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NURSING 4240S COMMUNITY HEALTH EXAM Q & A 2024

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NURSING 4240S COMMUNITY HEALTH EXAM Q & A 2024

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NURSING 4240S
COMMUNITY HEALTH


ASSESSMENT FOR
NURSING STUDENTS




2023/2024

,1. A community health nurse is conducting a needs assessment in a

rural area that has a high prevalence of diabetes. The nurse interviews

the local residents, health care providers, and community leaders to

gather data. Which of the following is the best example of a primary

source of data for the needs assessment?

a) The national diabetes registry

b) The health records of the local clinic

c) The opinions of the local residents*

d) The statistics from the regional health authority

Rationale: A primary source of data is one that comes directly from

the people who are affected by or involved in the health issue. The

opinions of the local residents are a primary source of data because

they reflect their experiences, needs, and preferences. The other

options are secondary sources of data because they are collected and

analyzed by someone else.




2. A community health nurse is planning a health promotion program

for a group of elderly people who live independently in a low-income

,housing complex. The nurse wants to use the PRECEDE-PROCEED

model to guide the program development. What is the first step that

the nurse should take according to this model?

a) Identify the desired outcomes

b) Assess the predisposing, reinforcing, and enabling factors

c) Evaluate the process, impact, and outcome of the program

d) Diagnose the health and quality of life problems*

Rationale: The PRECEDE-PROCEED model is a comprehensive

framework for planning, implementing, and evaluating health

promotion programs. The model consists of nine phases, and the first

phase is to diagnose the health and quality of life problems of the

target population. This involves identifying the most important health

issues that affect their well-being and determining their causes and

consequences.




3. A community health nurse is working with a coalition of local

organizations to advocate for a smoke-free policy in public places.

The nurse uses the policy triangle framework to analyze the policy

issue and develop a strategy. Which of the following components of

, the policy triangle does the nurse need to consider?

a) The content, context, process, and actors involved in the policy*

b) The goals, objectives, activities, and outcomes of the policy

c) The strengths, weaknesses, opportunities, and threats of the policy

d) The inputs, outputs, outcomes, and impacts of the policy

Rationale: The policy triangle framework is a tool for understanding

and influencing policy decisions. It consists of four components:

content (what the policy is about), context (the social, political,

economic, and cultural factors that shape the policy), process (how the

policy is made and implemented), and actors (the individuals and

groups who have an interest or stake in the policy). The nurse needs to

consider all these components to develop an effective advocacy

strategy.

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