risk factors are more complex and multifaceted.

C) Social support systems ensure suicide prevention:
While strong social support systems are crucial in reducing suicide risk, they do not guarantee prevention. Other factors such as mental health conditions, personal crises, and substance abuse also play significant roles in suicide risk. Social support is one component of a broader strategy for prevention.

D) Severe life stresses at any age is a risk factor for suicide:
Severe life stresses, including major life events and ongoing personal crises, are well-established risk factors for suicide across all age groups. Recognizing and addressing these stressors is critical in suicide prevention efforts, as they can significantly impact an individual's mental health and increase the risk of suicidal behavior.

A. Evaluate previous project outcomes. B. Interview community members. C. Project future health care requirements. D. Schedule a community-wide health fair.

Correct Answer is B

Explanation

A) Evaluate previous project outcomes:
Evaluating previous project outcomes provides valuable insights into what has been effective or ineffective in past health promotions. However, this step should come after understanding the current needs of the community. Previous outcomes are more relevant once the nurse has a clear grasp of the community’s current health promotion needs.

B) Interview community members:
Interviewing community members is the most immediate and essential action for assessing the community’s health promotion needs. Direct input from community members helps identify their perceptions, needs, and priorities, which is critical for tailoring relevant and effective health promotion interventions. This step provides a foundational understanding of the community's specific health issues and concerns.

C) Project future health care requirements:
Projecting future health care requirements is important for long-term planning but should be informed by an understanding of current community needs. Before making projections, it is necessary to assess and understand the existing health promotion needs through direct community engagement.

D) Schedule a community-wide health fair:
Scheduling a health fair can be an effective health promotion activity, but it should be based on an understanding of the community's specific needs. Without assessing these needs first, the health fair may not address the most pressing issues or effectively engage the community.

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Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?

Correct Answer is D

Explanation

When assessing a community's health promotion needs, which action should the nurse take first?

Correct Answer is B

Explanation

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

When assessing the health of a community, which is the most important information for the nurse to obtain?

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?

A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students fested. Which is the rate per 1,000 with new positive tests?

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A school nurse is developing a health risk screening protocol for use at an elementary school. Which information is most important for the nurse to include in this protocol?