Which of the following is the most effective method to evaluate the impact of a health promotion program in a community?

Correct Answer: B

Rationale: The correct answer is B: Assessing changes in the health outcomes of the community. This method is the most effective because it directly measures the impact of the health promotion program on the community's health status. By analyzing changes in health outcomes such as reduced disease incidence or improved health behaviors, one can objectively determine the program's effectiveness. A: Conducting a satisfaction survey of program participants may provide feedback on program satisfaction but does not measure actual health impact. C: Interviewing key community leaders may provide insights on program success but does not directly assess health outcomes. D: Counting the number of individuals who attended program sessions only measures program reach, not its impact on health.

Correct Answer: B

Rationale: The correct answer is B because providing free vaccinations at local community centers directly addresses the barrier of cost, which is a common reason for low vaccination rates. This intervention removes a financial obstacle for community members, making it more likely for them to get vaccinated. A: Providing educational materials is important, but cost can still be a barrier. C: Conducting a survey may provide insights, but it doesn't directly increase vaccination rates. D: Sending reminders is helpful but may not address the underlying issue of cost.

Correct Answer: B

Rationale: The correct answer is B: Community member surveys. This is because community member surveys directly capture the perspectives and experiences of the individuals living in the community. By collecting data from community members, the nurse can gain insight into their specific health needs, concerns, and priorities. This information is crucial for identifying the most relevant health issues within the community and tailoring interventions accordingly. State health department reports (A), county health department data (C), and national health surveys (D) may provide valuable general health information, but they may not capture the unique and specific health priorities of the local community. These sources might not reflect the actual experiences and perspectives of the people living in the community, making them less useful for identifying localized health priorities.

Correct Answer: B

Rationale: The correct answer is B because community-based participatory research (CBPR) involves active collaboration between researchers and community members in all phases of the research process. By working together to design and conduct a study, community members can provide valuable insights, ensure cultural relevance, and promote community ownership. Choice A is incorrect as it lacks community involvement. Choice C is incorrect as it lacks the collaborative aspect of CBPR. Choice D is incorrect as it excludes input from the community during data analysis. Overall, choice B aligns with the core principles of CBPR by emphasizing partnership, mutual respect, and shared decision-making.

Correct Answer: B

Rationale: The correct answer is B: Encouraging walking groups in the community. This strategy promotes social support, accountability, and community engagement, which are crucial for sustaining physical activity long-term. Walking groups are cost-effective, inclusive, and accessible for all fitness levels. A: Providing free fitness classes may not address social barriers or ensure long-term engagement. C: Offering gym memberships may not be sustainable for the entire community and may not address cultural or social factors. D: Conducting a survey is important for understanding barriers but may not directly increase physical activity levels.