Nursing Elites

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. What is a key component of a successful community health program?

• A. Engaging community members
• B. Sufficient funding
• C. Effective leadership
• D. Lowering health care expenses

Correct answer: A

Rationale: Engaging community members is crucial for the success of a community health program as it ensures that interventions are relevant and supported by the community. By involving community members, programs can better address local needs, increase participation, and foster a sense of ownership and responsibility among the population.

3. Which term refers to the personal characteristics and risks of a group within a community?

• A. Aggregate of people
• B. Location in space and time
• C. Social system
• D. Census tract

Correct answer: A

Rationale: An aggregate of people refers to a group within a community that shares common personal characteristics and risks. This term is used to describe a specific dimension of a community focusing on the characteristics and risks of a group rather than geographical or structural aspects (choices B, C, and D). Therefore, the correct answer is 'Aggregate of people.'

4. James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?

• A. Slow breathing
• B. Fast breathing
• C. Normal breathing
• D. Very fast breathing

Correct answer: C

Rationale: James' breathing is classified as normal because his respiratory rate falls within the expected range for his age group, and there are no general danger signs present. In this case, his breathing is considered normal based on the provided information.

5. Which statement best describes an effective method to evaluate community health programs?

• A. Conducting randomized controlled trials
• B. Using focus groups to gather feedback
• C. Measuring changes in health outcomes
• D. Comparing program costs and benefits

Correct answer: C

Rationale: Measuring changes in health outcomes is a crucial method to evaluate community health programs. By assessing the impact on health outcomes, such as reduced disease rates or improved wellness indicators, the effectiveness of the program can be determined. This approach provides concrete evidence of the program's success in promoting community health.

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