NR-442 Community Health Nursing - Set 3 - Part 3

Correct Answer: Adequacy, because the reach is too small

Adequacy asks whether the effort was large enough to matter against the size of the problem. A program can meet its objective for everyone enrolled and still reach too few smokers to change county rates. Option a is incorrect because effectiveness asks only whether the stated objective was reached, and this program did reach it. That answer is true as far as it goes and stops short of the coverage question. Option b is incorrect because efficiency compares results with the money, time and effort consumed, and no cost figures appear in this report. The gap the board should see is how few smokers were touched. Option d is incorrect because appropriateness judges whether the program suited this problem and this community culturally and practically. Fit was never in doubt here. What the finding exposes is the number of residents left untouched.

Correct Answer: Ask what the tea contains and who recommended it.

Assessment comes first. The nurse asks what the preparation is, how much and how often it is taken, and who recommended it, because herbal products interact with drugs and some contain heavy metals. Option a is incorrect because a flat prohibition without assessment usually drives the practice underground, and the client simply stops mentioning it. The nurse still does not know what the tea contains. Option b is incorrect because the provider cannot evaluate an interaction risk without knowing the ingredients, amount, and frequency. Gathering that information belongs to the nurse, and it takes one nonjudgmental question to begin. Option c is incorrect because false reassurance is unsafe here. Some traditional preparations have been found to contain lead, and common herbs alter drug metabolism or bleeding risk, so the content must be identified.

Correct Answer: Refer the family to nutrition assistance and pantry programs

A positive food insecurity screen calls for action, not observation. The nurse links the family to programs such as supplemental nutrition benefits, school meals, and local pantries, then tailors any dietary teaching to what the family can obtain. Option b is incorrect because waiting a year leaves a hungry household unassisted while growth, illness, and school performance suffer. Screening earns its place only when a positive result triggers something on the same day. Option c is incorrect because dietary advice assumes the food is available to buy. Teaching content before assessing access is the error the course names most often here, and it leaves the parent no better supplied. Option d is incorrect because charting alone converts a screening program into paperwork. Identifying a social need creates an obligation to connect the family with resources, and documentation records that connection rather than replacing it.

Correct Answer: Propose a district classroom air quality policy

Teaching one student is subsystem work and a group class is aggregate work. Policy change at the suprasystem level is what makes a program outlast the nurse, so district action on classroom air is the missing piece. Option a is incorrect because repeating the class keeps the work at the aggregate level the nurse has already covered. Each new semester still depends on someone being there to run it, which is the durability problem. Option c is incorrect because case finding is worthwhile secondary prevention, yet it enlarges the caseload without changing the environment or the school's rules. More identified students would simply need the same fragile individual teaching. Option d is incorrect because mailed material reaches families one household at a time and depends on reading it. Print alone rarely changes behavior, and nothing in the school building or the district rules is altered by it.

Correct Answer: Train the school nurses to deliver the curriculum

Sustainability asks whether the work continues once funding, staff or enthusiasm ends. Handing the curriculum to the school nurses who remain in the building embeds it in ongoing practice and keeps it alive after the grant closes. Option a is incorrect because a filed curriculum sits where nobody teaching children will look for it. Storage preserves a document; sustainability requires people, budget or policy that keep delivering the sessions. Option b is incorrect because dissemination serves the profession and future planners rather than the school itself. An article read elsewhere does nothing to keep asthma sessions running once the grant money stops and the nurse leaves. Option d is incorrect because a closing event thanks participants and marks an ending. It builds goodwill, but goodwill is not a delivery mechanism, and nobody in the building gains the skill to teach the next class.

Correct Answer: The community as partner model

The community as partner model places the core, the people, at the wheel's center with eight subsystems around them, plus normal and flexible lines of defense and lines of resistance that a stressor penetrates. Option a is incorrect because that model reasons backward from quality of life to behavioral, environmental, predisposing, reinforcing and enabling factors, then forward through implementation and evaluation. It is a planning structure with no wheel and no subsystems. Option b is incorrect because those five steps guide Healthy People implementation from mobilizing a coalition through tracking results. Useful for running a program, the framework does not describe how a community is organized for assessment. Option c is incorrect because it is one of the assess, prioritize, plan, implement and evaluate variations built around heavy community participation. Its contribution is process sequence rather than the anatomical picture of core and subsystems described.

Correct Answer: Cultural imposition, an act forcing the nurse's values.

Cultural imposition is the act of forcing one's own values or practices onto another. Removing an object of spiritual meaning without asking, and dismissing it aloud, imposes the nurse's beliefs on the client. Option a is incorrect because cultural conflict describes discomfort or dispute arising when someone unknowingly violates another's cultural rules. Here the nurse knew the item mattered enough to comment on it and removed it anyway. Option c is incorrect because cultural blindness would mean ignoring difference entirely, as in claiming all clients are treated the same. The nurse noticed the difference and then overrode it, which is an active step further. Option d is incorrect because stereotyping applies a fixed belief to every member of a group. Nothing in the scenario shows a group assumption; a single object was taken from a single client without permission.

Correct Answer: The environmental justice principle of hazard siting

Environmental justice holds that no population should carry a disproportionate share of environmental hazard. Concentrating a landfill, a transfer station, and a highway in one low income tract places the burden of exposure on the residents least able to move. Option a is incorrect because the income gradient describes how health improves at every step up the earnings ladder. It explains a relationship between money and outcomes, not where a county chooses to place its hazards. Option b is incorrect because equality means offering everyone the identical thing, which is not what was described. Here one tract received more than its share of hazards, so the failure is in distribution of harm. Option d is incorrect because social cohesion refers to the connections and trust among neighbors within the social and community context domain. Landfills and highways are physical exposures belonging to the built environment.

Correct Answer: Ask the client which practices matter to his care.

Culture is learned and shared rather than inherited, so appearance, surname, or national origin predicts nothing about an individual. Asking this client which practices matter turns group knowledge into a question and yields usable data. Option b is incorrect because a reference guide supplies group generalizations, which are starting points to verify rather than facts about this man. Reading first and asking later invites the nurse to fit him into a description. Option c is incorrect because treating every client identically is cultural blindness, the stance that difference does not exist. Uniform routine feels fair but leaves the client's dietary, religious, and family needs undiscovered and unmet. Option d is incorrect because country of origin says little once time in country, language at home, and generation are considered. Planning from nationality alone substitutes a label for the assessment the nurse still owes this client.

Correct Answer: Report the pattern to the housing code authority

Public health nursing acts at individual, community and systems levels. Taking the pattern to the housing authority works at the systems level, addressing the landlord's building conditions that keep producing exposures rather than treating each family separately. Option a is incorrect because case finding in those same apartments stays at the individual and family level the nurse has already worked. It identifies more exposed children while the peeling paint that exposed them remains in place. Option b is incorrect because neighborhood teaching operates at the community level and is a reasonable addition. Knowledge alone will not repair a wall, and the families most affected are tenants who cannot alter the property themselves. Option c is incorrect because clinical referral is appropriate care for a child with a raised level, yet it is one more downstream response. The referral treats the consequence, and the source keeps generating new cases each month.