Which actions could be taken by the community health nurse (CHN) who wishes to provide secondary prevention to decrease the incidence of obesity in elementary school children?

Correct Answer: A

Rationale: The correct answer is A because giving a presentation on the importance of exercise and physical fitness aligns with secondary prevention strategies for obesity. This educational approach aims to raise awareness and promote healthy behaviors to prevent obesity rather than treating existing cases. It focuses on early intervention and educating children on healthy habits. Choices B, C, and D are incorrect because designing a game or weighing students do not directly address preventive measures for obesity. Putting students on a diet without proper assessment or medical supervision can be harmful and is not recommended as a primary approach in a school setting.

Correct Answer: D

Rationale: The correct answer is D: Vital statistics. Vital statistics provide quantifiable data on births, deaths, marriages, and diseases in a community, allowing the CHN to assess the community's health status objectively. This information helps in identifying health trends, planning interventions, and evaluating the effectiveness of health programs. A: Community awareness is important but does not provide concrete data on the community's health status. B: Health facilities focus on the availability and accessibility of healthcare services, not the overall health of the community. C: Health care manpower refers to the healthcare workforce in the community, which is important but does not provide a comprehensive assessment of the community's health status.

Correct Answer: C

Rationale: The correct answer is C: Implementation. This phase involves carrying out the planned interventions to achieve the set goals and objectives. Assessment (B) is the first phase where data is collected, followed by identifying and prioritizing interventions (A). Evaluation (D) is the final phase where the outcomes are assessed. Therefore, in the context of the question, the phase being described is the one where the actual work and activities to achieve the goals are implemented.

Correct Answer: D

Rationale: Step-by-step rationale: 1. Sustainability refers to the ability of a program to maintain its benefits over time. 2. In this scenario, the program is discontinued due to high costs, indicating it was not sustainable. 3. Adequacy would relate to whether program objectives were met, which is not the issue here. 4. Effectiveness and impact focus on the outcomes and positive ratings, not the sustainability issue. 5. Therefore, the correct measure identified as the problem is sustainability. Other choices are incorrect as they do not address the issue of program continuation despite positive outcomes.

Correct Answer: C

Rationale: The correct answer is C: Efficiency. Efficiency refers to the relationship between a program's outcomes and the resources spent. It focuses on achieving maximum results with minimal resources. Relevance (A) is about the alignment of program goals with needs. Progress (B) is about moving towards goals. Adequacy (D) is about having enough resources to achieve goals, not the efficient use of resources. Therefore, C is the correct answer as it directly addresses the relationship between outcomes and resources.