In order to increase the proportion of noninstitutionalized adults who are vaccinated annually against influenza, a nurse practitioner has established a mobile clinic. What part of the nursing process is fulfilled by delivering immunization services?

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NCLEX Questions and Answers in Community Health Nursing Questions

Question 1 of 5

In order to increase the proportion of noninstitutionalized adults who are vaccinated annually against influenza, a nurse practitioner has established a mobile clinic. What part of the nursing process is fulfilled by delivering immunization services?

Correct Answer: C

Rationale: The correct answer is C: Intervention. The nurse practitioner is delivering immunization services through the mobile clinic to increase vaccination rates. This falls under the intervention phase of the nursing process, where actions are taken to achieve the desired outcomes. Goal setting (A) involves establishing specific objectives, planning (B) involves developing a strategy to achieve those goals, and evaluation (D) involves assessing the effectiveness of the interventions. In this scenario, the nurse practitioner is actively providing the immunizations, which aligns with the intervention phase of the nursing process.

Question 2 of 5

A home health nurse (HHN) in training states, "I don't understand why we have to collaborate with so many other disciplines. Doesn't this conflict with the concept of holistic nursing practice?" What would be the best response by an experienced colleague?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Interdisciplinary collaboration in home health nursing does not negate holistic nursing practice. It enhances it by bringing together various professionals to address the client's physical, emotional, and social needs comprehensively. 2. Collaboration prevents fragmentation of care by ensuring that all aspects of the client's well-being are considered and addressed collectively. 3. Holistic nursing involves viewing the client as a whole person and addressing all aspects of their health, which can be best achieved through collaboration with other disciplines. 4. Choice A acknowledges the importance of holistic nursing while also emphasizing the necessity of working with other disciplines to provide optimal care. Summary of Incorrect Choices: B: This choice inaccurately limits the application of holistic nursing to tertiary facilities and fails to address the benefits of interdisciplinary collaboration in home health settings. C: This choice undermines the significance of holistic nursing in home health by suggesting it is less holistic than other areas of community health nursing. D: This choice inaccurately implies that interdisciplinary collaboration conflicts

Question 3 of 5

A community health nurse (CHN) is asked by a parent group to explain the risk factors for alcoholism. What statement should the CHN include in the explanation?

Correct Answer: B

Rationale: The correct answer is B: Alcoholism is determined partly by genes. This answer is correct because research has shown that genetics play a significant role in predisposing individuals to alcoholism. Studies have identified specific genes that can increase the risk of developing alcohol use disorder. However, it is important to note that environmental factors also play a crucial role in the development of alcoholism. A: Alcoholism is not solely determined by the environment; genetics also play a role. C: Alcoholism rates may vary between genders, but it is not accurate to generalize that it is higher in women. D: Persons born with fetal alcohol syndrome have a higher risk of developing alcohol-related issues, but this does not mean they are alcoholics from birth.

Question 4 of 5

What is the focus of health promotion in Canada?

Correct Answer: B

Rationale: The correct answer is B because health promotion in Canada focuses on addressing factors that influence health at the population level, known as determinants of health. This approach is more comprehensive and sustainable compared to focusing solely on individual health status (choice D). Achieving consensus on community health needs (choice A) is important but not the primary focus of health promotion. Dictating interventions based on government priorities (choice C) does not align with the principles of health promotion, which emphasize equity and empowerment.

Question 5 of 5

A mother confides to the community health nurse (CHN) that her live-in boyfriend pushed her 2-year-old child because he was crying too much. She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes. What should the CHN do?

Correct Answer: D

Rationale: The correct answer is D: Report the incident to the child protection agency. The CHN has a legal and ethical duty to protect the child from harm. Reporting to the child protection agency ensures the child's safety and well-being. The boyfriend's behavior of pushing a child is abusive and potentially dangerous. Ignoring the situation could lead to further harm to the child. Abiding by the mother's wishes (choice A) would prioritize confidentiality over the child's safety. Arranging counselling for the boyfriend (choice B) does not address the immediate risk to the child. Advicing the mother to take the child away (choice C) may not guarantee the child's safety if the boyfriend is not held accountable for his actions. Reporting to the child protection agency is the most appropriate and responsible action to safeguard the child's welfare.

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