A community health nurse is teaching a group of recent graduates about the large variety of factors that influence an individual's health or lack thereof

Question

The nurse is referring to the Healthy People 2020 report from the U.S. Department of Health and Human Services as a teaching example. Of the following aspects discussed, which would be considered a determinant of health that is outside the focus of this report?
A)
The client has a diverse background by being of Asian and Native American descent and practices various alternative therapies to minimize effects of stress.
B)
The client has a family history of cardiovascular disease related to hypercholesterolemia and remains noncompliant with the treatment regime.
C)
The client has a good career with exceptional preventative health care benefits.
D)
The client lives in an affluent, clean, suburban community with access to many health care facilities.

Answer 1

Ans:
B

Feedback:

In Healthy People 2020, the focus is to promote good health to all (such as using alternative therapies to minimize effects of stress); achieving health equity and promoting health for all (which includes having good health care benefits); and promoting good health (which includes living in a clean community with good access to health care). A client's noncompliance with treatments to control high cholesterol levels within the presence of a family history of CV disease does not meet the "attaining lives free of preventable disease and premature death" determinant.