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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
The expansion of the program within the Hispanic community is indeed an important initiative for many community health programs, including the Nurse-Family Partnership. However, it is not the standout aspect of the impact report in question. The focus on public-private partnerships is more prominently highlighted in the report, reflecting a broader strategy to enhance program reach and effectiveness through diverse collaborations.
Choice B Reason:
The statement that the impact report is kept private is incorrect. Impact reports are typically public documents designed to showcase the achievements and progress of a program to stakeholders, funders, and the community. Keeping such a report private would defeat its purpose of transparency and accountability.
Choice C Reason:
Expansion of public-private partnerships is a key initiative. This is a standout aspect of the Nurse-Family Partnership impact report. Public-private partnerships are crucial for scaling up health programs, securing funding, and integrating services across different sectors. These partnerships enable the program to leverage resources, expertise, and networks from both public and private entities, thereby enhancing its impact and sustainability.
Choice D Reason:
The statement that the impact report focuses solely on local partnerships is not accurate. While local partnerships are important, the report emphasizes a broader strategy that includes both local and wider public-private partnerships. This comprehensive approach ensures that the program can address community needs more effectively and sustainably.
Correct Answer is D
Explanation
Choice A: Develop a Team Strategy
Developing a team strategy is an important step in the CHANGE model, but it is not the first step. Before a strategy can be developed, it is essential to have a team in place. The team will collaborate to create a strategy that aligns with the community's needs and goals.
Choice B: Gather Data
Gathering data is a crucial part of the community assessment process. However, it is not the initial step in the CHANGE model. Data collection comes after the team has been assembled and a strategy has been developed. The team needs to be in place to determine what data is needed and how it will be collected.
Choice C: Build the Community Action Plan
Building the community action plan is a later step in the CHANGE model. This step involves using the data collected to develop a plan that addresses the community's health needs. The action plan is created after the team has been assembled, a strategy has been developed, and data has been gathered.
Choice D: Assemble the Team
This is the correct first step in the CHANGE model. Assembling the team involves bringing together a diverse group of stakeholders who will work collaboratively to assess the community and develop an action plan. The team typically includes representatives from various sectors of the community, such as health care, education, business, and local government.
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