Which source of data would a community health nurse utilize during a community assessment to determine the births, deaths, marriages, health, and diseases in a certain county?

Correct Answer: D

Rationale: The correct answer is D: Vital statistics. Vital statistics provide data on births, deaths, marriages, health, and diseases in a community. This is essential for a community health nurse to assess the health status of a population. Morbidity reports (A) focus only on diseases and illnesses. Service utilization (B) data mainly tracks the usage of healthcare services. Population surveys (C) provide demographic information but may not capture specific health data like vital statistics. Vital statistics offer comprehensive and reliable information crucial for community health assessments.

Correct Answer: A

Rationale: Rationale for Correct Answer A (Heart disease is the leading cause of death in most ethnic and racial groups): 1. Heart disease is a major public health concern globally. 2. Population health nurses focus on addressing prevalent health issues. 3. Understanding leading causes of death helps in prioritizing health education programs. 4. Data on heart disease prevalence guides tailored interventions for diverse populations. Summary of Incorrect Choices: B. Deaths from cancer increasing does not necessarily indicate current trend data for health education programming. C. Decreasing deaths from stroke may not be the primary focus for health education programming. D. Unintentional accidents, while important, may not be the top priority for population health nursing interventions.

Correct Answer: A

Rationale: The nurse would utilize the trend of increased life expectancy and decreased death rate to develop public health campaigns because it shows improvements in overall population health. This trend indicates successful public health interventions, advancements in healthcare, and improved quality of life. Other choices are incorrect because stagnant life expectancy and death rates would not provide a positive indication for public health campaigns.

Correct Answer: A

Rationale: The correct answer is A: Most clients receiving care in the clinic hold jobs but are uninsured. This is because the population consists of working poor who may not have access to employer-sponsored health insurance. They are likely to be uninsured despite having jobs, as they may not qualify for Medicaid benefits and may not be able to afford private insurance. Choice B is incorrect because it assumes that most clients are working and have health insurance, which is not the case for the working poor population. Choice C is incorrect as it generalizes that most clients engage in health-promotion activities due to lack of health insurance, which may not necessarily be true. Choice D is incorrect as it assumes that most clients will qualify for Medicaid benefits, which may not be the case for all working poor individuals.

Correct Answer: C

Rationale: The correct answer is C because stating that telehealth reduces communication with the diabetes educator indicates a misunderstanding. Telehealth actually facilitates communication by allowing clients to easily connect with providers remotely. Option A is incorrect because telehealth can provide the same level of care as in-person visits. Option B is incorrect as telehealth can save time and resources by eliminating the need for long drives. Option D is incorrect as telehealth can indeed enable close monitoring of the client's diabetes through regular check-ins and data sharing.