A nurse is assessing the effects of social determinants of health for community members. Which of the following should the nurse identify as a health disparity for a community member?

Absence of efficient public transportation

Has employer-provided health insurance

Personal choices regarding health providers

Stress from a recent health event

Answer and Explanation

The Correct Answer is A

Rationale:

A. This is a social determinant of health that can create health disparities. Limited transportation prevents individuals from accessing healthcare services, healthy foods, employment, and social resources, which can contribute to poorer health outcomes compared with populations that have reliable transportation options. This structural barrier reflects systemic inequities in the community.

B. Having health insurance is a protective factor, not a disparity. It enhances access to care, preventive services, and medications, and is associated with improved health outcomes. This represents an advantage rather than an inequity, so it does not indicate a health disparity.

C. This reflects individual autonomy in selecting healthcare services. While personal choices can influence health behaviors and outcomes, they do not constitute a systemic inequity or barrier imposed by social or economic structures. Health disparities are about unequal opportunities or outcomes due to social determinants, not voluntary personal decisions.

D. Stress is a psychological or emotional response to a situation and is part of an individual’s experience. While stress can negatively affect health, it is not a disparity because it does not result from unequal access to resources or systemic inequities. Health disparities are identified when groups experience worse health outcomes due to social, economic, or environmental factors, not situational stress alone.

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Correct Answer is D

Explanation

Rationale:

A. This is unsafe. Pulling on the cord can damage the wiring, expose live wires, and increase the risk of electrical shock or fire. The proper method is to grasp the plug itself when unplugging.

B. Covering cords with rugs or carpets creates a fire hazard because heat from the cord cannot dissipate and the cord can become damaged from foot traffic. Cords should be kept visible and in good condition.

C. Taping cords down does not make them safe and can damage insulation or create trip hazards. Extension cords should be used appropriately and not as permanent wiring.

D. Extension cords are intended for temporary use. Overuse can lead to overheating, electrical fires, or tripping hazards. Clients should use permanent outlets whenever possible and only use cords that are in good condition, properly rated for the device, and positioned to prevent hazards.

A. Use a dandruff shampoo followed by drying the child's hair on high heat. B. Apply mayonnaise to the child's head. C. Boil the child's combs, brushes, and hair accessories in water for 10 min. D. Manually remove the lice eggs with a special comb.

Correct Answer is B

Explanation

Rationale:

A. Dandruff shampoo does not kill lice or nits effectively. High heat from a hair dryer is not a reliable or recommended method for lice eradication and may cause burns or scalp irritation.

B. This is a natural remedy sometimes used to suffocate lice. It is applied generously to the hair and scalp, covered with a shower cap for several hours, and then washed out. While not as consistently effective as pediculicides, it aligns with the guardian’s preference for nonchemical, natural treatment.

C. While cleaning personal items is important to prevent reinfestation, this action alone does not treat the lice on the child’s scalp. It is a supportive measure rather than a primary treatment.

D. Combing with a fine-tooth (nit) comb is an effective adjunctive method, especially after treatment, but it is time-consuming and typically used in combination with another treatment. It may not be sufficient alone to eliminate lice entirely.

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A nurse is assessing the effects of social determinants of health for community members. Which of the following should the nurse identify as a health disparity for a community member?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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