What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?

Correct Answer: C

Rationale: The correct answer is C: A clinical trial. Clinical trials are designed to assess the long-term benefits and risks of a treatment by monitoring participants over an extended period. They involve randomization, control groups, and follow-up assessments, making them ideal for determining treatment effectiveness. A: A cross-sectional study only provides a snapshot of data at a single point in time and does not track long-term outcomes. B: An ecological study examines population-level data and may not provide individual-level insights on long-term benefits and risks of a treatment. D: A retrospective analysis looks at past data and may not adequately capture the long-term effects of a treatment compared to a prospective study like a clinical trial.

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: C

Rationale: The ultimate goal of program planning is to ensure that health care services are satisfactory, comparable, effective, and beneficial. This is because the primary focus of program planning in healthcare is to improve patient outcomes and overall health system performance. By ensuring that services are of high quality and meet the needs of the population, the goal of enhancing health outcomes is achieved. Avoiding unanticipated conflicts in the program development phase (Choice A) is important but not the ultimate goal. Ensuring adequate funding (Choice B) is crucial for program sustainability but not the primary objective. Preventing unnecessary duplication of services (Choice D) is a key consideration but not the ultimate goal, which is to deliver effective and beneficial healthcare services.

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. Involving the entire family in the management of obesity in a child is the most important action because family support and involvement are crucial for sustainable behavior change in children. The family plays a significant role in shaping a child's habits and lifestyle choices. By engaging the entire family, the community health nurse can create a supportive environment where healthy behaviors are encouraged and reinforced consistently. This approach addresses the root causes of childhood obesity by promoting healthy eating habits and physical activity within the child's daily life, rather than relying solely on external interventions like legislation or programs. Choice A is less effective because while legislation can create a healthier environment, it may not directly address the underlying family dynamics influencing a child's behavior. Choice B is important but may not be as effective as involving the family since parental influence extends beyond school-based programs. Choice D is valuable but may not address the core issue of family involvement, which is crucial for sustainable behavior change.