Which of the following demonstrates the final phase of application of the community health nursing process?

Correct Answer: A

Rationale: The correct answer is A: Presenting feedback about a 6-week fitness class. This demonstrates the final phase of the community health nursing process, which involves evaluating the outcomes of implemented interventions. By presenting feedback, the nurse is assessing the effectiveness of the fitness class in improving community health. Choice B, determining the needs of the community, is part of the assessment phase, not the final phase. Choice C, developing a wellness program, is part of the planning phase. Choice D, supervising a fitness class, is part of the implementation phase. Thus, only choice A aligns with the final phase of the community health nursing process.

Correct Answer: A

Rationale: The correct answer is A because directing clients to English-as-a-second-language courses helps immigrants improve language proficiency, which is crucial for social integration, access to resources, and employment opportunities. Learning English enhances communication skills, self-confidence, and cultural adaptation. This intervention promotes independence and empowerment, fostering lasting resilience. Incorrect choices: B: Giving money may provide temporary relief but doesn't address long-term resilience. C: Identifying cheaper housing doesn't directly enhance resilience without addressing other social determinants. D: Soliciting donations may meet immediate needs but doesn't build lasting resilience without addressing skill development.

Correct Answer: B

Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.

Correct Answer: C

Rationale: The correct answer is C. Involving the entire family in the management of obesity in a child is the most important action because family support and involvement are crucial for sustainable behavior change in children. The family plays a significant role in shaping a child's habits and lifestyle choices. By engaging the entire family, the community health nurse can create a supportive environment where healthy behaviors are encouraged and reinforced consistently. This approach addresses the root causes of childhood obesity by promoting healthy eating habits and physical activity within the child's daily life, rather than relying solely on external interventions like legislation or programs. Choice A is less effective because while legislation can create a healthier environment, it may not directly address the underlying family dynamics influencing a child's behavior. Choice B is important but may not be as effective as involving the family since parental influence extends beyond school-based programs. Choice D is valuable but may not address the core issue of family involvement, which is crucial for sustainable behavior change.

Correct Answer: A

Rationale: The correct answer is A: Case management. Case management involves coordinating and organizing services for individuals to ensure they receive comprehensive care. In this scenario, the CHN assessed the client's needs, referred them to an endocrinologist, assisted with financial aid, arranged transportation, and scheduled a follow-up appointment, all of which are key components of case management. This approach focuses on individualized care and continuity of services to address the client's needs effectively. Choice B: Client advocacy involves supporting and promoting the rights and interests of the client. While the CHN did advocate for the client by providing assistance, the primary focus was on coordinating services, making A a more fitting option. Choice C: Holistic care considers the physical, mental, emotional, social, and spiritual aspects of an individual's health. While the services provided were comprehensive, the focus was more on coordinating and managing the client's care rather than addressing all aspects of holistic care. Choice D: Wrap-around services involve providing a range of