During the years 2015 to 2020, in a particular district, 1,000 of 10,000 girls aged 16 to 18 years tested positive for a sexually transmitted infection (STI). Of the 1,000 diagnosed STIs, 300 were gonorrhea and 500 were chlamydia. Which statement would the community health nurse (CHN) recognize as being true?

Correct Answer: D

Rationale: The correct answer is D because it correctly states that the proportion of chlamydia cases to all STIs was 500:1. This is calculated by dividing the number of chlamydia cases (500) by the total number of STI cases (1,000). This ratio accurately reflects the relationship between chlamydia cases and total STI cases within the given data. Choice A is incorrect as it incorrectly states that the proportion of gonorrhea cases to all STIs was 300:1. This ratio is inaccurate and does not reflect the actual data provided. Choices B and C are not provided, but they would be incorrect as they do not accurately reflect the proportion of chlamydia cases to total STI cases as required by the question.

Correct Answer: D

Rationale: The correct answer is D: Evaluation phase. During the evaluation phase, the CHN assesses the effectiveness of interventions in achieving the desired outcome of increasing the proportion of pregnant women receiving first-trimester prenatal care to at least 90%. This phase involves systematically collecting and analyzing data to determine if the interventions are successful. In contrast, the assessment phase (choice A) focuses on gathering information about the community's health needs, planning phase (choice B) involves developing strategies to address those needs, and implementation phase (choice C) is about putting the planned interventions into action. Therefore, the evaluation phase is the most appropriate stage to determine the success of the interventions in reaching the specified goal.

Correct Answer: B

Rationale: The correct answer is B: Process dimension. The intervention should emphasize understanding the steps involved in breastfeeding to address the knowledge deficit. Process dimension focuses on the actions and procedures involved in a task, which is crucial for new mothers to learn how to breastfeed effectively. A: Alternate dimension does not directly address the knowledge deficit regarding breastfeeding and may confuse new mothers. C: Status dimension is more related to social roles and hierarchy, not directly relevant to addressing a knowledge deficit on breastfeeding. D: Structural dimension typically refers to organizational structure or systems, which is not the primary focus when addressing a knowledge deficit in breastfeeding.

Correct Answer: D

Rationale: The correct answer is D because it meets all the criteria for identifying potential clients for a program. Children aged 18 months to 5 years are a specific target group, indicating a clear demographic. The fact that they have been treated for nutritional deficiencies at the district health clinic suggests they have existing health issues that the program could address. Choice A is not correct because it includes all women in a broad age range without specifying any health or program-related criteria. Choice B is incorrect as it focuses on immigrants with language barriers rather than specific health or program needs. Choice C is not the best answer as it only mentions pregnant women who received nutritional counseling but does not specify any ongoing health issues or program needs.

Correct Answer: C

Rationale: Step 1: Evaluating the effectiveness of a program designed to decrease obesity among school-aged children ultimately depends on whether the program has successfully achieved its intended outcome of reducing obesity rates. Step 2: Monitoring the decrease in obesity among the children directly assesses the impact and success of the program. Step 3: This metric provides concrete data to measure the program's effectiveness objectively. Step 4: Considering other factors like satisfaction of children, parental support, and cost-benefit analysis are important but secondary to the primary goal of reducing obesity rates. Step 5: Therefore, the most crucial question to consider in evaluating the program is whether obesity among school-aged children has decreased, making option C the correct answer.