The nurse is approached by the health department to investigate and assess the rise in developmental disabilities in an isolated section in the community.
To begin the assessment, the nurse should gather objective data from which source?
Aggregate data (secondary data).
Wikipedia.
Client interview.
Direct observation of the area.
The Correct Answer is A
Choice A rationale
To investigate a rise in developmental disabilities (a quantitative health concern), the nurse should first gather objective data from aggregate data (secondary data). This includes reviewing vital statistics, health department records, school special education enrollment, and existing epidemiological studies on the isolated section, which provide a broad, quantifiable foundation for the assessment before collecting primary data.
Choice B rationale
Wikipedia is an open-source, non-peer-reviewed online encyclopedia, which is not a scientifically credible or reliable source for gathering objective health data for a community assessment, especially when investigating an increase in developmental disabilities. Official government or health department reports are the appropriate starting point for secondary data collection.
Choice C rationale
A client interview provides rich primary, subjective data about a single individual's or family's experiences and perceptions. While valuable later in the assessment process, it is not the initial source for gathering objective, aggregate data needed to confirm and quantify the rise in developmental disabilities across the isolated section of the community.
Choice D rationale
Direct observation of the area provides primary, objective data about environmental or physical characteristics like housing quality or safety hazards. However, it is not the most immediate or comprehensive source for quantifying the reported rise in an internal health issue like developmental disabilities, which requires a review of existing health records (secondary data).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The Health Belief Model posits that perceived severity is a motivator for action; if a person believes the consequences would be minor, the perceived threat is low, and they are less likely to take action to improve health or reduce risk. This contradicts the fundamental premise of the model regarding threat perception and health behavior change.
Choice B rationale
The model includes perceived benefits as a core construct. A person must believe that taking action will result in a net positive outcome (benefit outweighs barriers) to be motivated to change a health-related behavior. If they perceive no benefit, they will likely not take action, which contradicts the model's structure.
Choice C rationale
Perceived severity is a key construct in the Health Belief Model, stating that an individual's belief that a condition's consequences would be serious (e.g., pain, death, disability, financial hardship) contributes to a greater perceived threat. This heightened perception of threat acts as a powerful catalyst for engaging in health-promoting actions.
Choice D rationale
While trust in information sources may influence a person's belief in the cues to action (e.g., media messages, physician advice) or the general validity of the health threat, it is not one of the four main core constructs of the model, which are perceived susceptibility, severity, benefits, and barriers.
Correct Answer is B
Explanation
Choice A rationale
The ANA Code of Ethics emphasizes interprofessional collaboration as essential for comprehensive client care, not self-sufficiency or a lack of dependence. Ethical nursing practice requires mutual respect and sharing of knowledge and expertise among all members of the healthcare team to achieve the best client outcomes.
Choice B rationale
Compassion and respect for the dignity, worth, and uniqueness of every individual is the foundational principle articulated in the very first provision of the ANA Code of Ethics for Nurses. This core ethical mandate emphasizes the nurse's commitment to delivering care without prejudice, upholding human rights, and protecting the inherent value of all persons.
Choice C rationale
The ANA Code of Ethics clearly states that the nurse's primary commitment is to the patient/client, whether an individual, family, group, community, or population, and not to the healthcare provider, employer, or any other entity. The welfare of the patient supersedes all other loyalties.
Choice D rationale
The ethical obligation of nurses, as outlined in the Code, is centered on promoting and advocating to protect the rights, health, and safety of the patient/client. While collaboration with physicians is vital, the specific and primary advocacy role described in the Code focuses on the vulnerable client population.
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