A team is using the American Hospital Association Community Health Assessment (CHA) toolkit to conduct a CHA. They have defined the community and gathered data from multiple sources. According to the toolkit, what is the next step?

Correct Answer: B

Rationale: The correct answer is B: Prioritize community health problems. After defining the community and gathering data, the next step in the CHA process is to prioritize the identified health problems. This step involves assessing the data collected, determining which issues are most critical, and deciding which ones to address first. Prioritizing helps focus resources and efforts on areas with the greatest impact. Choice A (Share results with the community) is incorrect as it typically comes later in the process, after prioritizing and planning interventions. Choice C (Evaluate progress) is also incorrect as evaluation usually occurs after implementing interventions. Choice D (Plan implementation strategies) is premature without first prioritizing the health problems.

Correct Answer: A

Rationale: Certainly! The correct answer is A because providing a health screening for hypertension is a community health nursing intervention. Firstly, community health nursing focuses on promoting and preserving the health of populations. Conducting health screenings, such as for hypertension, is a preventive measure that targets a community as a whole. This intervention aims to identify individuals at risk, provide education, and facilitate early intervention to prevent complications and promote community well-being. Choices B, C, and D are incorrect. Administering a flu vaccine to an individual (B) is a clinical nursing intervention rather than a community health nursing intervention. Assisting with activities of daily living for an elderly client (C) is more aligned with home health nursing or long-term care rather than community health nursing. Conducting a physical assessment in a private clinic (D) is also more related to clinical nursing practice rather than community health nursing, which focuses on population-based interventions.

Correct Answer: B

Rationale: The most effective intervention is providing free immunization clinics in the community. This directly addresses the issue by making vaccines easily accessible to the community, leading to higher immunization rates. Distributing pamphlets (A) may raise awareness but does not guarantee action. Surveying for hesitancy (C) is important but may not directly increase rates. Educating during hospital visits (D) targets a limited audience. Free clinics (B) remove barriers to access, making it the most effective intervention.

Correct Answer: B

Rationale: The correct answer is B because providing written materials on stress management techniques falls under the cognitive domain of learning, which involves acquiring knowledge and understanding. Written materials allow clients to read, process, and comprehend information about stress management. This activity encourages critical thinking and problem-solving skills. Demonstrating deep breathing exercises (choice A) and guiding participants through muscle relaxation exercises (choice D) are in the psychomotor domain, involving physical skills and coordination. Leading a group discussion on stress-related experiences (choice C) is in the affective domain, focusing on emotions and attitudes. In this context, providing written materials is the most suitable activity for engaging clients in cognitive learning.

Correct Answer: D

Rationale: The correct answer is D, community surveys and interviews. This is because conducting surveys and interviews within the local community allows the nurse to directly gather data from the residents themselves, providing insights into their specific health needs, concerns, and priorities. This method ensures the data is relevant, accurate, and reflects the unique characteristics of the rural area. A: State health department reports may not capture the specific local health needs of the rural area as they tend to focus on broader state-level data. B: County health department data may not provide detailed information specific to the rural area and may not capture the diverse health needs of the community. C: National health surveys are too broad and do not provide detailed information on the specific health needs of the local rural community.