What community health nursing action could potentially increase accessibility to health care services for clients experiencing mental illness and housing instability?

Correct Answer: A

Rationale: The correct answer is A because funding a mobile clinic can bring healthcare services directly to clients, addressing the accessibility issue. This action eliminates transportation barriers and provides care in a familiar environment. Choice B only informs clients of existing services without addressing accessibility. Choice C addresses housing instability but not healthcare accessibility. Choice D addresses basic needs but not healthcare access. Overall, choice A is the most effective in directly improving accessibility to healthcare services for clients with mental illness and housing instability.

Correct Answer: B

Rationale: The correct answer is B: Harm reduction. This strategy focuses on minimizing the negative consequences associated with risky behaviors, such as drug use, by providing services like needle exchange programs. This approach acknowledges that complete abstinence may not be immediately achievable and aims to reduce harm in the meantime. A: Trauma-informed care is a different approach that considers past traumas when providing care, not specifically related to harm reduction strategies. C: Tertiary care refers to specialized medical care for serious health conditions, not related to harm reduction initiatives. D: Violent care is not a recognized term in healthcare and does not align with the concept of harm reduction.

Correct Answer: B

Rationale: The correct answer is B because providing medications to improve the immunological response in clients with HIV infection is an example of secondary prevention. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. This intervention helps manage the progression of HIV and reduce the risk of developing opportunistic infections. A: Encouraging clients with HIV to use condoms is an example of primary prevention, aimed at preventing the initial occurrence of the disease. C: Encouraging health care workers to receive annual influenza vaccinations is an example of primary prevention, aimed at preventing the occurrence of an infectious disease. D: Requiring health care workers to have TB screening is an example of primary prevention, aimed at preventing the initial transmission of TB.

Correct Answer: B

Rationale: The correct answer is B: Initiating directly observed therapy (DOT) for TB-positive clients. Tertiary prevention aims to reduce the impact of an already established disease. DOT ensures TB-positive clients complete their medication regimen, reducing the spread of TB and preventing drug resistance. Administering PPD (A) is a secondary prevention measure for early detection. Providing education (C) is a primary prevention measure to prevent the onset of TB. Using skin tests (D) is a screening method for early detection and falls under secondary prevention.

Correct Answer: B

Rationale: The correct answer is B: Responding in scientifically sound and humanely sensitive ways to community concerns. Risk communication involves effectively conveying information about risks to the public in a way that is both scientifically accurate and sensitive to the concerns and needs of the community. This involves listening to community concerns, providing clear and accurate information, and addressing any fears or uncertainties in a compassionate and respectful manner. Choices A, C, and D do not specifically address the key aspect of engaging with the community and responding to their concerns in a sensitive and scientifically sound manner, making them incorrect options.