When assessing immigrant access to regional health care, which data collection method would best provide key information about the community?

Correct Answer: B

Rationale: The correct answer is B: Informant interviews with local community members. This method is best because it directly involves the individuals within the community who have firsthand knowledge and experience regarding immigrant access to regional health care. They can provide valuable insights and perspectives that may not be captured through other methods. A: Interviews with employees of the local health board may provide some insights, but they may not have the same level of direct experience and perspective as community members. C: Interview with a legislator or local politician may offer a broader policy perspective, but may not capture the specific experiences of community members. D: Interview with a public health official may provide valuable information, but may not offer the same depth of insights as direct interactions with community members.

Correct Answer: C

Rationale: The correct answer is C: Measuring the goal effect. In this scenario, the CHN is comparing the number of new teen clients seeking contraceptive counseling before and after the education intervention program. This step involves evaluating the impact or effect of the program on the intended goal, which is to decrease teen pregnancy rates. By comparing the data before and after the intervention, the CHN can assess whether the program has been effective in achieving its goal. Incorrect choices: A: Determining outcome goal measurement - This step involves establishing specific, measurable outcomes before implementing the program. It is done prior to the intervention. B: Goal setting - This step involves setting specific, achievable goals at the beginning of the program. It is not the same as measuring the impact of the program. D: Evaluating the program - While evaluating the program is part of the overall evaluation process, in this scenario, the focus is specifically on measuring the effect of the program on the goal of decreasing teen pregnancy rates.

Correct Answer: C

Rationale: The correct answer is C because secondary prevention involves early detection and intervention to prevent further progression of a disease. In this case, modifying diet and medications can help manage obesity-related health issues. Choice A focuses on primary prevention, Choice B is more specific to hypertension, and Choice D is more indicative of screening for diabetes, making them incorrect for the context of secondary prevention in obese women.

Correct Answer: C

Rationale: The correct answer is C because tertiary prevention involves managing and treating existing conditions to prevent further complications. In the case of women with diabetes, monitoring blood glucose levels and recommending necessary diet modifications are crucial in preventing complications such as diabetic neuropathy or retinopathy. Choices A and B are related to primary prevention, focusing on preventing the onset of diabetes. Choice D is related to secondary prevention, screening for early detection. Tertiary prevention focuses on managing the condition to prevent further deterioration, making choice C the most appropriate in this context.

Correct Answer: B

Rationale: The correct answer is B: Family dynamics. This category focuses on relationships and interactions within the family. In this scenario, the revelation that the husband is a stepfather to the eldest child directly impacts family dynamics as it involves the roles, relationships, and potential adjustments within the family unit. Family demography (A) refers to the basic information about the family structure. Family function (C) pertains to how the family fulfills its roles and responsibilities. Family system (D) looks at the entire family unit as a whole rather than specific relationships or interactions. In this case, the stepfather dynamic specifically falls under family dynamics.