The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?

Correct Answer: D

Rationale: The correct answer is D because reviewing target population data is crucial for planning an immunization campaign. This data helps the nurse understand the specific needs, demographics, and health status of the children of migrant farm workers. By analyzing this data, the nurse can tailor the campaign to address the unique challenges and barriers this population may face. A: Uncertain risks - This is not the most critical data to review initially as it may not provide specific information necessary for planning the campaign. B: Potential outcomes - While important to consider later in the planning process, it is not as essential as understanding the target population data. C: Priority of solutions - This is premature to determine without first reviewing the target population data to inform the solutions.

Correct Answer: D

Rationale: The correct answer is D: Native Americans. They have the highest risk for diabetes due to genetic predisposition, lifestyle factors, and limited access to healthcare. Genetic factors such as a higher prevalence of obesity and insulin resistance contribute to the increased risk. Lifestyle factors like diet and physical inactivity also play a significant role. Additionally, Native Americans often face barriers to healthcare, leading to undiagnosed or poorly managed diabetes. African Americans, Hispanic Americans, and Asian Americans have higher rates of diabetes compared to the general population, but the risk is highest among Native Americans due to a combination of genetic, lifestyle, and healthcare access factors.

Correct Answer: A

Rationale: The correct answer is A: Diabetes. Given the patient's age, ethnicity, high BMI, and vision changes, the most important condition to be aware of in her family history is diabetes. Diabetes is a common risk factor for vision changes, especially diabetic retinopathy, which can lead to vision loss if not managed properly. The patient's Native American ethnicity also puts her at higher risk for diabetes. Glaucoma (B) is a separate eye condition that is not typically linked to family history. Hypertension (C) can contribute to vision changes but is not as strongly associated with the given patient demographics. Brain tumor (D) is unlikely to be related to the patient's vision changes or family history.

Correct Answer: C

Rationale: The correct answer is C: Provide access to health services. This goal aligns with the Healthy People 2020 initiative, which aims to improve access to comprehensive, quality healthcare services for all individuals. This goal directly addresses the overarching objective of ensuring that everyone has access to the care they need. Option A focuses on reducing wait times in the emergency department, which is important but does not directly align with the goal of improving access to health services. Option B, providing transportation, is a helpful service but does not specifically address improving access to healthcare. Option D, referring clients to the local health department, is important for coordination of care but does not directly address the goal of providing access to health services. In summary, option C is the correct answer as it directly aligns with the Healthy People 2020 initiative by focusing on improving access to health services for all individuals.

Correct Answer: B

Rationale: As it is clearly impossible and impractical to give service to each person in a community, the best approach considers the community itself to be the unit of service. The nurse partners with community members to identify community problems and develop solutions to ultimately improve the community's health. The community health nurse does not administer care according to the priorities of the health department or care for the sickest populations first.