What constitutes secondary prevention by a community health nurse (CHN) who wants to promote improved health in obese women?

Correct Answer: C

Rationale: The correct answer is C because secondary prevention involves early detection and intervention to prevent further progression of a disease. In this case, modifying diet and medications can help manage obesity-related health issues. Choice A focuses on primary prevention, Choice B is more specific to hypertension, and Choice D is more indicative of screening for diabetes, making them incorrect for the context of secondary prevention in obese women.

Correct Answer: B

Rationale: The correct answer is B: Family dynamics. This category focuses on relationships and interactions within the family. In this scenario, the revelation that the husband is a stepfather to the eldest child directly impacts family dynamics as it involves the roles, relationships, and potential adjustments within the family unit. Family demography (A) refers to the basic information about the family structure. Family function (C) pertains to how the family fulfills its roles and responsibilities. Family system (D) looks at the entire family unit as a whole rather than specific relationships or interactions. In this case, the stepfather dynamic specifically falls under family dynamics.

Correct Answer: B

Rationale: The correct answer is B because experimenting with recreational drugs is a normative event that can increase the risk for illness due to potential physical and mental health consequences. It involves a deliberate choice that has direct negative health impacts. In contrast, choices A, C, and D are not normative events that inherently increase the risk for illness. A motor vehicle accident and job loss are unpredictable events with potential negative consequences, but they are not normative in nature. Pregnancy is a natural life event that does not inherently increase the risk for illness unless there are specific complications.

Correct Answer: B

Rationale: The correct answer is B: In-home phase. During this phase, documentation is crucial as it allows for accurate recording of observations, assessments, and interventions. It ensures data is captured in real-time, improving the quality of care provided. Engagement phase (A) focuses on building rapport, termination phase (C) marks the conclusion of the visit, and postvisit phase (D) involves follow-up activities. In-home phase is the most appropriate time for documentation to support effective decision-making and continuity of care.

Correct Answer: B

Rationale: The correct answer is B: Democratic. A democratic leadership style promotes member involvement, decision-making, and collaboration, which can enhance group cohesion and motivation towards achieving health goals. This style allows for input from all members, fostering a sense of ownership and commitment. Rationale: A: Authoritarian style is too controlling and may hinder member involvement and creativity. C: Patriarchal style is outdated and hierarchical, not conducive to promoting collaboration and equal participation. D: Paternal style may be seen as patronizing and may not empower members to take ownership of their health goals.