A nurse was trying to decrease the amount of respiratory illness ...

[waynest]

A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse?
 
  a. Attend each farmworkers' meeting and listen to how they perceive and discuss their problems
  b. Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house
  c. Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities
  d. Teach children in the school system the importance of seeking employment in cities rather than staying on the farm

Question 2

Which of the following best describes a downstream intervention to solve the problem of homelessness?
 
  a. Improved use of community resources
  b. Increased employment opportunities
  c. Increased affordable housing
  d. Improved treatment of mental illness

[wshriver]

Answer to Question 1

ANS: A
Using informal networks in the community is essential. The involvement of informal networks and local leaders in planning health interventions is crucial. To be able to do that, the nurse must first listen to how the community perceives its problems.

Answer to Question 2

ANS: D
Building on McKinlay's river metaphor, McKinlay and Marceau (2000) purport that government and private efforts to address homeless health care problems largely focus on pulling the bodies out of the river of homelessness. Such downstream interventions aimed at treating or alleviating health care problems, such as physical disease and mental illnesses, are worthy and needed. However, these interventions when used alone are far less adequate in alleviating homeless people's social health problems. To improve the social health of the homeless, it is necessary to go upstream and focus on the primary contributors to homelessness itself (i.e., lack of affordable housing, inadequate income, and insufficient services).

[waynest]

Thanks for the timely response, appreciate it

[yeungji]

Excellent