Using the Community Mobilization Framework and the three health promotion community mobilization approaches, which element should be addressed first within the framework's social planning component?

Correct Answer: C

Rationale: The correct answer is C: Community participation. In the Community Mobilization Framework, addressing community participation first within the social planning component is crucial because it ensures that community members are actively involved in decision-making processes. This approach empowers the community, increases ownership of health promotion initiatives, and promotes sustainability. Shifting power relationships (A) may come later once community participation is established. Problem solving at the community level (B) and addressing community social concerns (D) are important aspects but should be built upon a foundation of active community participation.

Correct Answer: C

Rationale: The correct answer is C because increasing access to nursing research sources in health care institutions directly supports the goal of implementing evidence-informed practice. By providing easy access to research journals, nurses can stay up-to-date with the latest evidence and incorporate it into their practice. Choice A is incorrect as market research on customer satisfaction does not directly contribute to creating a conducive work environment for evidence-informed practice. Choice B focuses on workload impact rather than enhancing the implementation of evidence-informed practice. Choice D, sending staff to conferences, is beneficial but may not ensure continuous access to research sources in the workplace, which is essential for sustained practice improvement.

Correct Answer: D

Rationale: The correct answer is D because arranging a meeting with the family to discuss the consequences of their decision allows for open communication and exploration of alternative solutions. This approach respects the family's autonomy while also addressing potential negative outcomes of their decision. It promotes shared decision-making, ethical considerations, and holistic care. Choice A is incorrect because it doesn't address the potential consequences of the family's decision. Choice B is incorrect as it disregards the family's perspective and autonomy. Choice C is incorrect as it bypasses direct communication with the family and may not fully address their concerns.

Correct Answer: B

Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the inherent rightness or wrongness of actions, regardless of the consequences. In this scenario, the CHN is emphasizing the importance of respecting the family's autonomy and their decision-making authority regarding the ill family member. This aligns with deontological principles that prioritize individual autonomy and decision-making. Summary: A: Communitarianism emphasizes the common good of the community, not individual autonomy. C: Principlism includes principles like beneficence and non-maleficence, which are not directly applicable in this case. D: Utilitarianism focuses on maximizing overall happiness, which is not the primary concern in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Caring. Caring is the central concept in nursing as it forms the foundation of the nurse-patient relationship and influences all aspects of patient care. Nurses provide holistic care by addressing the physical, emotional, social, and spiritual needs of patients. Compassionate care enhances patient outcomes and promotes healing. Explanation for other choices: A: Adapting to technology is important, but it is not the central concept in nursing. Technology supports nursing practice but does not replace the human connection and empathy that caring provides. C: Distinguishing nursing care from medical care is important, but it is not the central concept. While nursing care has its unique focus, caring remains the core value that distinguishes nursing from other healthcare professions. D: Seeking evidence-based outcomes is crucial for quality care, but it is a methodological approach rather than the central concept. Caring guides the application of evidence-based practices to ensure patient-centered care.