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. Pain management is important during labor, but in this scenario, the priority is not pain relief but rather addressing potential complications or needs related to the vital signs and labor progress.
B. This position can help improve blood flow to the uterus and placenta, which is crucial given the low maternal blood pressure (92/54 mm Hg). This action can help stabilize the client's condition while further assessments and interventions are planned.
C. Emptying the bladder is often recommended during labor to ensure there is no obstruction to the progress of labor and to reduce the risk of urinary retention. While important, it is not the priority action based on the information provided.
D. The nurse also needs to report the contraction pattern (duration of 1 min, frequency of 3 min) and fetal heart rate (130/min) to ensure appropriate monitoring and management by the healthcare provider. However, this should not delay lifesaving interventions such as positioning.
Correct Answer is A
Explanation
A. Calling the healthcare provider is a reasonable action, especially when there is a significant change in the patient's condition, such as weight gain and generalized edema. The nurse may need further guidance on adjusting medications or additional interventions.
B. Diuretics are commonly prescribed for patients with heart failure to manage fluid overload. If the patient has not been compliant with taking their diuretic as prescribed, it could contribute to fluid retention and exacerbation of symptoms. Therefore, ensuring medication adherence is important. However, this alone may not address the acute issue of current weight gain and edema.
C. Daily weight monitoring is crucial for patients with heart failure as it can indicate fluid retention early on. Reinforcing the importance of daily weights helps in early detection of changes and facilitates timely intervention. However, in this scenario, the nurse has already noted a significant weight gain and edema since the last visit, so immediate action beyond education is needed.
D. Documenting the findings is essential for maintaining accurate patient records. However, in the context of a patient with heart failure who has shown signs of worsening (weight gain and edema), immediate action to address the worsening condition is necessary.
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