Author Question: Which of the following would be the most appropriate indicator for determining the needs of an ... (Read 49 times)

yoroshambo · **on:** Jul 8, 2018

Which of the following would be the most appropriate indicator for determining the needs of an aggregate? (Select all that apply.)

a. Demand for services as seen in the behaviors of the chosen aggregate members
b. Experts' determination of what is needed in the situation
c. Nurse's own expertise, skill, and preferences
d. Obvious health disparities between the advantaged and disadvantaged populations
e. Review of the literature to determine the typical needs of a typical community
f.
Verbalized expression of need from the chosen aggregate

Question 2

Which of the following best describes the advantage of the ecosocial epidemiology model over both the web of causation model and the epidemiological triangle model? (Select all that apply.)

a. It decreases the focus on the individual person.
b. It demonstrates the usefulness of molecular epidemiology in disease prevention.
c. It emphasizes the role of complex political and economic context.
d. It is more useful in public policy campaigns in explaining what people need to do to protect themselves.
e. It reflects the current emphasis on ecology and the environment.
f.
Its use suggests possible public policy interventions.

frejo · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A, B, D, F
There are four types of needs to be assessed: (1) expressed need as seen in behavior; (2) normative need or the need determined by expert health professionals; (3) perceived need expressed by the aggregate including wants and preferences; and, finally, (4) relative need, which is the gap showing health disparities between the advantaged and disadvantaged populations. The nurse's expertise and review of the literature are not the most appropriate indicators for determining the needs of an aggregate.

Answer to Question 2

ANS: A, C, F
The ecosocial approach challenges both the individually focused risk factor approach and molecular epidemiology (sequencing of genes to improve individual susceptibility), because it emphasizes the role of macro-level socioenvironmental factors, especially complex political and economic forces in health and illness. Molecular epidemiology, the use of public policy campaigns, and the relationship between ecology and the environment are not advantages of the use of the ecosocial approach.