A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?

Language barriers

Transportation access

Poverty

Genetics

Answer and Explanation

The Correct Answer is C

A. Language barriers: While language barriers can impact healthcare access and understanding, they are not as globally impactful as poverty.

B. Transportation access: Limited transportation access can affect healthcare access but does not encompass the broad, systemic impacts of poverty.

C. Poverty. Poverty is a primary social determinant of health that affects access to healthcare, nutrition, education, and safe living conditions, significantly increasing the risk of negative health outcomes.

D. Genetics: Although genetics influence individual health, they are not a social determinant of health.

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Correct Answer is A

Explanation

A. Level of sedation. Assessing sedation is the priority because excessive sedation could indicate opioid toxicity, which may precede respiratory depression.

B. Pain level. While assessing pain is essential, it is not the priority when evaluating the safety of opioid administration.

C. Pulse oximetry. Monitoring oxygenation is critical but follows the assessment of sedation, which directly relates to the risk of respiratory depression.

D. Blood pressure. Blood pressure monitoring is important but not as immediate a concern as sedation and respiratory function.

A. Encouraging client feedback about satisfaction with the facility experience. B. Explaining unit rules and policies regarding unacceptable behaviors. C. Supporting the client's wish to refuse prescribed medications. D. Making sure the client understands expectations for client participation.

Correct Answer is C

Explanation

A. Encouraging client feedback about satisfaction with the facility experience: This reflects client-centered care but does not directly demonstrate autonomy.

B. Explaining unit rules and policies regarding unacceptable behaviors: This action involves setting expectations rather than promoting client autonomy.

C. Supporting the client's wish to refuse prescribed medications. Autonomy involves respecting a client's right to make their own decisions about their care, including the decision to refuse treatment, as long as they have the capacity to do so.

D. Making sure the client understands expectations for client participation: This is about ensuring clarity of expectations rather than honoring the client's right to self-determination.

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A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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