A community health RN believes that immunization rates in a lower socioeconomic section of the city are probably below the target set by the state health department. What action should the RN take FIRST to intervene with this health problem?

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Community Health Assessment Questions Questions

Question 1 of 5

A community health RN believes that immunization rates in a lower socioeconomic section of the city are probably below the target set by the state health department. What action should the RN take FIRST to intervene with this health problem?

Correct Answer: C

Rationale: The correct answer is C: Review current epidemiological population data that might document a low immunization rate. This is the first action the RN should take because it provides objective evidence to confirm the suspicion of low immunization rates in the community. By reviewing the data, the RN can accurately assess the situation and determine the extent of the problem before implementing any interventions. Choice A (Take a health history on the members of the community) is incorrect because individual health histories may not provide a comprehensive view of the community's immunization rates. Choice B (Initiate an immunization program for the community) is incorrect because it is essential to first confirm the need for such a program through epidemiological data. Choice D (Refer all clients to the local health department) is incorrect as it does not address the root cause of the issue and may not be necessary if the RN can intervene effectively based on the epidemiological data.

Question 2 of 5

Which provides the most accurate way to explain community health nursing?

Correct Answer: B

Rationale: Not only is community a context or place where a community health nurse gives care, but the community as a whole is the focus of the nurse's efforts. Being employed outside a medical center, providing care within the community, and working for a public health department all describe settings where a community health nurse may be employed, but do not demonstrate the emphasis on providing population-focused care.

Question 3 of 5

Which best describes how people typically respond when asked of what community are they a member?

Correct Answer: A

Rationale: Although individuals might well respond in terms of any of the possible responses, the most common response is in terms of geographic location of one's home or place of residence. Traditionally, a community is an entity delineated by geopolitical boundaries; this view best exemplifies the dimension of location.

Question 4 of 5

A nurse is helping a community develop its capacity to address future problems. Which activity is the nurse most likely implementing?

Correct Answer: C

Rationale: Although such activities are educational, collaborative, and ideally do address problems in some order by priority, building a community's capacity to address future problems is called developing community competence.

Question 5 of 5

Which best describes how the U.S. Census Bureau surveys are helpful to a community health nurse?

Correct Answer: A

Rationale: Although they may offer temporary employment to some community residents and ideally all residents are counted, the value of the Census Bureau data is in clarifying the distribution of age, sex, race, and ethnicity of the community, which may also suggest health needs. The Census Bureau does not collect data on mortality and morbidity.

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