Which statement by a parish nurse exhibits a misunderstanding of the concept of pastoral care?

Correct Answer: A

Rationale: The correct answer is A because it implies that the parish nurse's role is solely to help clients identify their spiritual strengths, which is a limited view of pastoral care. Pastoral care involves holistic support, including emotional, social, and spiritual aspects. B is not the correct answer as it is incomplete. C is not the correct answer as involving the pastor in ministering to the congregation is a valid form of pastoral care. D is not the correct answer as emphasizing the spiritual dimension of nursing is a key aspect of pastoral care.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This activity is focused on preventing vision problems before they occur, making it a primary prevention measure. By conducting visual acuity testing for all students, the CHN aims to identify potential issues early on and provide interventions to promote eye health. Secondary prevention (B) would involve early detection and treatment of existing vision problems, while tertiary prevention (C) would focus on managing and reducing the impact of already diagnosed vision issues. Choice D is incorrect because the activity is primarily aimed at preventing vision problems rather than detecting and treating existing ones.

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.