A nurse is talking with a parent of a preschooler. The nurse should identity that which of the following statements made by the parent indicates a risk for lead poisoning in the home? (Select all that apply)

"Our basement has a concrete floor and rock wall.”

"I like to make stained glass window hangings in my free time."

" I often purchase older toys from yard sales for my child to play with."

"We use a space heater in my child's bedroom during the winter months"

"We are finally getting our older home remodelled.”

Answer and Explanation

Correct Answer : B,C,E

A. "Our basement has a concrete floor and rock wall." Concrete and rock structures do not typically pose a risk for lead exposure. Lead is primarily associated with paint, pipes, and certain household dusts in older constructions, not foundational materials like concrete or stone.

B. "I like to make stained glass window hangings in my free time." Stained glass work often involves lead-based solder, which can pose a risk for lead exposure, especially if proper precautions are not taken. Children can be secondarily exposed through contaminated dust brought into the home.

C. "I often purchase older toys from yard sales for my child to play with." Older toys, especially those manufactured before lead safety regulations, may contain lead-based paint. Children are at risk of exposure through chewing or handling these toys.

D. "We use a space heater in my child's bedroom during the winter months" Space heaters are not a known source of lead exposure. While safety precautions are necessary to prevent burns or fires, they do not contribute to lead poisoning risks.

E. "We are finally getting our older home remodeled." Renovation of older homes can disturb lead-based paint and generate contaminated dust. Without proper containment and cleanup, this can significantly increase a child’s risk of lead poisoning.

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Correct Answer is B

Explanation

A. Personal choices regarding health providers reflect individual preferences rather than systemic barriers or inequities. While these choices can impact health, they do not represent a health disparity caused by social determinants.

B. Absence of efficient public transportation limits access to healthcare services, healthy food, employment, and social support, disproportionately affecting vulnerable populations. This systemic barrier contributes to health disparities by restricting opportunities for maintaining or improving health.

C. Stress from a recent health event is an individual experience that can affect health outcomes but is not considered a health disparity rooted in social determinants. It is more related to personal circumstances than community-level inequities.

D. Having employer-provided health insurance is typically a protective factor that improves access to healthcare. It reduces barriers to care and is not a health disparity but rather an advantage in health equity.

A. Determine each member's role in the family. B. Review the Healthy People objectives for family health C. Complete a three-generation genogram of the family. D. Conduct a windshield survey of the family's community.

Correct Answer is A

Explanation

A. Determine each member's role in the family: This method directly assesses how the family functions as a unit, including dynamics such as communication, decision-making, hierarchy, and caregiving responsibilities—core elements of the family systems approach.

B. Review the Healthy People objectives for family health: While useful for setting public health goals, this approach is broad and population-focused and does not provide specific insights into the functioning of an individual family unit.

C. Complete a three-generation genogram of the family: A genogram maps biological and health histories across generations, which helps with identifying patterns of disease or risk but does not specifically evaluate family functioning or roles.

D. Conduct a windshield survey of the family's community: A windshield survey helps assess community-level environmental factors but does not give information about internal family dynamics or functioning as emphasized in the family systems approach.

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A nurse is talking with a parent of a preschooler. The nurse should identity that which of the following statements made by the parent indicates a risk for lead poisoning in the home? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the effects of social determinants of health for community members. Which of the following should the nurse identify as a health disparity for a community member?

Correct Answer is B

Explanation

A community health nurse is planning care by using the family system approach. Which of the following methods should the nurse use to obtain Information about family function?

Correct Answer is A

Explanation

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