What is the best intervention a community health nurse (CHN) can initiate to increase lasting resilience among new immigrants?

Correct Answer: A

Rationale: The correct answer is A because directing clients to English-as-a-second-language courses helps immigrants improve language proficiency, which is crucial for social integration, access to resources, and employment opportunities. Learning English enhances communication skills, self-confidence, and cultural adaptation. This intervention promotes independence and empowerment, fostering lasting resilience. Incorrect choices: B: Giving money may provide temporary relief but doesn't address long-term resilience. C: Identifying cheaper housing doesn't directly enhance resilience without addressing other social determinants. D: Soliciting donations may meet immediate needs but doesn't build lasting resilience without addressing skill development.

Correct Answer: B

Rationale: The correct answer is B: Online information from Statistics Canada. 1. Statistics Canada provides accurate and reliable data on various health indicators. 2. This data can be broken down by region, allowing the CHN to access specific local information. 3. Hospital records may not capture all cases, while the local chamber of commerce and obituary columns are not reliable sources for health data. In summary, Statistics Canada is the best resource due to its credibility, accessibility, and ability to provide relevant local health information.

Correct Answer: B

Rationale: The correct answer is B: A Vietnamese community leader. This individual is the best choice as a key informant because they have firsthand knowledge and understanding of the needs, preferences, and challenges faced by Vietnamese immigrants in the district. They can provide valuable insights into the cultural nuances, barriers to accessing health care services, and specific needs of the community. The hospital administrator may have general knowledge but lacks specific insights into the Vietnamese immigrant community. The national expert on cultural competency may have theoretical knowledge but may not understand the local context. The government official may have a broader perspective but lacks the community-specific knowledge necessary for this program.

Correct Answer: C

Rationale: The correct answer is C: Participatory action research. Community health nurses should consider this type of research when assessing culturally diverse populations because it involves active participation from the community members themselves, ensuring their perspectives and voices are heard and integrated into the research process. This approach promotes culturally sensitive and relevant findings, leading to more effective interventions and solutions. A: Meta-analysis is not suitable for directly engaging with culturally diverse populations. B: Grounded theory research focuses on developing theory from data, but it may not prioritize community involvement. D: Random control studies on the entire population may not address the specific cultural nuances and needs of diverse populations.

Correct Answer: D

Rationale: The correct answer is D because the main reason for the brief existence of the nurse practitioner–model educational program was the need for nursing expertise and skills in other practice settings. This is supported by the fact that nurse practitioners were developed to address the gap in healthcare services by providing advanced nursing care in various settings. They were trained to deliver high-quality care, fill the need for primary care providers, and improve access to healthcare services. A: Inadequate assessment and planning in the local area is not the main reason for the brief existence of the program. B: Insufficient provincial/territorial funding may have been a contributing factor, but it was not the main reason. C: The large number of primary care physicians practising in urban areas is not directly related to the existence of the nurse practitioner-model educational program.