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. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.
B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.
C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.
D. Providing general information may not be as effective as directly addressing the issue with the client.
Correct Answer is C
Explanation
Rationale:
A. Discouraging the client from using any alternative therapies is not appropriate as it disregards the client’s autonomy and preferences. It is important to respect the client’s choices while providing evidence-based guidance.
B. Advising the client about "good" versus "bad" therapies can be subjective and may not provide the comprehensive information the client needs. Instead, focus should be on evidence-based information.
C. Educating the client about therapies that they are using or interested in ensures they are informed about potential benefits, risks, and interactions with conventional treatments. This approach supports informed decision-making and safe use of complementary and alternative therapies.
D. Recommending herbal remedies is outside the scope of the nurse's role unless there is clear evidence-based information to support such recommendations. Nurses should focus on providing education rather than specific recommendations.