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 B

Explanation

A) Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program:
Evaluating the teachers’ ability to identify pediculosis capitis is important for ongoing surveillance, but it does not directly measure the effectiveness of the program in reducing the prevalence of the condition. This action focuses more on teacher training rather than the program's overall impact.

B) Measure the prevalence of pediculosis capitis among the children after four months:
Measuring the prevalence of pediculosis capitis among children after the implementation of the program is the most effective way to evaluate the program's success. By comparing the prevalence before and after the program, the nurse can assess whether the interventions (educational pamphlets and regular assessments) have led to a reduction in cases.

C) Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition:
Surveying parents about their understanding of pediculosis capitis is useful for evaluating the reach and impact of the educational component. However, it does not directly measure the effectiveness of the program in reducing the actual prevalence of pediculosis capitis among children.

D) Conduct an initial examination of each child in the school to obtain baseline data:
Conducting an initial examination provides valuable baseline data on the prevalence of pediculosis capitis before the program begins. However, this action alone does not evaluate the effectiveness of the program; it must be followed by assessments after the program’s implementation to determine if there has been a reduction in cases.

A. Refer to healthcare provider for complete evaluation. B. Send client to the emergency department for treatment. C. Instruct client to apply antibiotic ointment to sores. D. Create a list of foods that promote wound healing.

Correct Answer is A

Explanation

A) Refer to healthcare provider for complete evaluation:
The symptoms described—pale, bluish feet, and sores with poor healing—are indicative of possible peripheral vascular disease, circulatory issues, or other serious conditions that require a thorough medical evaluation. Referring the client to a healthcare provider ensures that a comprehensive assessment can be performed to diagnose the underlying cause and develop an appropriate treatment plan.

B) Send client to the emergency department for treatment:
While the symptoms are concerning, they do not necessarily indicate an immediate emergency requiring urgent care. Referral to a healthcare provider for a complete evaluation is generally more appropriate unless the client exhibits signs of a life-threatening condition or severe infection.

C) Instruct client to apply antibiotic ointment to sores:
Applying antibiotic ointment might help with wound care but does not address the underlying issue that is causing the poor wound healing and the bluish discoloration. Without a complete evaluation, it's uncertain whether antibiotic ointment alone will be sufficient or appropriate.

D) Create a list of foods that promote wound healing:
Although nutrition is important for wound healing, addressing the underlying health issues affecting the client's circulation and skin integrity is more critical. A healthcare provider can offer comprehensive treatment that includes managing the client’s overall health condition, which may involve more than just dietary changes.

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

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

Correct Answer is A

Explanation

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