A community health nurse is tasked with prioritizing the needs of a diverse community. The community faces multiple challenges, including high rates of chronic illness, limited access to healthcare services, and socio-economic disparities. Considering these factors, which of the following approaches would be most effective for the nurse to use in prioritizing the community's needs?
Increase outreach efforts to provide information about available health services, regardless of specific community needs.
Conduct a comprehensive community assessment to identify key health issues and resource gaps, then develop targeted interventions based on the findings.
Focus on providing immediate emergency care services to address urgent health issues.
Implement a health education program aimed at promoting general wellness and preventive care for all community members.
The Correct Answer is B
Rationale:
A. Increasing outreach efforts without understanding specific needs may lead to ineffective or misaligned interventions.
B. Conducting a comprehensive community assessment allows the nurse to identify and prioritize key health issues and resource gaps, leading to more targeted and effective interventions based on actual community needs.
C. Immediate emergency care addresses urgent issues but does not address the broader, long-term needs of the community.
D. Health education programs are beneficial but should be based on a thorough assessment of community needs to ensure they are relevant and effective.
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Correct Answer is C
Explanation
Rationale:
A. Developing an individualized care plan focusing solely on one issue may not address the family’s overall dynamics and interactions, which are critical in the Calgary Family Intervention Model.
B. Referring the family to specialized services without considering the family’s overall functioning misses the opportunity to address the interconnectedness of issues within the family unit.
C. Engaging the entire family in discussions to identify and address patterns of interaction and coping strategies aligns with the Calgary Family Intervention Model, which emphasizes understanding and improving family dynamics and relationships.
D. Providing education on specific medical conditions is important but does not address the broader family dynamics and support systems critical in the Calgary model.
Correct Answer is B
Explanation
Rationale:
A. Provides outreach to a faith community with referrals is a role that can overlap with public health nursing, which often involves community outreach and education.
B. Uses the congregation's tenets and beliefs to administer care reflects the specialized role of a faith-based nurse who integrates faith principles into healthcare, distinct from general public health practice.
C. Demonstrates a knowledge of the community's faith beliefs is important but is not exclusive to the institutional-based faith community role.
D. Administers prescribed treatments is part of both roles but does not specifically distinguish the faith-based aspect of care.