Which one of the following is a feature of community capacity building?

Correct Answer: C

Rationale: Community capacity building involves empowering communities to identify and address their own needs. Option C, obtaining sustainable financial resources, is a key feature as it enables communities to fund projects and initiatives independently. This increases their autonomy and sustainability. Asking why (Option A) is a critical thinking skill but not a specific feature of capacity building. Assessing the status quo (Option B) is important for understanding current community strengths and weaknesses but does not necessarily build capacity. Ensuring government involvement (Option D) is beneficial but not a defining feature of community capacity building, as true empowerment comes from community-led initiatives.

Correct Answer: A

Rationale: Step 1: Establishing trust and rapport is crucial in case management with structurally vulnerable populations. Step 2: Long-term relationships allow CHNs to understand complex needs and provide holistic care. Step 3: CHNs should support families without imposing control to empower them. Step 4: Consistency in relationships fosters stability and continuity of care. Therefore, choice A is correct as it emphasizes building long-term relationships based on trust and support. Choices B, C, and D are incorrect as they do not prioritize the establishment of trusting relationships and empowerment of families.

Correct Answer: B

Rationale: The correct answer is B because limited knowledge can lead to pregnancy complications in pregnant adolescents. Having adequate knowledge about prenatal care, nutrition, and potential risks is crucial for ensuring a healthy pregnancy. Incorrect choices: A: Not all adolescent pregnancies are high risk. Risk factors vary based on individual circumstances. C: While some pregnant adolescents may struggle with proper nutrition, it is not a general rule. D: Socioeconomic status can influence health outcomes, but it is not the most important factor in caring for pregnant adolescents.

Correct Answer: B

Rationale: The correct answer is B: Alcoholism is determined partly by genes. This answer is correct because research has shown that genetics play a significant role in predisposing individuals to alcoholism. Studies have identified specific genes that can increase the risk of developing alcohol use disorder. However, it is important to note that environmental factors also play a crucial role in the development of alcoholism. A: Alcoholism is not solely determined by the environment; genetics also play a role. C: Alcoholism rates may vary between genders, but it is not accurate to generalize that it is higher in women. D: Persons born with fetal alcohol syndrome have a higher risk of developing alcohol-related issues, but this does not mean they are alcoholics from birth.

Correct Answer: D

Rationale: The correct answer is D: Report the incident to the child protection agency. The CHN has a legal and ethical duty to protect the child from harm. Reporting to the child protection agency ensures the child's safety and well-being. The boyfriend's behavior of pushing a child is abusive and potentially dangerous. Ignoring the situation could lead to further harm to the child. Abiding by the mother's wishes (choice A) would prioritize confidentiality over the child's safety. Arranging counselling for the boyfriend (choice B) does not address the immediate risk to the child. Advicing the mother to take the child away (choice C) may not guarantee the child's safety if the boyfriend is not held accountable for his actions. Reporting to the child protection agency is the most appropriate and responsible action to safeguard the child's welfare.