After surviving a house fire, a 5-year-old begins sucking their thumb and wetting their bed. What would be the best community health nurse (CHN) intervention?

Correct Answer: B

Rationale: The correct answer is B because reassurance to the family that the child's behaviors are normal reactions to trauma is crucial. This approach validates the child's feelings and provides support. Choice A is incorrect as it may shame the child for their coping mechanisms. Choice C is unnecessary and may not be indicated unless the child's mental health is severely impacted. Choice D is premature as it suggests a specific treatment without first addressing the underlying emotional needs of the child.

Correct Answer: B

Rationale: The correct answer is B because completing education can empower adolescent mothers to secure better job opportunities, higher income, and improved living conditions, leading to long-term positive health outcomes for themselves and their children. This choice addresses the root causes of health disparities in low-income groups by promoting education as a key factor in breaking the cycle of poverty and improving overall well-being. A: Learning about body changes during pregnancy is important but does not address the broader social determinants of health that impact long-term outcomes. C: Offering courses in proper baby care is beneficial but does not address the underlying issues of education and socioeconomic status. D: Monitoring for pregnancy problems is crucial for immediate health concerns but does not address the long-term health and well-being of the adolescent mothers and their children.

Correct Answer: A

Rationale: The correct answer is A because developing a health education program about the dangers of smoking is an example of primary prevention, which aims to prevent the occurrence of a disease or injury before it occurs. This intervention targets the root cause of the health issue by educating individuals on the harmful effects of smoking and promoting healthy behaviors to reduce the risk of developing smoking-related diseases. Choices B, C, and D represent secondary or tertiary prevention strategies as they focus on providing care or interventions after the disease has already developed or to prevent complications.

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: "Which community groups are at greatest risk for problems?" This question is most relevant for a community health nurse (CHN) as it aligns with the primary focus of community health nursing, which is to identify and address health needs within the community. By understanding which community groups are at greatest risk, the nurse can prioritize interventions and allocate resources effectively. Rationale: 1. A focuses on population health, which is a core component of community health nursing. 2. Identifying high-risk groups allows for targeted interventions and preventive measures. 3. Understanding community needs is essential for developing culturally appropriate and effective health programs. Summary: B, C, and D are incorrect because they focus on individual patients, specific collaborations, and referral processes rather than the broader community health perspective that is crucial for a community health nurse.