A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty?
Implementing the Teach Back Method when prescribing medication
Replacing Medicare programs with Medigap policies
Eliminating the use of client portals or virtual visits
Opening a community health center in an underserved area
The Correct Answer is D
Choice A: Implementing the Teach Back Method When Prescribing Medication
The Teach Back Method is an effective communication strategy where healthcare providers ask clients to repeat back the information given to ensure understanding. While this method can improve medication adherence and health literacy, it does not directly address the broader systemic issues related to poverty. It is a useful tool but not the most impactful intervention for breaking the cycle of poverty.
Choice B: Replacing Medicare Programs with Medigap Policies
Medigap policies are supplemental insurance plans that cover costs not included in traditional Medicare. However, replacing Medicare programs with Medigap policies would not necessarily improve outcomes for clients impacted by poverty. Medigap policies can be expensive and may not be affordable for low-income individuals. This intervention does not address the root causes of poverty or improve access to essential health services.
Choice C: Eliminating the Use of Client Portals or Virtual Visits
Eliminating client portals or virtual visits would likely have a negative impact on client outcomes, especially for those in poverty who may have limited access to transportation. Virtual visits and client portals provide convenient access to healthcare services, allowing clients to communicate with providers, access medical records, and receive care without the need for in-person visits. Removing these options would reduce access to care for many individuals.
Choice D: Opening a Community Health Center in an Underserved Area
This is the correct choice. Opening a community health center in an underserved area directly addresses the lack of access to healthcare services, which is a significant barrier for individuals living in poverty. Community health centers provide comprehensive primary care, preventive services, and support for managing chronic conditions. They often offer sliding scale fees based on income, making healthcare more affordable and accessible for low-income populations. By improving access to healthcare, community health centers can help break the cycle of poverty and improve overall health outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Lack of mentoring
Lack of mentoring can affect a child's academic performance, but it is less likely to be the primary cause of a short attention span and inability to focus. Mentoring programs can help improve academic outcomes by providing guidance, support, and motivation. However, the symptoms described—short attention span and inability to focus—are more directly linked to other underlying issues.
Choice B reason: Transportation challenges
Transportation challenges can lead to increased absenteeism and lower academic performance. However, they are not typically associated with a short attention span or inability to focus. While transportation issues can cause stress and fatigue, they do not directly impact a child's cognitive abilities in the same way that other factors might.
Choice C reason: Unhealthy family relationships
Unhealthy family relationships can significantly impact a child's emotional and psychological well-being, which in turn can affect their academic performance. Children from families with poor communication, high conflict, or lack of support may struggle with concentration and focus. However, the primary symptoms described—short attention span and inability to focus—are more commonly associated with other specific issues.
Choice D reason: Food insecurity
Food insecurity is directly linked to cognitive and behavioral issues in children. Lack of adequate nutrition can lead to difficulties in concentration, short attention span, and overall poor academic performance. Children who do not have reliable access to nutritious food are more likely to experience fatigue, irritability, and difficulty focusing, which aligns with the symptoms described in the scenario.
Correct Answer is A
Explanation
Choice A reason: Establish one group that can focus on a shared vision
Establishing a group that focuses on a shared vision is crucial for overcoming barriers in community health initiatives. A shared vision helps align the goals and efforts of all team members, fostering collaboration and unity. When everyone is working towards the same objectives, it becomes easier to address challenges and implement effective solutions. This approach ensures that all members are committed to the same outcomes, enhancing the overall effectiveness of the initiatives.
Choice B reason: Allow for the division into subgroups based on cultural similarities
While recognizing cultural similarities can be beneficial, dividing the team into subgroups based on these similarities may lead to fragmentation and reduce the overall cohesiveness of the group. It is important to promote inclusivity and ensure that diverse perspectives are integrated into the planning and implementation process. This approach helps in addressing the needs of the entire community rather than focusing on specific cultural groups.
Choice C reason: Encourage the creation of subgroups based on similar values
Encouraging the creation of subgroups based on similar values can also lead to fragmentation. While shared values are important, it is essential to maintain a unified team that can work together towards common goals. Creating subgroups may result in isolated efforts that do not fully address the broader community needs. A cohesive team with diverse values can provide a more comprehensive approach to community health initiatives.
Choice D reason: Ensure the group is limited to members with similar professional backgrounds
Limiting the group to members with similar professional backgrounds can hinder the effectiveness of community health initiatives. A diverse team with varied professional expertise can offer a broader range of perspectives and solutions. Including members from different backgrounds ensures that all aspects of community health are considered, leading to more innovative and effective interventions. Collaboration among professionals from different fields can enhance the overall impact of the initiatives.
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