The models of community practice and assumptions professionals have about communities shape the implementation of the Health Communities and Cities process. There is a "ladder of participation" that emphasizes the lower levels, which are:

1. Locality development as a process-oriented model
2. Social planning stressing rational outcomes
3. Concrete actions to change the balance of power
4. Therapy, information, and participation in which community practice and action is planned by professionals and experts in a top-down approach


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The lower levels emphasized in the "ladder of participation" are therapy, information, and par-ticipation in which community practice and action is planned by professionals and experts in a top-down approach.

Nursing

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A patient suffers from depression and states feelings of gloom and inability to perform the activities of daily living. The normal function of which neurotransmitter is most likely impaired?

A) Acetylcholine B) Epinephrine C) Insulin D) Serotonin

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When a patient has a suspected vestibular disorder, the physician orders an electronystagmogra-phy test. Which instruction should the nurse include when educating the patient about this test?

a. Use tea or coffee on the morning of test. b. Electrodes will be placed on the scalp. c. Air will be blown into the external ear. d. The patient should have nothing to eat or drink (NPO) 3 hours before the test.

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A college student comes into the local health clinic and states she has a sore throat she can't get rid of. She has been to the campus clinic twice for treatment and has been given antibiotics with no results

She complains of fatigue and headaches, along with her sore throat. Upon examination of her throat, she exhibits whitish to greenish-gray exudates. Her spleen is also slightly enlarged. a. What diagnostic tests should be run? b. What do you think she has? c. What treatment would be ordered? d. What type of teaching would you include?

Nursing

A patient was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, K+ is 3.7 mEq/L, and pH is 7.10. Which of the following interventions would you expect? (Select all that apply.)

a. NS 1.5 L IV fluid bolus b. Insulin infusion at 5 units/hr c. Sodium bicarbonate 50 mmol IV push d. Vasopressin 10 units IM every 3 hr e. Potassium 20 mEq/L of IV fluid

Nursing