The Intervention Wheel includes which levels of practice?

• A. Individual, Family, Community
• B. Primary, Secondary, Tertiary
• C. Medical, Surgical, Public Health
• D. Local, State, National

Answer: (A)

The Intervention Wheel organizes public health nursing practice by who you are serving. It targets interventions at individuals, families, and communities, with a broader systems level sometimes included as well. The option listing Individual, Family, and Community matches these levels of practice directly, reflecting how interventions are planned and delivered based on the client or audience being addressed. (Note that many presentations of the wheel also include a fourth level—systems—covering organizational and policy-level work, but the core practice levels described in the wheel are those first three.) The other options point to prevention levels, types of health care delivery, or jurisdictional scales, which are not the practice levels of the wheel.