Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?

Correct Answer: B

Rationale: In the context of developing a health promotion program for church members, the correct answer is B) The majority of members are African American. This factor is the most significant because it identifies a specific demographic group that may have unique health needs and disparities that must be addressed in the program. African Americans in the United States often face higher rates of certain health conditions like hypertension, diabetes, and obesity, making it crucial for the community nurse to tailor interventions to address these specific health concerns. Option A) The majority of members live within a 3-mile radius may be convenient for logistical purposes, but it does not provide insight into the health needs of the population. Option C) The majority of members are high school graduates is important for understanding literacy levels but may not be as directly related to health promotion needs. Option D) The majority of members are employed is also relevant for considering time constraints but does not give specific information about health risks or needs within the community. In an educational context, understanding the demographics and health disparities within a specific community is essential for developing effective health promotion programs that address the unique needs of the population. By focusing on the specific health concerns of African American church members, the nurse can design interventions that are culturally sensitive, relevant, and impactful in improving health outcomes within the community.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Ethical issues. When a screening test has high specificity but low sensitivity, it means that the test is good at identifying true negatives but may miss detecting true positives. This can lead to ethical issues as individuals who actually have the condition may be falsely reassured by a negative result, leading to delayed diagnosis and treatment. Option B) Race issues, C) Gender issues, and D) Cultural issues are incorrect because they are not directly related to the performance characteristics of the screening test. These issues may be important in healthcare, but they are not the primary concerns when discussing the implications of a test with high specificity and low sensitivity. In an educational context, understanding the concepts of sensitivity and specificity in diagnostic testing is crucial for healthcare professionals. It helps them interpret test results accurately, make sound clinical decisions, and provide appropriate care to patients. Additionally, recognizing the ethical implications of test characteristics is essential in ensuring patient safety and quality of care.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Man with hypertension. Screening for Type 2 diabetes mellitus is recommended for individuals with risk factors such as hypertension because these two conditions often coexist and share common risk factors like obesity and physical inactivity. A) Overweight woman: While being overweight is a risk factor for Type 2 diabetes mellitus, it alone is not a strong enough indication for screening compared to having an associated condition like hypertension. B) Teenager: Type 2 diabetes mellitus typically develops in adults, especially those who are overweight or obese. Screening teenagers without specific risk factors is not a standard practice. D) Woman with a family history of Type 2 diabetes mellitus: While family history is a significant risk factor, the presence of hypertension in this case makes it a more compelling reason for screening due to the immediate health implications associated with both conditions. Educationally, understanding the rationale behind screening recommendations helps healthcare providers prioritize resources and interventions effectively. By targeting individuals with a higher probability of developing Type 2 diabetes mellitus, early detection and management can lead to better health outcomes and prevent complications associated with the disease.

Correct Answer: D

Rationale: In this scenario, the nurse is promoting empowerment through her strategy. Empowerment involves giving individuals the knowledge, skills, and confidence to take control of their own health and well-being. By emphasizing that the woman herself is the key to success, the nurse is encouraging self-efficacy and personal responsibility in achieving her weight loss goals. Option A, communication, is not the focus of this scenario, although effective communication is important in healthcare. Option B, values, is not directly related to the nurse's strategy of promoting the woman's self-reliance. Option C, advanced planning, while important in maintaining a healthy diet, is not the primary concept being highlighted in this context. From an educational perspective, understanding empowerment in healthcare is crucial for nurses and other healthcare professionals to help individuals make informed decisions about their health. By empowering patients, healthcare providers can support them in making sustainable lifestyle changes and taking ownership of their health outcomes.

Correct Answer: C

Rationale: In this scenario, option C, a previous traffic violation for speeding, would most likely influence a teenager's decision to drive within the speed limit. This is because experiencing the consequences of their actions firsthand can have a significant impact on behavior change. When a teenager receives a traffic violation for speeding, it serves as a concrete reminder of the potential dangers and legal repercussions of driving above the speed limit. This personal experience can have a stronger influence on their future decisions compared to other factors. Option A, a speed limit sign, may not have as strong of an impact because it is a passive reminder and may be easily ignored or overlooked by teenagers who are more focused on their immediate desires or distractions. Option B, having parents tell the teenager not to speed, relies on external influence and may not always be effective as teenagers at this age may exhibit rebellious behavior or prioritize peer influences over parental advice. Option D, seeing someone get pulled over for speeding, while impactful in the moment, may not have a lasting effect on the teenager's behavior as it is an indirect consequence and may not create a personal connection between the action and the consequence. In an educational context, it is important to highlight the significance of personal experiences and consequences in shaping behavior. By emphasizing the real-life implications of speeding through actual violations and penalties, educators can help teenagers understand the importance of following speed limits for their safety and the safety of others on the road.