A community health nurse is establishing a care plan for a 12-year-old client who is disruptive in school. The nurse includes a referral for a mentorship program as one of the interventions in the care plan. Which of the following rationales should the nurse include to support the referral?

Choice A: Community Health Workers are Paid or Unpaid Individuals Active in Promoting the Health of a Community
This statement accurately describes community health workers (CHWs). CHWs can be either paid or unpaid and are often members of the communities they serve. They play a crucial role in promoting health, providing education, and connecting individuals to health care services. Their work is essential in improving health outcomes and reducing health disparities within communities.

Choice B: A Community Health Worker Should be a Public Health Nurse
This statement is incorrect. While public health nurses can work as community health workers, the role of a CHW is not limited to nurses. CHWs come from various backgrounds and do not necessarily have formal medical training. Their primary qualification is their close connection to the community and their ability to build trust and provide culturally appropriate health education and services.

Choice C: Community Health Workers are Unpaid Residents Within a Community Who Volunteer Their Services
This statement is partially correct but incomplete. While many CHWs volunteer their services, others are paid for their work. The key aspect of a CHW's role is their active involvement in promoting community health, regardless of whether they are paid or unpaid.

Choice D: Paid Employees Within the Community Comprise the Role of a Community Health Worker
This statement is incorrect. While some CHWs are paid, the role is not exclusively filled by paid employees. Many CHWs volunteer their time and efforts to support their communities. The defining characteristic of a CHW is their dedication to improving community health, not their employment status.

Choice A Reason:
The expansion of the program within the Hispanic community is indeed an important initiative for many community health programs, including the Nurse-Family Partnership. However, it is not the standout aspect of the impact report in question. The focus on public-private partnerships is more prominently highlighted in the report, reflecting a broader strategy to enhance program reach and effectiveness through diverse collaborations.

Choice B Reason:
The statement that the impact report is kept private is incorrect. Impact reports are typically public documents designed to showcase the achievements and progress of a program to stakeholders, funders, and the community. Keeping such a report private would defeat its purpose of transparency and accountability.

Choice C Reason:
Expansion of public-private partnerships is a key initiative. This is a standout aspect of the Nurse-Family Partnership impact report. Public-private partnerships are crucial for scaling up health programs, securing funding, and integrating services across different sectors. These partnerships enable the program to leverage resources, expertise, and networks from both public and private entities, thereby enhancing its impact and sustainability.

Choice D Reason:
The statement that the impact report focuses solely on local partnerships is not accurate. While local partnerships are important, the report emphasizes a broader strategy that includes both local and wider public-private partnerships. This comprehensive approach ensures that the program can address community needs more effectively and sustainably.