A nurse assesses a client’s health literacy prior to providing education. The client is able to use interactive websites, identify multiple resources to gather health information, and assist others in health decisionmaking. Which health literacy level describes the client’s skills?

Correct Answer: B

Rationale: The correct answer is B: Interactive health literacy. This level of health literacy involves the ability to extract information from various sources, including interactive websites, and utilize it for decision-making. The client's skills of identifying resources and assisting others in health decision-making align with interactive health literacy. Choice A (Functional health literacy) typically refers to basic reading and writing skills related to health information. Choice C (Critical health literacy) involves analyzing and evaluating health information critically, which goes beyond the client's described skills. Choice D (Organizational health literacy) pertains to understanding the healthcare system and navigating services, which is not directly reflected in the client's abilities.

Correct Answer: C

Rationale: The correct answer is C because instructing the client on self-administration of insulin involves physical movement and coordination, which falls under the psychomotor domain of learning. This action focuses on teaching the client how to perform a specific skill related to their diabetes management. A is incorrect because providing reinforcement relates more to the affective domain, focusing on motivation and attitudes. B is incorrect as it pertains to the cognitive domain, involving understanding the relationship between concepts. D is also incorrect as discussing symptoms is more related to the cognitive domain, focusing on knowledge acquisition.

Correct Answer: B

Rationale: The correct answer is B: Strengthen community engagement. During the continuously improve the community phase of MAPP framework, the nurse will focus on enhancing community involvement and participation in health initiatives. This is crucial for sustainable improvements in community health outcomes. Strengthening community engagement involves building relationships, fostering collaboration, and empowering community members to take ownership of their health. Choice A: Completing partner profiles may be important for resource identification but does not directly relate to improving community health in this phase. Choice C: Performing Community Partners Assessment is more related to the organizing phase of MAPP framework. Choice D: Establishing Community Health Improvement leadership is essential but not specifically mentioned in the continuously improve the community phase.

Correct Answer: B

Rationale: The correct answer is B: Long distances to health care facilities. In rural areas, access to health care facilities can be limited due to long distances, leading to delays in seeking care. This barrier is significant because it can result in difficulties accessing timely medical services, impacting health outcomes. Lack of insurance coverage (A) is a barrier, but not specific to rural areas. Low prevalence of chronic diseases (C) is irrelevant to access barriers. Availability of trained health professionals (D) is important, but not the most common barrier in rural areas.

Correct Answer: B

Rationale: The correct answer is B: To identify the most pressing health issues in the community. The primary goal of a needs assessment in community health is to understand the specific health needs of the community to effectively allocate resources and address key health issues. By identifying the most pressing health issues, stakeholders can prioritize interventions and programs to improve the overall health of the community. Evaluating the success of existing programs (A) is important but not the primary goal of a needs assessment. Developing a budget (C) comes after identifying needs. Measuring the availability of health care providers (D) is relevant but not the primary focus of a needs assessment.