Research demonstrates that exercise is important for general wellness and weight control. The community health nurse (CHN) can use this information to implement primary prevention by doing which of the following?

Correct Answer: B

Rationale: Step 1: Drafting policy for increases in noncompetitive physical activity programs is the correct answer because it focuses on implementing primary prevention at a community level. The CHN can influence a larger population by promoting physical activity programs that are accessible to everyone. Step 2: Developing individualized exercise programs for overweight children (Choice A) is not the best choice for primary prevention as it targets a specific group rather than the community as a whole. Step 3: Monitoring body mass index in children (Choice C) is important but reactive rather than proactive in preventing weight-related issues. Step 4: Notifying parents of their child's height-weight scale (Choice D) is informative but does not directly promote primary prevention through community-wide initiatives.

Correct Answer: C

Rationale: The correct answer is C because Lalonde's report emphasized the holistic approach to health, considering biology, environment, and lifestyle factors. This aligns with the concept of determinants of health, acknowledging that health is influenced by various factors beyond healthcare. Choice A focuses solely on access and quality of healthcare, while B is about legislation. Option D mentions accessibility but lacks the comprehensive consideration of health determinants like choice C. Lalonde's report was groundbreaking for shifting the focus from healthcare services to broader health promotion strategies.

Correct Answer: B

Rationale: The correct answer is B, reviewing outcomes of clinical trials. Evidence-informed practice involves using the best available evidence to guide decision-making. Clinical trials provide rigorous scientific evidence on the effectiveness of interventions, making them a reliable source for addressing new infectious diseases. Reviewing policies and procedures (A) may not be based on the most up-to-date evidence. Nursing textbooks (C) may not always reflect the latest research findings. Getting information from the internet (D) can be unreliable and may lack proper scientific rigor.

Correct Answer: C

Rationale: The correct answer is C: Formulate the clinical question. This is the first step in evidence-informed practice as it helps focus on the specific issue, guiding the search for relevant evidence. Gathering data (B) comes after formulating the question. Eliminating protocols (A) is not necessary and may overlook valuable practices. Revising mission statements (D) is not directly related to the initial step of using evidence in clinical practice.

Correct Answer: A

Rationale: The correct answer is A: Call in another CHN to care for this client. The CHN's personal beliefs should not interfere with providing nonjudgmental care. By calling in another CHN, the client can receive unbiased information and support. This respects the client's autonomy and ensures they receive the information they requested without feeling judged. Option B is incorrect because imposing personal beliefs on the client is unethical and goes against the principle of client-centered care. Option C is inappropriate and unethical as it involves offering medication to induce an abortion without the client's consent. Option D is not the best choice as it does not address the client's specific request for information on abortion services.