A nurse working in the community uses the public health ...

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A nurse working in the community uses the public health intervention model to combat diabetes mellitus type 2. Using this model, which interventions are appropriate? (Select all that apply.)
 
  A.
  Community: Encourage high-risk patients to have glucose screening.
  B.
  Community: Lobby for funds to build walking and biking trails.
  C.
  Community: Subsidize community gardens in areas where produce is expensive.
  D.
  Individual/family: Educate about the benefits of daily exercise.
  E.
  Societal: Pressure Congress for laws requiring insurance incentives for health promotion.

Question 2

The community health nurse is aware that the goals of Healthy People 2020 include which of the following? (Select all that apply.)
 
  A.
  Creating physical environments that promote health
  B.
  Developing healthy behaviors in children and teens
  C.
  Eliminating health disparities and increasing equity
  D.
  Improving the health of all groups in the country
  E.
  Increasing the average life span for all adults

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Answer to Question 1

ANS: B, C, D, E
The public health intervention model, also known as the Intervention Wheel, is a framework that contains three levels for health-care interventions, from the micro-level of the individual to the macro-level of the environment. Interventions are aimed at individuals/families, communities, and larger institutional and social systems. Lobbying to build walking/biking trails and assisting with community gardens are examples of community-level interventions. Encouraging high-risk individuals to have glucose screening is at the individual/family level, as is education about the benefits of daily exercise. An example of an institutional or societal intervention would be lobbying Congress to pass laws requiring insurance companies to provide incentives for health promotion activities.

Answer to Question 2

ANS: A, C, D
Goals of the Healthy People 2020 document include the following: (1) To attain high-quality, longer lives free of preventable disease, disability, injury, and premature death; (2) to achieve health equity, eliminate disparities, and improve the health of all groups; (3) to create social and physical environments that promote good health for all; and (4) to promote quality of life, healthy development, and healthy behaviors across all life stages. The blueprint does not call for developing healthy behaviors only in children and teens, nor does it call for simply increasing the average life span.

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