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Nursing questions
Written assignmentCommunity health assessment

Functional Health Perceptions and Management

Every bullet needs data or a stated reason for deferring it. That second option is the instruction that makes this finishable, and using it well is a skill in itself.

Editorial process

Last reviewed · August 23, 2026

01

Rationale for deferral is an answer, not a gap

The instruction that makes this assignment finishable is the phrase or rationale for deferral. Some bullets cannot be answered for some communities: a school community has no birth rate, a workplace has no immunisation programme, and a rural county has no crossing guards. The template does not want those left blank and it does not want them guessed at; it wants a stated reason why the item does not apply or could not be obtained. Written well, a deferral is a small piece of assessment reasoning, and marking it as such is what separates a completed template from an abandoned one. Define your community first, and define it narrowly, because the whole template is answerable only against a bounded population with a boundary you can state. A community defined as the city is not answerable; a community defined as one elementary school, one workplace or one census tract is. Make that choice before collecting anything.

The second thing to plan is where the data comes from, because eleven patterns is a lot of sourcing and the template names some of it for you. Census data covers educational level and language; county health departments publish immunisation and communicable disease rates; law enforcement agencies publish crime data; and several bullets, including the ones about bathrooms, noise, waste and the evidence of healthy or unhealthy food consumption, are explicitly observational and expect a windshield or walking survey rather than a citation. Distinguish those two kinds of evidence as you go, because an observation reported as a statistic is a small dishonesty and a statistic offered where an observation was asked for misses what the pattern was probing. Where the template asks you to compare with a credible figure, do the comparison rather than reporting the local number alone. Where the template names a source, use that source; it has already done the sourcing decision for you.

Likely learning objectives

  • Define a community boundary tight enough to make the template answerable.
  • Write a defensible rationale for deferral where a bullet does not apply.
  • Distinguish observational data from published statistics.
  • Perform the comparisons the template requests rather than reporting local figures alone.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

Functional Health Pattern (FHP) Template Directions: This FHP template is to be used for organizing community assessment data in preparation for completion of your collaborative learning community (CLC) assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community. Value/Belief Pattern · Predominant ethnic and cultural groups along with beliefs related to health. · Predominant spiritual beliefs in the community that may influence health. · Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.). · Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)? · What does the community value? How is this evident? · On what do the community members spend their money? Are funds adequate? Health Perception/Management · Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state). · Immunization rates (age appropriate). · Appropriate death rates and causes, if applicable. · Prevention programs (dental, fire, fitness, safety, etc.): Does the community think these are sufficient? · Available health professionals, health resources within the community, and usage. · Common referrals to outside agencies. Functional Health Perceptions and Management Nutrition/Metabolic · Indicators of nutrient deficiencies. · Obesity rates or percentages: Compare to CDC statistics. · Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.). · Availability of water (e.g., number and quality of drinking fountains). · Fast food and junk food accessibility (vending machines). · Evidence of healthy food consumption or unhealthy food consumption (trash, long lines, observations, etc.). · Provisions for special diets, if applicable. · For schools (in addition to above): · Nutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence) · Amount of free or reduced lunch Elimination (Environmental Health Concerns) · Common air contaminants’ impact on the community. · Noise. · Waste disposal. · Pest control: Is the community notified of pesticides usage? · Hygiene practices (laundry services, hand washing, etc.). · Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, if possible. · Universal precaution practices of health providers, teachers, members (if applicable). · Temperature controls (e.g., within buildings, outside shade structures). · Safety (committee, security guards, crossing guards, badges, locked campuses). Activity/Exercise · Community fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.). · Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts, pools, etc.). · Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc.). · Injury statistics or most common injuries. · Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer). · Means of transportation. Functional Health Perceptions and Management Sleep/Rest · Sleep routines/hours of your community: Compare with sleep hour standards (from National Institutes of Health [NIH]). · Indicators of general “restedness” and energy levels. · Factors affecting sleep: · Shift work prevalence of community members · Environment (noise, lights, crowding, etc.) · Consumption of caffeine, nicotine, alcohol, and drugs · Homework/Extracurricular activities · Health issues Cognitive/Perceptual · Primary language: Is this a communication barrier? · Educational levels: For geopolitical communities, use http://www.census.gov and compare the city in which your community belongs with the national statistics. · Opportunities/Programs: · Educational offerings (in-services, continuing education, GED, etc.) · Educational mandates (yearly in-services, continuing education, English learners, etc.) · Special education programs (e.g., learning disabled, emotionally disabled, physically disabled, and gifted) · Library or computer/Internet resources and usage. · Funding resources (tuition reimbursement, scholarships, etc.). Self-Perception/Self-Concept · Age levels. · Programs and activities related to community building (strengthening the community). · Community history. · Pride indicators: Self-esteem or caring behaviors. · Published description (pamphlets, Web sites, etc.). Functional Health Patterns Community Assessment Role/Relationship · Interaction of community members (e.g., friendliness, openness, bullying, prejudices, etc.). · Vulnerable populations: · Why are they vulnerable? · How does this impact health? · Power groups (church council, student council, administration, PTA, and gangs): · How do they hold power? · Positive or negative influence on community? · Harassment policies/discrimination policies. · Relationship with broader community: · Police · Fire/EMS (response time) · Other (food drives, blood drives, missions, etc.) Sexuality/Reproductive · Relationships and behavior among community members. · Educational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.). · Access to birth control. · Birth rates, abortions, and miscarriages (if applicable). · Access to maternal child health programs and services (crisis pregnancy center, support groups, prenatal care, maternity leave, etc.). Coping/Stress · Delinquency/violence issues. · Crime issues/indicators. · Poverty issues/indicators. · CPS or APS abuse referrals: Compare with previous years. · Drug abuse rates, alcohol use, and abuse: Compare with previous years. · Stressors. · Stress management resources (e.g., hotlines, support groups, etc.). · Prevalent mental health issues/concerns: · How does the community deal with mental health issues · Mental health professionals within community and usage · Disaster planning: · Past disasters · Drills (what, how often) · Planning committee (members, roles) · Policies · Crisis intervention plan PAGE

