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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
The client still journaling their feelings about their sister's death 7 years ago indicates ongoing grief, which is important but may not be the immediate priority. Grieving is a natural process, and while it can impact mental health, it does not pose an immediate threat to the client's safety or daily functioning. Addressing grief can be part of a longer-term mental health support plan.
Choice B Reason:
The client experiencing cyberbullying is the priority because it can have severe and immediate impacts on mental health, including anxiety, depression, and suicidal thoughts. Cyberbullying can lead to significant emotional distress and requires prompt intervention to ensure the client's safety and well-being. Addressing this issue can help prevent further psychological harm and support the client's mental health.
Choice C Reason:
The client primarily eating fast food while living on a limited budget is a concern for long-term health, including risks of obesity, diabetes, and other chronic conditions. However, it does not pose an immediate threat to the client's safety. Nutritional counseling and support can be provided as part of a broader health plan.
Choice D Reason:
The client missing classes due to suffering from seasonal allergies is a health concern that can affect academic performance and quality of life. However, it is typically manageable with appropriate medical treatment and does not pose an immediate threat to the client's safety. Addressing allergies can be part of a comprehensive health management plan.
Correct Answer is A
Explanation
Choice A Reason:
Identifying a support system to prevent the client from giving into the urge to smoke is crucial during the preparation phase of the Transtheoretical Model. In this phase, the client is ready to take action within the next 30 days and may start taking small steps towards quitting smoking. A support system, which can include family, friends, or support groups, provides the necessary encouragement and accountability to help the client stay committed to their goal. This support can significantly increase the chances of successful smoking cessation by offering emotional and practical assistance².
Choice B Reason:
Giving literature to the client who has expressed wanting to quit but is not yet ready to do so aligns more with the contemplation phase of the Transtheoretical Model. In the contemplation phase, individuals are considering quitting within the next six months but are not yet ready to take immediate action. Providing educational materials can help them understand the benefits of quitting and the steps involved, but it is not as relevant for someone in the preparation phase who is already planning to quit soon.
Choice C Reason:
Consoling the client for smoking a cigarette after having quit smoking 4 months ago is more appropriate for the maintenance phase. In the maintenance phase, individuals work to sustain their behavior change and prevent relapse. While offering support after a relapse is important, it does not align with the preparation phase, where the focus is on planning and preparing to quit smoking.
Choice D Reason:
Teaching the client who refuses to quit smoking about fire safety and cigarette smoking is not relevant to the preparation phase. This intervention might be more suitable for individuals in the precontemplation phase, where they are not yet considering quitting and need to be made aware of the risks associated with smoking. In the preparation phase, the client is already motivated to quit, so the focus should be on supporting their efforts to take action.
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