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. Discussing fears with anyone is not the most immediate question to ask when assessing for safety; it may be relevant later but does not directly address immediate safety concerns.
B. Fears about the spouse could be a part of the assessment but are more specific than asking about overall safety.
C. Asking if the client feels safe in the home is a direct and straightforward question that addresses immediate safety concerns and can provide crucial information about the presence of abuse.
D. Recommending a safe place may be helpful but should come after establishing the client’s current safety and assessing immediate risks.
Correct Answer is A
Explanation
Rationale:
A. Chemical hazard is correct because chlorine gas is a chemical substance that poses risks of exposure through inhalation or contact.
B. Biologic hazard refers to exposure to biological agents such as bacteria or viruses, which is not relevant in this context.
C. Physical hazard involves physical injuries or environmental conditions like noise or temperature extremes, not applicable here.
D. Ergonomic hazard relates to repetitive strain or poor posture-related injuries, which is not related to chlorine gas exposure.