All Cases For CommunityPublic Health Nursing, 8th Edition by Nies Case 1-5 Solutions are at the End of Each Case Case 1 Title: Presenting an Effective Community Based Health Promotion Event
Scenario A group of health care professionals are concerned about the lack of attendance at a Public Health Department health fair. The health fair provided health screenings and education on a variety of health conditions to a wide range of age-groups. The target community is small, semirural, and home to a large group of Hispanic and African Americans. In addition to the traditional health fair services, a variety of vaccinations were being distributed to those who met the existing criteria. While screenings generated a modest amount of interest, the educational programs and vaccination clinic were poorly attended. An additional health promotion event is scheduled in 4 weeks. The group is focused on revamping the delivery format to foster a greater impact on health promotion for this community.
1. Item Type: Spot/Highlighting Highlight the information regarding the health fair that is relevant to the members of the health care professionals’ leadership group as they plan to improve the delivery of services for the upcoming event.
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Next-Generation NCLEX® (NGN) Examination–Style Case Studies Scenario, continued The health care professionals began discussing the possible barriers that may have contributed to decreased engagement in the previous health fair. Fewer than 50 community members attended with only five vaccinations being administered. Skin cancer and diabetes screenings were performed on 15 adults. While the group acknowledged that attendance was sparse, the minority population was only slightly underrepresented. Feedback surveys were available but only eight were returned. There seemed to be equal concern about the cost of some services and parking availability. One citizen wrote, “I think people would come if you gave away prizes” while another added, “I see my doctor for medical care.”
2. Item Type: Cloze (Drop Down) Choose the most likely options for the information missing from the statement below by selecting from the list of options provided.
The leadership group recognizes that based on the group’s analysis and the participant feedback, the primary areas of concern for the health care professionals are ________, __________, and __________. Options Cost of services Low degree of health literacy Disinterest in health promotion Language barriers
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Next-Generation NCLEX® (NGN) Examination–Style Case Studies Vaccine hesitancy
Scenario, continued After reviewing and discussing the information available, the health care professionals decide to formulate their plans to revise the next health promotion event using the Health Belief Model.
3. Item Type: Cloze (Drop Down) Choose the most likely options for the information missing from the statements below by selecting from the lists of options provided.
Based on the health care professionals’ discussion, the priority need will be to ______________1____________. To best achieve set goals, interventions to assist with ______2_______, ________2__________, and ______2_______ will be included. Option 1
Option 2
Provide additional health care personnel to
Provide all services for free
staff the event Speak to the specific needs of the minority
Provide written educational materials in
groups within the population
bilingual form
Address barriers that affect attendance at the
Educate the community on the
health fair
importance of health promotion
Arrange to join with a neighboring
Provide pre-event information regarding
community to enlarge the attending
the benefits of vaccines
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Next-Generation NCLEX® (NGN) Examination–Style Case Studies population
Scenario, continued The health care professionals have decided to produce a survey in hopes of getting community input into planning the next health promotion event. Emphasis will be placed on motivating the adult population to attend and take advantage of the services the health plan will offer. The committee plans to review and rank the responses according to similarity and then attempt to incorporate as many as possible into the planning of the upcoming event.
4. Item Type: Extended Drag and Drop Use an X (or drag and drop) to indicate which topics listed in the left column should be included in the survey. Actions
Survey
Determine the preferred time and day for the event Learn how they feel about vaccinations in general Confirm that language barriers are a factor in poor attendance Determine how serious they feel the related health problems are Ensure all provided screening and vaccinations be free Assess how much control they feel they have over managing the related health problems Determine whether they feel they can actually take the steps necessary to manage the related health risk
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Next-Generation NCLEX® (NGN) Examination–Style Case Studies
Scenario, continued The leadership group has made plans to address the community’s motivation to attend and take advantage of the services at the health fair.
5. Item Type: Extended Multiple Response Which interventions are best focused on addressing the motivational needs of the community? Select all that apply. A. The survey will be distributed at community churches and social gathering places such as the VFW and Women’s Club and at manned tables located at the entrance to the town’s two grocery stores. B. A website affiliated with local health care professions is set up to provide information regarding the importance of being involved in health promotion for individuals and the community. C. Health care professionals will be available at the event to discuss and answer questions concerning the screenings and the vaccinations being offered. D. Response to the survey can be made in person, online, or returned in the provided self-addressed, stamped envelope. E. An information sheet with bullet points on the importance and safety of vaccinations will be included with each survey. F. Members of the community will be recruited to volunteer at the event; assist older adults as needed.
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