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.