A city has announced its plans to build a city dump near a community of poor and predominantly African-American citizens. Which of the following principles would the nurse be using when vocalizing opposition for this plan?
Risk communication
Tertiary prevention
Environmental epidemiology
Environmental justice
The Correct Answer is D
A. Risk communication: Risk communication involves informing the public about health risks but does not specifically address social inequalities in environmental hazards.
B. Tertiary prevention: Tertiary prevention focuses on managing existing health conditions, not preventing environmental injustices.
C. Environmental epidemiology: Environmental epidemiology studies the relationship between environmental exposures and health outcomes but does not directly advocate against environmental injustice.
D. Environmental justice: Environmental justice focuses on ensuring that all communities, regardless of race or socioeconomic status, receive equal protection from environmental hazards. Opposing the construction of a waste site in a disadvantaged area aligns with this principle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Allow patients to refuse medications: While patients generally have the right to refuse treatment, public health laws can override this right in cases of communicable diseases to protect public safety.
B. Place someone on house arrest for not being compliant with their TB medication: Under public health laws, states have the authority to enforce quarantine or isolation to prevent the spread of infectious diseases like tuberculosis (TB), especially if an individual refuses treatment.
C. Allow patients to have advance directives in place: Advance directives relate to personal healthcare decisions, not police power, which focuses on protecting public health and safety.
D. Arrest someone for using illegal drugs: While drug use is a legal issue, police power in public health is focused on disease control rather than criminal enforcement of drug laws.
Correct Answer is D
Explanation
A. "These medications are important. Do your best to pay for them." This dismisses the patient's financial hardship and does not offer assistance or alternatives.
B. "Let's go through these medications and see which ones we can delete." Nurses should not arbitrarily stop medications. Only a healthcare provider (e.g., physician, pharmacist) should determine if any medications can be discontinued or adjusted.
C. "You can get these medicines at a clinic for free." This is misleading because not all clinics offer free medications. The nurse should verify available programs before making such a statement.
D. "Let's see if we can get some help from Medicare to help you pay for these medications." This response provides a realistic solution by exploring financial assistance options, such as Medicare Part D, Medicaid, or other drug assistance programs.
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