Dunn believes that an individual's state of health should be evaluated in the context of the person's environment.This approach illustrates that:

A) An unhealthy physical environment, characterized by poor living conditions, always has a negative effect on an individual's health
B) Adequate income, food, and shelter create a healthful environment and always improve physical health status
C) Physical environment, family, and social support may help or hinder the health status of an individual
D) The environment that should always be assessed is the client's immediate surroundings; extended boundaries do not apply in an ill state

The home environment,community,family,friends,and support system all influence health status.The balance among these variables has a net positive or negative effect on a client's health status.The effect of poor living conditions may be offset by the presence of loving family and friends.Poverty does not always have a negative effect on health.Similarly,the presence of food,shelter,and clothing does not always convey protective health,as loneliness and hopelessness may counteract these positive influences.When examining the client's environment,extended boundaries must be considered,especially when providing community-based care.