A public health nurse is involved in health care reform. Which of the following best explains why the nurse is involved in these efforts?

Correct Answer: D

Rationale: The correct answer is D, to help improve health care access. The public health nurse is involved in health care reform to advocate for policies and initiatives that aim to increase access to healthcare services for the population. By improving health care access, the nurse can help ensure that individuals receive timely and appropriate care, ultimately leading to better health outcomes. A: Incorrect. Promoting the nursing profession is not the primary goal of a public health nurse involved in health care reform. B: Incorrect. While funding is important, the main focus of the nurse's involvement is on improving access to healthcare services, not specifically on increasing funding for public health nursing. C: Incorrect. While addressing the concerns of nurses is important, the primary reason for the nurse's involvement in health care reform is to improve health care access for the population.

Correct Answer: A

Rationale: Rationale: A: Funding to public health increased as funding for acute hospital care decreased during the 1980s due to a shift towards preventive care. B: No specific information is provided about this change during the 1980s. C: Laws discouraging substance use were not a major focus of health care delivery changes in the 1980s. D: While the use of nurse practitioners increased during the 1980s, this change was not a primary driver of health care delivery changes.

Correct Answer: D

Rationale: The correct answer is D: Vital statistics. Vital statistics provide data on births, deaths, marriages, health, and diseases in a community. This is essential for a community health nurse to assess the health status of a population. Morbidity reports (A) focus only on diseases and illnesses. Service utilization (B) data mainly tracks the usage of healthcare services. Population surveys (C) provide demographic information but may not capture specific health data like vital statistics. Vital statistics offer comprehensive and reliable information crucial for community health assessments.

Correct Answer: D

Rationale: The correct answer is D because it acknowledges health as an internal state of balance and well-being, which aligns with the client's perception of being healthy despite having a medical condition. This definition recognizes that health encompasses physical, mental, and emotional well-being, not just the absence of disease. Option A is incorrect as it defines health solely as the absence of disease, which does not reflect the holistic nature of health. Option C is incorrect as it implies a binary state of either being completely well or unwell, which is not realistic for most individuals. Option B is incomplete and does not provide a clear definition of health.

Correct Answer: A

Rationale: Rationale for Correct Answer A (Heart disease is the leading cause of death in most ethnic and racial groups): 1. Heart disease is a major public health concern globally. 2. Population health nurses focus on addressing prevalent health issues. 3. Understanding leading causes of death helps in prioritizing health education programs. 4. Data on heart disease prevalence guides tailored interventions for diverse populations. Summary of Incorrect Choices: B. Deaths from cancer increasing does not necessarily indicate current trend data for health education programming. C. Decreasing deaths from stroke may not be the primary focus for health education programming. D. Unintentional accidents, while important, may not be the top priority for population health nursing interventions.