Final answer:
The part of the nursing diagnosis that follows "as manifested by" includes signs and symptoms characterizing the problem, providing evidence that supports the diagnosis.
Step-by-step explanation:
After the statement "as manifested by" in a nursing diagnosis, you would include C) Signs and symptoms characteristic of the problem. This part of the diagnosis provides evidence or defining characteristics that back up why the nurse has identified a particular problem or diagnosis. It's the observable cues or inferences that indicate the presence of the problem.
For example, in the context of the community problem stated, signs and symptoms might include increased local hospital admissions, documented requests for community support resources, or observable social unrest in the community, which demonstrate the community's inability to cope effectively.
In the context of community psychology practice, medical symptoms can be subjective and difficult to quantify, but are nevertheless an important part of diagnosing and understanding a patient or a community's wellbeing. Tools such as the Wong-Baker Faces pain-rating scale can help in quantifying symptoms.
When thinking of an alternate setting to address community challenges, it involves picturing a re-imagined environment or structural system that may more effectively support community well-being. This could manifest in a variety of forms depending on the specific challenge at hand and may include changes in policy, additional resources, or new community programs.