A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty?
Implementing the Teach Back Method when prescribing medication
Replacing Medicare programs with Medigap policies
Eliminating the use of client portals or virtual visits
Opening a community health center in an underserved area
The Correct Answer is D
Choice A: Implementing the Teach Back Method When Prescribing Medication
The Teach Back Method is an effective communication strategy where healthcare providers ask clients to repeat back the information given to ensure understanding. While this method can improve medication adherence and health literacy, it does not directly address the broader systemic issues related to poverty. It is a useful tool but not the most impactful intervention for breaking the cycle of poverty.
Choice B: Replacing Medicare Programs with Medigap Policies
Medigap policies are supplemental insurance plans that cover costs not included in traditional Medicare. However, replacing Medicare programs with Medigap policies would not necessarily improve outcomes for clients impacted by poverty. Medigap policies can be expensive and may not be affordable for low-income individuals. This intervention does not address the root causes of poverty or improve access to essential health services.
Choice C: Eliminating the Use of Client Portals or Virtual Visits
Eliminating client portals or virtual visits would likely have a negative impact on client outcomes, especially for those in poverty who may have limited access to transportation. Virtual visits and client portals provide convenient access to healthcare services, allowing clients to communicate with providers, access medical records, and receive care without the need for in-person visits. Removing these options would reduce access to care for many individuals.
Choice D: Opening a Community Health Center in an Underserved Area
This is the correct choice. Opening a community health center in an underserved area directly addresses the lack of access to healthcare services, which is a significant barrier for individuals living in poverty. Community health centers provide comprehensive primary care, preventive services, and support for managing chronic conditions. They often offer sliding scale fees based on income, making healthcare more affordable and accessible for low-income populations. By improving access to healthcare, community health centers can help break the cycle of poverty and improve overall health outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
This statement is incorrect because it describes a true negative, not a false negative. A true negative occurs when the test correctly identifies that a person does not have the disease. In a two-by-two table, this is represented in the cell where both the actual status and the test result indicate no disease.
Choice B Reason:
This statement is incorrect because it describes a true positive, not a false negative. A true positive occurs when the test correctly identifies that a person has the disease. In a two-by-two table, this is represented in the cell where both the actual status and the test result indicate the presence of the disease.
Choice C Reason:
This statement is correct because it accurately describes a false negative. A false negative occurs when the test incorrectly indicates that a person does not have the disease when, in fact, they do. In a two-by-two table, this is represented in the cell where the actual status indicates the presence of the disease, but the test result indicates no disease.
Choice D Reason:
This statement is incorrect because it describes a false positive, not a false negative. A false positive occurs when the test incorrectly indicates that a person has the disease when, in fact, they do not. In a two-by-two table, this is represented in the cell where the actual status indicates no disease, but the test result indicates the presence of the disease.
Correct Answer is D
Explanation
Choice A: Recommend the Client Obtain a Part-Time Job
Recommending a part-time job might seem like a good way to keep the adolescent busy and help them integrate into their new environment. However, this approach may not directly address the underlying issues of depression and could potentially add more stress. Adolescents dealing with depression need professional mental health support to navigate their feelings and develop coping strategies.
Choice B: Arrange a Visit with a Neurologist
While a neurologist can help with neurological disorders, depression due to a recent move is typically a psychological issue rather than a neurological one. Therefore, arranging a visit with a neurologist is not the most appropriate intervention. The focus should be on providing mental health support through counseling and therapy.
Choice C: Encourage the Client to Engage in Physical Activity Such as Joining a Sports Team
Encouraging physical activity is beneficial for mental health as it can help reduce symptoms of depression and improve overall well-being. However, while physical activity can be a helpful supplementary intervention, it should not be the primary approach. Professional counseling is essential to address the root causes of depression and provide the necessary support.
Choice D: Schedule an Appointment with a School-Based Counselor
This is the correct intervention. A school-based counselor is trained to provide mental health support to students. They can help the adolescent process their feelings, develop coping strategies, and provide a safe space to talk about their experiences. Counseling is a crucial step in addressing depression and helping the student adjust to their new environment.
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