What is the goal of Healthy People 2020?

Correct Answer: D

Rationale: The correct answer is D: To achieve health equity and eliminate health disparities. This is the goal of Healthy People 2020 as it aims to ensure that everyone has the opportunity to achieve their highest level of health. Health equity involves providing opportunities for all individuals to reach their full health potential, regardless of their social or economic status. By eliminating health disparities, the goal is to address the root causes of health inequities and promote fairness in health outcomes. Choice A is incorrect as it focuses solely on improving the quality and years of healthy life without addressing disparities. Choice B is incorrect as it specifically mentions reducing health disparities but does not mention achieving health equity. Choice C is incorrect as it emphasizes promoting healthy behaviors but does not encompass the broader goal of health equity and eliminating disparities.

Correct Answer: A

Rationale: The correct answer is A, screening for early signs of disease. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression. Screening helps identify diseases in their early stages, enabling timely intervention to prevent further complications. Providing rehabilitation services (B) is part of tertiary prevention for individuals already diagnosed with a disease. Administering medications (C) is a treatment approach, not specifically focused on prevention. Providing health education (D) is more aligned with primary prevention by promoting healthy behaviors to prevent the onset of diseases.

Correct Answer: D

Rationale: The correct answer is D because implementing community-wide health campaigns targets the entire community rather than individuals, making it a community-level intervention. This approach aims to create widespread behavior change and improve health outcomes across the entire community. In contrast, options A and B focus on individual or small group actions, while option C is more of a service delivery intervention at the individual level. By choosing option D, the intervention has a broader reach and impact on the community's overall health status.

Correct Answer: A

Rationale: The primary focus of public health is preventing disease and promoting health. This is because public health aims to improve the overall health of populations through preventive measures such as vaccinations, health education, and policy interventions. By focusing on prevention, public health addresses the root causes of health issues and promotes well-being on a larger scale. Providing health education (choice B) is a component of public health but not the primary focus. Ensuring access to health care services (choice C) is important but falls under healthcare delivery rather than public health. Reducing health disparities (choice D) is a goal of public health but not the primary focus, as it is a part of the broader mission to promote health equity.

Correct Answer: B

Rationale: The correct answer is B because social determinants of health refer to the conditions in which people are born, grow, live, work, and age, which significantly impact their health outcomes. These factors include socioeconomic status, education, neighborhood environment, employment, and social support. Genetics and individual behavior (choice A) are important but only part of the broader determinants. Availability of health services and technology (choice C) and access to health care services (choice D) are important but do not encompass the full range of social determinants that influence health.