The increasing complexity of societal needs and rapid changes in public health no longer allow for adequate time for on-the-job training and education. As a result, what is the current minimum level of educational preparation for a public health nurse?

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.

Correct Answer: C

Rationale: The correct answer is C: Measuring the goal effect. In this scenario, the CHN is comparing the number of new teen clients seeking contraceptive counseling before and after the education intervention program. This step involves evaluating the impact or effect of the program on the intended goal, which is to decrease teen pregnancy rates. By comparing the data before and after the intervention, the CHN can assess whether the program has been effective in achieving its goal. Incorrect choices: A: Determining outcome goal measurement - This step involves establishing specific, measurable outcomes before implementing the program. It is done prior to the intervention. B: Goal setting - This step involves setting specific, achievable goals at the beginning of the program. It is not the same as measuring the impact of the program. D: Evaluating the program - While evaluating the program is part of the overall evaluation process, in this scenario, the focus is specifically on measuring the effect of the program on the goal of decreasing teen pregnancy rates.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This action falls under primary prevention because it aims to prevent the occurrence of type 2 diabetes in Indigenous peoples by promoting healthy eating habits through culturally sensitive foods. By incorporating familiar and healthy dishes into the nutrition class, the community health nurse is focusing on preventing the development of the disease before it occurs. This approach addresses the underlying risk factors for diabetes, such as poor diet, in a proactive manner. Summary of other choices: B: Secondary prevention involves early detection and treatment of a disease to prevent complications. This action does not focus on early detection but rather on prevention. C: Tertiary prevention focuses on managing complications and improving quality of life for those already diagnosed with a disease. This action is aimed at preventing diabetes rather than managing its complications. D: This action is primarily focused on preventing the occurrence of type 2 diabetes before it develops, making it more aligned with primary prevention than secondary prevention.

Correct Answer: B

Rationale: The correct answer is B, monitoring for signs and symptoms of depression. This is crucial in preventing depression in older persons as early detection allows for timely intervention. Choice A is incorrect as isolation in a nursing home may worsen depression. Choice C is not specific enough to target high-risk individuals. Choice D, while positive, doesn't address the need for active monitoring and intervention. Therefore, choice B is the best option for preventive action.

Correct Answer: D

Rationale: The correct answer is D because an intraprofessional team consists of members from the same profession but with different levels of expertise. In this case, a registered nurse and a licensed/registered practical nurse are both nursing professionals with varying skill sets, making them an intraprofessional team. A is incorrect because it consists of only nursing professionals but at the same level of expertise. B is incorrect because it includes a social worker, who is not part of the same profession as the nurses. C is incorrect because it includes a physician, who is not part of the same profession as the nurses.