The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?

Correct Answer: D

Rationale: In community health nursing, conducting a thorough assessment is crucial before developing any intervention or program. The correct answer, option D, "target population data," is essential because it provides specific information about the children of migrant farm workers. This data helps the nurse understand the unique needs, challenges, and characteristics of the target group, allowing for tailored and effective interventions. Option A, "uncertain risks," is incorrect because the focus should be on known risks based on data rather than uncertainties. Option B, "potential outcomes," is also incorrect as it pertains to the anticipated results of the program rather than the foundational data needed for planning. Option C, "priority of solutions," is not the most critical at the initial planning stage; understanding the target population should precede determining solutions. In an educational context, this question highlights the importance of evidence-based practice in community health nursing. Nurses need to gather and analyze relevant data about the population they serve to make informed decisions and develop interventions that address specific needs effectively. This process ensures that interventions are culturally sensitive, relevant, and impactful in improving health outcomes within the community.

Correct Answer: B

Rationale: The correct answer to this question is B) have you started any new prescriptions. This is the most important question for the nurse to ask because the symptoms of pain, redness, and swelling in the right eye could potentially be related to a new medication that the older adult client has started recently. Medications can sometimes cause adverse effects such as eye problems, and it is crucial for the nurse to investigate this possibility to ensure the client's safety and well-being. Option A) do you have any discharge from the eye is not the most important question in this scenario as discharge from the eye, while relevant, may not directly indicate the cause of the symptoms in this case. Option C) are all of your immunizations current is not the priority question at this moment as the client's current symptoms are more indicative of a potential acute issue that needs immediate attention. Option D) how often do you wash your hands is not directly related to the client's presenting symptoms and is not as urgent or relevant in this context compared to inquiring about new medications. In an educational context, this question highlights the importance of thorough assessment and critical thinking in community health nursing. Nurses must prioritize questions based on the client's symptoms and potential causes to provide safe and effective care. Understanding the significance of medication history in assessing health issues is a key skill for nurses working in community health settings.

Correct Answer: D

Rationale: In community health nursing, obtaining information on the expressed needs of community members is crucial for effective assessment and intervention planning. This option (D) is the correct answer because it directly involves the community in identifying their own health needs, priorities, and preferences. By listening to the community members, the nurse can gain valuable insights into the specific health issues affecting them, their perceptions of health, and the resources they require for improved health outcomes. Option A, life expectancy of clients in the community, while important, is a more generalized indicator of health status and may not capture the unique health concerns of the community members. Option B, mortality rates in the community, provide retrospective data and may not reflect the current health needs and priorities. Option C, description of health problems by community leaders, is limited as it may not represent the perspectives and experiences of all community members. Educationally, this question emphasizes the importance of community engagement and participatory approaches in community health nursing practice. It highlights the significance of listening to the voices of those directly affected by health issues to inform culturally sensitive and effective interventions that address the community's specific needs.

Correct Answer: A

Rationale: The correct answer is A) client's thoughts about wanting to hurt herself. In this scenario, the most important information for the nurse to obtain is related to the client's mental health and risk of self-harm. The client's statement about not deserving to eat and not seeking help for food indicates possible depressive thoughts and feelings of worthlessness, which may escalate to suicidal ideation. Option B) medication history for antipsychotic agents is not the most important information to gather in this situation as the client's immediate safety and mental well-being take precedence over their medication history. Option C) availability of family members to provide meals, while important for assessing the client's support system, is not as critical as determining the client's mental state and risk of self-harm. Option D) community resources to provide financial aid, although relevant for addressing the client's financial concerns, is not the priority when the client's mental health and safety are in question. In community health nursing, understanding and addressing the mental health needs of clients, especially in vulnerable populations like older adults living alone, is crucial for providing holistic care and preventing adverse outcomes. Assessing for suicidal ideation and ensuring appropriate interventions are in place are essential aspects of community health nursing practice.

Correct Answer: B

Rationale: In the context of community health nursing, the correct answer is B) accessibility to trauma care. This is the most important healthcare resource for a rural community because trauma care addresses immediate life-threatening situations such as accidents or injuries, which can occur unexpectedly in any population. Having access to trauma care can significantly impact survival rates and quality of life in emergencies. Option A) family planning center is essential for reproductive health but may not be as immediately critical as trauma care in emergencies. Option C) annual health fair promotes health education and prevention but does not address immediate life-threatening situations like trauma care does. Option D) weather-related disaster plan is important for preparedness, but trauma care is more directly related to addressing health emergencies. In an educational context, understanding the priority of healthcare resources in different community settings is crucial for public health nurses to effectively plan, implement, and evaluate interventions that meet the specific needs of the population. By prioritizing resources like trauma care, nurses can contribute to improving health outcomes and reducing mortality rates in rural communities.