A nurse should identify which of the following as ways to make a positive impact in reducing health disparities in the clients they care for?
Screen clients for intimate partner violence in the acute setting.
Inquire about school performance of all school-age children in the acute setting.
Assume older adult clients are safe when in an assistant living facility.
Provide gun safety information to individuals when requested.
Provide parenting support information to parents seen in the emergency department.
Correct Answer : A,B,D,E
A. Intimate partner violence (IPV) disproportionately affects certain populations, including women and marginalized groups. By routinely screening clients for IPV, nurses can identify those at risk and provide appropriate support, referrals to resources, and interventions. Addressing IPV can improve health outcomes by addressing physical and mental health consequences of abuse.
B. School performance can be influenced by various social determinants of health, including socioeconomic status, access to healthcare, and family dynamics. Inquiring about school performance allows nurses to identify potential issues affecting children's health and well-being. This information can guide referrals to educational resources, social services, or healthcare interventions to support children's academic success and overall health.
C. Older adults living in assisted living facilities can be vulnerable to neglect, abuse, or inadequate care. Assuming safety without assessment can overlook potential health disparities and risks faced by older adults. Nurses should routinely assess the living conditions, social supports, and healthcare needs of older adult clients to ensure they receive appropriate care and support, thus reducing disparities in care.
D. Gun violence disproportionately affects certain populations, including youth, minority communities, and those living in high-crime areas. Providing gun safety information upon request can help individuals make informed decisions about firearm ownership, storage, and safety practices. This education can contribute to reducing injuries and deaths related to firearms, thereby addressing disparities in injury prevention and public health.
E. Parenting support is crucial for promoting healthy child development and reducing disparities in children's health outcomes. Parents facing socioeconomic challenges, lack of access to resources, or social stressors may benefit significantly from parenting support. Providing information and resources in the emergency department can empower parents to navigate challenges effectively, enhancing their ability to provide a nurturing environment for their children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The water temperature for handwashing should be comfortable and tolerable for the hands. Hot water can be drying to the skin and may not necessarily improve the effectiveness of hand hygiene. Ideally, the water temperature should be warm, but not uncomfortably hot or cold, to encourage thorough handwashing.
B. The amount of soap used for handwashing is important for effective cleaning. Applying 4 to 5 mL (approximately a teaspoon) of liquid soap ensures adequate coverage to create lather and effectively cleanse the hands. Too little soap may not produce enough lather to clean effectively, while too much may be wasteful.
C. During hand hygiene, it's recommended to keep the hands lower than the elbows to prevent water from running from the contaminated area (hands) to the cleaner area (elbows). This helps maintain hygiene and prevents potential contamination of the cleaned hands.
D. After washing hands with soap and water, it's important to dry them thoroughly. However, rubbing hands and arms to dry is not recommended. Instead, hands should be dried using a clean towel or paper towel. Rubbing can cause friction and potential irritation to the skin.
Correct Answer is D
Explanation
A. This scenario describes a near-miss or a close call, where an error occurred but was intercepted before reaching the patient. While it is a significant incident that requires investigation and corrective action, it does not meet the criteria for a sentinel event because there was no actual harm to the patient.
B. This option could be related to the natural course of the patient's illness or underlying condition.
C. This incident involves a medication error where a potentially harmful medication was prescribed but not administered due to cancellation. Since the medication was not administered and no harm occurred to the patient, this does not meet the criteria for a sentinel event. It is a medication error that warrants investigation and review to prevent future occurrences.
D. This is because patient falls are specifically mentioned as one of the most commonly reported sentinel events, which can result in serious injury or death.
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