In which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?

Correct Answer: D

Rationale: The correct answer is D because evaluating the number of clients presenting with similar diseases falls under the role of nurse epidemiologist, who focuses on tracking and analyzing patterns of disease occurrence in populations. This involves collecting and interpreting data to identify potential outbreaks and risk factors. A, B, and C are incorrect because: A: Eliciting health history and performing physical assessments are typically part of the direct patient care provided by a community health nurse. B: Performing physical assessments is part of assessing individual client needs rather than population-level disease patterns. C: Providing treatment and health education are essential components of nursing care but do not specifically align with the role of nurse epidemiologist in analyzing disease patterns in populations.

Correct Answer: A

Rationale: The correct answer is A: Assessment phase. This is when data collection occurs to understand the community's health needs and structure. It sets the foundation for planning interventions. Planning phase (B) involves developing strategies based on assessment findings. Implementation phase (C) is about executing the planned interventions. Evaluation phase (D) assesses the outcomes of the interventions. Data collection in the assessment phase is crucial to inform subsequent steps and tailor interventions to the community's specific needs.

Correct Answer: D

Rationale: The correct answer is D because teaching anger management skills to teens in a halfway house involves collaborating with individuals to promote behavioral change, demonstrating the role of a change partner. Administering vaccinations (A) is more of a healthcare provider role. Analyzing community problems (B) is part of assessment and planning, not direct change partnership. Establishing a care center (C) addresses a need but does not necessarily involve actively facilitating behavior change.

Correct Answer: A

Rationale: The correct answer is A: Preactive stage. In this stage, assessment of needs is done before implementing a program. For the daycare program for the elderly, assessing their specific requirements, preferences, and challenges is crucial for effective planning. The other choices are incorrect because: B: Reactive stage - This stage involves responding to an issue after it has occurred, not suitable for proactive planning. C: Inactive stage - This stage implies no action or planning, which is not appropriate for establishing a new program. D: Interactive stage - This stage involves engaging with stakeholders during program implementation, not specifically focused on assessing needs beforehand.

Correct Answer: A

Rationale: The correct answer is A: Community forums. Community forums typically involve a larger number of participants and may require more resources to organize and conduct compared to other options. By eliminating community forums, the CHN can save costs and still gather valuable insights through other methods like examining community indicators, conducting focus groups, and administering surveys. These alternatives are more cost-effective and efficient for conducting a needs assessment on a limited budget. Focus groups allow for in-depth discussions, surveys provide quantitative data, and examining community indicators offers existing data for analysis, making them more suitable choices for a constrained budget.