Which measure of community health will be examined by the community health nurse (CHN) who wishes to assess the status of a community's health?

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: 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.

Correct Answer: C

Rationale: The correct answer is C: Poverty. Poverty is the primary determining factor of poor health outcomes in women due to its impact on access to healthcare, nutrition, and living conditions. Lack of resources can lead to inadequate medical care, unhealthy food choices, and increased exposure to environmental hazards. Feelings of powerlessness and stress can be byproducts of living in poverty, but poverty itself is the root cause. Lack of knowledge may contribute to poor health outcomes, but it is not the primary factor like poverty.

Correct Answer: A

Rationale: The correct answer is A, a diet rich in calcium and vitamin D. Calcium and vitamin D are essential for bone health, helping to build and maintain strong bones, thus preventing osteoporosis. Calcium is a key component of bone structure, while vitamin D helps the body absorb calcium. This preventative measure directly targets the root cause of osteoporosis by ensuring the body has the necessary nutrients for bone strength. Choice B, exposure to sunlight, while important for vitamin D synthesis, is not as effective as dietary sources for meeting the body's requirements. Choice C, exercise, is beneficial for overall health but primarily falls under secondary prevention by helping to maintain bone density once it has already been established. Choice D, weight control, does not directly address the nutritional needs for bone health as in choice A.