,1. A community health nurse is conducting a needs assessment in a
low-income neighborhood. She interviews residents, observes the
environment, and collects data from various sources. What is the
primary purpose of this assessment?
a) To identify the health problems and resources of the community
b) To evaluate the effectiveness of previous interventions
c) To plan and implement health promotion programs
d) To collaborate with other health care professionals and agencies
Answer: A. The primary purpose of a needs assessment is to identify
the health problems and resources of the community, which will
guide the planning and implementation of interventions. Evaluating
the effectiveness of previous interventions, planning and
implementing health promotion programs, and collaborating with
other health care professionals and agencies are secondary
purposes that depend on the results of the needs assessment.
Rationale: A needs assessment is a systematic process of collecting
and analyzing data to determine the health status, needs, and assets
of a specific population or community. It helps to identify the gaps
between the current and desired situations, prioritize the needs,
and allocate resources accordingly.
2. A community health nurse is working with a group of teenage
mothers who have dropped out of school. She helps them to enroll
in an alternative education program that also provides child care,
counseling, and health services. What type of intervention is this?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Quaternary prevention
Answer: B. This is an example of secondary prevention, which aims
to reduce the impact of a health problem that has already occurred.
, By providing education, child care, counseling, and health services,
the nurse is helping the teenage mothers to cope with their
situation, prevent further complications, and improve their quality
of life. Primary prevention would be to prevent teenage pregnancy
in the first place, tertiary prevention would be to rehabilitate or
restore function after a disability or chronic illness, and quaternary
prevention would be to avoid overmedicalization or unnecessary
interventions.
3. A community health nurse is collaborating with a local school to
implement a school-based health center (SBHC). The SBHC provides
comprehensive primary care, mental health, dental, and vision
services to students and their families. What are some of the
benefits of SBHCs for the community? (Select all that apply)
a) They increase access to health care for underserved populations
b) They reduce absenteeism and improve academic performance
c) They promote healthy behaviors and prevent chronic diseases
d) They decrease emergency department visits and hospitalizations
e) They enhance social support and community engagement
Answer: A, B, C, D, E. All of these are benefits of SBHCs for the
community. SBHCs increase access to health care for underserved
populations by providing convenient, affordable, and culturally
competent services in a familiar setting. SBHCs reduce absenteeism
and improve academic performance by addressing the physical,
mental, and emotional needs of students that may interfere with
their learning. SBHCs promote healthy behaviors and prevent
chronic diseases by offering preventive care, screening,
immunization, counseling, and education. SBHCs decrease
emergency department visits and hospitalizations by providing
timely diagnosis and treatment of acute and chronic conditions.
SBHCs enhance social support and community engagement by
involving parents, teachers, staff, and community partners in the
planning, delivery, and evaluation of services.
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