A nurse is implementing interventions to improve the health of ...

[cabate]

A nurse is implementing interventions to improve the health of the community. Which of the fol-lowing approaches should be taken by the nurse?
 
  a. A top-down approach with ration-al-empirical problem solving
  b. A top-down approach with community practice planned by experts
  c. A bottom-up approach with facilitation of communication
  d. A bottom-up approach with multisectoral planning and action for health

Question 2

Healthy Communities and Cities is based on which of the following premises?
 
  a. When people have the opportunity to work out their own locally defined health problems, they will find sustainable solu-tions to those problems.
  b. When the health of a community is im-proved, the focus will be on life expec-tancy rather than quality of life.
  c. When health professionals assume a lead-ership role, the health of the community will improve.
  d. When cities recruit enough health profes-sionals to care for those needing medical care, the cities health will improve.

[chereeb]

Answer to Question 1

ANS: D
A bottom-up approach with multisectoral planning and action for health incorporates community participation. A bottom-up approach uses broad-based community problem solving that includes health professionals, local officials, service providers, and other community members, including those at risk for health problems. The top-down approach describes when professionals and ex-perts tell the citizens what to do rather than involving and asking them. Social planning stresses rational-empirical problem solving, usually by outside professional experts with a top-down ap-proach. This approach does not focus on building community capacity or fostering fundamental social change.

Answer to Question 2

ANS: A
Healthy Cities is based on the premise that when people have the opportunity to work out their own locally defined health problems, they will find sustainable solutions to those problems. Healthy Cities aims to add to quality of life. Healthy Cities focuses on collaboration by all mem-bers of the community. Healthy Cities uses a multifaceted approach to problem solving when trying to improve health.