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Emphasizing practice in tertiary settings: The Commission advocated for expanded care in primary and community-based settings, rather than focusing only on tertiary (specialized hospital-based) care.

Traditional clinical approaches: While clinical skills remain important, the Commission emphasized innovation and adaptability over strict reliance on traditional models.

Making decisions for incompetent clients: Although healthcare providers must be knowledgeable about ethical and legal aspects of decision-making, the focus of the Pew competencies was not on providers unilaterally making decisions for incompetent clients.

Clients are primarily those with identified illnesses: Community-based nursing includes clients across the health-illness spectrum, not just those who are ill. It involves preventive, promotive, and curative services and targets healthy individuals, at-risk populations, and the chronically ill.

Care is paid for by the community as a whole rather than by individuals: While some public health services may be funded through taxes or grants, most community-based services are paid for by individuals, insurance, or mixed sources-not collectively by the community.

All clients are case managed: Although case management is an important strategy, especially for clients with chronic or complex conditions, it is not applied universally to all clients in community-based settings.

The ability to use available resources to find housing: This reflects a strength, not a vulnerability. The ability to find housing is a protective factor and supports improved health outcomes, rather than contributing to increased health problems.

Adequate transportation to the grocery store and community clinics: Adequate transportation reduces health risks by increasing access to nutritious food and medical care. This is a facilitator of health, not a contributor to vulnerability.

Availability of others to help provide care: Having social support and caregivers contributes to better health outcomes. Social networks can help individuals manage chronic illnesses, adhere to treatment plans, and attend appointments.

Economic environment: Although economic status may affect the ability to renovate safely or relocate, this specific scenario is centered on environmental exposure due to the physical conditions of the homes.

Educational environment: While education impacts awareness about risks such as lead exposure, the driver of the clinic’s action here is the hazard in the built environment, not a gap in education or school systems.

Health care environment: The screening program may be part of the health care response, but the underlying determinant prompting the action is the unsafe physical housing.

An epidemiologist focuses on collecting and analyzing data about the distribution and determinants of health issues in a population.

Collaboration involves working with other professionals, agencies, or community members to plan and implement programs.

Case managers coordinate services and resources for individual clients to ensure their health needs are met efficiently. This role is more client-specific, whereas the question describes a population-level educational intervention.