Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?

Correct Answer: D

Rationale: The correct answer is D: Implementing pollution prevention strategies. Tertiary prevention focuses on reducing the impact of an existing disease or condition. Pollution prevention strategies aim to reduce or eliminate pollutants at the source, thus preventing harm to the environment and human health. This intervention targets the root cause of environmental health issues, aligning with tertiary prevention goals. Choice A involves identifying risks but doesn't directly address prevention. Choice B focuses on emergency response, which is more aligned with secondary prevention. Choice C involves assessing community health but doesn't specifically target prevention strategies like choice D.

Correct Answer: D

Rationale: The correct answer is D because facilitating a community-wide smoking cessation program directly impacts public health on a larger scale by addressing a common health issue at a community level. This task focuses on preventive measures and health promotion, which are key aspects of public health initiatives. In contrast, choices A, B, and C primarily involve individual patient care and education, which do not have the same broad impact on public health. Reading nursing journals and instructing a client on wound care are important for individual patient outcomes, while participating in a videoconference call with a remote client focuses on improving access to care but does not necessarily address broader public health concerns.

Correct Answer: B

Rationale: The correct answer is B: Community organization skills. Public health nursing involves working directly with communities to promote health and prevent diseases. Community organization skills are essential for building partnerships, mobilizing resources, and empowering communities. Intuitive assessment skills (choice A) may be important, but they are not specific to public health nursing. Communication skills (choice C) are important but not unique to public health nursing. Cultural competency skills (choice D) are important in public health nursing, but they are not one of the domains of practice specifically mentioned in the question.

Correct Answer: B

Rationale: The correct answer is B because reducing health inequity, decreasing disparities, and improving the health of certain groups align with the Healthy People 2020 goal of achieving health equity. This goal focuses on addressing social determinants of health to ensure everyone has the opportunity to achieve their full health potential. Choices A, C, and D do not specifically address health equity or disparities, making them incorrect for this question. A focuses on preventable diseases, C on creating healthy environments, and D on promoting healthy behaviors for the elderly, which are important but not the primary focus of the Healthy People 2020 initiative.

Correct Answer: A

Rationale: The correct answer is A: Elimination of common infectious diseases. This is a significant public health achievement in the 20th century due to the development of vaccines and antibiotics, leading to the eradication or control of diseases like smallpox and polio. This achievement has had a substantial impact on improving population health. Summary: - Choice A is correct as it directly addresses a major public health milestone. - Choice B is incorrect as recognizing tobacco as a health hazard, while important, is not a specific public health achievement in the 20th century. - Choice C is incorrect as fluoridation of drinking water is a notable public health intervention but not one of the great achievements in the 20th century. - Choice D is incorrect as healthier mothers and babies is an important public health goal but does not represent a specific achievement in the 20th century.