Which objective is most appropriate for developing a community health nursing process?

Correct Answer: C

Rationale: Rationale for Choice C: The most appropriate objective for community health nursing is to ensure a high immunization rate among children to prevent the spread of diseases. Immunization is a crucial public health intervention that protects individuals and the community. Achieving a high immunization rate, such as 95%, by age 1 is a specific, measurable, achievable, relevant, and time-bound (SMART) goal that aligns with the core purpose of community health nursing. Rationale for why other choices are incorrect: A: This objective is not appropriate for community health nursing as it focuses on a specific medical intervention rather than a population-level public health goal. B: While nutrition counseling is important, this objective is not as critical for community health nursing as ensuring high immunization rates among children. D: This objective is vague and does not directly address a specific health issue or population group, making it less relevant for community health nursing.

Correct Answer: B

Rationale: The correct answer is B because it directly assesses the impact of the program on reducing teen injury and death related to drunk driving. By comparing statistics before and after the program, we can determine its effectiveness. A: This question focuses on participant satisfaction, not the program's impact on reducing teen injury and death related to drunk driving. C: This question focuses on the amount of alcohol intake by teens, not the program's impact on reducing teen injury and death related to drunk driving. D: This question focuses on program implementation issues, not the program's impact on reducing teen injury and death related to drunk driving.

Correct Answer: C

Rationale: The correct answer is C: Measuring the goal effect. In this scenario, the CHN is comparing the number of new teen clients seeking contraceptive counseling before and after the education intervention program. This step involves evaluating the impact or effect of the program on the intended goal, which is to decrease teen pregnancy rates. By comparing the data before and after the intervention, the CHN can assess whether the program has been effective in achieving its goal. Incorrect choices: A: Determining outcome goal measurement - This step involves establishing specific, measurable outcomes before implementing the program. It is done prior to the intervention. B: Goal setting - This step involves setting specific, achievable goals at the beginning of the program. It is not the same as measuring the impact of the program. D: Evaluating the program - While evaluating the program is part of the overall evaluation process, in this scenario, the focus is specifically on measuring the effect of the program on the goal of decreasing teen pregnancy rates.

Correct Answer: C

Rationale: The correct answer is C because secondary prevention involves early detection and intervention to prevent further progression of a disease. In this case, modifying diet and medications can help manage obesity-related health issues. Choice A focuses on primary prevention, Choice B is more specific to hypertension, and Choice D is more indicative of screening for diabetes, making them incorrect for the context of secondary prevention in obese women.

Correct Answer: C

Rationale: The correct answer is C because tertiary prevention involves managing and treating existing conditions to prevent further complications. In the case of women with diabetes, monitoring blood glucose levels and recommending necessary diet modifications are crucial in preventing complications such as diabetic neuropathy or retinopathy. Choices A and B are related to primary prevention, focusing on preventing the onset of diabetes. Choice D is related to secondary prevention, screening for early detection. Tertiary prevention focuses on managing the condition to prevent further deterioration, making choice C the most appropriate in this context.