A client at a community health outpost who describes a culturally safe encounter describes which community health nursing practices?

Correct Answer: A

Rationale: The correct answer is A: Recognizing and respecting cultural identity. This is because cultural safety in nursing involves acknowledging and valuing a person's cultural beliefs, practices, and identity. By recognizing and respecting cultural identity, the nurse creates an environment where the client feels accepted and understood. B: Mirroring and matching of cultural behaviors may not always be appropriate as it can lead to stereotyping and assumptions. C: Seeking similarities and commonalities is important, but it does not necessarily ensure cultural safety as it may overlook the uniqueness of an individual's cultural background. D: Supporting the adoption of dominant cultural behaviors may not be culturally safe as it can marginalize or suppress the client's own cultural identity.

Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a health issue before it happens. In this case, educating a group about community services aligns with primary prevention by providing information to potentially avoid future health problems. This action focuses on promoting health and well-being in the community before any specific health issues arise. Advocating for a client, collaborating between healthcare personnel, and resolving conflicts between healthcare facilities are important tasks but do not directly address preventing health issues before they occur.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B (Interactional theory) is correct: 1. Interactional theory focuses on how family members interact and communicate with each other. 2. It emphasizes the importance of relationships, communication patterns, and role expectations within the family. 3. This theory is best suited to understand how a child's chronic illness can impact family dynamics. 4. It helps in exploring how family members adapt and respond to changes in roles and relationships. 5. Unlike the other theories, Interactional theory directly addresses the impact of communication patterns and relationships on family dynamics. Summary of why other choices are incorrect: A: Developmental theory focuses on stages of family development, not specifically on communication patterns and relationships. C: Structure-function theory looks at the functions of family structures, not the impact of chronic illness on communication and relationships. D: Systems theory considers the family as a system with interrelated parts, but it does not specifically highlight communication patterns and relationships as central to understanding family dynamics in the context

Correct Answer: D

Rationale: The correct answer is D because evaluating the number of clients presenting with similar diseases falls under the role of nurse epidemiologist, who focuses on tracking and analyzing patterns of disease occurrence in populations. This involves collecting and interpreting data to identify potential outbreaks and risk factors. A, B, and C are incorrect because: A: Eliciting health history and performing physical assessments are typically part of the direct patient care provided by a community health nurse. B: Performing physical assessments is part of assessing individual client needs rather than population-level disease patterns. C: Providing treatment and health education are essential components of nursing care but do not specifically align with the role of nurse epidemiologist in analyzing disease patterns in populations.

Correct Answer: B

Rationale: The correct answer is B: The group's leadership. Effective leadership is crucial in guiding and motivating a group towards achieving its goals. Leaders provide direction, support, and organization which directly impacts the effectiveness of a group's work. General knowledge (A) is important but leadership is needed to harness and utilize this knowledge effectively. Group diversity (C) can enhance creativity but leadership is essential to manage and leverage diversity. Group health behaviors (D) are important but not as influential as leadership in determining the overall effectiveness of a group's work.

Correct Answer: A

Rationale: The correct answer is A: Nova Scotia. Nova Scotia was the first province in Canada to establish a public health nursing service in 1908. This initiative was led by Jessie Ross, a pioneering public health nurse. Nova Scotia's early recognition of the importance of public health nursing laid the foundation for other provinces to follow suit. Summary: B: Ontario - Ontario established a public health nursing service in 1921, after Nova Scotia. C: British Columbia - British Columbia established a public health nursing service in 1919, after Nova Scotia. D: Manitoba - Manitoba established a public health nursing service in 1919, after Nova Scotia.

Correct Answer: D

Rationale: The correct answer is D: Performing. At this stage, the group is focused on task accomplishment and has established good working relationships. The other choices are incorrect because: A: Forming is the initial stage where members get to know each other. B: Storming is characterized by conflict and resistance to the group's task. C: Norming is when cohesion and unity begin to develop, but the focus is not solely on task accomplishment.

Correct Answer: B

Rationale: The correct answer is B: Kathleen Russell. Russell was instrumental in establishing the first integrated basic nursing degree program in Canada. She played a crucial role in advocating for higher education standards in nursing. Florence Nightingale is known for her work in nursing reform and sanitation practices, but not specifically for establishing nursing degree programs in Canada. Edna Moore and Lillian Wald were significant figures in nursing history, but they did not have direct involvement in establishing the first integrated basic nursing degree program in Canada.

Correct Answer: A

Rationale: The correct answer is A: Health is an outcome. In the Ottawa Charter on Health Promotion, the focus is on health as an outcome of various determinants such as social, economic, and environmental factors, not just the absence of illness. This definition emphasizes that health is a result of individual and collective efforts to promote well-being. Choice B is incorrect because the Ottawa Charter emphasizes the importance of maintaining and promoting health, not prioritizing enjoyment over health. Choice C is incorrect as it does not fully capture the complexity of health as an outcome influenced by various factors beyond daily activities. Choice D is incorrect as health is not solely about maintaining a stable environment but rather a holistic outcome of multiple determinants.