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: C

Rationale: The correct answer is C: Teaching self-care to the client. This is because empowering the client to perform self-care tasks promotes independence and self-esteem. By teaching the client self-care techniques, the home health nurse helps the client regain control over their daily activities. This approach fosters self-reliance and encourages the client to actively participate in their own care, leading to better outcomes in rehabilitation. Choice A is incorrect because relying solely on private duty nurses may hinder the client's independence and self-efficacy. Choice B is also not the best option as simply assisting the client with ADLs does not encourage the client to develop skills for self-care. Choice D is not ideal as it shifts the responsibility to the family rather than empowering the client directly. Ultimately, teaching self-care to the client is the most effective way to support their recovery and enhance their quality of life.

Correct Answer: B

Rationale: The correct answer is B: Secondary prevention. The OHN conducting spirometry testing for employees working with hazardous gases is practicing secondary prevention. This is because spirometry testing helps in early detection of lung function abnormalities, allowing for timely interventions to prevent further health deterioration. Primary prevention focuses on preventing the onset of a disease, while tertiary prevention involves managing and treating existing conditions. Tertiary care typically refers to specialized medical treatment for complex health issues, which is not the main focus of spirometry testing in this scenario.

Correct Answer: D

Rationale: The correct answer is D: Psychosocial hazards. Employees working in two-week shifts are more prone to psychosocial hazards such as stress, fatigue, and social isolation due to disrupted sleep patterns and lack of work-life balance. This can lead to mental health issues and decreased job performance. Biological hazards (A), environmental hazards (B), and physical hazards (C) are less likely to be significantly impacted by the specific work schedule and are not as directly related to the challenges faced by employees working in two-week shifts.

Correct Answer: A

Rationale: The correct answer is A: Absence of culturally appropriate care. Mexican migrant farm workers are more likely to face this barrier due to language differences, cultural beliefs, and lack of understanding of their unique needs. This can lead to miscommunication, lack of trust, and inadequate care. Option B, availability of specialists, may not be a specific barrier for Mexican migrant farm workers. Option C, distance of health care facilities, is a common barrier for rural residents in general. Option D, lack of anonymity, is not necessarily a significant barrier specific to Mexican migrant farm workers.

Correct Answer: B

Rationale: The correct answer is B because drafting policies for increases in noncompetitive physical activity programs aligns with primary prevention efforts by promoting exercise at a community level. This approach targets a wider population and aims to prevent weight-related issues from occurring in the first place. A is incorrect because developing individualized exercise programs for overweight children is more of a secondary prevention strategy rather than primary prevention. C is incorrect as monitoring body mass index in children is important but falls under early detection rather than primary prevention. D is incorrect as notifying parents of their child's height-weight scale in comparison with national norms is more about raising awareness rather than implementing primary prevention strategies.