A public health nurse is determining what type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development?

Correct Answer: A

Rationale: The correct answer is A: Comprehensive assessment and planning done in the community. This is crucial as it ensures that the program is tailored to the specific needs and priorities of the community. By conducting a thorough assessment, the nurse can identify the most pressing health issues and develop a program that addresses those needs effectively. Documented needs of the local community (B) are important but may not capture the full scope of issues without a comprehensive assessment. Federal funding (C) is helpful but should not be the sole determining factor in program development. Nursing staff expertise (D) is valuable but should be complemented by community assessment to ensure relevance and effectiveness.

Correct Answer: A

Rationale: The correct answer is A because Florence Nightingale did indeed convince socially prominent wealthy women to volunteer and provide care, which helped bring about community health nursing by establishing training programs and setting standards for nursing practice. Choice C is incorrect because she mainly focused on soldiers and hospitals, not all soldiers and their environment. Choice D is incorrect because she did not personally interact with each individual person but rather trained and supervised nurses to provide care.

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.