A nurse is determining which health care services must be offered at a local public health cliniWhich factor is most important for the nurse to consider?

Correct Answer: D

Rationale: The correct answer is D because services mandated by the state government have legal authority and must be provided by the clinic. State mandates ensure essential services are offered to protect public health. A: Data from a community assessment is important but not legally binding. B: Community suggestions are valuable but may not cover all essential services. C: Recommendations from Healthy People 2020 are guidelines but not mandatory.

Correct Answer: C

Rationale: The correct answer is C: US Department of Health and Human Services (USDHHS). This agency has the most influence on the health and welfare of US citizens because it oversees a wide range of health-related programs and services within the country. It includes agencies such as the CDC and AHRQ, making it a comprehensive and influential body in shaping health policies and regulations. The CDC focuses more on disease prevention and control, while AHRQ is primarily responsible for research on healthcare quality. The World Health Organization (WHO) is an international agency and does not have direct authority over US citizens' health and welfare. Therefore, USDHHS is the most appropriate choice in terms of direct impact and influence on the health and welfare of US citizens.

Correct Answer: B

Rationale: The correct answer is B: Standardizing public health nursing education. The National Organization for Public Health Nursing played a key role in developing standardized education for public health nurses, ensuring consistency and quality in their training. This accomplishment laid the foundation for the professionalism and competence of public health nurses today. Choice A is incorrect because the requirement for a baccalaureate degree in nursing for public health nurses is a more recent development. Choice C is incorrect as developing public health nursing competencies is a broader concept that involves various organizations and initiatives. Choice D is incorrect as the Henry Street Settlement was not directly initiated by the National Organization for Public Health Nursing.

Correct Answer: A

Rationale: The correct answer, option A, "Be sure to take a 30-minute walk each day," is the most appropriate recommendation that a nurse would likely make to help reduce personal health risks for several reasons. First, engaging in physical activity, like walking, has a proven positive impact on overall health and well-being. It helps in maintaining a healthy weight, reducing the risk of chronic diseases such as cardiovascular issues, diabetes, and certain cancers. Walking also improves cardiovascular health, strengthens muscles, and enhances mental health by reducing stress and improving mood. Option B, "Cut back on your work hours," may not directly address the personal health risks and may not be feasible for everyone due to financial constraints or job demands. While work-life balance is important for overall health, reducing work hours may not necessarily be the most effective or practical recommendation in this scenario. Option C, "Move to a safer neighborhood," is not a recommendation that a nurse would typically make in the context of reducing personal health risks. While living in a safe environment is important for health, this option does not address individual behavior changes that directly impact health outcomes. Option D, "Join a support group," is also not the most appropriate recommendation in this context. While social support is valuable for overall well-being, it may not directly address the personal health risks the family member is facing. Joining a support group may be beneficial for emotional support or managing specific health conditions, but it is not as direct and impactful as engaging in regular physical activity like walking. In an educational context, it is crucial for healthcare professionals to make evidence-based recommendations that are practical, achievable, and have a direct positive impact on health outcomes. Encouraging physical activity, such as a daily walk, aligns with public health initiatives to promote healthy behaviors and prevent chronic diseases, making it a key recommendation for reducing personal health risks.

Correct Answer: A

Rationale: In the context of public health, the correct answer is A) Where do you shoot with your handguns? This question is the most important for the nurse to ask because firearm safety is a crucial aspect of risk reduction. By inquiring about where handguns are used, the nurse can assess how they are stored and handled within the family, which directly impacts the risk of injury or harm. Option B) How often do you eat out? is less relevant in this scenario as it pertains to dietary habits, which although important for overall health, is not directly related to risk reduction interventions with firearms. Option C) Do you have a pet? is also less critical as it does not directly address the immediate safety concerns associated with firearm use and storage. Option D) What's your favorite TV show? is completely unrelated to risk reduction interventions or public health considerations and therefore not a pertinent question for the nurse to ask in this context. Educationally, understanding the importance of addressing specific risk factors and tailoring interventions accordingly is crucial in public health practice. Nurses and healthcare providers must be able to prioritize questions and interventions based on the most pressing issues to effectively promote health and prevent harm in individuals and communities.