When asking clients about their sexuality, which of the following would be the best screening question to ask first?

Correct Answer: C

Rationale: The best screening question to ask first when inquiring about a client's sexuality is "Do you have sex with men, women or both?" because it allows for an open-ended response and provides the client with the opportunity to self-identify their sexual orientation without assumptions or constraints. This question is inclusive of diverse sexual orientations and preferences, ensuring that the client's unique experiences are acknowledged and respected. Options A and D are limiting as they assume a binary view of relationships and may not accurately capture the client's sexual orientation. Option B is too specific and may not consider other aspects of the client's sexuality beyond recent sexual activity.

Correct Answer: D

Rationale: The correct answer is D: Validity. Validity refers to the accuracy of a measurement tool in assessing what it is intended to measure. A regular-sized BP cuff lacks validity when used across all individuals because it does not accurately measure blood pressure in obese individuals (falsely high readings) or small/thin individuals (falsely low readings). A: Reliability refers to the consistency of a measurement tool in producing the same results over time. A regular-sized BP cuff can still be reliable in producing consistent readings, just not valid across all individuals. B: Sensitivity refers to the ability of a test to correctly identify those with the condition. In this case, a regular-sized BP cuff can still be sensitive to detecting high or low blood pressure, but it lacks validity across all individuals. C: Specificity refers to the ability of a test to correctly identify those without the condition. Similar to sensitivity, a regular-sized BP cuff can still be specific in ruling out high or low blood pressure

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Health resource use patterns (e.g., bed occupancy days, client/provider visits) reflect the utilization of health services, indicating access to care and efficiency. 2. Assessing these patterns helps CHNs evaluate the process of delivering community health services. 3. By monitoring resource use, CHNs can identify gaps, allocate resources effectively, and improve service delivery. 4. This measure focuses on the operational aspects of community health, making it essential for process assessment. Summary of why other choices are incorrect: - Choice B: Health risk profiles focus on identifying health risks within specific population groups, not on assessing the process of community health. - Choice C: Incidence and prevalence of leading causes of mortality and morbidity relate to the health status of the community, not the process of community health. - Choice D: Participation of health care providers in local organizations pertains to collaboration and engagement, not the assessment of community health processes.

Correct Answer: A

Rationale: The correct answer is A (Assess, plan, implement, evaluate) because it follows the logical sequence of health program management process. Assessment involves gathering information and identifying needs. Planning entails setting goals and developing strategies. Implementation is the execution of the plan, while evaluation assesses the effectiveness and outcomes. Option B (Identify, initiate, implement) lacks the crucial step of evaluation, which is essential for measuring the program's success. Option C (Organize, operationalize, mobilize, subsidize) includes irrelevant steps like mobilize and subsidize that are not part of the core management process. Option D (Substantiate, negotiate, evaluate) does not include the initial steps of assessing and planning, which are essential for effective program management.

Correct Answer: B

Rationale: The correct answer is B because providing a diabetes management program for persons with diabetes mellitus emphasizes tertiary prevention. Tertiary prevention focuses on managing and preventing complications in individuals already diagnosed with a disease. This program helps individuals with diabetes manage their condition effectively to prevent complications, which aligns with the goals of tertiary prevention. Choices A, C, and D are incorrect because they focus on primary or secondary prevention strategies. Choice A emphasizes primary prevention by providing counselling on contraception to prevent unwanted pregnancies. Choice C focuses on promoting cardiovascular fitness, which is a secondary prevention strategy aimed at detecting and treating risk factors before the development of cardiovascular diseases. Choice D offers free blood pressure screening, which is a secondary prevention measure to detect hypertension early.