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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.

B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.

C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.

D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.

A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being.

Correct Answer is A

Explanation

A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. This action aligns with Healthy People 2030’s goals to reduce health disparities by addressing cultural and linguistic needs while improving access to care, particularly preventive services. This demonstrates a proactive and equitable approach.

B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. This approach does not align with Healthy People 2030’s focus on prevention and reducing health disparities. It emphasizes reactive care rather than addressing upstream factors that lead to disparities.

C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. Providing standard materials without customization overlooks individual needs, perpetuating health disparities rather than addressing them.

D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being. Social determinants of health are critical in reducing disparities, and neglecting these factors is inconsistent with Healthy People 2030’s objectives.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Correct Answer is A

Explanation

The nurse is reviewing strategies to address health disparities in a community setting in alignment with Healthy People 2030 objectives. Which of the following actions by the nurse best demonstrates the application of Healthy People 2030 goals to reduce health disparities?

Correct Answer is A

Explanation

A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?

A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with this client?

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

A nurse is conducting a pain assessment for a client who reports discomfort. Which of the following actions is the most appropriate for the nurse to take to obtain a comprehensive understanding of the client's pain?