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 B
Explanation
Choice A Reason:
Increased exposure increases the risk of developing the disease. This statement describes a dose-response relationship, which is another important criterion for establishing causation. It indicates that as the level of exposure to a potential cause increases, the risk of developing the disease also increases. However, this does not specifically address the temporal sequence required to establish causation.
Choice B Reason:
The exposure must come before the disease develops. This is the correct definition of a temporal relationship in epidemiological studies. For causation to be established, it is essential that the exposure to the potential cause occurs before the onset of the disease. This temporal sequence is crucial because it helps to rule out reverse causation, where the disease might influence the exposure rather than the other way around.
Choice C Reason:
When the exposure is decreased or eliminated, the risk of disease declines or is eliminated. This statement describes the concept of reversibility, which is another criterion for causation. It suggests that reducing or removing the exposure should lead to a decrease in the incidence of the disease. While important, it does not specifically define the temporal relationship.
Choice D Reason:
A relationship is biologically plausible, and it makes sense. This statement refers to biological plausibility, which means that the observed association between exposure and disease is consistent with existing biological or medical knowledge. While biological plausibility supports causation, it does not define the temporal sequence necessary to establish a causal relationship.
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.
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