02

What the FHP template requires

  1. 01Every bulleted statement in each section addressed with data or a rationale for deferral.
  2. 02All eleven functional health pattern sections completed.
  3. 03Additional bullet points where applicable to your community.
  4. 04Comparisons against credible statistics where the template requests them.
03

Working eleven patterns without repeating yourself

01

Defining the community

State the boundary, population and the reason for choosing it.

What the assessor is likely looking for

A boundary precise enough to make bullets answerable.

02

Values, beliefs and health perception

Cover cultural and spiritual patterns and the community's own health priorities.

What the assessor is likely looking for

Evidence for what the community values, not an assumption.

03

Nutrition, elimination and environment

Address food access, environmental hazards and sanitation with mixed evidence.

What the assessor is likely looking for

Observational and published evidence distinguished.

04

Activity, sleep and cognition

Cover recreation, rest patterns, language and educational level.

What the assessor is likely looking for

Census and comparison data used where specified.

05

Self-perception, roles and sexuality

Address community identity, power structures, vulnerable groups and reproductive services.

What the assessor is likely looking for

Vulnerability analysed rather than listed.

06

Coping and stress tolerance

Cover crime, poverty, substance use, mental health resources and disaster planning.

What the assessor is likely looking for

Trends compared with previous years where the template asks.

07

Deferrals, collected

Ensure every deferred bullet carries a stated reason.

What the assessor is likely looking for

Deferrals reasoned rather than blank.

04

Where community data actually lives

Recommended databases

  • U.S. Census Bureau
  • County health department
  • Community Tool Box
  • NCBI Bookshelf

Search sequence

  1. 1.Fix the community boundary before collecting anything.
  2. 2.Read the windshield survey guidance for the observational bullets.
  3. 3.Locate your county's health data portal for the comparison figures.
  4. 4.Use census data for the education, language and income bullets.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

COMMUNITY ASSESSMENT

Nursing: Mental Health and Community Concepts, via NCBI Bookshelf · 2024

Review before citing

Community assessment, for the structure and purpose of a pattern-based survey.

Windshield and Walking Surveys

Community Tool Box, University of Kansas · 2024

Review before citing

Windshield and walking surveys, for the observational bullets.

Social Determinants of Health

Office of Disease Prevention and Health Promotion · 2025

Review before citing

Social determinants, for interpreting rather than merely reporting the patterns.

Health Disparities

MedlinePlus, National Library of Medicine · 2024

Review before citing

Health disparities, for the vulnerable populations bullet under role and relationship.

Healthy diet

World Health Organization · 2024

Review before citing

Dietary standards, for the comparison the nutrition pattern requests.

06

Before you submit the template

Common mistakes

  • Leaving inapplicable bullets blank instead of recording a deferral.
  • Defining the community so broadly that no bullet can be answered precisely.
  • Reporting observations as though they were statistics.
  • Giving a local figure without the requested comparison.
  • Repeating the same data across several patterns rather than distinguishing them.

Submission checklist

  • Is your community boundary stated explicitly?
  • Does every bullet carry either data or a reason for deferral?
  • Are observational findings labelled as observations?
  • Have you made the comparisons the template asks for?
  • Have you avoided reusing the same evidence across patterns?

Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.

Written by

Maren Caldwell

MSN, RN, CNE

Medical-surgical nursing, pharmacology and NCLEX preparation

Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by

Dr. Tessa Redmond

DNP, RN, CNE

Evidence-based practice and clinical education

Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.

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