The nurse is teaching a group of nurses about the ecological model of health care. Which of the following clients would be the primary target for this model?

A 35-year-old male with a family history of prostate cancer

A 58-year-old female with chronic hepatitis A

A 52-year-old male with diabetes mellitus for the past 5 years

A 45-year-old female with human immunodeficiency virus (HIV)

Answer and Explanation

The Correct Answer is A

A. The ecological model of health care focuses on multiple levels of influence, including individual, interpersonal, organizational, community, and societal factors. A 35-year-old male with a family history of prostate cancer is a primary target because early intervention and prevention strategies can be tailored based on genetic and lifestyle factors.
B. A client with chronic hepatitis A would benefit from management within a clinical setting rather than an ecological model, which is more preventive and community-focused.
C. A client with established diabetes mellitus might be managed through medical treatment and lifestyle changes, which are typically individual-focused rather than ecological.
D. A client with HIV would require specialized care and management, which is more focused on medical and individual needs rather than the broader ecological approach.

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Correct Answer is B

Explanation

A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.

A. "This form provides caregivers with information about your financial resources." B. "This form is a requirement for admission to the hospital, so I need you to sign this today." C. "You have the right to make your own decisions about your health care and end-of-life treatment." D. "You would feel at ease by having this form which would lessen your family's involvement in your care."

Correct Answer is C

Explanation

A. A health care proxy form does not provide information about financial resources; it is used to designate someone to make health care decisions on the client's behalf if they are unable to do so.
B. The health care proxy form is not a requirement for hospital admission, and this response does not accurately represent its purpose.
C. This response is appropriate as it emphasizes the client's right to make decisions about their own health care and ensures that their preferences are known and respected.
D. While having a health care proxy may ease concerns about family involvement, its primary purpose is to ensure that health care decisions are made according to the client's wishes.

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The nurse is teaching a group of nurses about the ecological model of health care. Which of the following clients would be the primary target for this model?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

Correct Answer is B

Explanation

The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

Correct Answer is C

Explanation

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