The nurse is planning a health education program for a community with high rates of obesity. Which of the following strategies would be most effective?

Correct Answer: D

Rationale: The correct answer is D because collaborating with local schools to teach children healthy eating habits is the most effective strategy for long-term impact. By educating children on healthy habits early on, it can help prevent obesity in the future. This approach focuses on prevention rather than just addressing existing obesity rates. Providing information (A) may not lead to behavior change. Offering free fitness classes (B) may not address the root cause of obesity. Hosting a weight loss competition (C) may promote unhealthy weight loss methods. Collaborating with schools (D) is a proactive and sustainable approach.

Correct Answer: B

Rationale: The correct answer is B: Community member surveys. This is because community member surveys directly capture the perspectives and experiences of the individuals living in the community. By collecting data from community members, the nurse can gain insight into their specific health needs, concerns, and priorities. This information is crucial for identifying the most relevant health issues within the community and tailoring interventions accordingly. State health department reports (A), county health department data (C), and national health surveys (D) may provide valuable general health information, but they may not capture the unique and specific health priorities of the local community. These sources might not reflect the actual experiences and perspectives of the people living in the community, making them less useful for identifying localized health priorities.

Correct Answer: B

Rationale: The correct answer is B because community-based participatory research (CBPR) involves active collaboration between researchers and community members in all phases of the research process. By working together to design and conduct a study, community members can provide valuable insights, ensure cultural relevance, and promote community ownership. Choice A is incorrect as it lacks community involvement. Choice C is incorrect as it lacks the collaborative aspect of CBPR. Choice D is incorrect as it excludes input from the community during data analysis. Overall, choice B aligns with the core principles of CBPR by emphasizing partnership, mutual respect, and shared decision-making.

Correct Answer: B

Rationale: The correct answer is B: Encouraging walking groups in the community. This strategy promotes social support, accountability, and community engagement, which are crucial for sustaining physical activity long-term. Walking groups are cost-effective, inclusive, and accessible for all fitness levels. A: Providing free fitness classes may not address social barriers or ensure long-term engagement. C: Offering gym memberships may not be sustainable for the entire community and may not address cultural or social factors. D: Conducting a survey is important for understanding barriers but may not directly increase physical activity levels.

Correct Answer: A

Rationale: The correct answer is A: Providing prenatal care education to all women of childbearing age. This strategy is the most effective as it focuses on preventive measures and empowers women with knowledge to promote maternal and child health outcomes. Prenatal care education helps women make informed decisions about their health during pregnancy, reducing risks and complications. Choice B (Offering free childbirth classes) is beneficial but not as comprehensive as prenatal care education. Choice C (Promoting breast-feeding) is important but does not address the broader spectrum of maternal and child health. Choice D (Ensuring immunization) is crucial for child health but does not directly impact maternal health. Overall, prenatal care education targets a critical period in women's health and has a wide-reaching impact on maternal and child well-being.