The public health nurse is assessing resources in a rural community. Which healthcare resource is of utmost importance to the community?

Answer and explanation

The correct answer is D.

Choice A rationale

While understanding the characteristics of families in the upper-middle class can provide some insights, it does not give a comprehensive view of the community’s health needs. The income range suggests there are also families with lower incomes, and their health needs might be different.

Choice B rationale

Focusing interventions solely on college-educated individuals could overlook those who do not have a college education but still contribute to the average family income. Health needs can vary widely among individuals regardless of their educational background.

Choice C rationale

While it’s important to verify the reliability of the high average family income, it does not directly inform the nurse about the community’s health needs. Income is just one aspect of a community’s demographic profile.

Choice D rationale

Understanding the frequency of incomes above and below the average can help the nurse identify income inequality within the community. This information is crucial as income inequality can impact access to healthcare services and health outcomes.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.

Choice B rationale

Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.

Choice C rationale

Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.

Choice D rationale

Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.