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 because completing education can empower adolescent mothers to secure better job opportunities, higher income, and improved living conditions, leading to long-term positive health outcomes for themselves and their children. This choice addresses the root causes of health disparities in low-income groups by promoting education as a key factor in breaking the cycle of poverty and improving overall well-being. A: Learning about body changes during pregnancy is important but does not address the broader social determinants of health that impact long-term outcomes. C: Offering courses in proper baby care is beneficial but does not address the underlying issues of education and socioeconomic status. D: Monitoring for pregnancy problems is crucial for immediate health concerns but does not address the long-term health and well-being of the adolescent mothers and their children.

Correct Answer: D

Rationale: The correct answer is D: Notify legal authorities. This is the most appropriate action for the CHN to take because suspected cases of child abuse must be reported to legal authorities to ensure the safety and well-being of the child. Reporting to legal authorities initiates an official investigation by trained professionals who can assess the situation and take appropriate action to protect the child. A: Asking the student about the abuse may put the child at risk of further harm if the abuser is present or if the child is not ready to disclose the abuse. B: Documenting findings in the student's school record is not sufficient to address the immediate safety concerns of the child. C: Discussing suspicions with teachers or spiritual leaders may not lead to the necessary intervention and protection of the child. In summary, notifying legal authorities is the most effective and necessary step to ensure the safety of the child in cases of suspected abuse.

Correct Answer: B

Rationale: The correct answer is B because the parent's statement indicates emotional abuse through threats of harm and fear tactics. Yelling and using scare tactics like the boogeyman can have long-lasting negative effects on a child's emotional well-being, leading to anxiety and insecurity. Choice A shows progress in managing anger and using positive discipline techniques. Choice C demonstrates a parent trying to use a common discipline method, although the child's coping difficulties may need further support. Choice D shows a parent using distraction and removal techniques, which are generally considered appropriate strategies for managing tantrums.

Correct Answer: C

Rationale: Rationale: The correct answer is C: Host. Antibiotics disrupt the normal vaginal flora, creating an environment conducive to yeast overgrowth. The host's susceptibility to infection due to altered microbiota is the primary factor in developing vaginal fungal infections. The agent (yeast) and the environment (vaginal environment) play secondary roles. Choice A is incorrect because the yeast is the agent causing the infection, but it is the host's response that determines infection development. Choice B is incorrect because the vaginal environment is affected by antibiotics, but it is the host's response that leads to infection. Choice D is incorrect because while both agent and host are involved, it is the host's susceptibility that is the key factor.