School teachers notify the school nurse that a group of children of migrant farm workers often miss school or sleep during classes. The nurse learns that the children range in age from 12 to 14 years old and work in an orchard with their parents until 2200 every night. Which action should the nurse implement?
Arrange a meeting with the manager of the orchard to discuss child labor concerns.
Schedule classes to teach the children and parents about adolescent health concerns.
Organize focus groups with the children's parents regarding educational concerns.
Notify Child Protective Services and local law enforcement of truancy concerns.
The Correct Answer is A
Choice A reason: Arranging a meeting with the orchard manager is the most constructive and immediate step. It allows the nurse to address child labor concerns directly with those responsible for scheduling and oversight. This approach fosters collaboration and may lead to adjustments in work hours or responsibilities that prioritize the children's education and health. It also aligns with advocacy for vulnerable populations and respects the family's economic context while protecting the children’s rights.
Choice B reason: While health education is important, it does not address the root cause of the problem—excessive work hours interfering with sleep and school attendance. Education alone cannot resolve systemic labor issues or enforce child protection laws.
Choice C reason: Organizing focus groups may help gather parental perspectives, but it is a passive approach that delays action. It does not directly intervene in the labor practices affecting the children’s well-being.
Choice D reason: Notifying authorities may be necessary if abuse or neglect is suspected, but it should not be the first step unless there is clear evidence of legal violations. Premature reporting may damage trust and hinder future collaboration with the community.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Contacting parents directly before the school year begins ensures timely vaccination and compliance with school entry requirements. It is a proactive and personalized approach that supports public health goals and minimizes the risk of outbreaks. Early communication also allows time for scheduling appointments and resolving barriers to access.
Choice B reason: Noting in records that the second dose is due later delays intervention and may result in missed opportunities for immunization. It does not actively promote timely completion of the vaccine series.
Choice C reason: Speaking at a parent-teacher meeting may raise awareness but is not targeted or timely enough to ensure compliance before school starts. Attendance may be limited, and the message may not reach all families.
Choice D reason: Sending notices on the first day of class is reactive and may result in delays or noncompliance. It does not allow sufficient time for parents to act before school begins.
Correct Answer is D
Explanation
Choice A reason: An A1C of 9.1% is significantly above the target range and indicates poor glycemic control. Congratulating the client would be inappropriate and misleading, potentially undermining the seriousness of the situation.
Choice B reason: While the value should be communicated to the healthcare provider, immediate reporting is not typically required unless the client is symptomatic or experiencing complications. The nurse’s role includes assessment and education before escalation.
Choice C reason: Asking the client why their A1C is out of control may come across as accusatory and lacks therapeutic communication. It does not foster collaboration or support behavior change. The nurse should use motivational interviewing and assessment techniques instead.
Choice D reason: Exploring the diabetes self-care regimen allows the nurse to identify gaps in medication adherence, dietary habits, physical activity, and glucose monitoring. This approach supports patient-centered care and enables tailored interventions to improve glycemic control.
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