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.

Answer and Explanation

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.

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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.

A. Select the 6 interventions the nurse should include in the client's discharge plan. B. Recommend use of a safety alert device when home alone. C. Collaborate with physical therapy to assess client needs. D. Facilitate obtaining assistive devices for home setting. E. Collaborate with client and family to implement fall prevention plan. F. Perform a home hazard assessment. G. Educate client about the effect their medications have on their balance. H. Place no smoking signs in client's home.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Recommend use of a safety alert device when home alone: Implementing a safety alert device is crucial for the client living alone, as it provides a means to call for help in case of a fall or other emergencies. This enhances the client's safety and ensures timely assistance if needed.

B. Collaborate with physical therapy to assess client needs: Involving physical therapy is essential for evaluating the client's mobility and determining appropriate interventions for safe transition to home. Physical therapists can provide guidance on using a walker and suggest exercises to improve strength and balance.

C. Facilitate obtaining assistive devices for home setting: Ensuring that the client has the necessary assistive devices, such as a walker or grab bars, is important for promoting safety and independence in the home environment. This helps reduce the risk of future falls.

D. Collaborate with client and family to implement fall prevention plan: Working with the client and their adult child to develop a comprehensive fall prevention plan addresses the client's history of falls. This plan can include education on safe movement, environmental modifications, and strategies to prevent future falls.

E. Perform a home hazard assessment: Conducting a home hazard assessment is critical for identifying potential risks that could lead to falls or injuries. This assessment allows for targeted interventions to modify the home environment, enhancing safety for the client.

F. Educate client about the effect their medications have on their balance: Understanding the potential side effects of medications, such as metoprolol, on balance and coordination is important for the client. This knowledge can empower them to take precautions and report any concerning symptoms to their healthcare provider.

G. Place no smoking signs in client's home: While promoting a smoke-free environment is beneficial, it is not directly related to the client’s current health concerns regarding falls and recovery from a hip fracture. Therefore, this intervention is less relevant to the discharge planning process in this context.

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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?

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