What is the central difference between home health care and other types of health care?

Correct Answer: A

Rationale: The correct answer is A because home health care is personalized to meet the unique needs of the client and their family, focusing on individualized care plans and interventions tailored to their specific health conditions. This ensures that the care provided is holistic and addresses the physical, emotional, and social aspects of the client's well-being. Choice B is incorrect because while home health care is provided in the client's environment, it is not the central difference between home health care and other types of health care. Choice C is incorrect as reimbursement differences do not define the central difference in the type of care provided. Choice D is incorrect as home health care primarily focuses on providing care to individual clients and their families, not on community health as a whole.

Correct Answer: D

Rationale: The correct answer is D: Psychosocial hazards. Employees working in two-week shifts are at risk of experiencing psychosocial hazards such as stress, fatigue, and social isolation due to disrupted sleep patterns and limited time for social interactions. This can lead to mental health issues and decreased overall well-being. Biological hazards (A) are related to exposure to biological agents like bacteria or viruses. Environmental hazards (B) refer to physical factors in the workplace environment. Physical hazards (C) include risks like slips, trips, and falls. However, in the context of two-week shifts, psychosocial hazards have the most significant impact on employee health and safety.

Correct Answer: B

Rationale: Step 1: Drafting policy for increases in noncompetitive physical activity programs is the correct answer because it focuses on implementing primary prevention at a community level. The CHN can influence a larger population by promoting physical activity programs that are accessible to everyone. Step 2: Developing individualized exercise programs for overweight children (Choice A) is not the best choice for primary prevention as it targets a specific group rather than the community as a whole. Step 3: Monitoring body mass index in children (Choice C) is important but reactive rather than proactive in preventing weight-related issues. Step 4: Notifying parents of their child's height-weight scale (Choice D) is informative but does not directly promote primary prevention through community-wide initiatives.

Correct Answer: D

Rationale: The correct answer is D because during the contemplation stage, the individual is actively thinking about changing their behavior within the next 6 months. This stage involves weighing the pros and cons of changing behavior. Choice A is incorrect because in the contemplation stage, there is an intention to change within the specified time frame. Choice B is incorrect as there is a readiness to change in the contemplation stage. Choice C is incorrect because readiness to change behavior is not present in the precontemplation stage.

Correct Answer: C

Rationale: The correct answer is C because Lalonde's report emphasized the holistic approach to health, considering biology, environment, and lifestyle factors. This aligns with the concept of determinants of health, acknowledging that health is influenced by various factors beyond healthcare. Choice A focuses solely on access and quality of healthcare, while B is about legislation. Option D mentions accessibility but lacks the comprehensive consideration of health determinants like choice C. Lalonde's report was groundbreaking for shifting the focus from healthcare services to broader health promotion strategies.