What would constitute tertiary prevention by a community health nurse (CHN) who wants to promote better health in women with diabetes?

Correct Answer: C

Rationale: The correct answer is C because tertiary prevention involves managing and treating existing conditions to prevent further complications. In the case of women with diabetes, monitoring blood glucose levels and recommending necessary diet modifications are crucial in preventing complications such as diabetic neuropathy or retinopathy. Choices A and B are related to primary prevention, focusing on preventing the onset of diabetes. Choice D is related to secondary prevention, screening for early detection. Tertiary prevention focuses on managing the condition to prevent further deterioration, making choice C the most appropriate in this context.

Correct Answer: B

Rationale: The correct answer is B: Informant interviews with local community members. This method is best because it directly involves the individuals within the community who have firsthand knowledge and experience regarding immigrant access to regional health care. They can provide valuable insights and perspectives that may not be captured through other methods. A: Interviews with employees of the local health board may provide some insights, but they may not have the same level of direct experience and perspective as community members. C: Interview with a legislator or local politician may offer a broader policy perspective, but may not capture the specific experiences of community members. D: Interview with a public health official may provide valuable information, but may not offer the same depth of insights as direct interactions with community members.

Correct Answer: B

Rationale: The correct answer is B: "Expect to have less autonomy than you have working as a CHN in the city." Rationale: 1. Rural settings often have limited healthcare resources and personnel, leading to CHNs having to work with fewer colleagues and support staff. 2. CHNs in rural areas may need to collaborate more closely with other healthcare providers due to limited resources, reducing their autonomy. 3. In rural areas, CHNs may encounter unique challenges such as lack of specialized services, requiring them to consult and collaborate more with external resources. Summary of other choices: A: Incorrect. Assuming community members will hold the CHN in higher regard is not a universal truth and may lead to unrealistic expectations. C: Incorrect. Rural areas often have limited resources, including supplies and clinics, making this statement inaccurate. D: Incorrect. While developing specialized knowledge is important, rural CHNs may need to be versatile and adaptable due to limited resources.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Developing a communication strategy involves acquiring skills in communication planning, implementation, and evaluation. 2. Skill development is crucial for effectively communicating with community members and keeping them informed. 3. This directly contributes to enhancing the capacity of the community to engage and participate. 4. Partnership building, documenting progress, and establishing planning teams are important but not directly related to communication skills development. Summary: A) Skill development is correct as it directly relates to communication strategy. B) Partnership building focuses on collaborating with other organizations. C) Documentation of progress involves tracking and reporting outcomes. D) Establishing a planning team group is about organizing and coordinating efforts.

Correct Answer: C

Rationale: Correct Answer: C - Directly observing clients with active TB as they take their antituberculosis medications Rationale: 1. Tertiary prevention aims to prevent complications and deterioration in individuals with existing conditions, such as active TB. 2. Directly observing medication administration ensures adherence and effectiveness in treating active TB. 3. By monitoring medication intake, the community health nurse can prevent drug resistance and further spread of TB. 4. Administering the Mantoux test (A) is a form of secondary prevention to identify TB exposure, not treatment. 5. Assessing for signs and symptoms (B) is part of early detection (secondary prevention), not tertiary prevention. 6. Interpreting TB skin test results (D) is diagnostic and not directly involved in preventing complications in individuals already diagnosed with active TB.