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: Physical activity like a 30-minute walk is a common, evidence-based recommendation to reduce personal health risks such as obesity or cardiovascular issues, making it the most likely choice.

Correct Answer: A

Rationale: Firearm safety is a critical risk reduction topic if relevant. Asking where handguns are used helps assess safe storage and usage, making it the most important question in this context.