A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert?
"Although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store."
"Sometimes I get food from the Salvation Army food pantry that is about a half a mile from my house."
"I am able to walk to a grocery store that is 5 blocks away from my apartment."
"I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live."
The Correct Answer is D
Choice A reason: "Although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store."
This statement indicates that the client has access to a grocery store within a reasonable driving distance, even though they rely on a neighbor for transportation. While this situation may present some challenges, it does not fit the definition of a food desert, which is characterized by limited access to affordable and nutritious food.
Choice B reason: "Sometimes I get food from the Salvation Army food pantry that is about a half a mile from my house."
This statement suggests that the client has access to a food pantry relatively close to their home. While relying on food pantries can indicate food insecurity, it does not necessarily mean the client lives in a food desert. Food deserts are defined by the lack of access to grocery stores that provide fresh and nutritious food.
Choice C reason: "I am able to walk to a grocery store that is 5 blocks away from my apartment."
This statement indicates that the client has convenient access to a grocery store within walking distance. This accessibility does not align with the characteristics of a food desert, where residents typically have to travel long distances to reach a grocery store.
Choice D reason: "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live."
This statement fits the definition of a food desert. The client has to travel a significant distance to reach the nearest grocery store and faces financial barriers to accessing transportation. This limited access to grocery stores that provide fresh and nutritious food is a key characteristic of food deserts.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: "Telehealth Helps Clients Who Have Difficulty Accessing a Physician's Office Communicate with Their Primary Care Providers."
This statement is correct. Telehealth is particularly beneficial for homebound clients who may have difficulty traveling to a physician's office. It allows them to communicate with their primary care providers through video calls, phone calls, or online messaging. This can help manage chronic conditions, provide follow-up care, and ensure that patients receive timely medical advice without the need to leave their homes.
Choice B: "Telehealth Helps to Cover the Cost of Prescriptions, Medical Equipment, and Other Health Care Expenditures."
This statement is incorrect. Telehealth primarily focuses on providing remote clinical services rather than covering the costs of prescriptions, medical equipment, or other health care expenditures. While telehealth can facilitate access to medical advice and consultations, it does not directly address financial coverage for health care costs.
Choice C: "Telehealth is a Supplemental Program that Fills in Gaps in Coverage from Government-Provided Health Insurance.
This statement is misleading. Telehealth is not a supplemental insurance program but a method of delivering health care services remotely. It can complement traditional in-person care by providing additional access to medical consultations and follow-ups, but it does not function as an insurance program to fill coverage gaps.
Choice D: "Telehealth Can Duplicate or Replace All of the Services Provided by a Health Care Institution."
This statement is incorrect. While telehealth can provide many services remotely, it cannot replace all the services provided by a health care institution. Certain medical procedures, physical examinations, and treatments require in-person visits. Telehealth is a valuable tool for enhancing access to care, but it is not a complete substitute for all health care services.
Correct Answer is A
Explanation
Choice A: Community Health Workers are Paid or Unpaid Individuals Active in Promoting the Health of a Community
This statement accurately describes community health workers (CHWs). CHWs can be either paid or unpaid and are often members of the communities they serve. They play a crucial role in promoting health, providing education, and connecting individuals to health care services. Their work is essential in improving health outcomes and reducing health disparities within communities.
Choice B: A Community Health Worker Should be a Public Health Nurse
This statement is incorrect. While public health nurses can work as community health workers, the role of a CHW is not limited to nurses. CHWs come from various backgrounds and do not necessarily have formal medical training. Their primary qualification is their close connection to the community and their ability to build trust and provide culturally appropriate health education and services.
Choice C: Community Health Workers are Unpaid Residents Within a Community Who Volunteer Their Services
This statement is partially correct but incomplete. While many CHWs volunteer their services, others are paid for their work. The key aspect of a CHW's role is their active involvement in promoting community health, regardless of whether they are paid or unpaid.
Choice D: Paid Employees Within the Community Comprise the Role of a Community Health Worker
This statement is incorrect. While some CHWs are paid, the role is not exclusively filled by paid employees. Many CHWs volunteer their time and efforts to support their communities. The defining characteristic of a CHW is their dedication to improving community health, not their employment status.
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