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. Avoiding discussion of past experiences may not address the underlying causes of aggression and could prevent the teenager from processing their trauma.
B. Strict disciplinary measures may not address the root causes of aggression and could exacerbate the teenager's behavior.
C. Providing a safe and non-judgmental environment allows the teenager to express their feelings and address underlying issues contributing to aggression, which is essential for effective intervention.
D. Suppressing anger may not be effective in resolving underlying issues and could lead to further emotional problems.
Correct Answer is D
Explanation
Rationale:
A. Changing the subject to focus on medication compliance might ignore the client's cultural beliefs and could undermine trust. It is important to address both cultural beliefs and medical treatment.
B. Accepting that cultural beliefs can change is not as relevant as understanding and respecting the client's current beliefs while guiding them towards effective treatment.
C. Explaining that foods cannot cure mental health disorders may come across as dismissive of the client's beliefs. It is more effective to acknowledge the client's beliefs while providing appropriate guidance.
D. Arranging for the client to speak with a dietitian is a culturally sensitive approach that respects the client's beliefs and provides an opportunity to discuss the role of diet in a way that complements medical treatment. This approach integrates cultural respect with professional guidance.