While completing a community assessment, the nurse notes that the ...

[joesmith1212]

While completing a community assessment, the nurse notes that the computer companies in the community hire a disproportionate number of their employees from local suburban communities rather than the community in which the company is housed.
 
  To create an accurate assessment, the nurse should collect data on:
  A) All of the company's employees but count those living outside the community separately, as outliers
  B) Only the employees that live in the community, disregarding the others as statistically irrelevant
  C) All of the company's employees and include those living outside the community as part of the aggregate
  D) Only the employees that live in the community in your initial assessment; then collect data on the others as part of a separate assessment for the community in which they live.

Question 2

The nurse conducts a community assessment in a town once supported by multiple paper factories. The factories closed 2 years ago and most of the population is now out of work.
 
  The school nurse notes that 68 of the students are behind schedule in their physicals and immunizations. On the basis of this community assessment, the nurse should recommend:
  A) Initiation of neighborhood clinics at low or no cost to the community
  B) Creation of a task force to assess the impact of low income on immunization compliance
  C) A formal petition to the local government to mandate immunizations by imposing monetary fines on parents whose children are not immunized
  D) A tax relief program for new companies wishing to settle in the community

[Rilsmarie951]

Answer to Question 1

Ans: C
Feedback:
The group of people, or an aggregate as it is often called in the literature, consists of those who live within the boundary of the geopolitical community. However, these borders are really ambiguous. The aggregate could also include people who work within the community who do not necessarily live there, as well as those living close to community boundaries who visit the communities to purchase goods or use facilities for nonwork activities. Thus, the nurse should collect data on all of the company's employees and include those living outside the community as part of the aggregate.

Answer to Question 2

Ans: A
Feedback:
Whenever nurses conduct an assessment of a community, they examine biological, psychological, and sociocultural influences of the environment of a group of people who share specific characteristics. Knowledge gained from this endeavor provides valuable insight into the ways that people's health behaviors directly and indirectly influence the overall health and well-being in their community. The neighborhood clinics meet the immediate need for childhood immunizations. The assessment has already determined that immunization compliance is low, so there is no need to create a task force to assess this. A mandate from the local government to either immunize one's children or pay a fine would only place a further financial burden on the parents and would likely not improve immunization rates, as the parents would be no more able to afford it than before. Although it would be beneficial in the long term to attract companies to the community to provide jobs, there is no indication that a tax relief program would provide adequate incentive to achieve this goal, as taxes are likely not the primary barrier to new employers' coming. Moreover, even if it did succeed, it might be several years before such an effort produced the jobs and income needed to address the barrier to immunization, and in the meantime many children would go without being immunized.