Community Health Nursing MCQ Quiz
Welcome to the "Community Health Nursing MCQ Quiz," where we delve into the world of community health assessment. Community Health Nursing is a crucial field within healthcare that focuses on promoting the well-being of individuals, families, and communities. This quiz delves into the core concepts and principles that guide community health nursing practice. This quiz is designed to test your knowledge and understanding of the principles, practices, and challenges faced in community health assessment. Community Health Nurses play a pivotal role in preventive healthcare, health education, and disease management. They work closely with diverse populations to assess health needs, Read moreprovide essential care, and advocate for healthier communities.
This quiz covers a range of topics, including public health, epidemiology, healthcare policies, and community assessment. Whether you're a nursing student looking to test your knowledge or a healthcare professional seeking to refresh your understanding of community health nursing, this quiz offers a comprehensive and engaging experience. Challenge yourself with MCQs that address real-world scenarios and healthcare challenges faced in various community settings.
- 1.
Which of the following would be the best way to determine the health of a community?
- A.
Ask a firefighter which neighborhoods have the fewest fires.
- B.
Ask a realtor which neighborhoods have the most expensive houses.
- C.
Ask people living in the neighborhood if they are happy with where they live.
- D.
Ask the police department which neighborhoods have the lowest crime rates.
Correct Answer
C. Ask people living in the neighborhood if they are happy with where they live.Explanation
Asking people living in the neighborhood if they are happy with where they live would be the best way to determine the health of a community. This approach directly involves the community members and their satisfaction with their living conditions. Their happiness reflects the overall well-being and quality of life in the community. It takes into account various factors such as safety, amenities, social connections, and overall satisfaction, providing a holistic view of the community's health. The perspectives of the people living in the neighborhood are crucial in assessing the community's overall well-being.Rate this question:
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- 2.
Which of the following characteristics would be most indicative of a healthy community?
- A.
Excellent private schools and superb fire and police systems
- B.
A United Way that receives large donations each year
- C.
An extensive array of services offered by private physicians
- D.
Clean air and water and a sense of community cohesion
Correct Answer
D. Clean air and water and a sense of community cohesionExplanation
Clean air and water and a sense of community cohesion would be most indicative of a healthy community. This means that the community has a clean environment, which is essential for the well-being of its residents. Additionally, a sense of community cohesion suggests that people in the community have a strong bond and support system, which contributes to a healthy and thriving community. The other options, such as excellent private schools, superb fire and police systems, and large donations to United Way, may also be important factors, but they do not directly indicate the overall health of the community.Rate this question:
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- 3.
A nurse was assessing the neighborhood near the health agency. The nurse drove around observing the condition of the buildings, sidewalks, and the people in the community. Which of the following best describes the actions of the nurse?
- A.
A drive-through
- B.
A neighborhood observation
- C.
A quick overview
- D.
A windshield survey
Correct Answer
D. A windshield surveyExplanation
The nurse is conducting a windshield survey, which involves driving around and observing the condition of the buildings, sidewalks, and people in the community. This type of survey allows the nurse to gather information about the overall health and well-being of the community without directly interacting with individuals. It provides a quick overview of the community's physical and social environment.Rate this question:
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- 4.
Which of the following would be the best definition of a community?
- A.
People with open boundaries living in a particular area
- B.
People gathered together to solve a particular problem
- C.
People with a sense of belonging or common identity
- D.
People with at least one common demographic characteristic
Correct Answer
C. People with a sense of belonging or common identityExplanation
A community can be defined as a group of people who share a sense of belonging or common identity. This means that the individuals in a community feel connected to one another and have a shared understanding of their collective identity. This definition emphasizes the importance of social bonds and a feeling of unity among community members. It does not focus on physical boundaries or specific demographic characteristics, but rather on the emotional and psychological connection that ties people together in a community.Rate this question:
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- 5.
What is the primary goal of a community assessment?
- A.
