The nurse is developing a teaching plan for a client newly diagnosed with diabetes. Which action by the nurse focuses on the psychomotor domain of learning?

Correct Answer: C

Rationale: The correct answer is C because instructing the client on self-administration of insulin involves physical movement and coordination, which falls under the psychomotor domain of learning. This action focuses on teaching the client how to perform a specific skill related to their diabetes management. A is incorrect because providing reinforcement relates more to the affective domain, focusing on motivation and attitudes. B is incorrect as it pertains to the cognitive domain, involving understanding the relationship between concepts. D is also incorrect as discussing symptoms is more related to the cognitive domain, focusing on knowledge acquisition.

Correct Answer: B

Rationale: The correct answer is B: Long distances to health care facilities. In rural areas, access to health care facilities can be limited due to long distances, leading to delays in seeking care. This barrier is significant because it can result in difficulties accessing timely medical services, impacting health outcomes. Lack of insurance coverage (A) is a barrier, but not specific to rural areas. Low prevalence of chronic diseases (C) is irrelevant to access barriers. Availability of trained health professionals (D) is important, but not the most common barrier in rural areas.

Correct Answer: B

Rationale: The correct answer is B: To identify the most pressing health issues in the community. The primary goal of a needs assessment in community health is to understand the specific health needs of the community to effectively allocate resources and address key health issues. By identifying the most pressing health issues, stakeholders can prioritize interventions and programs to improve the overall health of the community. Evaluating the success of existing programs (A) is important but not the primary goal of a needs assessment. Developing a budget (C) comes after identifying needs. Measuring the availability of health care providers (D) is relevant but not the primary focus of a needs assessment.

Correct Answer: B

Rationale: The correct answer is B: Cohort study. In a cohort study, the nurse can follow a group of individuals over time (longitudinal study) to observe the development of lung cancer in relation to smoking habits. This study design allows for the establishment of temporal relationships and can determine if smoking is a risk factor for lung cancer. Explanation of other choices: A: Cross-sectional study - This type of study captures data at a single point in time and does not show causality or temporal relationships. C: Case-control study - This study design is retrospective and compares individuals with and without the disease to identify potential risk factors. It may not establish temporal relationships as effectively as a cohort study. D: Experimental study - In an experimental study, the nurse would intervene by assigning participants to different groups (smokers vs. non-smokers) and observing outcomes. However, this design may not be ethical or feasible when studying the relationship between smoking and lung cancer.

Correct Answer: B

Rationale: The correct answer is B: Transtheoretical Model. This model emphasizes the stages individuals go through when changing their health behaviors. It includes precontemplation, contemplation, preparation, action, maintenance, and termination stages. Other choices focus on different aspects of health behavior change. A: Health Belief Model emphasizes perceived susceptibility, severity, benefits, and barriers. C: Social Cognitive Theory focuses on the interplay of personal factors, behavior, and environment. D: Theory of Planned Behavior emphasizes attitudes, subjective norms, and perceived behavioral control. The Transtheoretical Model specifically outlines the stages individuals go through during behavior change, making it the correct choice.