The city health department director asks the community health nurse to make a presentation describing the greatest health concern facing the city. How should the nurse begin to collect the data needed for this presentation?

Review morbidity data for the city's population compiled by the Bureau of Vital Statistics.

Conduct a random telephone survey to determine the public's perception about health problems.

Call American Medical Association members to determine the most frequently treated diagnoses.

Survey major hospitals in the area to determine the most common reasons for admissions.

Answer and Explanation

The Correct Answer is A

A) Review morbidity data for the city's population compiled by the Bureau of Vital Statistics:
This is the most comprehensive and reliable method for identifying the greatest health concern facing the city. Morbidity data provides statistical information on the incidence and prevalence of diseases and health conditions within the population, helping to identify major health issues based on objective data.

B) Conduct a random telephone survey to determine the public's perception about health problems:
While public perception is valuable, it may not accurately reflect the actual health concerns based on prevalence or incidence data. Public surveys can provide insights into perceived issues but are not as reliable for identifying the most pressing health concerns as concrete morbidity data.

C) Call American Medical Association members to determine the most frequently treated diagnoses:
This method might provide insights from a medical perspective but does not offer a complete picture of the health concerns across the entire population. It may also miss out on data from other healthcare providers and public health reports.

D) Survey major hospitals in the area to determine the most common reasons for admissions:
Although hospital admission data is useful, it represents only part of the health picture and may not capture all relevant health concerns in the community. It also does not include outpatient or preventive care data, which are important for a comprehensive health assessment.

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Correct Answer is C

Explanation

A) Provide the information for research purposes only:
Providing client information without proper authorization, even for research purposes, violates confidentiality and privacy regulations. Client information should only be shared in accordance with legal and ethical guidelines to protect patient privacy.

B) Ask the student to sign a standard waiver form:
While obtaining a waiver might be necessary for some purposes, it is not sufficient on its own for releasing personal health information. The primary requirement is to obtain written authorization from the clients whose information is being requested.

C) Obtain written authorization from clients to release the information:
The most appropriate action is to obtain written authorization from the clients before releasing any personal health information. This ensures compliance with privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), which mandates that client information be protected and only disclosed with explicit consent.

D) Ask if permission has been obtained from the research committee:
Permission from a research committee does not substitute for individual client consent. While research committees oversee ethical aspects of research, the release of personal health information must also adhere to privacy laws and require individual client authorization.

A. Fasting blood glucose average readings were 20% lower at the end of the classes. B. Discussion of food exchanges and calories was a well-attended class. C. Demonstrating the use of a blood glucose meter was an effective teaching strategy. D. Parking convenience for attendees continued to be a major concern.

Correct Answer is A

Explanation

A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.

B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.

C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.

D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.

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The city health department director asks the community health nurse to make a presentation describing the greatest health concern facing the city. How should the nurse begin to collect the data needed for this presentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI. influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?

Correct Answer is C

Explanation

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

Correct Answer is A

Explanation

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