Identifying individual health concerns within the community.
- B.
Evaluating the financial resources of community organizations.
- C.
Understanding the strengths and needs of a community.
- D.
Promoting healthcare services to community members.
Correct Answer
C. Understanding the strengths and needs of a community.Explanation
A community assessment aims to gain insight into a community's strengths, weaknesses, needs, and assets. It helps identify areas for improvement and informs the development of programs and services to address those needs.Rate this question:
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- 6.
Which of the following is an essential characteristic of a community?
- A.
A geographic area with defined boundaries
- B.
A particular place over time for common purposes
- C.
A place and beliefs or value systems
- D.
A place or common demographic characteristics
Correct Answer
B. A particular place over time for common purposesExplanation
The essential characteristic of a community is that it is a particular place over time for common purposes. This means that a community is not just a geographic area with defined boundaries, but it is a specific location where people come together and interact with each other for shared goals and activities. It is not solely based on physical boundaries or demographics, but rather on the sense of belonging and common purpose that individuals share within a specific place.Rate this question:
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- 7.
Which of the following is an example of a phenomenology community?
- A.
The employees of Delco Manufacturing
- B.
The Miami Valley region
- C.
The village of Yellow Springs
- D.
The United States Census Bureau census tract #1017
Correct Answer
A. The employees of Delco ManufacturingExplanation
The employees of Delco Manufacturing can be considered as an example of a phenomenologic community because they share a common experience of working together in the same company. They may have similar work routines, face similar challenges, and develop a sense of belonging and identity as part of the Delco Manufacturing community. This community is based on the shared perception and interpretation of their work environment and experiences within the company.Rate this question:
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- 8.
Which of the following best describes a group?
- A.
Those who are all living in the same geopolitical area
- B.
Those who are all members of the same phenomenology community
- C.
Those who engage in repeated face-to-face communication
- D.
Those who respect each others perspective
Correct Answer
C. Those who engage in repeated face-to-face communicationExplanation
A group is best described as those who engage in repeated face-to-face communication. This means that a group consists of individuals who interact with each other in person on a regular basis. This distinguishes a group from other options such as living in the same geopolitical area, being members of the same phenomenologic community, or respecting each other's perspective, as these factors may not necessarily involve direct and frequent face-to-face communication.Rate this question:
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- 9.
When community/public health personnel speak of a community of solution, to what are they referring?
- A.
A community that has resolved its major problems at least temporarily
- B.
The area in which some problems are approached on a wider regional basis
- C.
The fact that communities have to solve their own problems
- D.
The reality that some problems have to be approached on a federal basis
Correct Answer
B. The area in which some problems are approached on a wider regional basisExplanation
The correct answer is b. When community/public health personnel speak of a community of solution, they are referring to the area in which some problems are approached on a wider regional basis. This means that instead of focusing on individual communities, solutions are developed and implemented on a larger scale, involving multiple communities within a region. This approach allows for a more comprehensive and effective response to complex public health issues that may extend beyond the boundaries of a single community.Rate this question:
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- 10.
When a community is assessed from a developmental framework, which data must be determined?
- A.
The demographics (such as age) of the persons living in the community
- B.
The emotional maturity of the community's residents
- C.
The history of the community
- D.
The number and quality of daycare centers and schools
Correct Answer
C. The history of the communityExplanation
When assessing a community from a developmental framework, it is important to determine the history of the community. This includes understanding the past events, developments, and changes that have occurred within the community. By studying the community's history, one can gain insights into its growth, challenges, and achievements, which can help in understanding its current state and potential for future development. This information is crucial for making informed decisions and implementing effective strategies for community development.Rate this question:
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- 11.
Which of the following would be the focus of a nurse who is using an epidemiologic framework to assess a community?
- A.
Interviewing health care professionals concerning the community
- B.
Researching findings from epidemiologic studies
- C.
Learning about the health of the community's population
- D.
