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 ["A","C","D"]
Explanation
Rationale:
A. Nurses and other healthcare workers may be the primary or only point of contact for trafficking victims, providing crucial opportunities for identification and support.
B. Nurses are obligated to report suspected abuse but are generally required to report abuse or neglect for minors rather than all ages; trafficking often involves minors, but this is not a universal rule.
C. Nurses work in many different settings, which increases their opportunities to encounter and assist trafficking victims.
D. Nurses are trained to view a patient holistically and can recognize subtle signs of maltreatment that others might miss, making them critical in identifying trafficking.
E. Nurses do not have the legal authority to remove victims; their role involves identification and reporting rather than enforcement actions.
Correct Answer is B
Explanation
Rationale:
A. Spirituality is a sense of devotion to one or more gods is too narrow and may not encompass the broader concept of spirituality, which can include personal beliefs and practices beyond organized religion.
B. Many religions have cultural and ethical underpinnings accurately reflects how religion and spirituality influence health care decisions by providing a framework for values and behaviors.
C. Religion represents a group's philosophy may be more about religion than spirituality and does not fully encompass personal spiritual beliefs.
D. Those with a high sense of spirituality may not necessarily follow a prescribed set of beliefs, as spirituality can be highly individualized and not always tied to specific religious doctrines.