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

Evaluate previous project outcomes.

Interview community members.

Project future health care requirements.

Schedule a community-wide health fair.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is D

Explanation

A. Teach clients about recommended immunizations for children:
Teaching about immunizations is a form of primary prevention, as it aims to prevent diseases before they occur. It is not classified as tertiary prevention.

B. Instruct teens about prevention of sexually transmitted diseases:
Instructing about the prevention of sexually transmitted diseases (STDs) is a form of secondary prevention. It focuses on preventing the spread of disease and identifying it early.

C. Take blood pressures at a local shopping mall in the community:
Measuring blood pressure is an example of secondary prevention, which involves screening for health issues to detect them early. It does not fall under tertiary prevention, which focuses on managing existing conditions.

D. Demonstrate foot care to a group of clients who have diabetes:
Demonstrating foot care to clients with diabetes is an example of tertiary prevention. It involves managing and preventing complications in individuals who already have a chronic condition (diabetes). This helps in minimizing the impact of the disease and improving the quality of life for those affected.

A. Immunize all children under age 5 in the one hundred family aggregate. B. Immunize all members of the one hundred families. C. Quarantine the one hundred family aggregate. D. Quarantine all family members of the child with whooping cough.

Correct Answer is D

Explanation

A) Immunize all children under age 5 in the one hundred family aggregate:
Immunization would be a standard preventive measure to control the spread of whooping cough, but in this case, the immediate focus should be on managing the current outbreak. Ensuring that the child with whooping cough and their close contacts are managed appropriately is crucial, rather than preemptively immunizing all children in the aggregate without addressing the existing case.

B) Immunize all members of the one hundred families:
While immunization is essential in preventing whooping cough, implementing this measure without considering the specific outbreak context and the families' religious beliefs might not be feasible or immediately effective. Additionally, managing the outbreak and containing its spread is the immediate priority.

C) Quarantine the one hundred family aggregate:
Quarantining an entire aggregate of families, especially when the infection is present in only one documented case, would be excessive and likely impractical. Quarantine measures should be targeted to those directly exposed or infected to prevent further spread.

D) Quarantine all family members of the child with whooping cough:
Quarantining all family members of the child with whooping cough is the most appropriate immediate intervention. This targeted quarantine helps prevent the spread of the infection within the affected household and controls the outbreak. It addresses the specific exposure and containment needs of the situation effectively.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Correct Answer is D

Explanation

One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?

Correct Answer is D

Explanation

A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?

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A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?

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