A nurse is discussing with another nurse how health outcomes for underinsured clients can be improved by returning to school to achieve a higher level of education. Which of the following rationales should the nurse include in the discussion?

Choice A Reason:
This statement is incorrect because it describes a true negative, not a false negative. A true negative occurs when the test correctly identifies that a person does not have the disease. In a two-by-two table, this is represented in the cell where both the actual status and the test result indicate no disease.

Choice B Reason:
This statement is incorrect because it describes a true positive, not a false negative. A true positive occurs when the test correctly identifies that a person has the disease. In a two-by-two table, this is represented in the cell where both the actual status and the test result indicate the presence of the disease.

Choice C Reason:
This statement is correct because it accurately describes a false negative. A false negative occurs when the test incorrectly indicates that a person does not have the disease when, in fact, they do. In a two-by-two table, this is represented in the cell where the actual status indicates the presence of the disease, but the test result indicates no disease.

Choice D Reason:
This statement is incorrect because it describes a false positive, not a false negative. A false positive occurs when the test incorrectly indicates that a person has the disease when, in fact, they do not. In a two-by-two table, this is represented in the cell where the actual status indicates no disease, but the test result indicates the presence of the disease.

Choice A: The Corporate Manager of the Restaurant Chain with a Facility in the Community
While the corporate manager of a restaurant chain may have some influence, their primary focus is likely on business operations rather than community health initiatives. Their influence might be limited to their business network and customers, rather than the broader community. Therefore, they may not be the best choice for leading a community health program.

Choice B: An Individual Who Owns a Vacation Home in the Community
An individual who owns a vacation home in the community is likely not a permanent resident and may not have a deep understanding of the community's needs and dynamics. Their influence is likely limited due to their transient presence, making them less effective as a community influencer for health initiatives.

Choice C: The Program Director of the Local Community Health Department
This is the correct choice. The program director of the local community health department is likely to have extensive knowledge of the community's health needs and resources. They are also likely to have established relationships with key stakeholders and a strong influence within the community. Their expertise and connections make them an ideal candidate to lead the implementation of a community health program.

Choice D: A Local High School Student
While a local high school student may have influence among their peers, they may lack the experience and authority needed to lead a community health program. Their influence is generally limited to their age group and may not extend to the broader community. However, they can still play a valuable role in supporting and promoting the program among their peers.