A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan?
Health care illiteracy
Food access
Economic stability
Quality of education
The Correct Answer is B
Choice A: Health Care Illiteracy
Health care illiteracy refers to a lack of understanding about health information and services needed to make appropriate health decisions. While this is an important issue, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being.
Choice B: Food Access
This is the correct choice. Food access is a critical issue because it directly affects the client's nutritional status and overall health. Skipping meals due to financial constraints can lead to malnutrition, weakened immune function, and delayed recovery from cellulitis. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.
Choice C: Economic Stability
Economic stability is important for long-term health and well-being, but it is not the most immediate concern in this scenario. Addressing food access will have a more direct and immediate impact on the client's health. Once the client's nutritional needs are met, the nurse can then work on connecting the client with resources to improve their economic stability.
Choice D: Quality of Education
Quality of education is a significant factor in overall health and socioeconomic status, but it is not the immediate priority in this case. The client's immediate health needs, particularly their access to food, should be addressed first. Education can be part of a longer-term plan to improve the client's economic stability and health literacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Quaternary
Quaternary prevention focuses on identifying patients at risk of over-medicalization and protecting them from unnecessary medical interventions. It aims to prevent harm from excessive or inappropriate medical care. This level of prevention is not applicable to the scenario of tube feeding, which is a necessary and appropriate medical intervention for the student's condition.
Choice B: Primary
Primary prevention aims to prevent the onset of disease or injury before it occurs. This includes measures such as vaccination, health education, and lifestyle modifications to reduce risk factors. Tube feeding does not fall under primary prevention, as it is not aimed at preventing the initial occurrence of a health issue but rather managing an existing condition.
Choice C: Tertiary
This is the correct choice. Tertiary prevention involves managing and improving the quality of life for individuals with chronic or long-term health conditions. It focuses on rehabilitation, treatment, and support to prevent complications and improve functional abilities. Helping a special needs student with tube feeding is an example of tertiary prevention, as it involves ongoing care and support to manage a chronic condition and enhance the student's well-being.
Choice D: Secondary
Secondary prevention aims to detect and treat disease or injury at an early stage to prevent progression. This includes screening programs, early diagnosis, and prompt treatment. Tube feeding is not a form of secondary prevention, as it is not focused on early detection or intervention but rather on managing an established health condition.
Correct Answer is C
Explanation
Choice A: "I Think That I Missed Two Math Tutoring Classes Last Week, But I Can Still Catch Up."
This statement indicates that the client is aware of their academic responsibilities and is optimistic about catching up. Missing a couple of classes is not uncommon, and the client's positive attitude towards catching up is a good sign. This statement does not indicate an immediate need for intervention regarding their mental health.
Choice B: "I Have Not Used Drugs in 6 Weeks."
This statement is positive and indicates progress in the client's efforts to stay away from substance use. It shows that the client is making strides towards healthier behaviors, which is a crucial aspect of their overall well-being. This statement does not require immediate intervention but should be acknowledged and supported.
Choice C: "I Don't Have Anyone I Can Talk to About My Problems."
This statement is concerning and indicates a lack of social support, which is critical for someone with a history of depression and suicidal ideation. Feeling isolated and having no one to talk to can exacerbate feelings of depression and increase the risk of suicidal thoughts. This statement requires immediate intervention to ensure the client receives the necessary support and resources to address their feelings of isolation.
Choice D: "I Have Been Participating in My Local YMCA After-School Dance Program Again."
This statement is positive and indicates that the client is engaging in social and physical activities, which can be beneficial for their mental health. Participation in such programs can provide a sense of community, improve mood, and reduce feelings of isolation. This statement does not require immediate intervention but should be encouraged and supported.
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