Author Question: The community health nurse is responsible for the general health of the community on multiple ... (Read 132 times)

abern · **on:** Jul 8, 2018

The community health nurse is responsible for the general health of the community on multiple levels. The nurse discovers an increase in the number of sick days used by children aged 7 to 11 years at the local elementary school in recent weeks.

Research indicates that the families of asthmatic children tend to be less educated and less likely to comply with current treatment plans. Using the epidemiologic approach, the next step in the care plan should be to:
A) Conduct a broad-based survey of all families with asthmatic children within several communities
B) Determine trends that interfere with family problem-solving techniques
C) Develop school-based education programs for both the children and their caregivers
D) Submit a proposal to the town for neighborhood asthma clinics

Question 2

Many in the community have developed cancer. The EPA has discovered a leak of biohazardous waste from a local factory that has leached into the water table. The area is decontaminated and cleaned.

The community identifies the need for a local hospice for those with cancer who are dying. Area communities participate in the fund drive. This type of community effort may best be described as
A) Geopolitical community
B) Epidemiologic model
C) Community of solution
D) Developmental model

elizabethrperez · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: C
Feedback:
Principles of epidemiology are used throughout the development, planning, implementation, and evaluation phases of the community assessment process. Epidemiologic methods can help identify patterns of health and social inequity and determine trends in three ways: (1) by describing the disease or disability, (2) by determining relationships that can predict health or health disparities, and (3) by developing and testing interventions. By noting that families of asthmatic children tend to be less educated and less likely to comply with current treatment plans, you have already determined relationships that can predict the health disparity. Therefore, the next step would be to develop and test an intervention on the basis of these findings. The school-based education program is the only intervention listed that directly addresses the cause of the health disparity and that may be tested.

Answer to Question 2

Ans: C
Feedback:
A community of solution is formed by an aggregate specifically to address health concerns within a particular area. Communities of solution are composed of persons not only from the area of need but also members of neighboring communities who have a vested interest in a challenge the community faces. These communities can form in response to a health threat, such as contaminated water or industrial air pollution. A geopolitical community is a group of people who live within identified boundaries and governing systems. An epidemiologic model is a process used to assess a community using data collected from descriptions and statistical relationships to evaluate the level of health and well-being within a community to address identified healthcare needs. A developmental model is a retrospective, historical analysis of system parameters such as the physical environment, education, safety and transportation, politics and government, health and social services, communication, economics, and recreation in a community.