A public health nurse plans to assess a community using the CHANGE model. According to this model, which of the following steps should the nurse take first?
Develop a team strategy
Gather data
Build the community action plan
Assemble the team
The Correct Answer is D
Choice A: Develop a Team Strategy
Developing a team strategy is an important step in the CHANGE model, but it is not the first step. Before a strategy can be developed, it is essential to have a team in place. The team will collaborate to create a strategy that aligns with the community's needs and goals.
Choice B: Gather Data
Gathering data is a crucial part of the community assessment process. However, it is not the initial step in the CHANGE model. Data collection comes after the team has been assembled and a strategy has been developed. The team needs to be in place to determine what data is needed and how it will be collected.
Choice C: Build the Community Action Plan
Building the community action plan is a later step in the CHANGE model. This step involves using the data collected to develop a plan that addresses the community's health needs. The action plan is created after the team has been assembled, a strategy has been developed, and data has been gathered.
Choice D: Assemble the Team
This is the correct first step in the CHANGE model. Assembling the team involves bringing together a diverse group of stakeholders who will work collaboratively to assess the community and develop an action plan. The team typically includes representatives from various sectors of the community, such as health care, education, business, and local government.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: "I will not know if I am going to be in the intervention or control group."
This statement indicates a misunderstanding of the nature of a cross-sectional study. Cross-sectional studies involve observing a specific population at a single point in time to gather data on various variables. There are no intervention or control groups in such studies, as they do not involve experimental manipulation or longitudinal follow-up.
Choice B reason: "The study will last for 10 years. You will contact me annually for an interview and blood work."
This statement describes a longitudinal study, not a cross-sectional study. Longitudinal studies involve repeated observations of the same variables over an extended period. Cross-sectional studies, on the other hand, collect data at one specific point in time, making this statement incorrect.
Choice C reason: "You'll need to find other participants like me but who do not have this disease."
This statement suggests a case-control study design, where participants with a specific condition (cases) are compared to those without the condition (controls). Cross-sectional studies do not require such comparisons; they simply collect data from a population at a single point in time to analyze the prevalence of certain characteristics or conditions.
Choice D reason: "The survey will take an hour to complete and then I'll be done."
This statement accurately reflects the nature of a cross-sectional study. These studies typically involve a one-time data collection process, such as a survey or interview, to gather information on various variables. Once the survey is completed, the participant's involvement in the study is finished, making this the correct understanding of a cross-sectional study.
Correct Answer is A
Explanation
Choice A: Make a Report to Child Protective Services (CPS)
This is the correct action for the nurse to take. Nurses are mandated reporters, meaning they are legally required to report any suspected cases of child abuse or neglect to the appropriate authorities. Child Protective Services (CPS) is the agency responsible for investigating reports of child abuse and ensuring the safety and well-being of children. Reporting to CPS ensures that the case is handled by professionals trained to investigate and intervene in such situations.
Choice B: Call the Police and Report the Suspected Abuse
While calling the police may seem like a logical step, it is not the primary action a nurse should take in this situation. The police may become involved later in the process, especially if there is an immediate threat to the child's safety. However, the initial report should be made to CPS, as they are the designated agency for handling child abuse cases.
Choice C: Call the Child's Guardian to Have the Child's Pediatrician Confirm the Suspected Abuse
This action is not appropriate because it could potentially place the child in further danger. If the guardian is the abuser, notifying them could lead to retaliation against the child or attempts to cover up the abuse. Additionally, it is not the role of the pediatrician to confirm abuse; this is the responsibility of CPS and law enforcement.
Choice D: Alert the School Principal of the Situation
While it is important to keep school officials informed, the nurse's primary responsibility is to report the suspected abuse to CPS. The school principal can be informed after the report has been made, but the immediate priority is to ensure the child's safety by contacting the appropriate authorities.
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