Which action by the community health nurse best describes tertiary prevention?

Correct Answer: C

Rationale: Tertiary prevention involves minimizing the negative impact of health conditions. This is achieved by managing and treating existing health problems to prevent further complications or disabilities. In contrast, option A relates to avoiding unnecessary medical interventions, option B focuses on primary prevention by addressing risk factors before health issues arise, and option D pertains to preventing adverse health outcomes before they happen. By choosing option C, the community health nurse is directly involved in providing care and interventions to improve the quality of life and reduce the consequences of existing health conditions.

Correct Answer: C

Rationale: The correct answer is C because applying research findings to develop new community programs falls under the domain of public health sciences. Here's a step-by-step rationale: 1. Public health sciences involve using evidence-based research to inform public health practice. 2. The public health nurse applying research findings demonstrates critical thinking and decision-making based on scientific evidence. 3. This action contributes to the development of effective community programs that are grounded in research. 4. Options A and B focus more on health promotion and cultural competence, respectively, which are important but not specifically within the public health sciences domain. 5. Option D addresses access to healthcare, which is significant but not directly related to the application of research findings in program development.

Correct Answer: C

Rationale: The correct answer is C. Social prescribing involves linking individuals with non-medical sources of support to improve their health and well-being. By suggesting volunteer work to a client feeling depressed after retiring, the nurse helps address the client's emotional needs and social isolation, promoting mental well-being. Referring a client with heart failure to a cardiac rehabilitation program (A) involves medical intervention. Teaching a client with diabetes how to inject insulin (B) is related to disease management. Assessing social resources of a community (D) is broader and does not directly address the individual client's needs.

Correct Answer: D

Rationale: The correct answer is D because a public health nurse often collaborates with community groups to develop policies that address health needs at a population level. This aligns with the role of public health nurses in advocating for policies that promote health and prevent diseases. Choice A involves seeking input from community leaders, which is important but not the primary role of a public health nurse. Choice B focuses on assessment and intervention planning, which are crucial steps but may not be solely done by a public health nurse. Choice C relies on existing data from healthcare institutions, which is valuable but may not encompass the broader community needs. Overall, working with community groups to create policies is the most direct and impactful action for a public health nurse to address community health issues.

Correct Answer: A

Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" This question reflects an understanding of the role of a public health nurse as it shows a focus on population health and identifying high-risk groups for targeted interventions. Public health nurses prioritize prevention and health promotion for communities, making this question relevant. The other choices are incorrect: B: "Which patients should I see first as I begin my day?" is more aligned with a hospital or clinical setting where individual patient care is emphasized. C: "With which physicians will I be most closely collaborating?" is more relevant to a nurse working in a hospital setting where collaboration with physicians is key. D: "With which nursing assistants will I partner the most?" is more suitable for a nurse working in a clinical setting where teamwork with nursing assistants is important for daily patient care tasks.