A nurse is completing a summative evaluation of a condom distribution program at a local community college. Which of the following metrics should the nurse include?

Choice A Reason:
Local ordinances are important for shaping the built environment, as they dictate land use, zoning, and building codes. However, they are not a core feature of the built environment assessment tool itself. Instead, they are external factors that influence the built environment.

Choice B Reason:
Financial stability is crucial for the overall well-being of a community, but it is not a direct feature of the built environment assessment tool. Financial stability impacts the resources available for community development and maintenance but does not directly assess the physical environment.

Choice C Reason:
The community at large refers to the broader population and social dynamics within a community. While understanding the community is essential for comprehensive assessments, the built environment assessment tool focuses more on physical and infrastructural elements rather than social aspects.

Choice D Reason:
Walkability is a core feature of the built environment assessment tool. Walkability assesses how friendly an area is to walking, considering factors such as the presence of sidewalks, pedestrian crossings, and the proximity of amenities. High walkability is associated with numerous health benefits, including increased physical activity and reduced risk of chronic diseases. It is a critical component in evaluating the built environment's impact on community health.

Choice A: "Telehealth Helps Clients Who Have Difficulty Accessing a Physician's Office Communicate with Their Primary Care Providers."
This statement is correct. Telehealth is particularly beneficial for homebound clients who may have difficulty traveling to a physician's office. It allows them to communicate with their primary care providers through video calls, phone calls, or online messaging. This can help manage chronic conditions, provide follow-up care, and ensure that patients receive timely medical advice without the need to leave their homes.

Choice B: "Telehealth Helps to Cover the Cost of Prescriptions, Medical Equipment, and Other Health Care Expenditures."
This statement is incorrect. Telehealth primarily focuses on providing remote clinical services rather than covering the costs of prescriptions, medical equipment, or other health care expenditures. While telehealth can facilitate access to medical advice and consultations, it does not directly address financial coverage for health care costs.

Choice C: "Telehealth is a Supplemental Program that Fills in Gaps in Coverage from Government-Provided Health Insurance.
This statement is misleading. Telehealth is not a supplemental insurance program but a method of delivering health care services remotely. It can complement traditional in-person care by providing additional access to medical consultations and follow-ups, but it does not function as an insurance program to fill coverage gaps.

Choice D: "Telehealth Can Duplicate or Replace All of the Services Provided by a Health Care Institution."
This statement is incorrect. While telehealth can provide many services remotely, it cannot replace all the services provided by a health care institution. Certain medical procedures, physical examinations, and treatments require in-person visits. Telehealth is a valuable tool for enhancing access to care, but it is not a complete substitute for all health care services.