After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

Correct Answer: C

Rationale: The correct answer is C because chest indrawing and stridor indicate respiratory distress, which can be life-threatening. Giving the first dose of antibiotics and referring urgently ensures prompt assessment and appropriate management by a higher-level healthcare provider. Changing medication without proper assessment (choice A) can delay necessary treatment. Advising to continue antibiotics (choice B) overlooks the urgency of the situation. Observing the child at the center (choice D) is not sufficient for managing respiratory distress.

Correct Answer: A

Rationale: The correct answer is A because conversing with people where they are and participating in social activities promotes understanding and builds relationships. By engaging with the community in their environment, individuals can establish trust and create a sense of belonging. This approach allows for open communication, cultural exchange, and the opportunity to address shared challenges collaboratively. Choices B, C, and D are incorrect because bringing gifts to win acceptance may be perceived as insincere or bribery, engaging in household chores and cleaning the house can be seen as intrusive and presumptuous, and sponsoring a sports festival may not necessarily lead to meaningful interactions or deeper connections within the community.

Correct Answer: D

Rationale: The elements mentioned are key components of designing and initiating a community organizing effort. Choosing structure, recruiting members, defining mission, vision, and goals, and clarifying roles are essential in the initial stages of organizing a community. This stage sets the foundation for the entire process. Program maintenance-consolidation (A) occurs after the program has been established. Dissemination-Reassessment (B) involves spreading information and evaluating outcomes. Community Analysis/diagnosis (C) is the initial assessment of community needs, which precedes the design and initiation phase. Thus, the correct answer is D as it aligns with the early stages of community organizing.

Correct Answer: A

Rationale: The correct answer is A: Sustenance and strengthening phase. This phase focuses on empowering leaders and groups by providing training to enhance their abilities in managing programs. During this phase, they acquire the necessary knowledge, skills, and attitude needed for sustained success. In contrast, the other choices are incorrect. B: Pre-entry phase precedes the actual organizing process. C: Organizing-building phase focuses on mobilizing and organizing the community. D: Entry phase involves initiating contact and establishing relationships.

Correct Answer: A

Rationale: Certainly! The correct answer is A: Explain the purpose of the visit. This is important because it establishes clear communication between the healthcare provider and the patient/resident. By explaining the purpose first, it sets expectations and ensures the patient understands the reason for the follow-up visit. This step builds trust and allows for any questions or concerns to be addressed upfront. Summary of why the other choices are incorrect: B: Washing hands and performing necessary procedures should come after explaining the purpose of the visit. C: Conducting environmental surveillance is not typically the first step in a follow-up visit. D: Greeting the patient and introducing yourself is important but should follow after explaining the purpose of the visit.