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A community health nurse is developing a community diagnosis which addresses an issue that has been identified. What should the nurse remember to do when writing the diagnosis?

1) Focus primarily on deficits of the community
2) Use broad statements to guide a range of interventions
3) Employ a revised nursing diagnosis format
4) Substitute the terms client, family, group, or aggregate for the word patient

1 Answer

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Final answer:

A community health nurse should use a revised nursing diagnosis format that focuses on the community's strengths, employ specific statements to guide targeted interventions, and encourage flexibility. To address health disparities, strategies should emphasize sustainable health education and informed decision-making, while also working towards health equity.

The correct option is 1.

Step-by-step explanation:

When writing a community diagnosis, a community health nurse should remember to employ an asset-based approach, which focuses on the strengths and resources of a community rather than just its deficits.

This involves using a revised nursing diagnosis format that might substitute the terms client, family, group, or aggregate for the word patient to reflect the broader scope of community health.

Additionally, it is essential to use specific statements to guide targeted interventions rather than broad statements, which can be too vague to be actionable.

In response to the curriculum evaluation mentioned by Dr. Somerville, a deficit-based approach might explain the inability to fully assess the client experience by focusing on what went wrong or what is missing.

In contrast, the curriculum might still be used by re-evaluating it to identify areas where it succeeded and can be adapted for future use.

Encouraging flexibility and adaptability helps address community health challenges, as community health workers are not curing social issues but are co-creating solutions and envisioning alternative settings.

As for strategies to address health disparities, implementing sustainable health education and disease prevention interventions that highlight health literacy and informed decision-making is critical.

This aligns with the need to co-create equitable health with those impacted by health inequities, acknowledging the role of systemic factors like racism and discrimination.

The correct option is 1.

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