The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply
A) A community can be a contributor to a child's health or be the cause of his or her illnesses.
B) The child's health should be separated from the health of the surrounding community.
C) Community support and resources are necessary for children with significant problems.
D) Poverty has not been linked to an increase in health problems in communities.
E) The breakdown of community and family support systems can lead to depression and violence.
F) Ideally, the child's medical home is located outside the community.
Ans: A, C, E
A community can be a contributor to a child's health or be the cause of his or her illnesses. Community support and resources are necessary for children with significant problems since a close working relationship between the child's physician and community agencies is an enormous benefit to the child. Children from communities suffering the large-scale breakdown of family relationships and loss of support systems will be at increased risk for depression, violence and abuse, substance abuse, and HIV infection. The child's health cannot be totally separated from the health of the surrounding community. Poverty has been linked to low birthweight and premature birth, among other health problems. Ideally the child's medical home is within the family's community to reduce barriers such as lack of transportation, expense of travel, and time away from the parents' workplace.
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