Discovering groups among the community residents who are most at risk
Correct Answer
D. Discovering groups among the community residents who are most at riskExplanation
A nurse using an epidemiologic framework to assess a community would focus on discovering groups among the community residents who are most at risk. This is because epidemiology involves studying patterns, causes, and effects of health and disease conditions in populations, and identifying groups that are at higher risk is crucial for implementing targeted interventions and prevention strategies. By identifying these at-risk groups, the nurse can prioritize resources and interventions to address their specific needs and improve overall community health outcomes.Rate this question:
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- 12.
Which of the following situations is a reason why a community/public health nurse would choose to focus on a particular subgroup instead of on the entire community?
- A.
The subgroup can more easily afford health care services.
- B.
The subgroup has more political power and can influence health funding.
- C.
The subgroup has notably higher statistical risk for experiencing health problems.
- D.
The subgroup knows how to obtain publicity if their needs are not met.
Correct Answer
C. The subgroup has notably higher statistical risk for experiencing health problems.Explanation
A community/public health nurse may choose to focus on a particular subgroup instead of the entire community if that subgroup has notably higher statistical risk for experiencing health problems. By focusing on this subgroup, the nurse can allocate resources and interventions more effectively to address their specific health needs and reduce the risk of health problems within that subgroup. This approach allows for targeted and tailored interventions that can have a greater impact on improving health outcomes for the subgroup in question.Rate this question:
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- 13.
When assessing a community by using the structural-functional framework, the nurse recognizes that all communities must
- A.
Address financial needs of residents.
- B.
Engage in functions that can be measured.
- C.
Provide for socialization and a sense of identity.
- D.
Require that public safety structures be built.
Correct Answer
C. Provide for socialization and a sense of identity.Explanation
When assessing a community using the structural-functional framework, the nurse recognizes that all communities must provide for socialization and a sense of identity. This is because socialization helps individuals learn and internalize the norms, values, and behaviors of their community, which in turn promotes social cohesion and a sense of belonging. A sense of identity is important for individuals to have a collective understanding of who they are as a community and to foster a shared purpose and goals. Both socialization and a sense of identity contribute to the overall functioning and well-being of a community.Rate this question:
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- 14.
A nurse is completing a community assessment by using a systems framework. Which of the following is the key to the success of the assessment?
- A.
Demanding a reasonable budget for assessment expenses
- B.
Telling everyone what he or she is doing so that the listener may have input
- C.
Using a tool to systematically identify, collect, and organize appropriate data
- D.
Allowing at least 2 weeks to collect data to ensure thoroughness
Correct Answer
C. Using a tool to systematically identify, collect, and organize appropriate dataExplanation
The key to the success of the community assessment is using a tool to systematically identify, collect, and organize appropriate data. This ensures that the assessment is conducted in a structured and organized manner, allowing for accurate and comprehensive data collection. By using a tool, the nurse can effectively gather the necessary information to assess the community's needs and develop appropriate interventions. This approach promotes efficiency and helps to ensure that all relevant data is considered in the assessment process.Rate this question:
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- 15.
What is the first step in beginning a community assessment?
- A.
Choosing persons who live in the community and may share their insights
- B.
Creating a budget of both time and money to devote to assessment
- C.
Defining the community and determining its boundaries or parameters
- D.
Outlining the data needed and determining where they might be found
Correct Answer
C. Defining the community and determining its boundaries or parametersExplanation
The first step in beginning a community assessment is to define the community and determine its boundaries or parameters. This is important because it helps to establish the scope of the assessment and identify the specific population that will be included. By defining the community and its boundaries, the assessment can focus on gathering relevant data and insights from the appropriate individuals and sources. It also provides a clear starting point for conducting the assessment and ensures that all aspects of the community are considered.Rate this question:
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- 16.
Why would a nurse be concerned when a community has relatively closed, rigid boundaries?
- A.
The community does not have an identity.
- B.
The community is probably resistant to change.
