Which central tenet of population health should the nurse include when planning population health priorities?

Correct Answer: A

Rationale: The correct answer is A: Proactively promoting health among populations. This is the central tenet of population health because it focuses on preventing health issues before they occur through education, promotion of healthy lifestyles, and addressing social determinants of health. This approach is more effective and cost-efficient in improving overall health outcomes for entire populations. Choice B, Reactively managing health conditions, is incorrect because it focuses on treating health issues after they have already occurred, which is not the primary goal of population health. Choice C, Treating diseases in individual people, is incorrect as it is a more narrow approach that does not address the broader health needs of populations. Choice D, Focusing on increasing the number of hospitals, is incorrect because it does not address the underlying factors that influence population health and does not promote prevention and health promotion strategies.

Correct Answer: D

Rationale: The correct answer is D because coordinating clients as they move between care settings is essential for ensuring seamless transitional care. This involves facilitating communication, collaboration, and continuity of care to prevent disruptions in the care process. Choice A is too broad and may not focus on the specific needs during transitions. Choice B is reactive and does not emphasize proactive coordination. Choice C, while important, is only one aspect of transitional care and does not encompass the holistic approach of coordinating clients across care settings.

Correct Answer: C

Rationale: The correct answer is C: Obtaining funding for community walking trails. This is an upstream intervention because it addresses the root cause of sedentary lifestyles by creating an environment that promotes physical activity. By providing walking trails, the nurse is enabling community members to engage in physical activity easily. This intervention targets the environment rather than focusing solely on individual behavior change. A: Counseling community members on the negative health effects of being sedentary is a downstream intervention that focuses on individual behavior change rather than addressing the broader environmental factors contributing to sedentary lifestyles. B: Conducting body mass index screenings during a community health fair is a midstream intervention that assesses individual health status but does not directly address the root cause of sedentary lifestyles. D: Sending mailings with exercise tips to community residents is a downstream intervention that provides information but does not create an environment conducive to physical activity like building walking trails would.

Correct Answer: C

Rationale: The correct answer is C because analyzing data from hospitals to identify the most common illnesses requiring emergency visits aligns with public health data collection for population health. This process helps in understanding health trends, prioritizing resources, and implementing targeted interventions. Surveying middle school children (A) focuses on dietary preferences, not public health data. Tracking attendance at a blood pressure clinic (B) measures service utilization, not population health trends. Interviewing a family on the emotional impact of gun violence (D) is important but does not involve public health data collection for population health.

Correct Answer: D

Rationale: The correct answer is D because quaternary prevention focuses on avoiding unnecessary medical interventions that can potentially harm individuals. A, reducing negative impacts, is tertiary prevention. B, early detection and treatment, is secondary prevention. C, addressing root causes, is primary prevention. Therefore, D is the best example of quaternary prevention.