Which of the following is NOT listed as a main responsibility of the community health nurse in global health?

• A. Providing direct clinical care without engaging in policy or advocacy.
• B. Improving access to care for vulnerable groups.
• C. Engaging in policy and advocacy.
• D. Utilizing evidence-based practice and health informatics.

Answer: (A)

Global health nursing goes beyond treating individuals to shaping the systems and policies that determine population health. Nurses in this field work to improve access for vulnerable groups, engage in policy and advocacy to influence determinants of health, and use evidence-based practice supported by health informatics to guide decisions and measure impact. Providing direct clinical care is important, but focusing only on clinical care without engaging in policy or advocacy does not reflect the broader, system-level responsibilities typical in global health nursing. Therefore, the statement describing care without any policy or advocacy involvement isn’t aligned with the main responsibilities. The other aspects—improving access for vulnerable groups, engaging in policy and advocacy, and using evidence-based practice and health informatics—fit naturally with the role.