A nurse is assessing the social determinants of health for community members. Which of the following factors should the nurse identify as part of the neighborhood and built environment?
Community organizations
Level of education
Quality of housing
Health insurance coverage
The Correct Answer is C
A. Community organizations: Community organizations fall under the “social and community context” domain of social determinants of health. They influence social support, civic participation, and interpersonal relationships, but are not considered a component of the physical environment.
B. Level of education: Level of education is categorized under the “education access and quality” domain. It encompasses early childhood education, literacy, and higher education, which are important for long-term health outcomes but not part of the built environment.
C. Quality of housing: Quality of housing is a key element of the “neighborhood and built environment” domain. It directly affects physical health and safety through exposure to hazards such as lead, mold, and inadequate heating or ventilation. Poor housing conditions are linked to higher rates of chronic illness and injury.
D. Health insurance coverage: Health insurance coverage is part of the “health care access and quality” domain. It affects an individual’s ability to seek medical services but is unrelated to the physical or structural aspects of a neighborhood’s environment.
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Related Questions
Correct Answer is C
Explanation
A. Community organizations: Community organizations fall under the “social and community context” domain of social determinants of health. They influence social support, civic participation, and interpersonal relationships, but are not considered a component of the physical environment.
B. Level of education: Level of education is categorized under the “education access and quality” domain. It encompasses early childhood education, literacy, and higher education, which are important for long-term health outcomes but not part of the built environment.
C. Quality of housing: Quality of housing is a key element of the “neighborhood and built environment” domain. It directly affects physical health and safety through exposure to hazards such as lead, mold, and inadequate heating or ventilation. Poor housing conditions are linked to higher rates of chronic illness and injury.
D. Health insurance coverage: Health insurance coverage is part of the “health care access and quality” domain. It affects an individual’s ability to seek medical services but is unrelated to the physical or structural aspects of a neighborhood’s environment.
Correct Answer is B
Explanation
A. Weighing every other day is insufficient for heart failure management. Daily weight monitoring is essential to detect fluid retention early, as even small increases can indicate worsening heart failure and the need for medication adjustment.
B. Walking three or more times a week helps improve cardiovascular health and endurance without overexerting the heart. Regular, moderate exercise is recommended for heart failure clients to support functional status and prevent deconditioning.
C. Drinking 2.5 to 3 liters of water daily can lead to fluid overload in heart failure patients. These clients often require fluid restrictions to prevent worsening symptoms such as edema and shortness of breath due to impaired cardiac function.
D. Including whole milk with each meal increases saturated fat intake, which can worsen heart health. Low-fat dairy options are better suited for individuals with heart failure to manage cholesterol and cardiovascular risk.
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