A chemical company executive asks a new public health department employee about obtaining a permit to build a new factory. Which employee statement would be the biggest cause for concern?

Correct Answer: A

Rationale: The correct answer is A because it provides inaccurate information regarding the permit requirement based on the number of employees. This statement shows a lack of understanding of environmental regulations. Employing fewer than 20 employees does not automatically exempt a facility from obtaining a permit for environmental compliance. Choice B is incorrect because it accurately describes the purpose of permitting in pollution control. Choice C is incorrect as it simply explains the standard process for obtaining a permit, which is not a cause for concern. Choice D is also incorrect as it outlines a standard requirement for submitting an application, which is necessary for obtaining a permit.

Correct Answer: D

Rationale: The correct answer is D: Health values. Health values are the most important predictor of health because they encompass an individual's attitudes, beliefs, and priorities related to health. Individuals who place a high value on their health are more likely to engage in behaviors that promote wellness and seek necessary healthcare. This intrinsic motivation plays a crucial role in determining health outcomes. Biological risk (A) focuses on genetic predispositions and physical health conditions, which are important but not as predictive as health values. Economic risk (B) and life-event risk (C) can certainly impact health outcomes, but they are external factors that may not always directly correlate with an individual's health status. Ultimately, it is the personal health values and choices that have the most significant influence on one's health.

Correct Answer: C

Rationale: Rationale: The correct answer is C: Host. Antibiotics disrupt the normal vaginal flora, creating an environment conducive to yeast overgrowth. The host's susceptibility to infection due to altered microbiota is the primary factor in developing vaginal fungal infections. The agent (yeast) and the environment (vaginal environment) play secondary roles. Choice A is incorrect because the yeast is the agent causing the infection, but it is the host's response that determines infection development. Choice B is incorrect because the vaginal environment is affected by antibiotics, but it is the host's response that leads to infection. Choice D is incorrect because while both agent and host are involved, it is the host's susceptibility that is the key factor.

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.

Correct Answer: A

Rationale: The correct answer is A: "Which community groups are at greatest risk for problems?" This question is most relevant for a community health nurse (CHN) as it aligns with the primary focus of community health nursing, which is to identify and address health needs within the community. By understanding which community groups are at greatest risk, the nurse can prioritize interventions and allocate resources effectively. Rationale: 1. A focuses on population health, which is a core component of community health nursing. 2. Identifying high-risk groups allows for targeted interventions and preventive measures. 3. Understanding community needs is essential for developing culturally appropriate and effective health programs. Summary: B, C, and D are incorrect because they focus on individual patients, specific collaborations, and referral processes rather than the broader community health perspective that is crucial for a community health nurse.