Whenever possible, population-based practice focuses on which level of prevention?

Correct Answer: A

Rationale: Population-based practice focuses on primary prevention because it aims to prevent diseases or health issues before they occur by addressing the root causes within the entire population. This approach involves implementing strategies such as promoting healthy behaviors, vaccination programs, and environmental changes to improve overall health outcomes. Secondary prevention focuses on early detection and treatment of diseases, tertiary prevention focuses on managing complications and preventing further deterioration, and individual prevention is focused on individual-level interventions rather than population-wide strategies. Therefore, primary prevention is the most appropriate level for population-based practice to promote health and prevent diseases effectively.

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: D

Rationale: The correct answer is D, to regularly monitor the wound condition of clients. By monitoring the wound condition regularly, the CHN can assess progress, identify any signs of infection or complications early on, and adjust treatment plans accordingly. This proactive approach allows for timely interventions and improved outcomes. Choice A is incorrect because administering antibiotics to all homeless persons with chronic wounds is not recommended unless there is a specific indication for infection. Choice B is incorrect as simply providing access to soap, water, and bandages does not address the need for ongoing monitoring and evaluation. Choice C is also incorrect as providing bandaging supplies alone does not ensure proper wound care and monitoring. Regular monitoring, as in option D, is essential for successful wound management.

Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a health issue before it happens. In this case, educating a group about community services aligns with primary prevention by providing information to potentially avoid future health problems. This action focuses on promoting health and well-being in the community before any specific health issues arise. Advocating for a client, collaborating between healthcare personnel, and resolving conflicts between healthcare facilities are important tasks but do not directly address preventing health issues before they occur.

Correct Answer: A

Rationale: The correct answer is A because the statement indicates a lack of insight into his violent behavior by attributing the violence to external factors (work frustrations) rather than taking personal responsibility. Choice B shows remorse and acknowledges the harm caused. Choice C demonstrates awareness and a plan for managing anger. Choice D recognizes the link between alcohol and abusive behavior. Overall, A is the only statement that deflects accountability for the violence onto external factors, showing a lack of insight into personal responsibility.