Which are considered the most important determinants of a healthy community?

Correct Answer: A

Rationale: The public is more concerned with quality-of-life issues, with the most important determinants of a healthy community being low crime rates and a child-friendly neighborhood environment. Although employment opportunities are important, many are low-paying, no-benefit service positions that are inadequate to support family life. Although the food may be expensive, most cities have safe food and water supplies. Choices of worship and housing variety, while valuable, are not consistently identified as top determinants.

Correct Answer: D

Rationale: Although all responses are accurate, the primary problem is the emphasis on personal choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for community responsibility and action that addresses environmental or cultural restraints to health.

Correct Answer: B

Rationale: Community health nurses work with both geopolitical and phenomenological groups. A group of persons who share a common identity and environment is the broadest and most complete definition, encompassing culture, history, and shared settings.

Correct Answer: C

Rationale: The widespread increase in incidence of overweight and obesity has led to calls for population-based measures to address this issue, which also contributes to diabetes and cardiac disease.

Correct Answer: D

Rationale: Medical care providers primarily focus on diagnosis and treatment of disease, whereas public health care providers try to promote health and prevent disease, reflecting their distinct roles in health improvement.