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The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community

An experimental approach that considers the various community characteristics to compare individuals in different settings

A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics

A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities

Answer and Explanation

The Correct Answer is A

A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.

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Correct Answer is A

Explanation

A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.

A. A 72-year-old client with a leg cast following a motor vehicle collision B. An 86-year-old client with poor vision who lives alone C. An 82-year-old client with terminal lung cancer who is on hospice D. A 78-year-old client who is bedridden following a stroke

Correct Answer is B

Explanation

A. A 72-year-old client with a leg cast may need short-term care or rehabilitation rather than long-term placement in an assisted living community.
B. An 86-year-old client with poor vision who lives alone would benefit from an assisted living community, as these facilities can provide assistance with daily activities and offer safety and social support.
C. An 82-year-old client with terminal lung cancer who is on hospice would be more appropriately placed in a hospice care setting rather than assisted living, as hospice care focuses on end-of-life care.
D. A 78-year-old client who is bedridden following a stroke would require a higher level of care than what is typically provided in an assisted living community and might be better suited for a skilled nursing facility.

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The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is B

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