In his document entitled Achieving Health for All: A Framework for Health Promotion, Epp supported a community and policy focus in health promotion. What did he recommend?

Correct Answer: C

Rationale: Step 1: Epp's document emphasizes community and policy focus in health promotion. Step 2: Public participation is crucial in community and policy-focused health promotion. Step 3: Epp recommended actions that foster public participation. Therefore, the correct answer is C. Summary: A: Cooperation with WHO is not directly related to community and policy focus. B: Denying social and economic goals contradicts Epp's approach. D: Focusing solely on disease prevention in limited areas goes against Epp's comprehensive approach.

Correct Answer: D

Rationale: The correct answer is D: Providing respite and comfort measures before death. Hospice care focuses on providing comfort and support to terminally ill patients, emphasizing symptom management, pain relief, and emotional support. Respite care allows family caregivers a temporary break from their responsibilities. Choices A and B focus on specific aspects of care delivery and legal matters, not the fundamental philosophy of hospice. Choice C is incorrect as hospice care does not involve placing experts in the position of power of attorney; rather, it emphasizes patient-centered care and autonomy.

Correct Answer: A

Rationale: The correct answer is A: Coordinator. A coordinator ensures the group stays focused on goals and procedures by monitoring the group process. They help prevent distractions and deviations. Encourager (B) focuses on motivating and supporting group members. Orienter (C) helps new members understand the group's goals and procedures. Commentator (D) provides feedback and observations but does not necessarily ensure the group stays focused.

Correct Answer: C

Rationale: The correct answer is C because seeking guidance from the supervisor is a step toward resolving the ethical dilemma, but the ultimate responsibility still lies with the CHN. Letting the supervisor decide does not absolve the CHN of accountability for the choice made. This option allows for further discussion and reflection, ensuring that the CHN remains engaged in the decision-making process. Choice A is incorrect because the supervisor is not solely responsible for the CHN's choices; the CHN must still take ownership of the decision. Choice B is incorrect as it assumes the supervisor has all the answers, overlooking the importance of the CHN's own critical thinking and problem-solving skills. Choice D is also incorrect as community priorities do not necessarily align with ethical decision-making in this context.

Correct Answer: C

Rationale: The correct answer is C: A baccalaureate degree in nursing. This level of educational preparation is essential for public health nurses due to the increasing complexity of societal needs and rapid changes in public health. A baccalaureate degree provides a strong foundation in nursing theory, research, leadership, and public health principles. It equips nurses with critical thinking skills, evidence-based practice, and the ability to adapt to evolving healthcare environments. Training as a registered practical nurse (Choice A) may not offer the depth of knowledge and skills needed for public health practice. While training as a registered nurse (Choice B) provides a broader scope, a baccalaureate degree offers a more comprehensive education. A master of science degree in nursing (Choice D) may be valuable for advanced practice roles but is not the minimum requirement for public health nursing.