Explore the connection between environment, resource availability, and health

Correct Answer: A

Rationale: Rationale for Choice A (Correct Answer): Community collaboration efforts are crucial in addressing the connection between environment, resource availability, and health. Collaboration promotes shared responsibility, knowledge exchange, and pooling of resources to address health disparities. Working together allows for a comprehensive approach to identifying and addressing environmental factors impacting health outcomes. Summary of Incorrect Choices: B: Improving screening rates is not directly related to the connection between environment, resource availability, and health. It focuses on early detection rather than addressing root causes. C: Accountability among community members is important but does not directly address the connection between environment, resource availability, and health. It may be a valuable component of community engagement but does not focus on the specific relationship between these factors. D: Availability of treatment, while important, is not the primary focus when exploring the connection between environment, resource availability, and health. Treatment availability is more related to healthcare access and quality rather than the broader environmental and resource factors impacting health.

Correct Answer: B

Rationale: The correct answer is B. Providing a workplace lunchtime walking program represents a midstream approach as it targets a specific population (workplace) and focuses on promoting physical activity, which can lead to improved health outcomes. This approach addresses the root cause of health issues by encouraging behavior change within a defined group. Advocating for policy changes (A) is an upstream approach, while encouraging an individual to lose weight (C) and starting a support group for smoking cessation (D) are downstream approaches that target individuals rather than a population as a whole.

Correct Answer: B

Rationale: The correct answer is B because siloed health care often focuses on treating individual diseases without considering the broader context of a person's overall health. This approach can lead to fragmented care, missed opportunities for prevention, and a lack of coordination among different providers. By addressing only one disease at a time, the nurse may overlook important factors influencing the individual's health, such as social determinants, lifestyle choices, and comorbidities. Choices A, C, and D are incorrect because they describe aspects of integrated, collaborative, and holistic approaches to health care, which are actually solutions to breaking down silos in the healthcare system. Providers and specialists working closely together (A), health systems becoming effectively integrated (C), and an emphasis on population health and health promotion (D) are strategies that aim to improve care coordination, address the whole person, and promote wellness, all of which are in contrast to the siloed approach highlighted in the correct answer.

Correct Answer: D

Rationale: The correct answer is D: A long-term care facility. For a client with health care needs related to a chronic condition, a long-term care facility would be the most appropriate along the health care continuum as it provides continuous care and support for individuals with chronic conditions. The services offered at a long-term care facility are tailored to meet the complex and ongoing needs of individuals with chronic conditions, ensuring they receive specialized care, rehabilitation, and support. Preventive health programs (choice A) focus on promoting health and preventing diseases before they occur, which is not the primary need for someone with a chronic condition. Ambulatory care clinics (choice B) are outpatient facilities that provide medical services but may not offer the comprehensive care required for managing a chronic condition long-term. Acute care departments (choice C) are designed for immediate and critical care needs, rather than the ongoing management required for chronic conditions.

Correct Answer: D

Rationale: The correct answer is D because recommending policies to prevent health problems is a key role of nurses in public health. Nurses play a crucial role in advocating for policies that promote health and prevent diseases at a population level. This action aligns with the core principles of public health, focusing on prevention and improving the health of communities as a whole. A, improving individual outcomes, is important but not specific to public health nursing. B, addressing racism in a community, is a social justice issue and not a direct role of a nurse in public health. C, performing a family assessment, is more related to individual or family-centered care rather than population health.