A community health nurse is developing a community-wide health promotion program to reduce high blood pressure in community members. Which sectors will the nurse need to work with to develop this program?

Correct Answer: B

Rationale: The correct answer is B: The combined roles of multiple sectors. To address high blood pressure effectively, a comprehensive approach involving multiple sectors such as healthcare, food and agriculture, education, urban planning, and more is essential. This is because high blood pressure is influenced by various factors including diet, physical activity, environment, and access to healthcare. By working collaboratively with multiple sectors, the nurse can develop a holistic program that addresses the social determinants of health and promotes a supportive environment for managing blood pressure. Working with just the health sector (option A) would be too narrow and overlook other important influences. Involving only the health sector and the food and agriculture sector (option C) would miss out on the broader societal factors affecting blood pressure. Lastly, different sectors for each individual (option D) would lack a coordinated and comprehensive approach needed for community-wide impact.

Correct Answer: A

Rationale: The correct answer is A because to uphold the ethical standard of proportionality in a community health program, the nurse needs to assess if the benefits of the program outweigh the potential risks. This involves considering the balance between the positive outcomes of the program and any potential harm it may cause. This question directly addresses the principle of proportionality. Choice B is incorrect because providing rationale for program choices does not directly address the ethical standard of proportionality. Choice C is incorrect because while decreasing health inequities is important in community health programs, it does not specifically address the principle of proportionality. Choice D is incorrect because involving the target population in the planning process is important for community engagement but does not directly relate to upholding the ethical standard of proportionality.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Determining responsibilities of each partner is crucial to ensure clarity and accountability within the coalition. 2. Clear responsibilities help in establishing expectations and ensuring effective collaboration. 3. This step aids in defining roles, tasks, and contributions of each partner, leading to efficient partnership agreements. 4. Without clearly defined responsibilities, partners may have misunderstandings and conflicts, hindering the coalition's progress. Summary of why other choices are incorrect: A: Identifying potential partners is part of step 2, not step 3. C: Developing a shared purpose is usually done in the initial stages before partnership agreements. D: Communicating evaluation results is important but typically comes after partnership agreements are established.

Correct Answer: D

Rationale: The correct answer is D: Level of education. Nurses assess education levels to determine social determinants of health as higher education can lead to better health outcomes. Age (A), physical activity (B), and nutrition (C) are important factors, but they do not directly reflect the social determinants of health in a community. Education is a key social determinant as it influences access to resources, employment opportunities, income levels, and health literacy. Understanding education levels helps nurses identify disparities and develop targeted interventions to improve overall community health.

Correct Answer: A

Rationale: The correct answer is A because in the START triage system, immediate or red category is assigned to victims who are in critical condition and require immediate intervention to survive. A victim who is not breathing after two attempts to open the airway falls under this category as they need immediate attention to establish an airway and start breathing. Choice B is incorrect as a broken arm, while painful, does not pose an immediate life-threatening situation. Choice C is incorrect as multiple lacerations, although serious, do not indicate immediate life-threatening conditions. Choice D is also incorrect as a respiratory rate greater than 30 beats/minute with flail chest may be serious but does not require immediate intervention as compared to a victim who is not breathing.