The nurse is working in a community clinic that serves a population comprised mainly of migrant families. In planning the use of resources for secondary prevention, which activity should be the priority?

Correct Answer: A

Rationale: Rationale: 1. Tuberculosis is highly contagious and prevalent in migrant populations. 2. Skin testing can detect latent TB infections early. 3. Early detection is crucial for preventing TB spread within the community. 4. Prompt treatment can prevent active TB development. 5. Glucose monitoring (B) is for diabetes management, not prevention. 6. Blood work for cardiovascular disease (C) is for diagnosis, not prevention.

Correct Answer: A

Rationale: The correct answer is A: Follow agency protocols to report suspected abuse. This is the best action for the community health nurse to take because it ensures that the suspected abuse is properly documented and investigated by the appropriate authorities, such as child protective services. By following agency protocols, the nurse can help protect the infant from further harm and provide support to the family. Reporting suspicions to a child abuse reporting hotline (choice C) may not be as effective as following agency protocols, as the hotline may not have the authority to investigate and intervene. Choice B and D are incorrect as they do not provide a clear course of action to address the suspected abuse.

Correct Answer: A

Rationale: The correct answer is A: The person, the environment or situation, and health. Nursing theory's paradigm involves these key linkages. The person represents the patient or individual receiving care, the environment or situation includes the context in which care is provided, and health is the ultimate goal of nursing practice. These components are interconnected and integral to understanding the focus of nursing theory. Choice B, stress reduction, self-care, and a systems model, may be relevant concepts in nursing practice but do not encompass the broader perspective of nursing theory's paradigm. Choice C, curative care, restorative care, and terminal care, focus more on specific types of care rather than the foundational components of nursing theory's paradigm.

Correct Answer: A

Rationale: The correct answer is A: A 17-year-old who is sexually active with numerous partners. This individual is at highest risk for contracting HIV due to engaging in unprotected sex with multiple partners, increasing the likelihood of exposure to the virus. Adolescents are a high-risk group due to factors like peer pressure, lack of awareness, and inconsistent condom use. Summary of other choices: B: A 45-year-old lesbian with two partners in the past year - Lesbian sexual activity has a lower risk of HIV transmission compared to heterosexual or male homosexual activity. C: A 30-year-old cocaine user who works in a topless bar - Cocaine use and working in a topless bar do not directly increase the risk of HIV transmission. D: A 34-year-old male homosexual in a monogamous relationship - Being in a monogamous relationship reduces the risk of contracting HIV compared to individuals with multiple sexual partners.

Correct Answer: C

Rationale: The correct answer is C because designing and implementing a no smoking campaign at the local high school addresses the leading health indicator of reducing tobacco use, which is a priority in Healthy People 2020. This intervention directly targets a key health issue and aligns with the goals of the initiative. A, leading a water aerobics class, does not specifically address a leading health indicator of Healthy People 2020. B, teaching cultural awareness, while important, is not directly related to a specific health indicator. D, providing glucometers, does not address a leading health indicator of Healthy People 2020 and focuses on a different health issue. Therefore, C is the most appropriate intervention in this scenario.