A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify which of the following clients are most likely to experience long-term economic stability?
An older adult couple living in a community where goods and services are within walking distance.
A single parent of two children who uses ride-share services.
A client who has diabetes mellitus and regularly relies upon a family member for transportation.
A young family regularly using public transportation services to acquire goods and services.
The Correct Answer is A
Choice A Reason:
An older adult couple living in a community where goods and services are within walking distance is likely to experience long-term economic stability due to reduced transportation costs and increased accessibility to essential services. This setup minimizes the need for a vehicle, which can be a significant financial burden, especially for those on a fixed income. Additionally, the proximity to services can enhance their quality of life and reduce healthcare costs by promoting physical activity and social engagement.
Choice B Reason:
A single parent of two children who uses ride-share services may face financial instability due to the high costs associated with frequent ride-share usage. While ride-share services provide flexibility and convenience, they can be expensive over time, especially for a single parent managing multiple responsibilities and expenses. This choice does not offer the same level of economic stability as living in a walkable community.
Choice C Reason:
A client who has diabetes mellitus and regularly relies upon a family member for transportation may experience economic instability due to the dependency on others for mobility. This reliance can limit their ability to access employment opportunities and essential services independently. Additionally, managing a chronic condition like diabetes can be financially burdensome due to ongoing medical expenses.
Choice D Reason:
A young family regularly using public transportation services to acquire goods and services may face challenges related to the reliability and availability of public transportation. While public transportation can be cost-effective, it may not always be convenient or accessible, especially for families with young children. This can impact their ability to maintain consistent employment and access essential services, potentially affecting their long-term economic stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Conducting a physical examination is the first step in addressing the employee's concern about hearing loss. This examination allows the nurse to assess the ear for any visible issues, such as earwax buildup, infection, or structural abnormalities. A thorough physical examination can help identify the cause of the hearing loss and determine the appropriate next steps. It is essential to rule out any immediate and easily treatable conditions before proceeding with more specialized interventions.
Choice B Reason:
Irrigating the ear to remove any obstruction, such as earwax, can be an effective treatment for hearing loss caused by cerumen impaction. However, this should only be done after a physical examination confirms that earwax is the cause of the hearing loss. Irrigation without proper assessment can potentially cause harm, especially if there is an underlying infection or perforation of the eardrum.
Choice C Reason:
Advising the client on the use of ear plugs is a preventive measure to protect hearing, particularly in noisy environments. However, this advice does not address the immediate concern of unilateral hearing loss. Ear plugs are more relevant for preventing further hearing damage rather than diagnosing or treating existing hearing issues.
Choice D Reason:
Referring the client to an audiologist is an important step if the initial physical examination does not reveal the cause of the hearing loss or if the hearing loss persists despite initial treatment. Audiologists specialize in diagnosing and treating hearing disorders and can perform comprehensive hearing tests. However, this referral should come after the nurse has conducted a preliminary assessment to rule out any obvious and treatable causes.
Correct Answer is C
Explanation
Choice A: Order a New Medication
Ordering a new medication is not typically the first step in the protocol for an employee injury. The nurse needs to assess the injury and determine the appropriate course of action based on the severity and nature of the injury. Medication may be part of the treatment plan, but it is not the initial step in the injury protocol.
Choice B: Initiate Safety and Audit Checks
Initiating safety and audit checks is an important part of workplace safety management, but it is not the immediate response to an employee injury. These checks are usually conducted to prevent future incidents and ensure compliance with safety regulations. The immediate priority is to address the employee's injury and provide necessary medical care.
Choice C: Perform a Drug Test
This is the correct choice. Performing a drug test is often part of the protocol following a workplace injury, especially in industries where safety is a critical concern. The drug test helps determine if substance use may have contributed to the accident. It is a standard procedure to ensure workplace safety and compliance with regulations.
Choice D: Vet the Injured Worker
Vetting the injured worker is not a standard part of the protocol for handling an employee injury. The focus should be on providing immediate medical care and assessing the injury. Vetting typically refers to a thorough examination or background check, which is not relevant in the context of responding to an injury.
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