Which health service along the health care continuum would the nurse utilize for a client with health care needs related to a chronic condition?

Correct Answer: D

Rationale: The correct answer is D: A long-term care facility. For a client with health care needs related to a chronic condition, a long-term care facility would be the most appropriate along the health care continuum as it provides continuous care and support for individuals with chronic conditions. The services offered at a long-term care facility are tailored to meet the complex and ongoing needs of individuals with chronic conditions, ensuring they receive specialized care, rehabilitation, and support. Preventive health programs (choice A) focus on promoting health and preventing diseases before they occur, which is not the primary need for someone with a chronic condition. Ambulatory care clinics (choice B) are outpatient facilities that provide medical services but may not offer the comprehensive care required for managing a chronic condition long-term. Acute care departments (choice C) are designed for immediate and critical care needs, rather than the ongoing management required for chronic conditions.

Correct Answer: B

Rationale: The correct answer is B: Health trends of a community. 1. Assessment in public health involves collecting and analyzing data on the health status of populations. 2. Monitoring health trends of a community helps the nurse identify health issues, plan interventions, and evaluate outcomes. 3. Blood pressure readings in an individual (A) are more focused on clinical care rather than community health assessment. 4. Social supports of a family (C) pertain to individual and family support systems, not community health trends. 5. Immunization records of elementary school children (D) are important but are more related to the core function of assurance rather than assessment in public health.

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: B

Rationale: The correct answer is B because conducting vaccination campaigns to promote immunizations represents an autonomous public-health nursing function. Public health nursing focuses on promoting and protecting the health of populations through preventive measures like immunizations. This role does not require direct collaboration with physicians or performing medical procedures, making choices A, C, and D incorrect. Providing direct care to wounded soldiers and assisting in surgical operations are more focused on individual patient care rather than population health promotion.

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.