Community Health Verified Questions and Answers Test Bank -Nurselytic

Correct Answer: A

Rationale: The correct answer is A because in the community setting, nurses may have limited access to resources like medical records, diagnostic tests, and immediate physician support, making it challenging to deliver comprehensive care.
Choice B is incorrect because paperwork can also be burdensome in acute care settings.
Choice C is incorrect as both settings have environmental challenges.
Choice D is incorrect as specialization can still occur in the community setting through education and experience.

Correct Answer: A

Rationale: The nurse researcher should choose a cross-sectional study if the goal is to identify the prevalence of a condition or characteristic at a specific point in time. This type of study allows for the collection of data from a diverse group of individuals at a single time point, providing a snapshot of the population's health status. A cross-sectional study is ideal for exploring associations between variables and is cost-effective and time-efficient.
Other choices are incorrect because:
B: Ecologic study focuses on the relationship between exposures and outcomes at a population level, not individual characteristics.
C: Clinical trial evaluates the effectiveness of interventions, not simply identifying prevalence.
D: Retrospective analysis looks back at past data to investigate relationships, not just identifying prevalence.

Correct Answer: A

Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process sets the framework for delivering these services effectively. Assessment (
B) involves evaluating community health needs, not ensuring availability. Assurance (
C) focuses on enforcing policies and regulations once they are developed. Scientific knowledge-based care (
D) is more related to evidence-based practice in healthcare, not specifically ensuring availability of community-oriented health services.

Correct Answer: C

Rationale: The nurse is most likely to measure improvement in client satisfaction scores to evaluate the effectiveness of a cultural competence training program. This is because cultural competence aims to enhance the quality of care provided to diverse populations by understanding and respecting their cultural beliefs and practices. By measuring client satisfaction scores, the nurse can assess if the program has successfully improved communication, trust, and overall satisfaction levels among clients from different cultural backgrounds. This outcome directly reflects the impact of the training on enhancing cultural competence and promoting more effective and patient-centered care.

Other choices are incorrect because they do not directly relate to the specific goals of a cultural competence training program. For example, an increase in client acuity levels, reduction in healthcare costs, and decrease in client wait times are important outcomes but not directly tied to cultural competence training.

Correct Answer: A

Rationale: The correct answer is A: The negative predictive value. This is crucial because in this scenario, we are concerned with identifying those who are not infected to prevent further spread of the disease. The negative predictive value indicates the probability that a negative test result is truly negative, thus correctly identifying those who are not infected.

Choice B (positive predictive value) is not as crucial in this context because it indicates the probability that a positive test result is truly positive, which is not the main concern here.
Choice C (sensitivity) and D (specificity) relate to the accuracy of the test itself, rather than the outcome for the individuals in the auditorium.

Choices E, F, and G are not provided, so they are not applicable in this case.