The nurse is conducting a community assessment in a rural area. Which of the following data sources would be most useful for identifying local health needs?

Correct Answer: D

Rationale: The correct answer is D, community surveys and interviews. This is because conducting surveys and interviews within the local community allows the nurse to directly gather data from the residents themselves, providing insights into their specific health needs, concerns, and priorities. This method ensures the data is relevant, accurate, and reflects the unique characteristics of the rural area. A: State health department reports may not capture the specific local health needs of the rural area as they tend to focus on broader state-level data. B: County health department data may not provide detailed information specific to the rural area and may not capture the diverse health needs of the community. C: National health surveys are too broad and do not provide detailed information on the specific health needs of the local rural community.

Correct Answer: B

Rationale: The correct answer is B because having students research nutrition facts and present findings actively engages them in the learning process. This strategy promotes critical thinking, improves research skills, and encourages active participation. It allows students to take ownership of their learning and fosters a deeper understanding of the topic. A: Lecturing may not be as engaging for high school students and may not actively involve them in the learning process. C: Showing a documentary may be informative, but it may not necessarily engage students actively in the creation of the health education program. D: While creating a poster contest promotes creativity, it may not necessarily ensure that students are actively learning about nutrition through research and analysis.

Correct Answer: C

Rationale: The correct answer is C because training community members to be health promoters empowers them to take control of their own health. This strategy involves educating individuals on health issues and equipping them with skills to promote health within their communities. By training community members, they can advocate for positive health behaviors and resources, leading to sustainable improvements in community health. A: Conducting a survey is important for identifying needs but does not necessarily empower the community. B: Providing education is valuable but does not actively involve community members in promoting health. D: Offering free health screenings is beneficial but does not empower the community to address health issues independently.

Correct Answer: C

Rationale: The correct answer is C because a community health nurse focuses on assessing and addressing the health needs of populations, promoting wellness, and preventing diseases. This role involves working at a broader level beyond individual patient care. A is incorrect as it describes the role of a clinical nurse providing direct care to individual patients. B is incorrect as it pertains to a care coordinator role in an acute care hospital setting. D is incorrect as it describes the role of a nurse researcher conducting studies on new medical treatments.

Correct Answer: C

Rationale: The correct answer is C: Social and economic factors. This is because social and economic factors play a significant role in determining the overall health of a community. These factors include income, education, employment, access to resources, social support, and living conditions. They influence individuals' ability to make healthy choices and access healthcare services. Individual health behaviors (A) are influenced by social and economic factors, making them secondary determinants. Health care access (B) is important but not the primary determinant of health in a community. Genetic predisposition (D) plays a role in individual health outcomes but is not a major determinant at the community level.