A public health nurse is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic?

Correct Answer: B

Rationale: The correct answer is B: Healthy People 2020. This document outlines national health objectives, including promoting early detection of breast cancer. It provides evidence-based strategies and goals for improving public health. A: The Future of Public Health - Focuses on the broader future of public health, not specifically on early detection of breast cancer in women. C: Patient Protection and Affordable Care Act - Primarily addresses healthcare coverage and access, not specific strategies for promoting early detection of breast cancer. D: Scope and Standards of Public Health Nursing Practice - Pertains to the responsibilities and competencies of public health nurses, but does not specifically address strategies for promoting early detection of breast cancer.

Correct Answer: A

Rationale: The correct answer is A. In the 1950s, baccalaureate nursing programs started including public health nursing concepts to prepare nurses for a broader scope of practice. This change aimed to address the increasing healthcare needs of the population. Incorrect Choices: B: Diploma schools were actually declining in numbers due to the rise of baccalaureate programs. C: Junior and community colleges started offering nursing programs in the 1960s, not the 1950s. D: While having a scientific basis for practice is important, it wasn't a specific change in nursing education during the 1950s.

Correct Answer: D

Rationale: The correct answer is D: Level of education. Education level is a key social determinant of health as it influences access to resources, knowledge, and opportunities that impact health outcomes. Higher education levels are associated with better health outcomes, healthcare utilization, and health behaviors. Genetic influences (A) are not modifiable and do not directly determine social determinants of health. Exercise habits (B) and nutritional intake (C) are important health behaviors but do not address the broader social determinants of health like education level does.

Correct Answer: C

Rationale: The correct answer is C: Mortality rates in the community. This is because mortality rates provide a comprehensive measure of the overall health status of a population. High mortality rates indicate poor health outcomes and potential issues within the community. Monitoring mortality rates helps the nurse assess the effectiveness of public health interventions and healthcare services. A: Blood pressure readings of individuals in the community - This choice focuses on individual health rather than population health, making it less relevant for evaluating the health of a population. B: Home blood glucose levels monitored by clients with diabetes - Similar to choice A, this option pertains to individual health management and does not provide a holistic view of the community's health status. D: Percent of high school students who attend college - This choice is unrelated to the overall health of the population and instead reflects educational outcomes. It does not directly measure health outcomes or the well-being of the community.

Correct Answer: C

Rationale: The correct answer is C: Burden of disease. The nurse is considering the impact of diseases on a population, which includes factors beyond just the number of people affected. Burden of disease encompasses morbidity, mortality, and other aspects like disability and economic consequences. Morbidity (A) refers to the prevalence of a disease in a population, mortality (B) focuses on death rates from a disease, and prevalence (D) is the total number of cases of a disease in a population at a specific time. Burden of disease (C) provides a comprehensive view of the impact of diseases by considering various factors, making it the most appropriate indicator in this context.