A public health nurse plans to assess a community using the CHANGE model. According to this model, which of the following steps should the nurse take first?
Develop a team strategy
Gather data
Build the community action plan
Assemble the team
The Correct Answer is D
Choice A: Develop a Team Strategy
Developing a team strategy is an important step in the CHANGE model, but it is not the first step. Before a strategy can be developed, it is essential to have a team in place. The team will collaborate to create a strategy that aligns with the community's needs and goals.
Choice B: Gather Data
Gathering data is a crucial part of the community assessment process. However, it is not the initial step in the CHANGE model. Data collection comes after the team has been assembled and a strategy has been developed. The team needs to be in place to determine what data is needed and how it will be collected.
Choice C: Build the Community Action Plan
Building the community action plan is a later step in the CHANGE model. This step involves using the data collected to develop a plan that addresses the community's health needs. The action plan is created after the team has been assembled, a strategy has been developed, and data has been gathered.
Choice D: Assemble the Team
This is the correct first step in the CHANGE model. Assembling the team involves bringing together a diverse group of stakeholders who will work collaboratively to assess the community and develop an action plan. The team typically includes representatives from various sectors of the community, such as health care, education, business, and local government.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Autonomy refers to respecting an individual's right to make their own decisions. In the context of healthcare, it means allowing patients to make informed choices about their own care. While autonomy is an important ethical principle, it is not the primary focus when considering the balance of benefits and harms in a community-wide intervention.
Choice B Reason:
Beneficence is the ethical principle that involves acting in the best interest of others by promoting good and preventing harm. In this scenario, the nurse demonstrates beneficence by ensuring that the benefits of the physical activity program substantially outweigh any potential harms. This principle is central to public health initiatives, where the goal is to enhance the well-being of the community.
Choice C Reason:
Nonmaleficence is the principle of "do no harm." It emphasizes the importance of not causing harm to others. While nonmaleficence is closely related to beneficence, the focus in this scenario is on the positive impact of the intervention (beneficence) rather than solely avoiding harm (nonmaleficence).
Choice D Reason:
Justice refers to fairness and equality in the distribution of resources and treatment. It ensures that all individuals have equal access to healthcare and that no group is unfairly disadvantaged. Although justice is a crucial ethical principle, the scenario specifically highlights the balance of benefits and harms, which aligns more closely with beneficence.
Correct Answer is D
Explanation
Choice A Reason:
The portal of entry refers to the site through which pathogens enter the body. While handwashing can indirectly affect the portal of entry by reducing the number of pathogens on the hands, it primarily targets the mode of transmission. The portal of entry includes areas such as the respiratory tract, gastrointestinal tract, and breaks in the skin.
Choice B Reason:
The susceptible host is an individual who is at risk of infection due to factors such as age, underlying health conditions, or weakened immune systems. Handwashing does not directly alter the susceptibility of the host but rather reduces the likelihood of the host coming into contact with pathogens.
Choice C Reason:
The portal of exit is the site from which pathogens leave the host to infect another individual. Common portals of exit include the respiratory tract, gastrointestinal tract, and open wounds. Handwashing does not directly impact the portal of exit but helps prevent the spread of pathogens from one person to another.
Choice D Reason:
Mode of transmission refers to the way pathogens are transferred from one host to another. Handwashing is a critical intervention that targets this link in the chain of transmission by removing pathogens from the hands, thereby preventing their spread through direct contact or contact with contaminated surfaces. This is why proper handwashing technique is emphasized in infection control practices.
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