A community health nurse is planning community initiatives collaboratively and working on assembling a community team. To help overcome barriers, which of the following should the nurse propose?
Establish one group that can focus on a shared vision.
Allow for the division into subgroups based on cultural similarities.
Encourage the creation of subgroups based on similar values.
Ensure the group is limited to members with similar professional backgrounds.
The Correct Answer is A
Choice A reason: Establish one group that can focus on a shared vision
Establishing a group that focuses on a shared vision is crucial for overcoming barriers in community health initiatives. A shared vision helps align the goals and efforts of all team members, fostering collaboration and unity. When everyone is working towards the same objectives, it becomes easier to address challenges and implement effective solutions. This approach ensures that all members are committed to the same outcomes, enhancing the overall effectiveness of the initiatives.
Choice B reason: Allow for the division into subgroups based on cultural similarities
While recognizing cultural similarities can be beneficial, dividing the team into subgroups based on these similarities may lead to fragmentation and reduce the overall cohesiveness of the group. It is important to promote inclusivity and ensure that diverse perspectives are integrated into the planning and implementation process. This approach helps in addressing the needs of the entire community rather than focusing on specific cultural groups.
Choice C reason: Encourage the creation of subgroups based on similar values
Encouraging the creation of subgroups based on similar values can also lead to fragmentation. While shared values are important, it is essential to maintain a unified team that can work together towards common goals. Creating subgroups may result in isolated efforts that do not fully address the broader community needs. A cohesive team with diverse values can provide a more comprehensive approach to community health initiatives.
Choice D reason: Ensure the group is limited to members with similar professional backgrounds
Limiting the group to members with similar professional backgrounds can hinder the effectiveness of community health initiatives. A diverse team with varied professional expertise can offer a broader range of perspectives and solutions. Including members from different backgrounds ensures that all aspects of community health are considered, leading to more innovative and effective interventions. Collaboration among professionals from different fields can enhance the overall impact of the initiatives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
The Social Cognitive Theory, developed by Albert Bandura, emphasizes the role of observational learning, social experiences, and reciprocal determinism in behavior change. It considers both internal factors (such as self-efficacy) and external factors (such as social influences and environmental conditions) in motivating behavior change. Therefore, it does not focus solely on internal factors.
Choice B Reason:
The Ecological Model, also known as the Social-Ecological Model, looks at multiple levels of influence on behavior, including individual, interpersonal, organizational, community, and public policy levels. This model highlights the interaction between individuals and their physical and sociocultural environments. It does not focus exclusively on internal factors but rather on a broad range of influences.
Choice C Reason:
The Transtheoretical Theory, also known as the Stages of Change Model, describes the process of intentional behavior change through five stages: precontemplation, contemplation, preparation, action, and maintenance. While it considers internal factors such as motivation and readiness to change, it also acknowledges the role of external factors and interventions in facilitating progress through these stages.
Choice D Reason:
The Health Belief Model focuses on individual perceptions and beliefs as the primary motivators for adopting healthier behaviors. It considers factors such as perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. This model is centered on internal cognitive factors that influence a person's decision to engage in health-promoting behaviors, making it the correct answer for a model that looks only at internal factors.
Correct Answer is D
Explanation
Choice A reason: "I will not know if I am going to be in the intervention or control group."
This statement indicates a misunderstanding of the nature of a cross-sectional study. Cross-sectional studies involve observing a specific population at a single point in time to gather data on various variables. There are no intervention or control groups in such studies, as they do not involve experimental manipulation or longitudinal follow-up.
Choice B reason: "The study will last for 10 years. You will contact me annually for an interview and blood work."
This statement describes a longitudinal study, not a cross-sectional study. Longitudinal studies involve repeated observations of the same variables over an extended period. Cross-sectional studies, on the other hand, collect data at one specific point in time, making this statement incorrect.
Choice C reason: "You'll need to find other participants like me but who do not have this disease."
This statement suggests a case-control study design, where participants with a specific condition (cases) are compared to those without the condition (controls). Cross-sectional studies do not require such comparisons; they simply collect data from a population at a single point in time to analyze the prevalence of certain characteristics or conditions.
Choice D reason: "The survey will take an hour to complete and then I'll be done."
This statement accurately reflects the nature of a cross-sectional study. These studies typically involve a one-time data collection process, such as a survey or interview, to gather information on various variables. Once the survey is completed, the participant's involvement in the study is finished, making this the correct understanding of a cross-sectional study.

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