As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

Correct Answer: D

Rationale: The correct answer is D: Parasitism as a health threat. This diagnosis guides the Parish Health Team to take concrete action because parasitism poses a direct risk to the community's health. By identifying parasitism as a health threat, the team can prioritize interventions to prevent and control the spread of parasites, ensuring the well-being of the population. Choices A, B, and C are incorrect: A: Parasitism as a foreseeable crisis - This choice does not provide a clear direction for action and lacks a sense of urgency compared to a health threat. B: Malnutrition as a health deficit - While malnutrition is a significant issue, the question specifically mentions suspected parasitism as the focus of case findings activities. C: Parasitism as a health deficit - This choice does not emphasize the immediate danger posed by parasitism, unlike the concept of a health threat.

Correct Answer: C

Rationale: The correct answer is C: 0 infant mortality rate for the year 2011. This is the best indicator of health status because it reflects the number of infants who died before their first birthday, which is a critical measure of the overall health and well-being of a community. A low infant mortality rate signifies access to quality healthcare, nutrition, and sanitation. Rationale: 1. Infant mortality rate directly reflects the health outcomes for the most vulnerable population. 2. A 0 infant mortality rate suggests effective healthcare interventions and a healthy environment for infants. 3. Crude death rate (A) doesn't specifically focus on infants and may not capture the overall health status. 4. Swaroop's index (B) is a measure of life expectancy and doesn't solely indicate health status. 5. Crude birth rate (D) is a measure of population growth and doesn't directly reflect health outcomes. Summary: Infant mortality rate is the best indicator as it directly reflects the health status

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Allowing the people to exercise decision-making is the best way to motivate participation in community health development programs. This approach promotes ownership and empowerment among the community members, leading to higher engagement and commitment. By involving them in decision-making, they feel valued and are more likely to actively contribute to the program's success. Summary of Incorrect Choices: A (Conducting group works): While group work can foster collaboration, it may not necessarily motivate participation as effectively as allowing decision-making. B (Instructing the people to agree with your plans): This approach lacks autonomy and may lead to resistance or lack of genuine engagement from the community members. D (Assigning people participative roles): Assigning roles can be beneficial, but true motivation comes from allowing individuals to have a say in decision-making processes.

Correct Answer: C

Rationale: The correct answer is C: Form partnerships with people in the community. As a community health nurse, forming partnerships is essential for community empowerment as it involves collaboration, sharing of resources, and building trust. This approach ensures that the community members are actively involved in decision-making processes, leading to sustainable improvements in health outcomes. Gathering data (A) is important, but forming partnerships is crucial for effective collaboration. Making decisions for people (B) goes against empowerment principles as it disempowers the community. Accepting responsibility for people's actions (D) is not the role of a nurse in community empowerment, as it focuses on supporting individuals to take responsibility for their own health.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates a comprehensive approach to community competency. Identifying needs shows awareness, achieving consensus promotes unity, and planning and implementing goals indicate organizational skills. B is incorrect as it lacks community involvement. C is incorrect as it focuses on a specific research method rather than overall competencies. D is incorrect as it pertains to forecasting health outcomes rather than community effectiveness. Therefore, A is the most appropriate choice for showcasing the ability to effectively address community needs.