Which environmental health activity would the nurse perform while engaged in the core public health function of assurance?

Correct Answer: D

Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function of public health, ensuring that necessary actions are taken to protect and promote health. By assessing measures to reduce exposure, the nurse is actively involved in implementing strategies to mitigate the health risks associated with contaminated water. A: Educating the community about the need to boil contaminated drinking water falls under the function of health education or promotion rather than assurance. B: Collecting data about health issues related to contaminated drinking water is part of the assessment function, not assurance. C: Developing policies to regulate the discharge of pollutants into waterways is a function related to policy development, not assurance.

Correct Answer: C

Rationale: Step-by-step rationale for choice C being correct: 1. Personal responsibility for health involves individuals taking ownership of their health actions. 2. By persuading the client to monitor their weight at home, the nurse is empowering them to take control of their health. 3. This strategy promotes self-monitoring and accountability. 4. It encourages the client to actively engage in their health management. 5. Telehealth (choice A) involves remote healthcare delivery, not self-monitoring. Health information technology (choice B) refers to digital tools for healthcare, not personal responsibility. Evidenc (choice D) is not a recognized term in healthcare.

Correct Answer: A

Rationale: The correct answer is A: Policy development and individual planning skills. This is because public health nursing involves working at the population level to promote health and prevent disease. Policy development is crucial in shaping the environment to support health, and individual planning skills are necessary to provide personalized care within the broader public health context. Choice B is incorrect because public health nursing focuses on populations, not just individuals. Choice C is incorrect as financial planning and management are not specific to public health nursing practice. Choice D is incorrect because while leadership and critical thinking skills are important, they are not specific domains of public health nursing practice.

Correct Answer: C

Rationale: The correct answer is C: Report facts to and ask questions of physicians. In 1865, district nurses in Liverpool mainly acted as intermediaries between patients and physicians, relaying important information and concerns to the doctors. This duty helped ensure effective communication between healthcare providers and patients. Explanation: A: Using epidemiologic knowledge and methods was not a common duty of district nurses in 1865. Their roles were more focused on patient care and communication. B: While encouraging community organization may have been beneficial, it was not a primary duty of district nurses in Liverpool at that time. D: Assisting physicians with surgery in hospitals was not a typical responsibility of district nurses in 1865; their role was more centered around patient care and support.

Correct Answer: B

Rationale: The correct answer is B: Outreach. Outreach involves actively reaching out to underserved populations to provide services, such as vaccinations, in a cost-effective manner. The nurse is proactively addressing the lack of access to vaccinations in the rural community by bringing the services directly to them. Surveillance (A) involves monitoring health data, screening (C) involves testing individuals for a specific condition, and case management (D) involves coordinating care for individual patients, which are not directly related to the community-level intervention described in the scenario.