A nurse should identify which of the following as ways to make a positive impact in reducing health disparities in the clients they care for?
Screen clients for intimate partner violence in the acute setting.
Inquire about school performance of all school-age children in the acute setting.
Assume older adult clients are safe when in an assistant living facility.
Provide gun safety information to individuals when requested.
Provide parenting support information to parents seen in the emergency department.
Correct Answer : A,B,D,E
A. Intimate partner violence (IPV) disproportionately affects certain populations, including women and marginalized groups. By routinely screening clients for IPV, nurses can identify those at risk and provide appropriate support, referrals to resources, and interventions. Addressing IPV can improve health outcomes by addressing physical and mental health consequences of abuse.
B. School performance can be influenced by various social determinants of health, including socioeconomic status, access to healthcare, and family dynamics. Inquiring about school performance allows nurses to identify potential issues affecting children's health and well-being. This information can guide referrals to educational resources, social services, or healthcare interventions to support children's academic success and overall health.
C. Older adults living in assisted living facilities can be vulnerable to neglect, abuse, or inadequate care. Assuming safety without assessment can overlook potential health disparities and risks faced by older adults. Nurses should routinely assess the living conditions, social supports, and healthcare needs of older adult clients to ensure they receive appropriate care and support, thus reducing disparities in care.
D. Gun violence disproportionately affects certain populations, including youth, minority communities, and those living in high-crime areas. Providing gun safety information upon request can help individuals make informed decisions about firearm ownership, storage, and safety practices. This education can contribute to reducing injuries and deaths related to firearms, thereby addressing disparities in injury prevention and public health.
E. Parenting support is crucial for promoting healthy child development and reducing disparities in children's health outcomes. Parents facing socioeconomic challenges, lack of access to resources, or social stressors may benefit significantly from parenting support. Providing information and resources in the emergency department can empower parents to navigate challenges effectively, enhancing their ability to provide a nurturing environment for their children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oral hypoglycemic medications are often prescribed to lower blood glucose levels in individuals with type 2 diabetes mellitus. They work by either increasing insulin production, improving insulin sensitivity, or reducing glucose production by the liver. These medications are typically considered when lifestyle modifications alone are insufficient to achieve target blood glucose levels.
B. Insulin therapy is considered in type 2 diabetes who cannot achieve adequate glucose control with oral medications alone.
C. Peritoneal dialysis is not typically indicated as a secondary prevention measure for diabetes mellitus. Peritoneal dialysis is a treatment for end-stage renal disease (ESRD) when the kidneys can no longer function effectively.
D. Fluid restrictions may be necessary in clients with advanced kidney disease (nephropathy) resulting from diabetes. However, fluid restrictions alone do not constitute a secondary prevention action for diabetes mellitus itself.
Correct Answer is A
Explanation
A. Hoarseness or changes in voice quality is one of the hallmark symptoms of laryngeal cancer. It occurs due to the tumor affecting the vocal cords or surrounding structures. Hoarseness is often persistent and does not resolve with voice rest or usual treatments for laryngitis.
B. Dysphagia, or difficulty swallowing, can occur in laryngeal cancer, especially if the tumor affects the structures involved in swallowing. However, dysphagia typically occurs later in the course of the disease as the tumor grows and obstructs the passage of food or liquids.
C. Weight loss can be a symptom of advanced laryngeal cancer but is less commonly reported as an early manifestation. Significant weight loss may occur as a result of difficulty eating due to dysphagia or as a generalized effect of cancer on the body.
D. Dyspnea, or difficulty breathing, is not typically an early manifestation of laryngeal cancer unless the tumor is large and obstructs the airway. It is more commonly associated with advanced disease or tumors that have spread to nearby structures.
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