A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 lockdown. Which of the following factors requires attention from the nurse?
The elementary school is closed and students are learning remotely.
The power company has issued a lenient notice for back payment of debt.
The family may not be able to see preferred providers due to increased health insurance costs.
The family enrolled in the Supplemental Nutrition Assistance Program to receive extra food benefits.
The Correct Answer is C
Choice A Reason:
The closure of the elementary school and the shift to remote learning is a significant change for the child and family. However, it does not directly impact the child's diabetes management. The nurse should be aware of this change as it may affect the child's routine and stress levels, but it is not the primary concern in managing diabetes.
Choice B Reason:
The lenient notice from the power company regarding back payment of debt is a relief for the family, but it does not directly affect the child's diabetes care. While financial stability is important, the immediate concern for the nurse is ensuring the child has access to necessary medical care and supplies.
Choice C Reason:
The family may not be able to see preferred providers due to increased health insurance costs. This is a critical issue because access to preferred healthcare providers is essential for managing the child's diabetes effectively. Consistent care from knowledgeable providers ensures proper monitoring, education, and adjustments to the child's treatment plan. Without access to these providers, the child's health could be compromised.
Choice D Reason:
Enrollment in the Supplemental Nutrition Assistance Program (SNAP) to receive extra food benefits is beneficial for the family's overall nutrition. However, it does not directly address the specific needs related to managing diabetes. While good nutrition is important, the primary concern is ensuring access to specialized medical care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Team member instinct should drive decisions made throughout the process. This statement is incorrect because the Strategic Prevention Framework (SPF) emphasizes data-driven decision-making rather than relying on instinct. The SPF process involves systematic assessment, planning, implementation, and evaluation based on evidence and community needs.
Choice B Reason:
Different steps of the framework should be assigned to specific subgroups. While it is beneficial to have subgroups focus on different aspects of the framework, the SPF encourages collaboration and integration across all steps. Assigning specific steps to subgroups can lead to a fragmented approach, which is not in line with the holistic and iterative nature of the SPF.
Choice C Reason:
During the assessment phase, the team should consider the available resources. This statement is true but not specific to the SPF. Considering available resources is a standard practice in many planning and implementation frameworks. The unique aspect of the SPF is its circular and iterative process, which allows for continuous improvement and adaptation.
Choice D Reason:
The process is circular, steps may be revisited, and more than one step may be happening at the same time. This is the correct answer because it accurately describes the nature of the Strategic Prevention Framework. The SPF is designed to be flexible and iterative, allowing for ongoing assessment, planning, implementation, and evaluation. This approach ensures that the prevention efforts can adapt to changing circumstances and new information, making it more effective in addressing community needs.
Correct Answer is D
Explanation
Choice A Reason:
A cluster refers to an aggregation of cases of a disease or other health-related condition in a specific area and time period that is greater than expected. Clusters are often the initial indication of an outbreak but do not describe the widespread nature of a pandemic.
Choice B Reason:
An epidemic is an outbreak of a disease that spreads quickly and affects many individuals at the same time within a specific geographic area or population. While an epidemic can be severe, it is typically confined to one region or country. The term "pandemic" is used when the disease spreads across multiple countries or continents.
Choice C Reason:
Endemic refers to the constant presence and/or usual prevalence of a disease or infectious agent within a geographic area or population group. Diseases that are endemic are consistently present but typically do not cause the widespread impact seen in pandemics.
Choice D Reason:
A pandemic is an epidemic that has spread across a large region, for instance, multiple continents or worldwide, affecting a substantial number of individuals. The COVID-19 outbreak in 2020 is a prime example of a pandemic, as it spread globally and prompted widespread disease control measures.
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