Which data source would a nurse use to perform an impact evaluation of an existing community health program?

Correct Answer: B

Rationale: The correct answer is B because using participant surveys completed prior to and 90 days following the program allows the nurse to gather data before and after the intervention to measure the program's impact over time. This approach provides a comparison of outcomes and allows for assessing sustained changes post-intervention. Choices A, C, and D do not provide a post-intervention follow-up period of 90 days to evaluate the sustained impact of the program, making them less effective for conducting a comprehensive impact evaluation.

Correct Answer: B

Rationale: The correct answer is B because research has shown that inadequate client-nurse ratios can lead to increased mortality, especially during critical times such as the COVID-19 pandemic. This information is vital for a state legislator to understand the importance of safe staffing ratios in hospitals to protect patient safety and improve outcomes. Choice A is incorrect because a six-client-to-one nurse ratio may not be sufficient for optimal care and positive outcomes. Choice C is incorrect as it does not provide any relevant information about safe staffing ratios or their impact on patient outcomes. Choice D is incorrect as numerous studies have demonstrated that client-to-nurse staffing ratios can indeed affect client outcomes, emphasizing the importance of appropriate staffing levels.

Correct Answer: D

Rationale: The correct answer is D because it highlights the importance of recognizing and addressing global disparities in maternal-child deaths, which can be changed through appropriate healthcare interventions. By considering this concept, the nurse can provide more effective care to immigrant populations from diverse backgrounds. A: The rate of infant mortality is not consistent around the world, as it varies significantly based on factors such as access to healthcare, socioeconomic status, and public health policies. B: This choice is incomplete and does not provide relevant information related to maternal-child health care for immigrants. C: Deaths from eclampsia being lower in Black women than White women is a specific statistic that does not address the broader issue of global disparities in maternal-child deaths.

Correct Answer: C

Rationale: The correct answer is C: Improve quality of life and prevent disease, injury, disability, and premature death. This aligns with the goals outlined in the Future of Nursing Report 2020-2030, which emphasize promoting health equity and addressing social determinants of health for vulnerable populations. Providing scholarships (A) may contribute to diversity but does not directly address care improvement. Increasing shelters (B) is important but does not focus on healthcare quality. Increasing clinical hours (D) for nurses with advanced degrees does not specifically target vulnerable populations. In summary, choice C directly addresses the healthcare needs of vulnerable populations as recommended in the report.

Correct Answer: B

Rationale: The correct answer is B: Working at the state level to attract diverse students to nursing. Rationale: 1. The Campaign for Action coalition aims to advance nursing and healthcare policy. 2. Attracting diverse students to nursing aligns with the coalition's goal of promoting workforce diversity. 3. Public health nurses can contribute by advocating for policies to attract diverse students. 4. Developing walking trails (A) and promoting vaccine education (D) are important but not specific to the coalition's focus. 5. Lobbying for Medicaid expansion (C) is important but falls outside of the coalition's primary goal.