NCLEX-Type Community Health Nursing Question on Community Diagnosis.

Create a Community Health NCLEX Question. The question must be a multiple Choice question. Your question must be related to the weekly topic of gerontology and related to community health.   It must be complete with answers and rationales.NCLEX-Type Community Health Nursing Question on Community Diagnosis

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This must be an original question (YOU  CANNOT USE COMMERCIAL BOOKS, MATERIAL, OR ONLINE QUESTIONS .You must also explain how you came up with the question and also use references to support your rationales.  PLEASE POST YOUR QUESTION WITH MULTIPLE CHOICE ANSWERS, THE CORRECT ANSWER, AND THE RATIONALES

You are a community health nurse (CHN) in a marginalized rural minority community that is disadvantaged in all the social determinants of health (socioeconomic status, environmental sanitation, access to quality healthcare, access to quality education, employment, availability of clean drinking water, and so on). Recently, you and your team have noted that cases of gastroenteritis (GE) are rising sharply among the elderly above the age of 70 years. You know that you need to make a community diagnosis to establish the real reason behind the rise in incidence of GE in the elderly in this community. This is what will help you to come up with appropriate health promotion and prevention strategies. Which of the following approaches is the best for you as the CHN to arrive at a correct community diagnosis?NCLEX-Type Community Health Nursing Question on Community Diagnosis

1. Use Florence Nightingale’s Environmental Theory to come up with the possible environmental causes of the increased geriatric GE incidence.
2. Use the Calgary Family Assessment Model to make a nursing diagnosis for each affected family in the community.
3. Arrive at a community diagnosis by using Marjorie Gordon’s functional health patterns assessment, by interviewing a registered nurse who works in the community and attends to these elderly patients daily.NCLEX-Type Community Health Nursing Question on Community Diagnosis.
4. By interviewing the families of the affected elderly patients one by one.

Answer

The correct answer is ‘C’.

Rationale

I came up with the question by considering the most plausible public health problem that could affect the elderly in a community as a result of unfavorable social determinants of health. The rationale for the answer is that the functional assessment model can be used to make an individual, family, or community diagnosis by interviewing a person knowledgeable about the health of the individual, family, or community. Eleven conceptual categories are used to arrive at a nursing diagnosis after which a preventive intervention program is made (Karaca, 2016; Current Nursing, 2013; Nurse Key, n.d.).  NCLEX-Type Community Health Nursing Question on Community Diagnosis .