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The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community

An experimental approach that considers the various community characteristics to compare individuals in different settings

A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics

A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities

Answer and Explanation

The Correct Answer is A

A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.

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Correct Answer is B

Explanation

A. A 72-year-old client with a leg cast may need short-term care or rehabilitation rather than long-term placement in an assisted living community.
B. An 86-year-old client with poor vision who lives alone would benefit from an assisted living community, as these facilities can provide assistance with daily activities and offer safety and social support.
C. An 82-year-old client with terminal lung cancer who is on hospice would be more appropriately placed in a hospice care setting rather than assisted living, as hospice care focuses on end-of-life care.
D. A 78-year-old client who is bedridden following a stroke would require a higher level of care than what is typically provided in an assisted living community and might be better suited for a skilled nursing facility.

A. A 35-year-old patient with stable chronic hypertension and no recent medication changes B. A 25-year-old patient with acute respiratory symptoms and a history of asthma, seeking medication adjustment C. A 45-year-old patient recovering from surgery, needing wound assessment and dressing changes D. A 70-year-old patient with a history of congestive heart failure, recently discharged from an acute care facility

Correct Answer is B

Explanation

A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.

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The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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