In the context of the “Healthy People 2030” objectives, the nurse identifies a significant issue in the community related to the prevention of dental caries in children.
Where would be the most effective location to start a prevention program?

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Increasing physical activity is a key component of weight loss. It helps to burn calories, build muscle, and boost metabolism. However, physical activity alone may not be sufficient for weight loss. It’s also important to consider dietary habits.

Choice B rationale

Improving diet is another crucial aspect of weight loss. This can involve eating more fruits, vegetables, and whole grains, reducing the intake of processed foods and sugary drinks, and watching portion sizes. However, diet alone may not be enough for weight loss, and it’s also important to incorporate physical activity.

Choice C rationale

Reducing portion sizes can help to decrease calorie intake, which can contribute to weight loss. However, portion control alone may not lead to weight loss if the individual is not consuming a balanced diet or if they are not physically active.

Choice D rationale

All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It’s also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While having 80% of students participate in a voluntary sex education seminar is a positive outcome, it does not directly indicate the success of a pregnancy prevention program.

Participation in a seminar does not necessarily translate into behavior change. Students may attend the seminar but not apply the knowledge or skills learned, which would not result in a decrease in teenage pregnancies.

Choice B rationale

A reported average delay of 2 years for the first sexual encounter among students can be seen as a positive outcome, as it may reduce the risk of teenage pregnancies. However, this delay does not guarantee that students are using effective contraception when they do start having sex. Therefore, while this outcome may contribute to the success of a pregnancy prevention program, it is not the strongest evidence of success.

Choice C rationale

Parental support for a pregnancy prevention program in schools is important for the program’s implementation and sustainability. However, parental support does not directly result in a decrease in teenage pregnancies. Parents can be supportive of the program, but if the students do not apply the knowledge or skills learned, the number of teenage pregnancies may not decrease.

Choice D rationale

A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program’s success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies. If the school district reports a decrease in the number of teenage pregnancies, it indicates that the program is effectively helping students to prevent pregnancies.