identified home care as the most rapidly growing area of

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: 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.

Correct Answer: A

Rationale: The correct answer is A because it implies that the parish nurse's role is solely to help clients identify their spiritual strengths, which is a limited view of pastoral care. Pastoral care involves holistic support, including emotional, social, and spiritual aspects. B is not the correct answer as it is incomplete. C is not the correct answer as involving the pastor in ministering to the congregation is a valid form of pastoral care. D is not the correct answer as emphasizing the spiritual dimension of nursing is a key aspect of pastoral care.

Correct Answer: C

Rationale: The correct answer is C: Teaching self-care to the client. This is because empowering the client to perform self-care tasks promotes independence and self-esteem. By teaching the client self-care techniques, the home health nurse helps the client regain control over their daily activities. This approach fosters self-reliance and encourages the client to actively participate in their own care, leading to better outcomes in rehabilitation. Choice A is incorrect because relying solely on private duty nurses may hinder the client's independence and self-efficacy. Choice B is also not the best option as simply assisting the client with ADLs does not encourage the client to develop skills for self-care. Choice D is not ideal as it shifts the responsibility to the family rather than empowering the client directly. Ultimately, teaching self-care to the client is the most effective way to support their recovery and enhance their quality of life.