For the community health nurse (CHN) who plans to move from an urban centre to a rural region of the country, which one of the following statements should be included in the advice on preparing for role alterations?

Correct Answer: B

Rationale: Step 1: Moving from urban to rural area means adapting to different work environment. Step 2: Rural areas often have limited resources and healthcare facilities. Step 3: Therefore, the CHN should expect less autonomy due to fewer support systems. Step 4: Option B is correct as it addresses the need to adjust to the rural setting. Summary: Option A is incorrect as assumptions about community perception may vary. Option C is incorrect as fewer clinics might mean fewer resources. Option D is incorrect as specialized skills may not be the immediate focus in a rural environment.

Correct Answer: C

Rationale: Step 1: Epp supported community and policy focus in health promotion. Step 2: Public participation is essential in community-focused approaches. Step 3: Epp recommended actions fostering public participation. Therefore, choice C is correct as it aligns with Epp's emphasis on community involvement. Choices A, B, and D are incorrect as they do not reflect Epp's recommendations. A focuses on international cooperation, B contradicts Epp's goal, and D narrows the focus to selected areas rather than a community-wide approach.

Correct Answer: C

Rationale: The correct answer is C: Lalonde Report. This report, published in 1974, was the first to introduce the concept of health promotion, emphasizing the importance of prevention and lifestyle factors in improving health outcomes. The Epp Report (A) focused on health services and the Black Report (B) highlighted health inequalities. The WHO Commission Report on Social Determinants (D) discussed the impact of social factors on health but did not specifically introduce the concept of health promotion. Therefore, the Lalonde Report is the correct choice for introducing the concept of health promotion.

Correct Answer: D

Rationale: The correct answer is D because self-efficacy refers to one's belief in their ability to achieve specific goals or tasks. Making healthy food choices while grocery shopping demonstrates self-efficacy as it involves decision-making and taking actions to improve one's health. This choice aligns with Bandura's theory of self-efficacy where individuals who believe in their capabilities are more likely to succeed. Incorrect Answer Analysis: A: Attending a walk-in clinic for health care does not necessarily demonstrate self-efficacy as it may be a reactive response to a health issue rather than a proactive choice. B: Allowing others' input into health decisions may indicate collaboration but does not directly reflect one's self-belief in their abilities. C: Paying for a fitness center membership shows commitment to health but does not specifically demonstrate self-efficacy in decision-making related to personal health choices.

Correct Answer: C

Rationale: The correct answer is C because it combines expertise in both nursing and emergency care, which are crucial areas in emergency management. The chief nurse officer can provide insight into patient care and nursing protocols, while the emergency care physician can offer medical expertise. This combination ensures a comprehensive approach to managing emergencies. Choice A (CEO and internal medicine physician) lacks specific emergency care expertise. Choice B (CFO and emergency care nurse liaison) lacks medical decision-making authority. Choice D (CITO and critical care physician) focuses more on technology rather than direct patient care. Thus, choice C is the most suitable combination for chairing an emergency management committee.