A nurse reviews notes for a school-age child from the child's schoolteacher. The teacher reports that the student cannot focus, has a short attention span, and has had consistently low grades for 6 months. Which of the following problems should the nurse suspect?
Lack of mentoring
Transportation challenges
Unhealthy family relationships
Food insecurity
The Correct Answer is D
Choice A reason: Lack of mentoring
Lack of mentoring can affect a child's academic performance, but it is less likely to be the primary cause of a short attention span and inability to focus. Mentoring programs can help improve academic outcomes by providing guidance, support, and motivation. However, the symptoms described—short attention span and inability to focus—are more directly linked to other underlying issues.
Choice B reason: Transportation challenges
Transportation challenges can lead to increased absenteeism and lower academic performance. However, they are not typically associated with a short attention span or inability to focus. While transportation issues can cause stress and fatigue, they do not directly impact a child's cognitive abilities in the same way that other factors might.
Choice C reason: Unhealthy family relationships
Unhealthy family relationships can significantly impact a child's emotional and psychological well-being, which in turn can affect their academic performance. Children from families with poor communication, high conflict, or lack of support may struggle with concentration and focus. However, the primary symptoms described—short attention span and inability to focus—are more commonly associated with other specific issues.
Choice D reason: Food insecurity
Food insecurity is directly linked to cognitive and behavioral issues in children. Lack of adequate nutrition can lead to difficulties in concentration, short attention span, and overall poor academic performance. Children who do not have reliable access to nutritious food are more likely to experience fatigue, irritability, and difficulty focusing, which aligns with the symptoms described in the scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: "For Best Results, Collaboration in the Community Should Be Limited to a Smaller Number of Groups Sharing Common Backgrounds and Interests."
This statement is incorrect. Effective collaboration in community health involves bringing together diverse groups with different backgrounds and interests. This diversity enriches the collaborative process by incorporating a wide range of perspectives, experiences, and expertise, which can lead to more comprehensive and effective solutions to community health issues.
Choice B: "I Will Act Only in a Subservient Role, Taking Direction from Community Leaders in Collaborative Efforts."
This statement is also incorrect. While it is important to respect and work with community leaders, effective collaboration requires active participation and contribution from all team members, including the public health nurse. Collaboration is a partnership where all members share responsibility and contribute their knowledge and skills to achieve common goals.
Choice C: "Collaboration Allows Key Stakeholders to Share Differing Viewpoints."
This is the correct statement. Collaboration in community health is about bringing together key stakeholders to share their differing viewpoints and expertise. This inclusive approach ensures that all relevant perspectives are considered, leading to more holistic and effective strategies for addressing community health issues.
Choice D: "I Will Encourage Subpopulations to Develop Unique Goals to Meet Their Unique Needs."
While it is important to recognize and address the unique needs of subpopulations, this statement does not fully capture the essence of collaboration. Effective collaboration involves integrating the goals and needs of various subpopulations into a cohesive strategy that benefits the entire community. Encouraging subpopulations to develop unique goals is part of the process, but it should be done within the context of a collaborative effort.
Correct Answer is B
Explanation
Choice A Reason:
Reinforcing past teachings on how to read food labels is an important educational intervention. It helps the client make informed dietary choices, which can be crucial in managing heart failure. However, this intervention is more aligned with secondary prevention, which focuses on early detection and management of disease risk factors to prevent progression. Tertiary prevention, on the other hand, aims to manage and mitigate complications of an already established disease.
Choice B Reason:
Tertiary prevention focuses on managing and mitigating the effects of an existing disease to prevent complications and improve quality of life. In the context of heart failure, this involves monitoring and managing symptoms to prevent disease progression and hospitalizations. Reviewing the client's daily weights helps detect early signs of fluid retention, a common issue in heart failure, allowing for timely interventions.
Choice C Reason:
Reminding the client to ask for the pneumococcal vaccine during their next provider appointment is a preventive measure aimed at reducing the risk of infections, which can exacerbate heart failure. This intervention falls under primary prevention, as it aims to prevent the occurrence of a new health issue (pneumonia) rather than managing an existing condition.
Choice D Reason:
While assessing for edema is important in managing heart failure, it is more of a diagnostic activity rather than an intervention. Tertiary prevention involves interventions to manage and mitigate the effects of an existing disease.
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