A community health nurse is calculating the top three causes of death in a county. Which of the following mortality measures should the nurse use to obtain this data?
Proportionate mortality
Crude mortality rate
Cause-specific mortality rate
Case fatality
The Correct Answer is C
Choice A: Proportionate Mortality
Proportionate mortality refers to the proportion of deaths in a specified population over a period of time attributable to different causes. It is expressed as a percentage of the total number of deaths. While this measure can provide insight into the relative importance of different causes of death, it does not give the actual mortality rate for each cause. Therefore, it is not the best measure for identifying the top three causes of death in a county.
Choice B: Crude Mortality Rate
The crude mortality rate is the total number of deaths from all causes per 1,000 or 100,000 population in a given year. This measure provides an overall picture of the mortality level in a population but does not specify the causes of death. It is useful for general mortality trends but not for identifying specific causes of death.
Choice C: Cause-Specific Mortality Rate
The cause-specific mortality rate is the number of deaths from a specific cause per 100,000 population in a given year. This measure is the most appropriate for identifying the top three causes of death because it provides detailed information on the mortality rate for each specific cause. By calculating the cause-specific mortality rates, the nurse can determine which causes are the most significant contributors to mortality in the county.
Choice D: Case Fatality
Case fatality refers to the proportion of individuals diagnosed with a particular disease who die from that disease within a specified period. It is usually expressed as a percentage. While case fatality provides information on the severity of a disease, it does not give the overall mortality rate for the population or help identify the top causes of death.
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Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Evaluation is a core function of epidemiology that involves assessing the effectiveness, efficiency, and impact of health programs and interventions. While attending conferences can provide valuable insights and knowledge that contribute to evaluation efforts, the primary activity described in the scenario is networking and staying current, which aligns more closely with the concept of linkages.
Choice B Reason:
Policy development is another critical function of epidemiology, focusing on creating and advocating for policies that promote public health. Although attending conferences can inform policy development by providing the latest research and best practices, the main activity in the scenario is interacting with colleagues and staying updated, which is more about building connections and collaborations.
Choice C Reason:
Surveillance involves the systematic collection, analysis, and interpretation of health data to monitor and prevent disease outbreaks. While conferences can offer updates on surveillance methods and findings, the nurse's primary engagement in the scenario is networking and professional development, which does not directly involve surveillance activities.
Choice D Reason:
Linkages refer to the connections and collaborations between public health professionals, organizations, and communities. Attending the APHA meeting annually allows the nurse to build and maintain these linkages by interacting with colleagues and staying current in the field. These connections are essential for sharing knowledge, resources, and best practices, ultimately enhancing public health efforts.
Correct Answer is A
Explanation
Choice A: Read to the Child at Least Four Times per Week
Reading to a child regularly is one of the most effective ways to support both socio-emotional development and language skills. It helps build vocabulary, comprehension, and communication skills while also fostering a strong emotional bond between the caregiver and the child. Reading stories can introduce children to different emotions and social situations, helping them understand and manage their own feelings.
Choice B: Allow Regular Naps for the Child to Foster Proper Brain Growth
While regular naps are important for a child's overall development and brain growth, they do not specifically target socio-emotional development and language skills. Napping helps with physical growth and cognitive function, but it does not provide the interactive and communicative benefits that activities like reading do.
Choice C: Enable Playtime for the Infant Child Once per Month
Playtime is crucial for a child's development, but once per month is not sufficient. Regular, frequent playtime is necessary to support socio-emotional development and language skills. Play allows children to explore their environment, interact with others, and develop important social and communication skills. Therefore, playtime should be encouraged daily rather than monthly.
Choice D: Watch a Favorite TV Program with the Child on a Consistent Basis
Watching TV can be a passive activity and does not provide the same level of interaction and engagement as reading or playing together. While some educational programs can be beneficial, they should not replace active, interactive activities that directly support socio-emotional development and language skills. Engaging in conversations and interactive play is more effective for these developmental areas.
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