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

Answer and Explanation

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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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.

A. The client reports there are bike paths or running trails in their community. B. The client reports contaminants in their drinking water at home. C. The client reports that there is limited public parking on their street. D. The client reports a lack of community centers in their neighborhood.

Correct Answer is B

Explanation

Choice A Reason:
The client reports there are bike paths or running trails in their community. This statement indicates a positive aspect of the built environment. The presence of bike paths and running trails promotes physical activity and overall well-being. It does not suggest any faults in the built environment.

Choice B Reason:
The client reports contaminants in their drinking water at home. This statement clearly indicates a faulty built environment. Contaminated drinking water poses significant health risks and reflects poor infrastructure or inadequate maintenance of water supply systems. Ensuring access to clean and safe drinking water is a fundamental aspect of a healthy built environment.

Choice C Reason:
The client reports that there is limited public parking on their street. While limited public parking can be an inconvenience, it does not directly indicate a faulty built environment. Parking availability is more related to urban planning and transportation policies rather than the overall quality of the built environment.

Choice D Reason:
The client reports a lack of community centers in their neighborhood. Although the absence of community centers can affect social interactions and community engagement, it does not necessarily indicate a faulty built environment. It highlights a gap in community resources but does not directly impact the safety or health of the environment.

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A public health nurse and a community team are working on a community diagnosis. Which of the following would be considered a community diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following theories or models looks only at the internal factors that motivate a person to adopt healthier lifestyle habits?

Correct Answer is D

Explanation

A nurse is assessing a client's environment. Which of the following client statements indicates that a client is living in a faulty built environment?

Correct Answer is B

Explanation

A public health nurse and a public health team are assessing a community using the ecological model. Which of the following characteristics should the team consider first?

A community health nurse plans a proposed community-wide intervention to increase physical activity. Which of the following ethical principles does the nurse demonstrate by ensuring that the benefits of the program substantially outweigh any potential harms?

A nurse is reviewing various roles within the community. The nurse should identify which of the following statements best encompasses the description of a community health worker?

A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program?

A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

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