Community Health Nursing Exam Questions -Nurselytic

Correct Answer: A

Rationale: The correct answer is A, a diet rich in calcium and vitamin D. Calcium and vitamin D are essential for bone health, helping to build and maintain strong bones, thus preventing osteoporosis. Calcium is a key component of bone structure, while vitamin D helps the body absorb calcium. This preventative measure directly targets the root cause of osteoporosis by ensuring the body has the necessary nutrients for bone strength.


Choice B, exposure to sunlight, while important for vitamin D synthesis, is not as effective as dietary sources for meeting the body's requirements.
Choice C, exercise, is beneficial for overall health but primarily falls under secondary prevention by helping to maintain bone density once it has already been established.
Choice D, weight control, does not directly address the nutritional needs for bone health as in choice A.

Correct Answer: D

Rationale: The correct answer is D because as a community health nurse, the primary focus is on promoting the health of the entire community, not just a few individuals. By choosing the needs of the aggregate, the CHN ensures that resources are allocated in a way that benefits the majority of the population, leading to a more significant impact on public health. This approach aligns with the core principles of public health, which emphasize population-based interventions for promoting well-being.


Choice A is incorrect as solely relying on moral or ethical principles may not always consider the overall impact on the community.
Choice B is incorrect because prioritizing cost-effectiveness over the health outcomes of the population may lead to short-sighted decisions.
Choice C is incorrect as focusing only on the most rational outcome may not take into account the diverse needs of the community. Ultimately, choosing the needs of the aggregate ensures a holistic and equitable approach to resource allocation in community health nursing.

Correct Answer: C

Rationale: The correct answer is C: Implementation. This phase involves carrying out the planned interventions to achieve the set goals and objectives. Assessment (
B) is the first phase where data is collected, followed by identifying and prioritizing interventions (
A). Evaluation (
D) is the final phase where the outcomes are assessed.
Therefore, in the context of the question, the phase being described is the one where the actual work and activities to achieve the goals are implemented.

Correct Answer: C

Rationale: Rationale for Correct Answer (
C): Including Cuban immigrants from the community on the centre's advisory board is the best action as it directly involves the key stakeholders in decision-making processes. This approach ensures cultural relevance, fosters trust, and promotes shared decision-making, all of which are essential for implementing evidence-informed practice effectively in a diverse community setting. By engaging Cuban immigrants in the advisory board, the nurse leader can gain valuable insights, perspectives, and feedback that can inform and tailor the centre's services to better meet the needs of the population.

Summary of Incorrect

Choices:
A: Having university experts review policies may provide valuable insights but lacks direct involvement of the community members affected.
B: Weekly staff meetings may promote discussion, but without direct input from the Cuban immigrant population, the decisions made may not fully align with their needs.
D: Sending staff to conferences and seminars can enhance knowledge but does not actively involve the community in decision-making processes.

Correct Answer: B

Rationale: The correct answer is B: Multidisciplinary team. This type of team consists of members with diverse expertise who work independently but collaborate to make client-based decisions. Each member contributes their specialized knowledge to solve complex problems. In contrast, A: Intraprofessional teams consist of members within the same profession, limiting diversity. C: Interdisciplinary teams involve members blending their expertise to create a unified approach, rather than working independently like in the question. D: Interprofessional teams involve members from different professions working together on shared goals, which is not the same as working independently and coming together for client decisions as in the question.