A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess?

Correct Answer: C

Rationale: In the context of pharmacology and health promotion, conducting an environmental assessment as part of a family assessment is crucial for identifying factors that may impact an individual's health. The correct answer, option C - Safety of the home, is the most relevant choice for a nurse to assess during this process. Assessing the safety of the home allows the nurse to identify potential hazards such as tripping hazards, presence of toxic substances, or lack of proper ventilation, which can have a direct impact on the health and well-being of the family members, especially if medications are involved. Option A - Convenience stores in the neighborhood, while important for assessing access to healthcare resources, is not directly related to the safety of the home environment in the context of a family assessment for health promotion. Option B - Garbage collection in the neighborhood, although related to environmental health, is not as directly relevant to assessing the immediate safety of the home. Option D - Climate of the home, while important for comfort and certain health conditions, is not as critical to assess as the safety of the physical environment within the home. Educationally, understanding the importance of environmental assessments in pharmacology is essential for nurses to provide holistic care. By recognizing and addressing environmental factors that can impact health outcomes, nurses can better promote health and prevent potential medication-related issues within the family unit.

Correct Answer: C

Rationale: In the context of pharmacology and health promotion, understanding the nursing process is crucial for effective patient care. In this scenario, the nurse is engaging in the aspect of analysis by using the technique of mapping. Analysis involves interpreting assessment data to identify health problems and their underlying causes. By mapping out information gathered in the community setting, the nurse can visually analyze patterns, trends, and relationships to make informed decisions about prioritizing health interventions. Option A, collection, refers to the gathering of data during the assessment phase. This phase precedes mapping and is essential for providing the foundation for analysis. Planning (option B) comes after analysis and involves setting goals and determining interventions based on the analyzed data. Implementation (option D) is the phase where the actual interventions are carried out after planning. Educationally, understanding how each phase of the nursing process builds upon the previous one is vital for student nurses and practicing nurses alike. It ensures a systematic and thorough approach to patient care, leading to better outcomes and improved health promotion strategies in the community. By mastering the nursing process, nurses can enhance their critical thinking skills and provide holistic care to individuals and populations.

Correct Answer: B

Rationale: In response to the growing elderly population, community health nurses should work with local health departments to increase recreational activities for the elderly. This is the correct answer because promoting recreational activities helps enhance the physical, mental, and social well-being of the elderly, contributing to a healthier and more active lifestyle. Option A, working to increase nursing home beds, is incorrect because it focuses on institutional care rather than community-based health promotion, which is key for elderly individuals to maintain independence and quality of life. Option C, emphasizing physical activity for children with the board of education, is irrelevant to the needs of the elderly population and does not address the question's context. Option D, emphasizing geriatric training with local nursing schools, is important for healthcare professionals but does not directly address the well-being and health promotion needs of the elderly population in the community. Educationally, understanding the specific needs of different population groups and tailoring interventions accordingly is crucial for effective community health nursing practice. By focusing on promoting recreational activities for the elderly, nurses can contribute to improving their overall health and quality of life, aligning with the principles of health promotion and preventive care in aging populations.

Correct Answer: B

Rationale: The correct answer is B) Rarely identifies children who do not actually have developmental delays. This statement refers to the test specificity of the Denver Developmental Screening Test (DDST), indicating that the test is good at correctly identifying children who do not have developmental delays. Option A is incorrect because a high test specificity means the test is good at correctly identifying children who do have developmental delays, not the other way around. Option C is incorrect as high specificity means fewer false positives, not a large number of false positive results. Option D is also incorrect as a high specificity indicates fewer false negatives, not a large number of false negative results. In an educational context, understanding the concept of test specificity is crucial for healthcare professionals, especially those working in pediatric care. It helps them accurately interpret screening test results and make informed decisions about further assessment and intervention for children's developmental needs. Being able to differentiate between true positives and false positives is essential for providing appropriate care and support for children and their families.

Correct Answer: C

Rationale: In the context of pharmacology and health promotion, identifying a screenable population for hypertension involves selecting a group that is at higher risk or likelihood of having the condition. High-level business executives attending an annual conference are an example of a screenable population for hypertension because individuals in this group may experience high levels of stress, irregular eating habits, and lack of physical activity, all of which are risk factors for hypertension. By screening this population, healthcare providers can potentially identify undiagnosed cases and intervene early to prevent complications. Regarding the other options: - High school students: While hypertension can occur in any age group, it is less common among younger individuals without underlying health conditions. Routine screening for hypertension in this population may not be cost-effective unless risk factors are present. - Professional hockey players: Athletes, in general, tend to have lower rates of hypertension due to their high level of physical activity. Screening this group may not yield as many cases of hypertension compared to other populations. - Cardiac rehabilitation clients: This group is already known to have cardiovascular issues, including hypertension. They are typically monitored and managed for hypertension as part of their cardiac rehabilitation program, so routine screening may not be necessary as it is already a known condition. Educationally, understanding the rationale behind selecting a screenable population for hypertension helps healthcare professionals target resources effectively and prioritize screenings for populations where the likelihood of identifying cases is higher. This approach ensures efficient use of healthcare resources and improves early detection and management of hypertension.