DSSSB - 28 August 2019 (Shift-1)
Community Health Nursing
Easy

Which of the following is NOT a host factor according to the agent-host-environment model?

Appeared in: DSSSB - 28 August 2019 (Shift-1)

Explanation

  • The agent-host-environment model categorizes factors influencing disease into three groups: agent, host, and environment.
  • Host factors are intrinsic characteristics of the individual that affect their susceptibility to disease.
  • Environmental factors are extrinsic, or external, conditions that affect the agent and the opportunity for exposure.
  • Climate is a physical, external condition related to geography and weather, which places it in the environment category, not the host category.

Why Other Options Were Wrong

  • Option B: Lifestyle, which includes habits like diet, exercise, and smoking, is a personal behavior that directly influences an individual's health and susceptibility to disease. Therefore, it is a classic example of a host factor.
  • Option C: Age is a fundamental demographic characteristic of an individual. Susceptibility to many diseases changes significantly with age, making it a primary host factor.
  • Option D: Family history reflects an individual's genetic predisposition to certain conditions. Genetics are an intrinsic part of the host, making family history a key host factor.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The concept tested is the understanding of the agent-host-environment model (epidemiologic triad) and the ability to differentiate between host and environmental factors as background academic context rather than a clinical decision trigger.
  • Understanding the agent-host-environment model is fundamental for nurses, especially in public health and community health settings, to identify at-risk populations.
  • By analyzing all three factors, nurses can develop targeted interventions. For example, if a community has a high rate of a vector-borne disease (Agent), interventions might focus on environmental controls (e.g., reducing mosquito breeding sites) and host behaviors (e.g., using insect repellent).
  • What if? If a disease outbreak was due to a contaminated water source (Environment), the primary nursing intervention would shift from focusing on individual host factors to advocating for public health measures like water purification and sanitation improvements.
How to Approach the Question
  • First, identify the core concept of the question, which is the 'agent-host-environment model'.
  • Note the negative keyword 'NOT'. This means you are looking for the option that does not belong to the specified category.
  • Define 'host factor' in the context of the model. Host factors are characteristics inherent to the individual (the host).
  • Evaluate each option: 'Lifestyle', 'Age', and 'Family history' are all characteristics of the individual person.
  • Evaluate the remaining option: 'Climate' is an external condition, not a characteristic of the person. It belongs to the 'environment' category.
  • Conclude that 'Climate' is the correct answer because it is not a host factor.
Concept Tested & Keywords
  • Concept Tested: The concept tested is the understanding of the agent-host-environment model (epidemiologic triad) and the ability to differentiate between host and environmental factors.
  • Stem keywords: agent-host-environment model, host factor
  • Lead-in keywords: NOT
  • Negative lead-in flag: The question uses the negative lead-in 'NOT', requiring the identification of the option that does not fit the category of a 'host factor'.

Question ID

QDSPi4QoUVNqyA8rYlgPl3

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) pp. 28-30, 61-63

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 224-226

Practise the full DSSSB - 28 August 2019 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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