A community health nurse is working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to this population?
Treating illnesses on a fee-for-service basis.
Providing health services at work sites.
Offering health screenings at a community center.
Ensuring access to interpretation services.
The Correct Answer is D
Many migrants may not speak the language of the country they are in, which can create significant barriers to accessing health care. Therefore, it is crucial for the nurse to ensure access to interpretation services, such as hiring bilingual staff or interpreters, or using telephone interpretation services.
Treating illnesses on a fee-for-service basis may be a barrier to accessing care for migrants who may not have insurance or the financial resources to pay for services.
Providing health services at work sites may be helpful, but it may not reach all members of the migrant population.
Offering health screenings at a community center may be helpful, but it may not address the issue of language barriers.
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Correct Answer is A
Explanation
Case management is a collaborative process that involves assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient's health needs. The case manager is responsible for evaluating the patient's needs and developing a care plan that meets those needs. The case manager works closely with the patient, their family, and the healthcare team to ensure that the care plan is being followed and adjusted as necessary.
Teaching a smoking cessation support group, performing employee risk assessments, and familiarizing with OSHA Standards in the workplace are not responsibilities of the case manager. These tasks are typically performed by other healthcare professionals such as nurses, occupational health nurses, or environmental health and safety professionals.
Correct Answer is A
Explanation
Pain expression is highly influenced by cultural background, and it is important for healthcare providers to understand how different cultures may express pain differently.
In Middle Eastern cultures, it is considered a sign of strength and stoicism to suppress pain and not show any outward signs of discomfort.
In contrast, Chinese culture views pain endurance as a virtue and a way to avoid bringing shame or dishonor to one's family.
Puerto Rican culture may view open expressions of pain as shameful, while Native American culture often views being outspoken about pain as a way of expressing oneself and communicating their needs to healthcare providers.
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