A staff member is orienting a new nurse to a health clinic that serves primarily vulnerable populations.
Which of the following statements indicates a need for additional staff education?

Choice A rationale

It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.

Choice B rationale

Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.

Choice C rationale

Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.

Choice D rationale

Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.

Choice A rationale

Prior knowledge of diabetes does not scientifically signify a barrier. Familiarity through a relative can provide foundational awareness, reducing hesitancy in engaging with new management practices or educational material.

Choice B rationale

Belief in ease due to avoiding insulin shots reflects misconceptions about diabetes, but does not scientifically indicate a learner-related barrier. This could reflect limited understanding rather than difficulty in comprehension.

Choice C rationale

Downplaying the impact of type 2 diabetes ignores scientific evidence of significant lifestyle changes needed for its management. However, this denotes misunderstanding rather than a barrier to learning.

Choice D rationale

Difficulty with reading presents a direct scientific barrier. Limited ability to absorb written educational material necessitates alternative teaching methods for effective comprehension of diabetes management concepts. .