A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?

Correct Answer: B

Rationale: The correct answer is B: a patient-centered medical home. A patient-centered medical home provides comprehensive, coordinated care for patients with multiple health issues. It offers a team-based approach to managing care, including primary care, specialists, and other services. The patient does not need to be under medical supervision, but having insurance is beneficial for accessing the services offered. Referring the patient to a private health care practitioner (A) may not provide the level of coordination needed. Hospital clinics (C) typically focus on acute care, not comprehensive management. Subacute facilities (D) are for patients who need ongoing medical supervision and rehabilitation, which may not be necessary in this case.

Correct Answer: A

Rationale: The correct answer is A: Aggregate of people. The term refers to the personal characteristics and risks of a group within a community because an aggregate refers to a collection of individuals sharing common features or characteristics. In this context, it implies that the group's personal characteristics and risks are being viewed as a whole. Why the other choices are incorrect: - B: Location in space and time: This refers to the physical positioning of a group within a specific geographical area during a particular period, not focusing on personal characteristics and risks. - C: Social system: This term refers to the interconnected parts of a society, such as institutions and relationships, rather than specific personal characteristics and risks. - D: Census tract: This term refers to a geographic area defined for the purpose of taking a census, not specifically addressing personal characteristics and risks of a group within a community.

Correct Answer: B

Rationale: The correct answer is B because a community of solution is a group focused on addressing a specific issue or problem, in this case, reducing teenage suicides. This group works together to find solutions and support individuals affected by this issue. Choice A is incorrect because it refers to a geographic community, not a community of solution. Choice C is incorrect as it focuses on ethnic background, not a common goal or problem-solving. Choice D is incorrect as enjoying hiking is a shared interest, not a shared purpose of solving a particular issue.

Correct Answer: B

Rationale: The correct answer is B: Vital statistics. Vital statistics provide information on births, deaths, and marriages which are crucial indicators of a community's health and population trends. This data aids the nurse in understanding the demographic characteristics and health needs of the community. Census tracts (A) provide geographical boundaries, not specific health data. National Health Survey data (C) focuses on health behaviors and conditions, not vital events. Needs assessment (D) involves identifying community health needs, not specifically births, deaths, and marriages.

Correct Answer: D

Rationale: During the assessment phase of the nursing process, conducting research to identify the distribution pattern of breast cancer and its risk factors falls under the realm of epidemiology. Epidemiology focuses on studying the distribution and determinants of health-related states or events in specified populations, which aligns with the nurse's objective in this scenario. Statistical analysis (A) involves interpreting data, not specifically identifying patterns and risk factors. Needs assessment (B) pertains to identifying gaps in services or resources, not disease patterns. Census collection (C) is the process of gathering demographic data, not specifically studying disease distribution. Therefore, the correct answer is D: Epidemiology.