Before this time, public health nurses (PHNs) had been working in specialized areas of nursing, such

Correct Answer: A

Rationale: The correct answer is A because it accurately describes the transition of public health nurses (PHNs) from working in specialized areas to becoming generalists. PHNs did not provide bedside nursing care in the home like community health nurses or visiting nurses. Therefore, choice A reflects this shift in responsibilities for PHNs. Choice B is incorrect because it provides unrelated information about cognitive level and safe and effective care environment, which is not relevant to the question. Choices C and D are blank, so they do not contribute any information or rationale to address the question.

Correct Answer: A

Rationale: The correct answer is A because the question is asking about the most rapidly growing area of home care. By choosing option A, "Safe and Effective Care Environment," it indicates a focus on providing quality care in a safe setting at home, which aligns with the increasing trend of individuals preferring home-based care services. Other choices lack specificity or relevance to the growth of home care, making them incorrect.

Correct Answer: B

Rationale: The correct answer is B: Ontario. The rationale for this is that Ontario was the first province in Canada to establish a public health nursing service in 1882. The Ontario government recognized the importance of public health and the need for trained professionals to address health issues in the community. Choice A: Nova Scotia - While Nova Scotia has a long history of public health initiatives, it was not the first province to establish a public health nursing service. Choice C: British Columbia - British Columbia also has a strong public health system, but it was not the first province to establish a public health nursing service. Choice D: Manitoba - Manitoba has made significant contributions to public health, but it was not the first province to establish a public health nursing service.

Correct Answer: D

Rationale: The correct answer is D: Skill in developing policy and planning programs to improve health, as it is a core competency required of public health nurses (PHNs). PHNs play a crucial role in developing and implementing public health policies and programs to improve community health outcomes. They need to have a deep understanding of health policy, program planning, and evaluation to effectively address public health issues. Explanation of why other choices are incorrect: A: Advanced knowledge in the use of high-technology diagnostics is not a core competency for PHNs. While PHNs may use technology in their practice, their primary focus is on population health and preventive care rather than high-tech diagnostics. B: Familiarity with current life-support technology is more relevant to critical care nurses or emergency room nurses, rather than PHNs who focus on community health. C: Highly tuned skills for assessment of critically ill clients are important for acute care nurses, but PHNs focus on population-based health promotion and disease prevention rather than individual patient care.

Correct Answer: B

Rationale: The correct answer is B: Secondary prevention. In this scenario, the PHN is engaging in secondary prevention by tracing the sexual contacts of clients with STIs to prevent the spread of infections and provide early detection through screening. Secondary prevention focuses on early detection and intervention to reduce the impact of a disease. Choice A (Primary prevention) aims to prevent the occurrence of a disease before it occurs, while Choice C (Tertiary prevention) involves managing and treating existing conditions to prevent complications. Choice D (Secondary and tertiary prevention) is incorrect as the PHN's activity specifically aligns with secondary prevention only.