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: Incidence is a Measure of Mortality
This statement is incorrect. Incidence refers to the number of new cases of a disease that occur in a specified population during a defined period. It measures the risk of developing the disease, not the number of deaths. Mortality rates, on the other hand, measure the number of deaths due to a disease in a population.
Choice B: Incidence Includes Only People at Risk for the Disease
This statement is correct. The incidence rate is calculated by dividing the number of new cases of a disease by the number of people at risk for the disease in the population during a specified period. This measure helps to understand the likelihood of developing the disease among those who are susceptible.
Choice C: The Denominator for the Incidence Rate Calculation is for the Entire Population
This statement is incorrect. The denominator for the incidence rate calculation should include only those individuals who are at risk of developing the disease, not the entire population. Including the entire population would inaccurately represent the risk, as it would include individuals who cannot develop the disease (e.g., men in the case of breast cancer).
Choice D: New Cases are Not Considered When Calculating an Incidence Rate
This statement is incorrect. The incidence rate specifically measures the number of new cases of a disease that occur in a population during a specified period. Therefore, new cases are a critical component of the incidence rate calculation.
Correct Answer is D
Explanation
Choice A Reason:
Posting the analyzed findings on the health department section of the city's website is important for transparency and public awareness. It allows the community to access the information and understand the health issues identified. However, this action alone does not directly address the health issues identified in the assessment. It is more of a communication strategy rather than an intervention.
Choice B Reason:
Educating members of a vulnerable population about available public health services is a crucial step in ensuring that these populations can access the services they need. This action helps in bridging the gap between the health department and the community. However, it is a part of the implementation phase rather than the planning phase. The primary goal of the assessment is to identify issues and plan interventions.
Choice C Reason:
Conducting focus groups with local residents to discuss their usage of public health services is a valuable method for gathering qualitative data and understanding community needs and behaviors. This can provide deeper insights into the issues identified in the assessment. However, like choice B, this is more of a data collection method rather than a direct action plan to address the identified health issues.
Choice D Reason:
Preparing a plan to address a health issue in a specific area of the city is the most direct and actionable step that aligns with the core function of assessment. The purpose of conducting a community health assessment is to identify health issues and develop strategies to address them. This choice involves creating a targeted intervention plan based on the findings, which is the ultimate goal of the assessment process.
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