A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?
Language barriers
Transportation access
Poverty
Genetics
The Correct Answer is C
A. Language barriers: While language barriers can impact healthcare access and understanding, they are not as globally impactful as poverty.
B. Transportation access: Limited transportation access can affect healthcare access but does not encompass the broad, systemic impacts of poverty.
C. Poverty. Poverty is a primary social determinant of health that affects access to healthcare, nutrition, education, and safe living conditions, significantly increasing the risk of negative health outcomes.
D. Genetics: Although genetics influence individual health, they are not a social determinant of health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Patient-centered care: Nursing education heavily emphasizes patient-centered care, as it is foundational to nursing practice and critical for promoting client well-being.
B. Teamwork and collaboration. While teamwork is taught, it is often more extensively developed in clinical practice settings.
C. Evidence-based practice. Although evidence-based practice is a focus in nursing education, new graduates often require additional experience to apply it effectively.
D. Quality improvement. Quality improvement processes are introduced in nursing school but may not be as emphasized compared to patient-centered care.
Correct Answer is D
Explanation
A. Observe the patient's facial expressions and body language for signs of discomfort: While observation is important, it doesn't provide a complete picture of the client's pain experience and may not capture all aspects, such as intensity or location.
B. Measure the patient's vital signs and note any changes: Vital signs are important but can be nonspecific indicators of pain and are not as reliable for assessing pain intensity or quality.
C. Review the patient's medical history for past pain management interventions and their outcomes: While this is useful, it does not directly address the client's current pain experience.
D. Ask the patient to describe the pain using a pain scale and provide details about its location, duration, and intensity. A comprehensive pain assessment requires the client's self-report to fully understand the pain's characteristics. A pain scale (e.g., 0-10) helps quantify the intensity, and asking about its location, duration, and type allows for a thorough understanding of the pain's impact.
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