Investigate determinants of health within the context

Correct Answer: A

Rationale: The correct answer is A because upstream determinants of health focus on broader social and environmental factors that influence health outcomes, such as access to healthcare, socioeconomic status, education, and living conditions. This approach emphasizes prevention and addressing root causes of health disparities. Choice B is incorrect because genetic determinants focus on individual biological factors, not broader social determinants. Choice C is incorrect because behavioral determinants focus on individual lifestyle choices, not the broader social determinants addressed by upstream factors. Choice D is incorrect because downstream determinants typically refer to the consequences of health outcomes, rather than addressing the social and environmental factors at the root of health issues.

Correct Answer: A

Rationale: The correct answer is A: Proactively promoting health among populations. This is the central tenet of population health because it focuses on preventing health issues before they occur through education, promotion of healthy lifestyles, and addressing social determinants of health. This approach is more effective and cost-efficient in improving overall health outcomes for entire populations. Choice B, Reactively managing health conditions, is incorrect because it focuses on treating health issues after they have already occurred, which is not the primary goal of population health. Choice C, Treating diseases in individual people, is incorrect as it is a more narrow approach that does not address the broader health needs of populations. Choice D, Focusing on increasing the number of hospitals, is incorrect because it does not address the underlying factors that influence population health and does not promote prevention and health promotion strategies.

Correct Answer: D

Rationale: The correct answer is D: General mortality. This data includes all deaths in the population, providing a comprehensive overview of leading causes of death. Infant mortality (A) only focuses on deaths of infants, not the entire population. Life expectancy (B) indicates how long a person is expected to live but does not directly show leading causes of death. Morbidity rate (C) refers to the prevalence of diseases, not specifically the leading cause of death. General mortality (D) is the most appropriate choice as it encompasses all deaths in the population, giving a clear picture of the leading causes of death.

Correct Answer: D

Rationale: The correct answer is D because coordinating clients as they move between care settings is essential for ensuring seamless transitional care. This involves facilitating communication, collaboration, and continuity of care to prevent disruptions in the care process. Choice A is too broad and may not focus on the specific needs during transitions. Choice B is reactive and does not emphasize proactive coordination. Choice C, while important, is only one aspect of transitional care and does not encompass the holistic approach of coordinating clients across care settings.

Correct Answer: C

Rationale: The correct answer is C: Obtaining funding for community walking trails. This is an upstream intervention because it addresses the root cause of sedentary lifestyles by creating an environment that promotes physical activity. By providing walking trails, the nurse is enabling community members to engage in physical activity easily. This intervention targets the environment rather than focusing solely on individual behavior change. A: Counseling community members on the negative health effects of being sedentary is a downstream intervention that focuses on individual behavior change rather than addressing the broader environmental factors contributing to sedentary lifestyles. B: Conducting body mass index screenings during a community health fair is a midstream intervention that assesses individual health status but does not directly address the root cause of sedentary lifestyles. D: Sending mailings with exercise tips to community residents is a downstream intervention that provides information but does not create an environment conducive to physical activity like building walking trails would.