A public health nurse and a community team are working on a community diagnosis. Which of the following would be considered a community diagnosis?
Impaired transferability
Disturbed sleep pattern
Risk for infection
Alteration in family health management
The Correct Answer is D
Choice A: Impaired Transferability
Impaired transferability typically refers to an individual's difficulty in moving from one place to another, often due to physical limitations. This is a personal health diagnosis rather than a community diagnosis. Community diagnoses focus on broader issues that affect the health of the entire community rather than individual health problems.
Choice B: Disturbed Sleep Pattern
A disturbed sleep pattern is an individual health issue that affects a person's sleep quality and duration. While sleep issues can be prevalent in a community, this term is more commonly used in individual health assessments. Community diagnoses address collective health concerns that impact the community as a whole.
Choice C: Risk for Infection
Risk for infection is a term used to describe the potential for an individual to develop an infection. Although infection control can be a community health concern, this term is generally used in the context of individual health assessments. Community diagnoses would focus on factors contributing to the spread of infections within the community.
Choice D: Alteration in Family Health Management
This is the correct choice. Alteration in family health management refers to changes or challenges in how families manage their health and well-being. This can include issues such as access to healthcare, health education, and support systems. As a community diagnosis, it addresses the collective health management practices of families within the community, making it a broader public health concern.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A: Quality of Education
Quality of education is an important factor in long-term health and socioeconomic status. However, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.
Choice B: Economic Stability
Economic stability is crucial for long-term health and well-being, but it is not the most immediate concern in this scenario. Addressing food access will have a more direct and immediate impact on the client's health. Once the client's nutritional needs are met, the nurse can then work on connecting the client with resources to improve their economic stability.
Choice C: Health Care Illiteracy
Health care illiteracy refers to a lack of understanding about health information and services needed to make appropriate health decisions. While this is an important issue, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being.
Choice D: Food Access
This is the correct choice. Food access is a critical issue because it directly affects the client's nutritional status and overall health. Skipping meals due to financial constraints can lead to malnutrition, weakened immune function, and delayed recovery from cellulitis. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.
Correct Answer is B
Explanation
Choice A Reason:
Increased exposure increases the risk of developing the disease. This statement describes a dose-response relationship, which is another important criterion for establishing causation. It indicates that as the level of exposure to a potential cause increases, the risk of developing the disease also increases. However, this does not specifically address the temporal sequence required to establish causation.
Choice B Reason:
The exposure must come before the disease develops. This is the correct definition of a temporal relationship in epidemiological studies. For causation to be established, it is essential that the exposure to the potential cause occurs before the onset of the disease. This temporal sequence is crucial because it helps to rule out reverse causation, where the disease might influence the exposure rather than the other way around.
Choice C Reason:
When the exposure is decreased or eliminated, the risk of disease declines or is eliminated. This statement describes the concept of reversibility, which is another criterion for causation. It suggests that reducing or removing the exposure should lead to a decrease in the incidence of the disease. While important, it does not specifically define the temporal relationship.
Choice D Reason:
A relationship is biologically plausible, and it makes sense. This statement refers to biological plausibility, which means that the observed association between exposure and disease is consistent with existing biological or medical knowledge. While biological plausibility supports causation, it does not define the temporal sequence necessary to establish a causal relationship.
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