Which public health service best represents primary prevention?

Correct Answer: A

Rationale: The correct answer is A because developing a health education program about the dangers of smoking is an example of primary prevention, which aims to prevent the occurrence of a disease or injury before it occurs. This intervention targets the root cause of the health issue by educating individuals on the harmful effects of smoking and promoting healthy behaviors to reduce the risk of developing smoking-related diseases. Choices B, C, and D represent secondary or tertiary prevention strategies as they focus on providing care or interventions after the disease has already developed or to prevent complications.

Correct Answer: B

Rationale: The correct answer is B because completing education can empower adolescent mothers to secure better job opportunities, higher income, and improved living conditions, leading to long-term positive health outcomes for themselves and their children. This choice addresses the root causes of health disparities in low-income groups by promoting education as a key factor in breaking the cycle of poverty and improving overall well-being. A: Learning about body changes during pregnancy is important but does not address the broader social determinants of health that impact long-term outcomes. C: Offering courses in proper baby care is beneficial but does not address the underlying issues of education and socioeconomic status. D: Monitoring for pregnancy problems is crucial for immediate health concerns but does not address the long-term health and well-being of the adolescent mothers and their children.

Correct Answer: A

Rationale: The correct answer is A: "Which community groups are at greatest risk for problems?" This question is most relevant for a community health nurse (CHN) as it aligns with the primary focus of community health nursing, which is to identify and address health needs within the community. By understanding which community groups are at greatest risk, the nurse can prioritize interventions and allocate resources effectively. Rationale: 1. A focuses on population health, which is a core component of community health nursing. 2. Identifying high-risk groups allows for targeted interventions and preventive measures. 3. Understanding community needs is essential for developing culturally appropriate and effective health programs. Summary: B, C, and D are incorrect because they focus on individual patients, specific collaborations, and referral processes rather than the broader community health perspective that is crucial for a community health nurse.

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: D

Rationale: The correct answer is D because involving communities in their health care and encouraging their participation in decisions about health care leads to better health outcomes. By engaging communities, healthcare providers can better understand the specific needs and priorities of the population, leading to more effective and tailored interventions. This approach also promotes trust, patient empowerment, and better adherence to treatment plans. A, B, and C are incorrect because solely focusing on increasing funding for new pharmaceutical interventions, further research, or technological advances does not address the importance of community involvement in improving health care outcomes. While these factors are essential, they do not directly involve the community in decision-making processes, which is crucial for sustainable and impactful healthcare improvements.