The school nurse is reviewing adolescent students’ incident reports.
Which observation would best indicate that the objectives of Healthy People 2030 are being met?

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client’s home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care. Therefore, suggesting that social services be contacted to find a respite care facility for the client would be the best information for the nurse to provide.

Choice B rationale

Hiring a private nurse, also known as concierge nursing, is another option for providing relief to caregivers. However, this option might not be feasible for all families due to the potential cost. Moreover, it might not provide the caregiver with the same level of relief as respite care, as the caregiver might still feel obligated to be involved in the client’s care.

Choice C rationale

A case management evaluation of the client’s home environment could be helpful in assessing the client’s needs and identifying potential resources or modifications that could make caregiving easier. However, this does not directly address the caregiver’s need for rest and relief from their duties.

Choice D rationale

Recommending that the client’s family return to the area to help provide assistance could potentially provide some relief to the caregiver. However, this might not be a feasible or immediate solution, as it depends on the family’s availability and willingness to relocate or travel.

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.