A nurse is reviewing the Million Hearts initiative to see if it might be appropriate to use in the nurse's community. Which of the following statements by the nurse indicates an understanding of the initiative and its applications?

Choice A Reason:
The number of condoms distributed is an important metric for understanding the reach and utilization of the program. However, it does not directly measure the program's effectiveness in achieving its primary goal, which is to reduce the incidence of sexually transmitted infections (STIs). While distribution numbers can indicate program activity, they do not provide information on health outcomes.

Choice B Reason:
Decrease in the incidence of sexually transmitted infections is the most relevant metric for evaluating the effectiveness of a condom distribution program. The primary objective of such programs is to reduce the transmission of STIs among the target population. By measuring the incidence of STIs before and after the implementation of the program, the nurse can assess whether the program has successfully achieved its goal of improving sexual health outcomes.

Choice C Reason:
The number of students who engage in sex is not a suitable metric for evaluating the effectiveness of a condom distribution program. The program aims to promote safe sex practices rather than influence the number of sexual encounters. Tracking sexual activity does not provide meaningful data on the program's impact on STI prevention.

Choice D Reason:
The location of the community college campus is not relevant to the evaluation of the condom distribution program's effectiveness. While the location might be important for logistical planning and accessibility, it does not provide any information on the program's success in reducing STIs or promoting safe sex practices.

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.