While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?

The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity.

The Community Health Improvement Process is used for issues in high risk populations.

The Institute of Medicine includes "access" as one of its priority recommendations.

The committee for "Healthy People 2030" has identified "access" as a national goal.

Answer and Explanation

The Correct Answer is D

A) The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity:
While the CDC provides valuable data and insights on various health issues, it may not directly frame "access to health services" as a key reason for addressing the issue in the broader context of health improvement strategies. The focus here is on the broader, more comprehensive goals rather than specific CDC findings.

B) The Community Health Improvement Process is used for issues in high-risk populations:
The Community Health Improvement Process is a method used to address health issues, but this statement does not directly explain why improving access to health services is crucial. It focuses more on the process rather than the rationale behind improving access.

C) The Institute of Medicine includes "access" as one of its priority recommendations:
The Institute of Medicine (now the National Academy of Medicine) has indeed highlighted the importance of access to health services. However, the most compelling reason for emphasizing access is its inclusion in national health goals, which underscores its broad importance.

D) The committee for "Healthy People 2030" has identified "access" as a national goal:
This statement provides the best response because it highlights that improving access to health services is a national health goal outlined in "Healthy People 2030." This demonstrates the significant importance placed on access to health services at a national level and aligns with broader public health objectives, making it a strong justification for addressing the issue in the workshop.

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Correct Answer is C

Explanation

A) A young person with diabetes mellitus:
While diabetes mellitus is a significant health condition that requires management, especially in cold weather, it does not necessarily indicate an immediate or heightened risk compared to other conditions. Diabetes requires proper care and monitoring, but the urgency related to exposure to freezing temperatures may not be as critical as other conditions.

B) A middle-aged person who has hypertension:
Hypertension is an important condition that requires management, but in the context of a cold weather emergency, it does not represent an immediate risk related to exposure. The middle-aged person with hypertension may need stable conditions for managing their health, but their situation is less critical in terms of immediate exposure to freezing temperatures.

C) An older person who is malnourished:
An older person who is malnourished is at a higher risk when exposed to freezing temperatures. Malnutrition can impair the body’s ability to regulate temperature and increase susceptibility to cold-related illnesses such as hypothermia. Therefore, this individual is at greater risk and most in need of shelter to protect against the dangers of extreme cold.

D) An adult who was hit by a car 3 weeks ago:
An individual who was injured in a car accident 3 weeks ago may have ongoing medical needs, but unless there are specific complications or issues directly related to cold exposure, their immediate need for shelter due to freezing temperatures is less critical compared to a malnourished older person. Ensuring warmth and protection from the cold is the primary concern for those most vulnerable to the weather conditions.

A. Fasting blood glucose average readings were 20% lower at the end of the classes. B. Discussion of food exchanges and calories was a well-attended class. C. Demonstrating the use of a blood glucose meter was an effective teaching strategy. D. Parking convenience for attendees continued to be a major concern.

Correct Answer is A

Explanation

A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.

B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.

C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.

D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.

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While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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