A migrant farmworker brings his daughter to the clinic with severe heat stroke from being out in the sun.
The nurse explains the danger signs and stresses staying cool and drinking lots of water.
The man seems to know this already.
Which of the following best describes the most likely reason that this happened?

The daughter either disobeyed her father and went out to play in the sun or just did not realize how hot she was.

It was a rare occurrence, which probably won't be repeated.

The parents were busy working and didn't realize the child was outside so long.

Children may work on small farms because the family may need the additional income.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Disobedience or unawareness of heat danger is possible, but severe heat stroke is more likely related to systemic issues like work demands and limited supervision in migrant farming contexts.

Choice B rationale

Rare occurrences do not justify the event, as migrant farmworker families face chronic exposure risks due to challenging working conditions and lack of consistent safety measures.

Choice C rationale

Busy parents failing to monitor their child shows risk factors. However, migrant farm labor demands systemic vulnerability rather than isolated parental neglect or oversight.

Choice D rationale

Children working on farms reflects systemic economic vulnerability in migrant families. Heat stroke risk arises from the necessity for additional income, highlighting socioeconomic and occupational challenges.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A rationale

Discussing birth control with a son who acknowledges readiness for responsibilities reduces the risk of unintended pregnancy through informed decision-making, promoting a strong foundation for adolescent reproductive health.

Choice B rationale

Open communication with a daughter about sexuality and willingness to support contraceptive access empower responsible reproductive choices, which align with preventing teen pregnancy and promoting sexual health.

Choice C rationale

Assuming intelligence deters risky behavior ignores emotional and social influences on decisions, potentially increasing vulnerability to unprotected sexual activity and the risk of unintended pregnancy due to lack of preparedness.

Choice D rationale

Acknowledging uncertainty and planning proactive discussions with a son enhances communication and supports informed choices regarding sexual behavior, helping to mitigate risks associated with teen pregnancy.

A. You will need to assist the client by scheduling any referral or follow-up appointments around their work schedules. B. If a client who does not speak English comes in, you must obtain an interpreter right away. C. You will like working with Hispanic immigrants because they all have close-knit family structures. D. We try to take care of as many problems as possible in one visit, so when you interview the client, ask about additional concerns.

Correct Answer is C

Explanation

Choice A rationale

Vulnerable populations often face barriers such as work schedules interfering with healthcare access. Scheduling flexibility ensures they attend appointments, reducing missed care opportunities and improving outcomes.

Choice B rationale

Obtaining an interpreter ensures communication accuracy for non-English speakers, reducing errors in treatment plans and improving health literacy. This practice adheres to professional standards and client-centered care principles.

Choice C rationale

Assuming all Hispanic immigrants have close-knit families disregards cultural diversity within the group, promoting stereotyping rather than addressing individual client needs. Effective care requires understanding unique circumstances rather than generalized assumptions.

Choice D rationale

Addressing multiple concerns in one visit maximizes efficiency for clients with limited access to healthcare. Comprehensive care reduces follow-up needs, improving health outcomes for vulnerable populations.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school health nurse presents a program on preventing teen pregnancy to a group of parents.Following the presentation, which of the following comments by a parent would cause concern?

Correct Answer is C

Explanation

A staff member is orienting a new nurse to a health clinic that serves primarily vulnerable populations.Which of the following statements indicates a need for additional staff education?

Correct Answer is C

Explanation

Which of the following is the primary cause of vulnerability to health problems?

Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?

The wife of an abusive husband reports to the nurse that her husband has been increasingly more abusive over the past year.Which of the following should be the first action taken by the nurse?

A client tells a nurse, "I know all about this already.I read about it on the Internet" and then begins to summarize what he has learned.Because some of this information seems incorrect, what Questions would be effective for the nurse to ask?

A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.Which of the following conditions would cause such symptoms?

A nurse is leading a parenting class for pregnant adolescents.Which of the following statements by the adolescents would indicate further teaching is necessary?

A nurse is teaching a newly licensed nurse about reporting suspected child abuse.Which of the following statements indicates an understanding by the newly licensed nurse?

The nurse is making a postpartum visit to a teenage mother and her month-old infant.Which of the following assessments would be most important?