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?
Individual
Close social circles
Social and cultural factors
Environment
The Correct Answer is D
Choice A Reason:
Considering the individual characteristics first focuses on personal attributes such as age, gender, genetics, and personal health behaviors. While these factors are important, the ecological model emphasizes the broader context in which individuals live. Starting with individual characteristics may overlook the larger environmental and social influences that significantly impact health outcomes.
Choice B Reason:
Close social circles, including family, friends, and immediate social networks, play a crucial role in shaping health behaviors and providing support. These relationships can influence lifestyle choices, stress levels, and access to resources. However, focusing on close social circles first may not capture the broader environmental and societal factors that also affect health.
Choice C Reason:
Social and cultural factors encompass the norms, values, and practices of the community. These factors influence health behaviors, access to healthcare, and overall well-being. While social and cultural factors are vital, they are part of a larger context that includes the physical environment. Addressing these factors without considering the environment may provide an incomplete picture of the community's health.
Choice D Reason:
The environment includes the physical, social, and economic conditions in which people live. This encompasses factors such as housing quality, access to green spaces, pollution levels, and availability of healthcare services. The environment sets the stage for individual and community health by influencing exposure to risks and access to resources. Starting with the environment provides a comprehensive understanding of the context in which individuals and communities operate, making it the most appropriate starting point for an ecological assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
The first step assists with how to perform a collection of evidence. While collecting evidence is an important part of many toolkits, the University of Kansas toolkit is specifically designed to guide users through a comprehensive process. The focus is on a structured approach rather than just the initial step of evidence collection.
Choice B Reason:
It is used in planning community initiatives. This statement is true but not specific enough to be the standout feature of the toolkit. Many toolkits are used for planning community initiatives. The unique aspect of the University of Kansas toolkit is its structured, step-by-step methodology, which sets it apart from other resources.
Choice C Reason:
It uses a step-by-step approach. This is the correct answer because the University of Kansas toolkit is designed to provide a clear, structured process for users. This approach ensures that all necessary steps are followed systematically, making it easier for community groups to plan and implement their initiatives effectively. The step-by-step methodology is a core feature that enhances the usability and effectiveness of the toolkit.
Choice D Reason:
It is a proprietary document that is used solely within the state of Kansas. This statement is incorrect. The toolkit provided by the University of Kansas is intended for broader use and is not restricted to the state of Kansas. It is designed to be a resource for community groups and organizations regardless of their location, promoting best practices in community planning and development.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A Reason:
a) Assess the community: This is the first step in addressing community health needs. It involves gathering data about the community's health status, resources, and needs. This can be done through surveys, interviews, focus groups, and public forums. The assessment helps to identify the health problems and needs of the community, which is essential for planning effective interventions.
Choice B Reason:
b) Analyze the findings and identify the needs: After collecting data, the next step is to analyze it to identify the community's health needs. This involves looking at the data to find patterns and trends that indicate health problems. By identifying these needs, the nurse can prioritize which issues to address first. This step is crucial for developing a targeted and effective health plan.
Choice C Reason:
c) Decide on educational theories to use: This step is not directly related to the initial assessment and planning process. Deciding on educational theories is more relevant when planning specific health education interventions. While important, it is not a primary step in assessing and addressing community health needs.
Choice D Reason:
d) Use measurable indicators to evaluate the plan: Using measurable indicators is essential for evaluating the effectiveness of the health plan. These indicators help to track progress and determine whether the interventions are achieving the desired outcomes. This step ensures that the health plan is effective and allows for adjustments to be made if necessary.
Choice E Reason:
e) Collaborate with the residents of the community on what interventions will work for that community and prioritize them: Collaboration with the community is vital for the success of any health intervention. By involving community members in the planning process, the nurse can ensure that the interventions are culturally appropriate and accepted by the community. This collaboration also helps to prioritize the interventions based on the community's needs and preferences.
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