The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the RN to obtain which info as part of the community assessment?

Correct Answer: A

Rationale: The correct answer is A because hand hygiene is crucial in preventing dermatitis. Clean water to wash hands after work helps remove irritants and allergens that can cause dermatitis. This directly addresses the increased incidence of dermatitis among farm workers. Choice B (Proper housing) is not directly related to dermatitis prevention. Choice C (Access to health care services) is important but does not address the immediate cause of dermatitis. Choice D (Access to transportation) is not as critical as ensuring proper hand hygiene to prevent dermatitis.

Correct Answer: B

Rationale: Although a person might choose to do any of these, the most helpful action over the long term is to join a support group with persons having the same diagnosis for mutual learning, sharing of resources, and support. Religious leaders could also be helpful, but many people do not have a religious leader.

Correct Answer: C

Rationale: A major feature of a community is the relationships that community members form with one another. These functions provide socialization, role fulfillment, goal achievement, and member support. Not all communities are safe environments, have medical centers, or offer recreational opportunities.

Correct Answer: C

Rationale: Shoe leather epidemiology refers to establishing hypotheses about the community's health, strengths, and possible problems through the down-to-earth approach of traveling through the area, and observing and interacting with community members. Implementing the wheel model, engaging in truth seeking, and facilitating sharing of the community's history do not demonstrate the process of traveling through the community to absorb its overall impression.

Correct Answer: D

Rationale: The National Center for Health Statistics compiles annual National Health Survey data. It also publishes reports on prevalence of disability, illness, and other health-related variables. It tracks trends by nation, state, and year. The state health department records, state department of vital statistics, and Centers for Disease Control and Prevention will not provide all of the data that the nurse is trying to find.