A nurse is assessing a client's environment. Which of the following client statements indicates that a client is living in a faulty built environment?
The client reports there are bike paths or running trails in their community.
The client reports contaminants in their drinking water at home.
The client reports that there is limited public parking on their street.
The client reports a lack of community centers in their neighborhood.
The Correct Answer is B
Choice A Reason:
The client reports there are bike paths or running trails in their community. This statement indicates a positive aspect of the built environment. The presence of bike paths and running trails promotes physical activity and overall well-being. It does not suggest any faults in the built environment.
Choice B Reason:
The client reports contaminants in their drinking water at home. This statement clearly indicates a faulty built environment. Contaminated drinking water poses significant health risks and reflects poor infrastructure or inadequate maintenance of water supply systems. Ensuring access to clean and safe drinking water is a fundamental aspect of a healthy built environment.
Choice C Reason:
The client reports that there is limited public parking on their street. While limited public parking can be an inconvenience, it does not directly indicate a faulty built environment. Parking availability is more related to urban planning and transportation policies rather than the overall quality of the built environment.
Choice D Reason:
The client reports a lack of community centers in their neighborhood. Although the absence of community centers can affect social interactions and community engagement, it does not necessarily indicate a faulty built environment. It highlights a gap in community resources but does not directly impact the safety or health of the environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Increased exposure increases the risk of developing the disease. This statement describes a dose-response relationship, which is another important criterion for establishing causation. It indicates that as the level of exposure to a potential cause increases, the risk of developing the disease also increases. However, this does not specifically address the temporal sequence required to establish causation.
Choice B Reason:
The exposure must come before the disease develops. This is the correct definition of a temporal relationship in epidemiological studies. For causation to be established, it is essential that the exposure to the potential cause occurs before the onset of the disease. This temporal sequence is crucial because it helps to rule out reverse causation, where the disease might influence the exposure rather than the other way around.
Choice C Reason:
When the exposure is decreased or eliminated, the risk of disease declines or is eliminated. This statement describes the concept of reversibility, which is another criterion for causation. It suggests that reducing or removing the exposure should lead to a decrease in the incidence of the disease. While important, it does not specifically define the temporal relationship.
Choice D Reason:
A relationship is biologically plausible, and it makes sense. This statement refers to biological plausibility, which means that the observed association between exposure and disease is consistent with existing biological or medical knowledge. While biological plausibility supports causation, it does not define the temporal sequence necessary to establish a causal relationship.
Correct Answer is D
Explanation
Choice A: Recommend the Client Obtain a Part-Time Job
Recommending a part-time job might seem like a good way to keep the adolescent busy and help them integrate into their new environment. However, this approach may not directly address the underlying issues of depression and could potentially add more stress. Adolescents dealing with depression need professional mental health support to navigate their feelings and develop coping strategies.
Choice B: Arrange a Visit with a Neurologist
While a neurologist can help with neurological disorders, depression due to a recent move is typically a psychological issue rather than a neurological one. Therefore, arranging a visit with a neurologist is not the most appropriate intervention. The focus should be on providing mental health support through counseling and therapy.
Choice C: Encourage the Client to Engage in Physical Activity Such as Joining a Sports Team
Encouraging physical activity is beneficial for mental health as it can help reduce symptoms of depression and improve overall well-being. However, while physical activity can be a helpful supplementary intervention, it should not be the primary approach. Professional counseling is essential to address the root causes of depression and provide the necessary support.
Choice D: Schedule an Appointment with a School-Based Counselor
This is the correct intervention. A school-based counselor is trained to provide mental health support to students. They can help the adolescent process their feelings, develop coping strategies, and provide a safe space to talk about their experiences. Counseling is a crucial step in addressing depression and helping the student adjust to their new environment.
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