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Which of the following demonstrates the final phase of application of the community health nursing process?
- A. Presenting feedback about a 6-week fitness class
- B. Determining the needs of the community
- C. Developing a 6-week wellness program
- D. Supervising a fitness class at the local YWCA or YMCA
Correct Answer: A
Rationale: The correct answer is A: Presenting feedback about a 6-week fitness class. This demonstrates the final phase of the community health nursing process, which involves evaluating the outcomes of implemented interventions. By presenting feedback, the nurse is assessing the effectiveness of the fitness class in improving community health.
Choice B, determining the needs of the community, is part of the assessment phase, not the final phase. Choice C, developing a wellness program, is part of the planning phase. Choice D, supervising a fitness class, is part of the implementation phase. Thus, only choice A aligns with the final phase of the community health nursing process.
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What community health nursing action would best ensure long-term positive health outcomes in pregnant adolescents from low-income groups and their children?
- A. Help adolescent mothers learn about body changes during pregnancy.
- B. Develop programs that enable adolescent mothers to complete their education.
- C. Offer courses in proper care of babies.
- D. Monitor pregnant adolescents for early detection of problems in pregnancy.
Correct Answer: B
Rationale: The correct answer is B because completing education can empower adolescent mothers to secure better job opportunities, higher income, and improved living conditions, leading to long-term positive health outcomes for themselves and their children. This choice addresses the root causes of health disparities in low-income groups by promoting education as a key factor in breaking the cycle of poverty and improving overall well-being.
A: Learning about body changes during pregnancy is important but does not address the broader social determinants of health that impact long-term outcomes.
C: Offering courses in proper baby care is beneficial but does not address the underlying issues of education and socioeconomic status.
D: Monitoring for pregnancy problems is crucial for immediate health concerns but does not address the long-term health and well-being of the adolescent mothers and their children.
What is the best intervention a community health nurse (CHN) can initiate to increase lasting resilience among new immigrants?
- A. Directing clients to English-as-a-second-language courses
- B. Giving immigrant clients money to help them get settled
- C. Identifying areas in the city where housing is less expensive
- D. Soliciting donations for food, clothing, and other needs
Correct Answer: A
Rationale: The correct answer is A because directing clients to English-as-a-second-language courses helps immigrants improve language proficiency, which is crucial for social integration, access to resources, and employment opportunities. Learning English enhances communication skills, self-confidence, and cultural adaptation. This intervention promotes independence and empowerment, fostering lasting resilience.
Incorrect choices:
B: Giving money may provide temporary relief but doesn't address long-term resilience.
C: Identifying cheaper housing doesn't directly enhance resilience without addressing other social determinants.
D: Soliciting donations may meet immediate needs but doesn't build lasting resilience without addressing skill development.
Which public health service best represents primary prevention?
- A. Developing a health education program about the dangers of smoking
- B. Providing a diabetes clinic for adults in low-income neighbourhoods
- C. Providing an influenza vaccination program in a community retirement village
- D. Teaching school-aged children about the positive effects of exercise
Correct Answer: A
Rationale: The correct answer is A because developing a health education program about the dangers of smoking is an example of primary prevention, which aims to prevent the occurrence of a disease or injury before it occurs. This intervention targets the root cause of the health issue by educating individuals on the harmful effects of smoking and promoting healthy behaviors to reduce the risk of developing smoking-related diseases. Choices B, C, and D represent secondary or tertiary prevention strategies as they focus on providing care or interventions after the disease has already developed or to prevent complications.
Epidemiology would be a primary tool used by the nurse scientist for researching which topic?
- A. Experiences of cancer care services
- B. Contributing factors to childhood obesity
- C. Morbidity statistics
- D. Social characteristics and traits of healthy older persons
Correct Answer: B
Rationale: The correct answer is B: Contributing factors to childhood obesity. Epidemiology is the study of the distribution and determinants of health-related states or events in a population. Childhood obesity is a significant public health issue, and studying contributing factors through epidemiology can help in prevention and intervention strategies. Choices A, C, and D are incorrect because while epidemiology can be applied to those topics, the primary focus of a nurse scientist would be on researching contributing factors to childhood obesity due to its relevance and impact on public health.
Which public health service best represents primary prevention?
- A. Administering the influenza vaccine to a group of seniors
- B. Initiating an infant car seat safety screening program for parents in low-income housing
- C. Starting a rehabilitation clinic for middle-aged adults who reside in low-income housing
- D. Setting up a blood pressure screening clinic at the local mall
Correct Answer: B
Rationale: The correct answer is B because initiating an infant car seat safety screening program for parents in low-income housing best represents primary prevention. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. In this case, educating parents on proper car seat safety practices helps prevent injuries to infants in the first place. Administering the influenza vaccine (A) is an example of secondary prevention as it aims to detect and treat existing conditions. Starting a rehabilitation clinic (C) and setting up a blood pressure screening clinic (D) are also examples of secondary prevention as they focus on managing existing health conditions rather than preventing them.