- C.
The nurse will not be able to share community resources.
- D.
The nurse may have limited access to the community.
Correct Answer
B. The community is probably resistant to change.Explanation
When a community has relatively closed, rigid boundaries, it suggests that the community is resistant to change. Closed and rigid boundaries indicate that the community may be unwilling to accept new ideas or adapt to new practices. This can be a concern for a nurse because it may hinder their ability to implement healthcare interventions or promote health education within the community. It may also make it challenging for the nurse to establish trust and build relationships with community members, ultimately impacting the effectiveness of their nursing interventions.Rate this question:
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- 17.
Which of the following events illustrates how the supra system affects a community as a system?
- A.
A group of concerned citizens points out the rising number of homeless persons in the community.
- B.
A subgroup of the community demands that housing for homeless persons be built.
- C.
Homeless persons decide to picket in front of the city government building.
- D.
The state legislature passes a law that all communities must build some housing for homeless persons.
Correct Answer
D. The state legislature passes a law that all communities must build some housing for homeless persons.Explanation
The correct answer is d. The state legislature passes a law that all communities must build some housing for homeless persons. This event illustrates how the supra system, in this case, the state legislature, affects the community as a system. The passing of the law directly impacts all communities and requires them to take action in addressing the issue of homelessness. This demonstrates how decisions made at a higher level can influence and shape the functioning and dynamics of a community system.Rate this question:
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- 18.
How might the goals of communities best be summarized?
- A.
Ensuring that the community's history is remembered
- B.
Encouraging socialization with persons outside the community
- C.
Maximizing availability of financial and other resources
- D.
Promoting survival and maximizing the well-being of members
Correct Answer
D. Promoting survival and maximizing the well-being of membersExplanation
The goals of communities can be summarized as promoting survival and maximizing the well-being of its members. This means that communities strive to ensure the survival and thriving of their members by providing necessary resources, support systems, and opportunities for growth and development. The well-being of members encompasses physical, mental, emotional, and social aspects, aiming to create a harmonious and supportive environment for everyone. By focusing on these goals, communities can create a sense of belonging, security, and overall improvement in the quality of life for their members.Rate this question:
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- 19.
Which demographic factors of a community are important for the nurse to consider when assessing a community?
- A.
Census tract data can be used to determine needed agency staffing.
- B.
Density of housing is associated with contagious infections.
- C.
Ethnicity determines how health is defined and protected.
- D.
Income determines what community services can be financed.
Correct Answer
C. Ethnicity determines how health is defined and protected.Explanation
Ethnicity is an important demographic factor for a nurse to consider when assessing a community because it plays a significant role in how health is defined and protected. Different ethnic groups may have unique cultural beliefs, practices, and values related to health and healthcare. Understanding these cultural factors is crucial for providing culturally competent care and addressing the specific health needs and disparities within the community. By considering ethnicity, nurses can tailor their assessments and interventions to better meet the needs of the diverse population they serve.Rate this question:
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- 20.
Which of the following is an example of the relationship between demographic factors and health needs?
- A.
Persons with high incomes typically have nutritional problems resulting from diet choices.
- B.
Low educational level is associated with more health promotion behaviors.
- C.
Religion may suggest beliefs concerning use of contraception, health care, and food choices.
- D.
Being the majority population group, young adult men help determine which service agencies are most needed.
Correct Answer
C. Religion may suggest beliefs concerning use of contraception, health care, and food choices.Explanation
Religion can influence individuals' beliefs and attitudes towards contraception, health care, and food choices. Different religions may have specific guidelines or teachings regarding these areas, which can impact an individual's health needs. For example, certain religions may discourage the use of contraception, leading to a higher need for reproductive health services. Similarly, religious beliefs may dictate dietary restrictions or preferences, affecting an individual's nutritional needs. Therefore, the relationship between demographic factors (in this case, religion) and health needs is exemplified by option c.Rate this question:
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- 21.
