What was the main reason for the brief existence of the nurse practitioner–model educational program?

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 being trained to provide advanced nursing care in various settings beyond traditional primary care. A, inadequate assessment and planning in the local area, is incorrect because the main reason was not due to local assessment and planning issues. B, insufficient provincial/territorial funding, is also incorrect as funding was not the primary factor leading to the brief existence of the program. C, the large number of primary care physicians practicing in urban areas, is irrelevant to the creation or cessation of the nurse practitioner-model program.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is the correct answer: 1. Primary prevention aims to prevent the occurrence of a disease before it occurs. 2. Teaching handwashing to children is a primary prevention activity as it reduces the spread of communicable diseases by preventing transmission through proper hygiene practices. 3. Observing their techniques ensures the correct application of handwashing, further decreasing the incidence of communicable diseases. Summary of why the other choices are incorrect: A: Identifying and treating clients with STIs is secondary prevention, focusing on early detection and treatment, not prevention. C: Providing case management services is tertiary prevention, which involves managing the impact of the disease on individuals, not preventing its occurrence. D: Providing DOT to clients with active tuberculosis is a form of treatment and adherence support, not primary prevention.

Correct Answer: A

Rationale: The correct answer is A: Affiliation with a church or congregation. Parish nursing is a specialized field of nursing that involves nurses being affiliated with a specific church or congregation. This affiliation is the main difference between parish nursing and all other fields of nursing. Parish nurses focus on providing care within a faith community setting, integrating spiritual aspects into their practice. Choices B, C, and D are incorrect because while they may be characteristics of parish nursing, they are not the main differentiating factor. Spiritual aspects and holistic care can be incorporated into various fields of nursing, and residence within the community of service is not unique to parish nursing.

Correct Answer: A

Rationale: The correct answer is A, community-oriented nursing. This type of nursing service is best classified as such because it focuses on providing care to individuals within their community setting, especially those who are marginalized or underserved. Community-oriented nursing involves addressing the social determinants of health and promoting health equity by delivering care where people live, work, and play. Choice B, home health nursing, primarily involves providing healthcare services to individuals in their homes, which may not fully capture the scope of care provided by the CHN in this scenario. Choice C, home health nursing, is focused on providing skilled nursing care to individuals in their homes, which may not align with the broader community-focused approach of the CHN. Choice D, outpost nursing, typically refers to providing healthcare services in remote or rural areas, which does not accurately describe the urban setting and population served by the CHN in this case.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This activity targets junior high-school students who have not yet engaged in drug abuse, aiming to prevent drug abuse before it occurs. Primary prevention focuses on preventing the onset of health problems by addressing risk factors. In this case, the use of role models to deliver an antidrug presentation is a proactive approach to educate and deter students from drug abuse. Summary: B: Secondary prevention involves early detection and intervention to prevent the progression of a problem. This activity is not focusing on those who are already using drugs. C: Tertiary prevention involves managing and treating existing health problems to prevent complications. This activity is not targeting students with existing drug abuse issues. D: This activity is solely focused on preventing drug abuse before it starts, making it a primary prevention strategy.