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","B","C","E"]
Explanation
Rationale:
A. Environmental control factors such as how a culture interacts with and manages its environment, including health practices and beliefs about health and illness, are crucial in a cultural assessment.
B. Space and physical contact concerns how different cultures perceive personal space and physical interaction, which affects comfort and communication.
C. Time orientation refers to how different cultures view time, which can impact scheduling, punctuality, and planning in healthcare interactions.
D. Political affiliation is generally not a focus of cultural assessments in healthcare contexts. Cultural assessments are more concerned with direct aspects of health and interpersonal interactions rather than political views.
E. Communication includes language, non-verbal cues, and cultural norms around communication, all of which are essential for effective healthcare delivery.
Correct Answer is A
Explanation
Rationale:
A. Offering spiritual counseling and emotional support aligns with the parish nurse's role in providing holistic care that integrates physical, emotional, and spiritual support within the faith community.
B. Conducting health screenings and providing immunizations are more aligned with public health nurses or community health nurses rather than parish nurses.
C. Administering medications and performing advanced medical procedures fall outside the typical scope of parish nursing, which focuses more on support and counseling rather than clinical procedures.
D. Developing public health policy is beyond the individual role of a parish nurse and is typically handled by public health officials and policymakers.