A nurse is assessing factors that affect a client's health. Which of the following should the nurse identify as a social determinant of health that directly affects the client's physical safety?
Neighbourhood and built environment
Access to and quality of health care
Social and community context
Access to and quality of education
The Correct Answer is A
A. Neighbourhood and built environment: The physical environment, including neighbourhood safety, housing conditions, and infrastructure, directly influences a client’s physical safety by affecting exposure to hazards such as crime, pollution, and unsafe housing structures.
B. Access to and quality of health care: While crucial for health outcomes, access to healthcare affects disease management and prevention rather than directly influencing immediate physical safety in the environment.
C. Social and community context: This involves social support, community engagement, and experiences of discrimination, which impact mental and emotional health more than direct physical safety.
D. Access to and quality of education: Education influences health literacy and long-term socioeconomic status but does not directly impact immediate physical safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreased nausea: Ginger is well-documented for its antiemetic properties. It helps relieve various types of nausea, including that caused by motion sickness, pregnancy, chemotherapy, and postoperative recovery by acting on the gastrointestinal tract and central nervous system.
B. Decreased manifestations of menopause: While some herbal remedies like black cohosh or soy are used for menopausal symptoms, ginger is not commonly used for hot flashes or hormonal regulation, so this would not be an appropriate indicator of its effectiveness.
C. Decreased manifestations of allergy: There is limited evidence suggesting that ginger plays a significant role in alleviating allergic symptoms. It is not considered a primary alternative therapy for allergy treatment.
D. Decreased eczema: Ginger does not have recognized therapeutic value for eczema. Other topical treatments or dietary interventions are more commonly used for managing this skin condition.
Correct Answer is ["A","B"]
Explanation
- Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
- The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.
Rationale for Incorrect Findings:
- The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
- The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.
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