Which public health nurse leader was instrumental in establishing the first integrated basic nursing degree program in Canada?

Correct Answer: B

Rationale: The correct answer is B: Kathleen Russell. Russell was instrumental in establishing the first integrated basic nursing degree program in Canada. She played a crucial role in advocating for higher education standards in nursing. Florence Nightingale is known for her work in nursing reform and sanitation practices, but not specifically for establishing nursing degree programs in Canada. Edna Moore and Lillian Wald were significant figures in nursing history, but they did not have direct involvement in establishing the first integrated basic nursing degree program in Canada.

Correct Answer: A

Rationale: Step 1: Tertiary prevention focuses on reducing the impact of an already established disease or condition. Step 2: Lifestyle improvement programs for obese children fall under tertiary prevention by helping manage and improve their condition. Step 3: Establishing these programs through local youth organizations allows for wide-reaching support and resources. Step 4: Evaluating food intake (B) is more related to primary prevention. Providing educational programs to overweight parents (C) is secondary prevention. Measuring BMI in well-child assessments (D) is more about early detection rather than tertiary prevention. Therefore, option A is the correct choice for promoting improved health in obese children through tertiary prevention.

Correct Answer: D

Rationale: The correct answer is D because the CHN is empowering the women to engage in political action locally by encouraging them to write letters to their city council representatives to request funding for a driver and a van service. This action not only raises awareness of the women's needs but also actively involves them in advocating for a solution. A) Incorrect: This choice implies that the CHN is avoiding responsibility, which is not the case. The CHN is actively guiding the women on how to address their transportation issue. B) Incorrect: While the CHN may understand the women's concerns and needs, the main focus of her action is to mobilize the women to take political action, rather than simply acknowledging their concerns. C) Incorrect: Although expressing empathy, support, and concern are important aspects of nursing care, the primary action here is to empower the women to engage in political action, not just provide emotional support.

Correct Answer: D

Rationale: The correct answer is D because teaching anger management skills to teens in a halfway house involves collaborating with individuals to promote behavioral change, demonstrating the role of a change partner. Administering vaccinations (A) is more of a healthcare provider role. Analyzing community problems (B) is part of assessment and planning, not direct change partnership. Establishing a care center (C) addresses a need but does not necessarily involve actively facilitating behavior change.

Correct Answer: A

Rationale: The correct answer is A: Community forums. Community forums typically involve a larger number of participants and may require more resources to organize and conduct compared to other options. By eliminating community forums, the CHN can save costs and still gather valuable insights through other methods like examining community indicators, conducting focus groups, and administering surveys. These alternatives are more cost-effective and efficient for conducting a needs assessment on a limited budget. Focus groups allow for in-depth discussions, surveys provide quantitative data, and examining community indicators offers existing data for analysis, making them more suitable choices for a constrained budget.