What might be the implications of knowing where members of the community are employed (i.e., their occupations)?
- A.
How or whether community members worship
- B.
How and when the community members prefer to engage in recreation
- C.
The diseases or injuries for which they may be at risk
- D.
Where residents do their grocery shopping and what they typically buy
Correct Answer
C. The diseases or injuries for which they may be at riskExplanation
Knowing where members of the community are employed can have implications for the diseases or injuries they may be at risk for. Different occupations can expose individuals to specific hazards or health risks. For example, individuals working in construction may be at risk for injuries from falls or accidents, while healthcare workers may be at risk for exposure to infectious diseases. Understanding the occupations of community members can help identify potential health concerns and develop targeted interventions or preventive measures.Rate this question:
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- 22.
When a nurse assesses a community, which of the following components is essential to determine first?
- A.
Areas of strength
- B.
Areas of need
- C.
Balance of inputs to outputs
- D.
Openness to intervention
Correct Answer
A. Areas of strengthExplanation
When a nurse assesses a community, it is essential to determine the areas of strength first. This is because identifying the strengths of a community helps in building upon them and utilizing them as a foundation for improvement. By understanding the areas where the community excels, the nurse can leverage these strengths to address the areas of need more effectively. This approach promotes a positive and empowering perspective, allowing for a more comprehensive assessment and development of appropriate interventions.Rate this question:
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- 23.
A community/public health nurse is planning to implement a new community-based education program. Why is it crucial for the nurse to understand the organizational structure of a community, as well as its leadership?
- A.
The nurse may have to convince the informal leaders of the need for the program before it can be successful.
- B.
The nurse may need to ask the formal leaders to provide leadership for the programs.
- C.
The nurse will want to know political priorities before deciding on any actions to be taken.
- D.
The nurse will want the approval of the elected governing body before making decisions about health programming.
Correct Answer
A. The nurse may have to convince the informal leaders of the need for the program before it can be successful.Explanation
Understanding the organizational structure of a community and its leadership is crucial for a community/public health nurse planning to implement a new community-based education program because the nurse may have to convince the informal leaders of the need for the program before it can be successful. Informal leaders often have significant influence and can rally support from community members. By understanding the organizational structure and leadership dynamics, the nurse can effectively engage with these informal leaders, gain their support, and increase the chances of program success.Rate this question:
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- 24.
Which group of persons is least likely to be considered a vulnerable group at high risk for medical problems?
- A.
Homeless women and children
- B.
Intravenous drug users
- C.
Pregnant single teenage girls
- D.
Single adolescent boys
Correct Answer
D. Single adolescent boysExplanation
Single adolescent boys are least likely to be considered a vulnerable group at high risk for medical problems because they generally have fewer health issues compared to other groups mentioned. Homeless women and children, intravenous drug users, and pregnant single teenage girls are all more likely to face health challenges due to their living conditions, substance abuse, or the physical demands of pregnancy. However, this does not mean that single adolescent boys are completely immune to medical problems, as they can still experience health issues, but they are generally considered to be at lower risk compared to the other groups mentioned.Rate this question:
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- 25.
A community/public health nurse determines there are 200 persons in a particular community who are older than age 65, another 300 younger than 21, and about 1500 persons aged 21 to 65. What is that community's dependency ratio?
- A.
1:3
- B.
1:8.5
- C.
1:9
- D.
Cannot be determined from the given data
Correct Answer
A. 1:3Explanation
The dependency ratio is a measure of the number of dependent individuals (those who are too young or too old to work) compared to the number of working-age individuals in a population. In this case, the community has 200 individuals older than 65 and 300 individuals younger than 21, making a total of 500 dependents. The working-age population is 1500 individuals aged 21 to 65. Therefore, the dependency ratio is 500:1500, which simplifies to 1:3. This means that for every 1 working-age individual, there are 3 dependents in the community.Rate this question:
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- 26.
