A community health nurse who lobbies for the local transit system to add additional bus routes between a low-income neighborhood and the local clinic is demonstrating which type of leadership behavior?

Correct Answer: C

Rationale: The correct answer is C: Policy engagement. By advocating for additional bus routes between a low-income neighborhood and the local clinic, the nurse is engaging in policy advocacy to address a systemic issue affecting access to healthcare. This action goes beyond individual client advocacy (B) as it aims to create broader change through policy. While education and mentorship (A) are important aspects of nursing practice, they do not directly address the transportation barrier in this scenario. Practice advocacy (D) is more focused on advocating for improvements within the healthcare system itself, rather than addressing external barriers like transportation.

Correct Answer: B

Rationale: The correct answer is B because clients with a history of opioid use disorder and lack of insurance are at high risk for having symptoms related to both mental illness and substance use disorders. The nurse should recognize this and provide holistic care addressing both physical and mental health needs. This approach acknowledges the complex interplay between mental health and substance use, leading to more effective and comprehensive care. Choice A is incorrect because treating these clients the same as others may overlook their unique needs and risks. Choice C is incorrect as it neglects the mental health aspect of care, which is crucial for clients with substance use disorders. Choice D is incorrect as discouraging harm reduction approaches can hinder the clients' progress in managing their opioid use disorder.

Correct Answer: D

Rationale: Abused women often present with vague or nonspecific complaints (e.g., headaches, fatigue) rather than directly reporting abuse, due to fear or shame. The other statements are incorrect: abuse is often recurrent, prevalence is higher than 2%, and alcohol is a risk factor but not the majority cause.

Correct Answer: B

Rationale: The U.S. Standard Report of Fetal Death requires cause of death, fetal weight, and prenatal care details, but autopsy results are not mandatory as autopsies are not always performed.

Correct Answer: A

Rationale: The 1969 International Health Regulations listed cholera, plague, yellow fever, and smallpox as reportable; hepatitis B was not included, though it is reportable under modern national guidelines.