Which data source would most likely be eliminated by the community health nurse (CHN) who wishes to conduct a needs assessment on a limited budget?

Correct Answer: A

Rationale: The correct answer is A: Community forums. Community forums typically involve a larger number of participants and may require more resources to organize and conduct compared to other options. By eliminating community forums, the CHN can save costs and still gather valuable insights through other methods like examining community indicators, conducting focus groups, and administering surveys. These alternatives are more cost-effective and efficient for conducting a needs assessment on a limited budget. Focus groups allow for in-depth discussions, surveys provide quantitative data, and examining community indicators offers existing data for analysis, making them more suitable choices for a constrained budget.

Correct Answer: A

Rationale: The correct answer is A: Health is an outcome. In the Ottawa Charter on Health Promotion, the focus is on health as an outcome of various determinants such as social, economic, and environmental factors, not just the absence of illness. This definition emphasizes that health is a result of individual and collective efforts to promote well-being. Choice B is incorrect because the Ottawa Charter emphasizes the importance of maintaining and promoting health, not prioritizing enjoyment over health. Choice C is incorrect as it does not fully capture the complexity of health as an outcome influenced by various factors beyond daily activities. Choice D is incorrect as health is not solely about maintaining a stable environment but rather a holistic outcome of multiple determinants.

Correct Answer: A

Rationale: The correct answer is A: Preactive stage. In this stage, assessment of needs is done before implementing a program. For the daycare program for the elderly, assessing their specific requirements, preferences, and challenges is crucial for effective planning. The other choices are incorrect because: B: Reactive stage - This stage involves responding to an issue after it has occurred, not suitable for proactive planning. C: Inactive stage - This stage implies no action or planning, which is not appropriate for establishing a new program. D: Interactive stage - This stage involves engaging with stakeholders during program implementation, not specifically focused on assessing needs beforehand.

Correct Answer: B

Rationale: The correct answer is B: Secondary prevention. Tracing sexual contacts of clients with STIs falls under secondary prevention, which aims to detect and treat diseases early to prevent complications and further transmission. This activity helps identify individuals at risk, provide education, and promote early treatment. Choice A (Primary prevention) focuses on preventing the occurrence of disease through education and behavior change before exposure. Choice C (Tertiary prevention) involves managing complications and preventing further progression of disease. Choice D (Secondary and tertiary prevention) is not accurate as the activity primarily focuses on early detection and treatment, aligning with secondary prevention.

Correct Answer: A

Rationale: The correct answer is A: Recognizing and respecting cultural identity. This is because cultural safety in nursing involves acknowledging and valuing a person's cultural beliefs, practices, and identity. By recognizing and respecting cultural identity, the nurse creates an environment where the client feels accepted and understood. B: Mirroring and matching of cultural behaviors may not always be appropriate as it can lead to stereotyping and assumptions. C: Seeking similarities and commonalities is important, but it does not necessarily ensure cultural safety as it may overlook the uniqueness of an individual's cultural background. D: Supporting the adoption of dominant cultural behaviors may not be culturally safe as it can marginalize or suppress the client's own cultural identity.