A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants. Who would be the best person to select as a key informant about this community's needs?

Correct Answer: B

Rationale: The correct answer is B: A Vietnamese community leader. This individual is the best choice as a key informant because they have firsthand knowledge and understanding of the needs, preferences, and challenges faced by Vietnamese immigrants in the district. They can provide valuable insights into the cultural nuances, barriers to accessing health care services, and specific needs of the community. The hospital administrator may have general knowledge but lacks specific insights into the Vietnamese immigrant community. The national expert on cultural competency may have theoretical knowledge but may not understand the local context. The government official may have a broader perspective but lacks the community-specific knowledge necessary for this program.

Correct Answer: A

Rationale: The correct answer is A: Adult daycare services. This option allows the older person to receive care and supervision during the day while her family members are at work, ensuring her safety and well-being. It also allows her to continue living with her family, promoting social interaction and community involvement. Summary of other choices: B: Home health care may not be suitable as it may not provide adequate supervision and social interaction during the day. C: Long-term care is not necessary if the older person can continue living with her family. D: Elder centres may not provide the necessary supervision and care during the day when the family members are at work.

Correct Answer: C

Rationale: The correct answer is C: Painless, firm scrotal mass or swelling. This is the most common symptom of testicular cancer because it often presents as a painless lump or swelling in the testicle. Other choices are incorrect because low back pain (A) is not a common symptom of testicular cancer, fatigue (B) is a non-specific symptom that can occur in many conditions, and mild to moderate pressure to the scrotum (D) is not a typical symptom of testicular cancer.

Correct Answer: A

Rationale: The correct answer is A: Family as the client. In traditional CHN practice, the focus was on individual care with little regard for the family as a unit of care. By viewing the family as the client, CHNs can address the health needs of the entire family, recognizing that the family unit itself plays a significant role in individual health outcomes. This approach allows for a more holistic and comprehensive understanding of health within the family context. Choices B, C, and D are incorrect because they do not accurately represent the traditional conceptualization of the family in CHN practice.

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.