Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke?

Correct Answer: B

Rationale: The correct answer is B: Assisting the client with activities of daily living (ADLs). This is the best way for a home health nurse to help a client with right-sided paresis following a stroke because it promotes the client's independence and functional abilities. By assisting the client with ADLs, the nurse can help the client maintain their dignity and sense of self-worth while also focusing on rehabilitation and improving physical abilities. Choice A is incorrect because arranging for private duty nurses may not necessarily promote the client's independence and may not address the client's specific needs related to paresis. Choice C is incorrect because teaching self-care may not be feasible for a client with right-sided paresis, and they may require physical assistance. Choice D is incorrect because while teaching the family to assist the client with ADLs is important, the primary responsibility for direct care lies with the nurse in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Nurse practitioner. Rural areas often have limited access to specialty care, making it more likely for a rural resident with asthma to receive care from a nurse practitioner who can provide primary care services, including asthma management. Nurse practitioners are trained to diagnose and treat common health conditions, including asthma, making them more accessible in rural areas. Incorrect choices: A: Allergist - Allergists are specialists who focus on diagnosing and treating allergies, not all asthma cases require an allergist. C: Pediatrician - Pediatricians primarily focus on children's health, and adults with asthma may not seek care from a pediatrician. D: Pulmonologist - Pulmonologists are specialists in respiratory diseases, often limited in rural areas, making access to them less likely for rural residents with asthma.

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: C

Rationale: The correct answer is C because the Diffusion of Innovation Theory emphasizes that individuals adopt innovations at different rates. It categorizes adopters into innovators, early adopters, early majority, late majority, and laggards based on their readiness to try new ideas. This feature helps understand and predict the adoption process in various contexts. A, B, and D are incorrect because they do not align with the central concept of the Diffusion of Innovation Theory, which focuses on the adoption patterns of individuals rather than cost considerations, network preferences, or geographical factors.

Correct Answer: C

Rationale: The correct answer is C: Community participation. Community development is most effective when community members actively engage in the process. Community participation fosters ownership, empowerment, and sustainability. It ensures that interventions are relevant, culturally appropriate, and supported by the community. Adequate funding (A) is important but without community participation, resources may not be utilized effectively. Appropriate location (B) is also crucial, but it does not guarantee community involvement. Professional expertise (D) is valuable, but without community input, interventions may not address the actual needs of the community.