Community Health & Wellness Flashcards

A parish nurse is planning an influenza vaccination clinic for the congregation. Ethically, which action BEST upholds the principle of justice in this setting?

Answer: Ensuring vaccines are available to all congregation members regardless of ability to pay

The principle of justice requires that health resources be distributed fairly and equitably, regardless of socioeconomic status.

Which epidemiological measure would BEST help a parish nurse determine how many new cases of hypertension developed in the congregation over the past year?

Answer: Incidence rate

Incidence rate measures the number of new cases of a condition occurring within a specific population over a defined time period.

A parish nurse notices that congregation members frequently self-medicate with herbal remedies before seeking conventional care. The BEST first response is to:

Answer: Explore members' beliefs about these remedies and provide evidence-based information on interactions and safety

Exploring beliefs and providing evidence-based education about herb-drug interactions respects autonomy while fulfilling the parish nurse's health education role.

Which community health nursing model emphasizes the dynamic, open-systems relationship between the community client and its environment?

Answer: Neuman Systems Model

The Neuman Systems Model views the client (including communities) as an open system continuously interacting with environmental stressors.

A parish nurse is implementing a mental health destigmatization campaign. Which intervention is MOST evidence-based for reducing stigma at the community level?

Answer: Organizing contact-based education where recovered individuals share personal stories

Contact-based education, where people with lived mental health experience share their stories, is the most evidence-based approach to reducing mental health stigma.

A parish nurse is writing a grant proposal to fund a maternal-child health program. Which section of the proposal MOST specifically demonstrates community need?

Answer: The needs assessment with local data on maternal and infant outcomes

The needs assessment section uses local data to demonstrate that a gap or problem exists in the community, which is essential for justifying grant funding.

In motivational interviewing, when a congregation member says 'I know I should exercise, but I just can't seem to start,' the parish nurse BEST demonstrates reflective listening by responding:

Answer: 'It sounds like you understand the importance of exercise but are struggling to find the motivation to begin.'

Reflective listening involves mirroring the client's feelings and content to demonstrate understanding without judgment or unsolicited advice.