A school nurse planning a health promotion program at the school focuses on changing the determinants of health that, according to the CDC, account for 70% of premature deaths in the United States.
The determinants that account for 70% of premature deaths are:

Behavioral change theories explain why people adopt or not adopt certain health behaviors.

These theories focus on a range of factors influencing behavior determinants, including factors within an individual (such as thoughts, feelings and beliefs), factors in groups or relationships, and factors that exist in organizations and communities (such as structures, regulations, policies and laws)1.

Choice A is incorrect because environmental theories focus on the impact of the physical environment on health behaviors.

Choice B is incorrect because communication theories focus on how information is transmitted and received.

Choice D is incorrect because evaluation theories focus on assessing the effectiveness of interventions.

The level of health literacy in the group should be an initial major concern for these nurses.

Health literacy refers to the ability of individuals to obtain, process, and understand basic health information and services needed to make appropriate health decisions.

In a low socioeconomic community, the level of health literacy may be lower than average, which can impact the effectiveness of a health promotion program.

By understanding the level of health literacy in the group, the nurses can tailor their program to meet the needs and abilities of their clients.

Choice B is not the answer because computer resources and access to the internet for health promotion may not be a major concern initially.

Choice C is not the answer because the primary communicable diseases that are present may not be a major concern initially.

Choice D is not the answer because the number of health professionals in the community may not be a major concern initially.