Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?

Correct Answer: D

Rationale: The elements mentioned are key components of designing and initiating a community organizing effort. Choosing structure, recruiting members, defining mission, vision, and goals, and clarifying roles are essential in the initial stages of organizing a community. This stage sets the foundation for the entire process. Program maintenance-consolidation (A) occurs after the program has been established. Dissemination-Reassessment (B) involves spreading information and evaluating outcomes. Community Analysis/diagnosis (C) is the initial assessment of community needs, which precedes the design and initiation phase. Thus, the correct answer is D as it aligns with the early stages of community organizing.

Correct Answer: A

Rationale: Certainly! The correct answer is A: Explain the purpose of the visit. This is important because it establishes clear communication between the healthcare provider and the patient/resident. By explaining the purpose first, it sets expectations and ensures the patient understands the reason for the follow-up visit. This step builds trust and allows for any questions or concerns to be addressed upfront. Summary of why the other choices are incorrect: B: Washing hands and performing necessary procedures should come after explaining the purpose of the visit. C: Conducting environmental surveillance is not typically the first step in a follow-up visit. D: Greeting the patient and introducing yourself is important but should follow after explaining the purpose of the visit.

Correct Answer: A

Rationale: The correct answer is A: "To complete the clinical picture of chronic diseases and describe their natural history." This objective is not typically a primary focus of the Field Health Service Information System (FHSIS). The main purpose of FHSIS is to collect and provide standardized, facility-level data for monitoring and evaluation of health programs. Rationale: A: Incorrect. Completing the clinical picture of chronic diseases is more aligned with clinical research and patient care, not with the primary objective of FHSIS. B: Incorrect. Providing a standardized database for more in-depth studies is a key objective of FHSIS, enabling researchers to access and analyze data. C: Incorrect. Minimizing recording burden and allowing more time for patient care is a potential benefit of FHSIS, but not its primary objective. D: Incorrect. Ensuring useful, accurate, and timely data dissemination is a core objective of FHSIS to support evidence-based decision-making.

Correct Answer: B

Rationale: The correct answer is B: Target Client list. In a health service information system, the target client list is the fundamental block or foundation. It serves as a comprehensive database of individuals who are the focus of the services provided. It helps in identifying, tracking, and managing the health information of clients. Family treatment record (A) is more specific and focuses on individual treatment within a family rather than the overall system foundation. Reporting forms (C) are tools for collecting data but not the foundational block. Output record (D) is a result of the system's processes, not the fundamental block. The target client list is essential for effective service delivery and resource allocation.

Correct Answer: A

Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, saving time and effort. This is because having a target client list streamlines the process by providing quick access to relevant information, allowing nurses to efficiently track progress and deliver timely care. Other choices are incorrect because: B: Helps monitor services rendered to clients in general - This is too broad and does not specify the direct benefit of a target client list. C: Facilitates monitoring and supervision of services - While this is related to the advantages of having a target client list, it does not address the specific time-saving aspect highlighted in the correct answer. D: Facilitates easier reporting - This choice is also related to the benefits of a target client list but does not emphasize the key advantage of time and effort saved by not having to refer back to the Family Treatment Record.