A nurse is planning an in-service for community members living in an area with a high poverty rate. Which of the following information about health risks should the nurse include in the teaching?
Children are more resilient to the effects of poverty than adults.
Minority groups living in poverty experience lower rates of chronic disease.
Older adults are less likely to experience poverty due to receiving Social Security benefits.
Adolescents living in poverty are more likely to be diagnosed with a conduct disorder.
The Correct Answer is D
A. "Children are more resilient to the effects of poverty than adults": Children are particularly vulnerable to the effects of poverty due to inadequate nutrition, limited access to healthcare, and increased exposure to adverse childhood experiences, which can have long-term physical and mental health consequences.
B. "Minority groups living in poverty experience lower rates of chronic disease": Minority populations in poverty often experience higher rates of chronic illnesses such as diabetes, hypertension, and cardiovascular disease due to disparities in healthcare access, increased stress, and socioeconomic barriers to preventive care.
C. "Older adults are less likely to experience poverty due to receiving Social Security benefits": While Social Security provides financial assistance, many older adults still live in poverty due to high medical costs, inadequate retirement savings, and the rising cost of living, leading to food insecurity and difficulty affording medications.
D. "Adolescents living in poverty are more likely to be diagnosed with a conduct disorder": Poverty is associated with increased exposure to environmental stressors, family instability, and limited access to mental health resources, which can contribute to higher rates of behavioral disorders, including conduct disorder, in adolescents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Crowded living conditions: The epidemiological triangle consists of the agent, host, and environment. Environmental factors include external conditions that influence the likelihood of violence, such as overcrowding, lack of resources, and social instability. High-density living situations can increase stress levels, competition for basic needs, and exposure to conflict, all of which may contribute to violent behavior.
B. Traumatic brain injury: This is a host factor, as it directly affects an individual’s neurological function, potentially contributing to aggressive behavior. Damage to specific brain regions, such as the frontal lobe, can impair impulse control and increase the risk of violent actions, but it does not originate from the external environment.
C. Alzheimer's disease: As a condition affecting the individual, this is also a host factor. Cognitive decline may increase impulsivity or aggression, particularly in later stages, as judgment and emotional regulation deteriorate. However, the disease itself is an internal factor and not an external environmental influence.
D. Impaired coping abilities: This is a host factor because it pertains to an individual's psychological and emotional regulation, affecting how they respond to stress or conflict. Poor coping mechanisms can increase vulnerability to engaging in violent behavior, but they arise from personal experiences and mental health conditions rather than external environmental influences.
Correct Answer is A
Explanation
A. Teach the client about the potential health risks of leaving early: The first action the nurse should take is to inform the client about the potential health risks associated with leaving the facility against medical advice. Providing this information ensures that the client is fully informed about the consequences of their decision, which is essential for promoting their safety and well-being.
B. Ask the client to sign a document stating they are leaving AMA: While obtaining a signed document is necessary, it should occur after the client has been informed about the risks involved in leaving. The nurse should first ensure the client understands the implications of their decision.
C. Document the client's statement in direct quotes in the medical record: Documentation is important but should not be the first action taken. The nurse must first address the client’s immediate request and provide information regarding potential health risks before focusing on documentation.
D. Complete an incident report detailing the client scenario: Completing an incident report may be necessary later, but the priority should be to address the client’s safety and ensure they are making an informed decision about leaving the facility. The nurse should first engage with the client regarding their choice and the associated risks.
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