A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert?
"Although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store."
"Sometimes I get food from the Salvation Army food pantry that is about a half a mile from my house."
"I am able to walk to a grocery store that is 5 blocks away from my apartment."
"I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live."
The Correct Answer is D
Choice A reason: "Although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store."
This statement indicates that the client has access to a grocery store within a reasonable driving distance, even though they rely on a neighbor for transportation. While this situation may present some challenges, it does not fit the definition of a food desert, which is characterized by limited access to affordable and nutritious food.
Choice B reason: "Sometimes I get food from the Salvation Army food pantry that is about a half a mile from my house."
This statement suggests that the client has access to a food pantry relatively close to their home. While relying on food pantries can indicate food insecurity, it does not necessarily mean the client lives in a food desert. Food deserts are defined by the lack of access to grocery stores that provide fresh and nutritious food.
Choice C reason: "I am able to walk to a grocery store that is 5 blocks away from my apartment."
This statement indicates that the client has convenient access to a grocery store within walking distance. This accessibility does not align with the characteristics of a food desert, where residents typically have to travel long distances to reach a grocery store.
Choice D reason: "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live."
This statement fits the definition of a food desert. The client has to travel a significant distance to reach the nearest grocery store and faces financial barriers to accessing transportation. This limited access to grocery stores that provide fresh and nutritious food is a key characteristic of food deserts.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Program Management
Program management is the process of managing multiple related projects in a coordinated way to achieve the overall strategic goals of the program. It involves planning, executing, and controlling these projects to ensure they align with the broader objectives. Program management focuses on optimizing resources, managing interdependencies, and delivering benefits that are greater than the sum of individual project outcomes.
Choice B: Defining Goals
Defining goals is a crucial step in any project or program, as it sets the direction and objectives that need to be achieved. However, it is not the process that involves the coordination of related projects. Defining goals is more about establishing what needs to be accomplished rather than managing the execution and interdependencies of multiple projects.
Choice C: Project Implementation
Project implementation refers to the execution phase of a project where plans are put into action to achieve the project objectives. While it is a critical part of project management, it does not encompass the broader coordination of multiple related projects. Project implementation focuses on delivering the specific outcomes of a single project.
Choice D: Developing a Timeline
Developing a timeline is an essential part of project planning, as it outlines the schedule for completing tasks and milestones. However, it is not the process that coordinates multiple related projects. A timeline helps manage the schedule of a single project but does not address the interdependencies and resource allocation across multiple projects.
Correct Answer is B
Explanation
Choice A: Incidence is a Measure of Mortality
This statement is incorrect. Incidence refers to the number of new cases of a disease that occur in a specified population during a defined period. It measures the risk of developing the disease, not the number of deaths. Mortality rates, on the other hand, measure the number of deaths due to a disease in a population.
Choice B: Incidence Includes Only People at Risk for the Disease
This statement is correct. The incidence rate is calculated by dividing the number of new cases of a disease by the number of people at risk for the disease in the population during a specified period. This measure helps to understand the likelihood of developing the disease among those who are susceptible.
Choice C: The Denominator for the Incidence Rate Calculation is for the Entire Population
This statement is incorrect. The denominator for the incidence rate calculation should include only those individuals who are at risk of developing the disease, not the entire population. Including the entire population would inaccurately represent the risk, as it would include individuals who cannot develop the disease (e.g., men in the case of breast cancer).
Choice D: New Cases are Not Considered When Calculating an Incidence Rate
This statement is incorrect. The incidence rate specifically measures the number of new cases of a disease that occur in a population during a specified period. Therefore, new cases are a critical component of the incidence rate calculation.

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