A nurse has volunteered to go on a health mission to rural Haiti, where the majority of the people do not have access to health care and live in poverty. The nurse will be working with clients who are at which level of wellness?

Question

1. Emergent high-level wellness in an unfavorable environment
2. Protected poor health in a favorable environment
3. Poor health in an unfavorable environment
4. Protected poor health in an unfavorable environment

Answer 1

3. Poor health in an unfavorable environment

Rationale:
The health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and below standard sanitation. Emergent high-level wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices, but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the health care system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunn's quadrants.