At a district board meeting, the community health nurse (CHN) requests funding for an after-school recreation program that promotes healthy, fun activities in an effort to decrease substance abuse. Which level of prevention does this exemplify?

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This is because the after-school recreation program aims to prevent substance abuse before it occurs by promoting healthy activities. This aligns with primary prevention, which focuses on preventing the onset of health issues. Secondary prevention (B) involves early detection and treatment, while tertiary prevention (C) focuses on managing and minimizing the impact of existing health issues. Choice D is incorrect as the program primarily falls under primary prevention only.

Correct Answer: C

Rationale: The correct answer is C: Check the most recent report on water quality in the community. This is the best action as it allows the CHN to gather factual information on the water quality before taking further steps. By reviewing the report, the CHN can determine if there are any concerning findings that may explain the unusual taste. Advocating or lobbying (Choice A) may be necessary later on, but it's important to first gather evidence. Consulting CPCHE (Choice B) may provide useful information, but checking the local water quality report is more direct. Calling the poison control centre (Choice D) is not necessary unless there is evidence of immediate harm, which is not indicated in the scenario.

Correct Answer: C

Rationale: The correct answer is C: Holistic thinking. This type of thinking involves considering the entire system or population as a whole, focusing on interconnections and relationships between different components. It looks at the big-picture perspective rather than individual parts. Collaborative thinking (A) involves working together with others, not necessarily focusing on the population as a whole. Upstream thinking (B) involves addressing root causes of issues before they occur, but it doesn't necessarily focus on the big-picture population perspective. Downstream thinking (D) focuses on addressing consequences or effects after they have occurred, rather than the broader population perspective. Therefore, holistic thinking best aligns with the macroscopic, big-picture population focus.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This is because the after-school recreation program aims to prevent substance abuse before it occurs by promoting healthy activities. This aligns with primary prevention, which focuses on preventing the onset of health issues. Secondary prevention (B) involves early detection and treatment, while tertiary prevention (C) focuses on managing and minimizing the impact of existing health issues. Choice D is incorrect as the program primarily falls under primary prevention only.

Correct Answer: B

Rationale: The correct answer is B: Informant interviews with local community members. This method is best because it directly involves the individuals within the community who have firsthand knowledge and experience regarding immigrant access to regional health care. They can provide valuable insights and perspectives that may not be captured through other methods. A: Interviews with employees of the local health board may provide some insights, but they may not have the same level of direct experience and perspective as community members. C: Interview with a legislator or local politician may offer a broader policy perspective, but may not capture the specific experiences of community members. D: Interview with a public health official may provide valuable information, but may not offer the same depth of insights as direct interactions with community members.