A nurse is educating nursing students about social factors that influence the health of children. The nurse should recognize that the teaching has been effective when the students correctly identify which of the following as a social determinant of health?

The child plays soccer with a community league

The child has been diagnosed with an allergy to peanuts

The child has a hereditary heart defect

The child lives in a rural, isolated community

Answer and Explanation

The Correct Answer is D

Social determinants of health are the conditions in which people are born, grow, live, work, and age, and they are shaped by the distribution of money, power, and resources at global, national, and local levels. Living in a rural, isolated community can significantly impact a child's health due to limited access to healthcare services, transportation barriers, economic challenges, and social isolation, among other factors.

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Correct Answer is A

Explanation

When the care plan is not followed during a home visit, the first step for the nurse should be to discuss with the family what changes or challenges have occurred that prevented them from following the plan of care. This approach allows the nurse to gain insight into any barriers or issues the family may be facing, which can then inform the next steps in revising or adapting the care plan to better suit the family's needs and circumstances.

A. Inform the client that they are better off without medical care if they continue to drink B. Report the client's refusal to comply to the charge nurse and end the discussion. C. Accept the client's decision and offer to be a resource if the client changes their mind. D. Ask the client's family to remove alcohol from the client's home.

Correct Answer is C

Explanation

As a client advocate, the nurse's role is to respect the client's autonomy and right to make their own decisions about their health, even if those decisions may not align with medical advice. This approach maintains a therapeutic relationship and respects the client's autonomy while still offering support and resources.

A. is coercive and not respectful of the client's autonomy.

B. involves reporting the client's refusal to comply, which does not respect the client's right to make their own decisions.

D. involves involving the client's family without the client's consent, which undermines the client's autonomy and privacy.

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A nurse is educating nursing students about social factors that influence the health of children. The nurse should recognize that the teaching has been effective when the students correctly identify which of the following as a social determinant of health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a follow-up family home visit and discovers that the care plan developed at the last visit was not followed. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

Correct Answer is C

Explanation

A community health nurse is educating a client about the implications of a false negative result of a screening test. Which of the following statements by the client indicates an understanding of a false negative screening?

A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

A nurse is preparing a presentation for a local community parent group about preventing children from contracting influenza. Which of the following should the nurse include as the most effective prevention measure?

A community health nurse is providing teaching to a group of adults preparing for a trip to Zambia, where malaria is endemic. Which of the following statements by a group member indicates an understanding of the environmental element of the epidemiologic triangle?

The public health nurse is explaining to a newly licensed nurse how to investigate the incidence of breast cancer in the community. Which of the following information should the nurse provide about calculating the incidence rate?

A nurse is reviewing data on a client and observes that the client lives in a home that is 50 years old. Which of the following risk categories should this information be identified as?

A home health nurse is interviewing a client and asks the client, "Have you or your family been exposed to any chemical liquids, fumes, lead, or unusual smells?" Which type of assessment is the nurse conducting?