Which of the following is a very practical and feasible way of obtaining comprehensive community health data?
- A.
Completing a comprehensive survey with community residents
- B.
Performing a windshield survey
- C.
Requesting community residents respond to an Internet survey
- D.
Using data already collected and available on the Internet
Correct Answer
D. Using data already collected and available on the InternetExplanation
Using data already collected and available on the Internet is a very practical and feasible way of obtaining comprehensive community health data. This is because there is a vast amount of health-related data available online, including government reports, research studies, and public health databases. Accessing this existing data saves time and resources compared to conducting a comprehensive survey or windshield survey. Additionally, using data already collected ensures that the information obtained is reliable and up-to-date, as it has been collected and verified by reputable sources.Rate this question:
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- 27.
What is the primary reason why entire populations are not surveyed to determine a community's health needs?
- A.
A nurse would not know how to conduct the survey.
- B.
Community members would refuse to answer questions.
- C.
Such a survey would be too expensive and time consuming.
- D.
No community agency would want to be responsible for the results.
Correct Answer
C. Such a survey would be too expensive and time consuming.Explanation
Conducting a survey on an entire population is not feasible due to the high costs and time required. It would be expensive to gather and analyze data from every individual in a community. Additionally, it would be time-consuming to reach out to every person and collect their responses. Therefore, it is more practical and efficient to conduct surveys on representative samples of the population, which can still provide valuable insights into the community's health needs.Rate this question:
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- 28.
A community/public health nurse wants to use key informants to gather additional information. Which of the following actions would be useful to perform first?
- A.
Sending an e-mail message to all community residents
- B.
Conducting a focus group with informal leaders from the community
- C.
Publishing a survey in the local newspaper
- D.
Requesting that children's parents complete a survey
Correct Answer
B. Conducting a focus group with informal leaders from the communityExplanation
Conducting a focus group with informal leaders from the community would be useful to perform first because informal leaders often have a deep understanding of the community and can provide valuable insights and information. They can help identify key issues, concerns, and resources within the community. By engaging with these leaders, the community/public health nurse can gather a wealth of information that can inform their practice and interventions. This approach also allows for a more interactive and dynamic exchange of ideas compared to other options such as sending an email or publishing a survey.Rate this question:
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- 29.
The nurse is using previously collected data about the incidence and prevalence of lead poisoning in the community as a starting point when conducting a community assessment. What would be the nurses next step?
- A.
Assessing the community in relation to lead poisoning
- B.
Determining how best to help other personnel decrease the incidence of lead poisoning
- C.
Gathering external resources to help meet the needs of the community
- D.
Working with collaborating agencies to obtain external funding to prevent lead poisoning
Correct Answer
A. Assessing the community in relation to lead poisoningExplanation
After using previously collected data about the incidence and prevalence of lead poisoning in the community as a starting point, the nurse's next step would be to assess the community in relation to lead poisoning. This would involve conducting a thorough evaluation of the community's current situation, including identifying risk factors, determining the affected population, and assessing the community's resources and existing interventions related to lead poisoning. This assessment will help the nurse gain a comprehensive understanding of the community's needs and develop appropriate strategies to address lead poisoning effectively.Rate this question:
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- 30.
Which of the following conclusions would require the nurse to obtain more assessment data?
- A.
A major health problem is identified.
- B.
An identified subpopulation is seen to be at high risk for and vulnerable to medical problems.
- C.
Data that have been collected are incongruent and contradictory.
- D.
Strengths in the community outweigh the areas of weakness.
Correct Answer
C. Data that have been collected are incongruent and contradictory.Explanation
The correct answer is c. Data that have been collected are incongruent and contradictory. This conclusion would require the nurse to obtain more assessment data because incongruent and contradictory data may indicate errors or inconsistencies in the data collection process. Obtaining more assessment data can help to clarify any discrepancies and ensure that accurate and reliable information is being used for decision-making and planning.Rate this question:
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