What is the focus of the definition of health in the Ottawa Charter on Health Promotion?

Correct Answer: A

Rationale: The correct answer is A: Health is an outcome. In the Ottawa Charter on Health Promotion, the focus is on health as an outcome of various determinants such as social, economic, and environmental factors, not just the absence of illness. This definition emphasizes that health is a result of individual and collective efforts to promote well-being. Choice B is incorrect because the Ottawa Charter emphasizes the importance of maintaining and promoting health, not prioritizing enjoyment over health. Choice C is incorrect as it does not fully capture the complexity of health as an outcome influenced by various factors beyond daily activities. Choice D is incorrect as health is not solely about maintaining a stable environment but rather a holistic outcome of multiple determinants.

Correct Answer: A

Rationale: The correct answer is A: Call all homeless clients 48 hours after testing to remind them to return to the clinic for follow-up. This is the most appropriate policy because it addresses the issue of clients not returning for follow-up by actively reminding them. Calling clients directly helps establish a personal connection, shows care, and emphasizes the importance of follow-up. It allows for immediate communication and clarification if needed. Choice B is incorrect because relying on homeless persons to read and mail in test results may not be reliable or effective due to potential literacy issues, lack of access to mail services, or forgetting to mail the results. Choice C is incorrect because re-administering the test is not necessary if the client returns later than scheduled. It may lead to unnecessary testing and delays in receiving appropriate care. Choice D is incorrect because routinely referring all homeless clients for chest X-rays is not justified without confirming the need based on the Mantoux test results. It may result in unnecessary radiation exposure and resource allocation.

Correct Answer: B

Rationale: The correct answer is B: Nurse practitioner. Rural areas often have limited access to specialty care, making it more likely for a rural resident with asthma to receive care from a nurse practitioner who can provide primary care services, including asthma management. Nurse practitioners are trained to diagnose and treat common health conditions, including asthma, making them more accessible in rural areas. Incorrect choices: A: Allergist - Allergists are specialists who focus on diagnosing and treating allergies, not all asthma cases require an allergist. C: Pediatrician - Pediatricians primarily focus on children's health, and adults with asthma may not seek care from a pediatrician. D: Pulmonologist - Pulmonologists are specialists in respiratory diseases, often limited in rural areas, making access to them less likely for rural residents with asthma.

Correct Answer: D

Rationale: The correct answer is D: A toxicologist. A toxicologist specializes in studying the adverse effects of chemicals on living organisms, including humans. They have expertise in understanding the physiological effects of chemicals on the human body, making them the best source of information for the CHN's query. A chemist (choice A) focuses more on the composition and properties of chemicals rather than their effects on humans. An epidemiologist (choice B) studies the patterns and causes of diseases in populations, not specifically the physiological effects of chemicals. A pharmacologist (choice C) specializes in studying drugs and their effects, which is different from the broader focus of toxicologists on various chemicals and their impacts on health.

Correct Answer: B

Rationale: The correct answer is B: Assisting the client with activities of daily living (ADLs). This is the best way for a home health nurse to help a client with right-sided paresis following a stroke because it promotes the client's independence and functional abilities. By assisting the client with ADLs, the nurse can help the client maintain their dignity and sense of self-worth while also focusing on rehabilitation and improving physical abilities. Choice A is incorrect because arranging for private duty nurses may not necessarily promote the client's independence and may not address the client's specific needs related to paresis. Choice C is incorrect because teaching self-care may not be feasible for a client with right-sided paresis, and they may require physical assistance. Choice D is incorrect because while teaching the family to assist the client with ADLs is important, the primary responsibility for direct care lies with the nurse in this scenario.