The community health nurse is performing a community health needs assessment prior to planning a nutrition program for older adults. Which factors will the nurse identify in this needs assessment?

Correct Answer: D

Rationale: The correct answer is D. In a community health needs assessment for a nutrition program, identifying strengths helps leverage existing community assets, resources ensure feasibility and sustainability, and current needs determine areas for intervention. Option A does not include strengths, which are crucial for asset-based community development. Option B includes land mass, which is not directly relevant to a nutrition program. Option C includes enthusiasm, which is subjective and not a concrete factor for planning a program.

Correct Answer: D

Rationale: The correct answer is D: Employ an interdisciplinary approach. In TeamSTEPPS, utilizing an interdisciplinary approach involves involving individuals from different disciplines to collaborate and contribute their expertise to achieve common goals. This is crucial in community health programs as it ensures a comprehensive and holistic approach to address complex health issues. Sharing leadership responsibilities (choice A) can be important, but it is not the primary focus of TeamSTEPPS. Distributing information as needed (choice B) is important but does not encompass the full scope of TeamSTEPPS. Utilizing an informal communication format (choice C) is not recommended in TeamSTEPPS as it may lead to miscommunication and inefficiencies.

Correct Answer: C

Rationale: The correct answer is C: Behaviorism. Behaviorism focuses on observable behaviors and reinforcement. By asking participants to sign a contract agreeing to complete a certain level of physical activity each week, the health education team is using behaviorist principles to encourage and reinforce the desired behavior. This method relies on external motivation and rewards to shape behavior. Summary: A: Connectivism focuses on the idea of learning as a process of connecting information sources. It does not directly relate to the use of contracts for behavior change. B: Constructivism emphasizes the learner's active role in constructing knowledge. It does not involve the use of contracts to modify behavior. D: Humanism emphasizes individual growth, self-actualization, and personal responsibility. While it values autonomy and self-directed learning, it does not directly involve the use of contracts to regulate behavior.

Correct Answer: D

Rationale: The correct answer is D: Incorporating peer activities into the learning process. Adolescents often learn best through social interactions with their peers. This method encourages engagement, collaboration, and active participation, which can enhance learning retention and motivation. By interacting with peers, adolescents can share experiences, perspectives, and knowledge, leading to a deeper understanding of the material. In contrast, providing information in small segments (A) may not be as engaging, involving family members (B) may not resonate with adolescents' preference for peer interactions, and connecting material to past experiences (C) may not always be relevant or engaging for all adolescents.

Correct Answer: C

Rationale: The correct answer is C: A client with limited health literacy. Limited health literacy can lead to misunderstandings about medications, treatment plans, and follow-up care, increasing the risk of poor outcomes during transitions of care. Patients may struggle to comprehend complex medical information, leading to non-adherence or errors. Incorrect answers: A: A client being discharged from hospital to home - This alone does not necessarily increase the risk of poor outcomes; it depends on various factors. B: A client with an identified social support system - While social support can be beneficial, it may not directly impact the risk of poor outcomes during transitions of care. D: A client with one provider - Having one provider may not necessarily increase the risk of poor outcomes; continuity of care can be positive.