A public health nurse is coordinating with a community health team. Which of the following statements by the nurse indicates that they understand their role and the nature of collaboration?
"For best results, collaboration in the community should be limited to a smaller number of groups sharing common backgrounds and interests."
"I will act only in a subservient role, taking direction from community leaders in collaborative efforts."
"Collaboration allows key stakeholders to share differing viewpoints."
"I will encourage subpopulations to develop unique goals to meet their unique needs."
The Correct Answer is C
Choice A: "For Best Results, Collaboration in the Community Should Be Limited to a Smaller Number of Groups Sharing Common Backgrounds and Interests."
This statement is incorrect. Effective collaboration in community health involves bringing together diverse groups with different backgrounds and interests. This diversity enriches the collaborative process by incorporating a wide range of perspectives, experiences, and expertise, which can lead to more comprehensive and effective solutions to community health issues.
Choice B: "I Will Act Only in a Subservient Role, Taking Direction from Community Leaders in Collaborative Efforts."
This statement is also incorrect. While it is important to respect and work with community leaders, effective collaboration requires active participation and contribution from all team members, including the public health nurse. Collaboration is a partnership where all members share responsibility and contribute their knowledge and skills to achieve common goals.
Choice C: "Collaboration Allows Key Stakeholders to Share Differing Viewpoints."
This is the correct statement. Collaboration in community health is about bringing together key stakeholders to share their differing viewpoints and expertise. This inclusive approach ensures that all relevant perspectives are considered, leading to more holistic and effective strategies for addressing community health issues.
Choice D: "I Will Encourage Subpopulations to Develop Unique Goals to Meet Their Unique Needs."
While it is important to recognize and address the unique needs of subpopulations, this statement does not fully capture the essence of collaboration. Effective collaboration involves integrating the goals and needs of various subpopulations into a cohesive strategy that benefits the entire community. Encouraging subpopulations to develop unique goals is part of the process, but it should be done within the context of a collaborative effort.
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Related Questions
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.

Correct Answer is ["B","D","E"]
Explanation
Choice A Reason:
Assurance of services refers to the guarantee that health services are available and accessible to the population. While this is crucial for public health, it primarily affects the structural level of society rather than multiple levels. The Ecological Model emphasizes the interaction between individual, interpersonal, community, and societal factors. Assurance of services is more of a systemic factor and does not directly influence individual behavior across multiple levels.
Choice B Reason:
Health beliefs are a significant factor in the Ecological Model as they influence individual behaviors and decisions regarding health. These beliefs are shaped by personal experiences, cultural norms, and societal influences. Health beliefs operate at multiple levels, including the individual level (personal beliefs), interpersonal level (influence of family and friends), and community level (cultural and societal norms). They play a critical role in determining how individuals perceive health risks and engage in health-promoting behaviors.
Choice C Reason:
Medical funding is essential for the provision of healthcare services and the functioning of health systems. However, it primarily affects the structural and policy levels rather than multiple levels of society. While adequate funding is necessary for ensuring access to healthcare, it does not directly influence individual health behaviors across different levels of the Ecological Model.
Choice D Reason:
Laws and local ordinances that relate to health are crucial in shaping the environment in which individuals live. These regulations can influence health behaviors by creating supportive environments, such as smoke-free zones, safe drinking water standards, and regulations on food safety. These laws operate at the community and societal levels, impacting individual and collective behaviors by establishing norms and standards that promote health.
Choice E Reason:
Interaction with others is a key component of the Ecological Model, affecting health behavior at multiple levels. Social interactions influence individual behaviors through peer pressure, social support, and the sharing of information. At the interpersonal level, family and friends can encourage or discourage healthy behaviors. At the community level, social networks and community organizations play a role in shaping health norms and behaviors. These interactions are integral to understanding how health behaviors are adopted and maintained.
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