In the Romanow Report, the Royal Commission on the Future of Health Care in Canada (2002), included a need to shift emphasis in health and health care by addressing all of the following issues EXCEPT:

Correct Answer: B

Rationale: The correct answer is B: Acute Care. The Romanow Report highlighted the importance of shifting emphasis in health care towards preventive and community-based services rather than focusing solely on acute care. Acute care is essential for treating serious and urgent medical conditions, but the report emphasized the need to prioritize other areas such as home care, primary health care reform, and palliative care to improve overall health outcomes and reduce healthcare costs. By investing in these areas, the healthcare system can better address the needs of individuals across the continuum of care, promote wellness, and enhance the quality of life for patients. The other choices (A, C, D) are included in the report as key areas for reform to achieve a more holistic and sustainable healthcare system in Canada.

Correct Answer: A

Rationale: The correct answer is A: Volunteering at the local community center. This activity builds social capital by fostering relationships, trust, and reciprocity within the community. By volunteering, individuals contribute to the common good, strengthen social networks, and create a sense of belonging. This increases social cohesion and cooperation. Summary of why other choices are incorrect: B: Attending parent-teacher conferences is important for education but does not directly build social capital. C: Composting in your own backyard is environmentally friendly but does not involve engaging with others to build social connections. D: Utilizing the library for personal entertainment is beneficial but does not actively contribute to social capital development.

Correct Answer: A

Rationale: Rationale for why choice A is correct: 1. The social determinants of health (SDOH) encompass factors like income, education, housing, and environment, which significantly influence health outcomes. 2. By assessing the SDOH, the nurse can identify underlying issues impacting health and tailor interventions to address these specific needs. 3. Understanding how SDOH affect individuals and families helps in promoting health equity and improving overall well-being. Summary of why the other choices are incorrect: B: Assessing SDOH is not about standardizing interventions based on location but rather individualizing care based on specific social factors. C: While social justice is a core nursing value, assessing SDOH is more about addressing disparities and promoting health equity than solely focusing on justice. D: Investigating reasons for health conditions like asthma is important but does not encompass the broad scope of SDOH assessment.

Correct Answer: C

Rationale: The correct answer is C: Sociocultural environment and interpersonal. This intervention addresses the sociocultural environment by promoting healthy eating habits within the context of the families' social and cultural surroundings. By encouraging families to share meal ideas, the intervention targets the interpersonal level of influence, as it focuses on interactions and relationships within the families. This approach leverages social support and cultural norms to promote healthy behaviors. Choices A and B do not fully capture the broader sociocultural and interpersonal aspects of the intervention. Choice D is incorrect as it refers to societal influence on a larger scale, which is not the primary focus of this specific intervention.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Choice B is correct because race is indeed a determinant of health due to systemic inequalities and disparities. 2. Choice A is incorrect because it demonstrates an understanding of health disparities. 3. Choice C is incorrect as it recognizes the impact of socioeconomic status on healthcare access. 4. Choice D is incorrect as education level is a known factor influencing health outcomes.