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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A: Prevalence Rate
The prevalence rate measures the total number of cases of a disease or health condition in a population at a specific point in time or over a specified period. It is expressed as a proportion of the population. While useful for understanding the burden of disease, the prevalence rate does not provide information on the number of deaths, making it unsuitable for calculating mortality data.

Choice B: Case Fatality Rate
The case fatality rate (CFR) is the proportion of individuals diagnosed with a particular disease who die from that disease within a specified period. It is expressed as a percentage. While CFR provides insight into the severity of a disease, it does not give the overall number of deaths in a population, nor does it specify the age group affected.

Choice C: Age-Specific Mortality Rate
The age-specific mortality rate is the number of deaths in a specific age group per 100,000 population in that age group over a given period. This measure is ideal for calculating the number of deaths among school-age children, as it provides detailed mortality data specific to that age group. By using this rate, the nurse can accurately determine the mortality rate for school-age children in the county.

Choice D: Cause-Specific Mortality Rate
The cause-specific mortality rate is the number of deaths from a specific cause per 100,000 population in a given year. While this measure is useful for understanding the impact of specific diseases or conditions, it does not provide a comprehensive view of mortality across different age groups. Therefore, it is not the best choice for calculating the overall number of deaths among school-age children.

A. The nurse should review the state laws to determine if and how this information should be shared with the National Notifiable Disease Surveillance System. B. The nurse should recognize this diagnosis as an indication that the outreach program is not successful. C. Outside the healthcare team, the nurse should keep this diagnosis confidential.

Correct Answer is A

Explanation

Choice A Reason:
The nurse should review the state laws to determine if and how this information should be shared with the National Notifiable Disease Surveillance System. This is the correct answer because HIV is a notifiable disease, meaning that cases must be reported to public health authorities to monitor and control the spread of the infection. Each state has specific laws and regulations regarding the reporting of notifiable diseases, and it is crucial for the nurse to be aware of these requirements to ensure compliance and public health safety.

Choice B Reason:
The nurse should recognize this diagnosis as an indication that the outreach program is not successful. This statement is incorrect. A positive diagnosis does not necessarily mean that the outreach program is unsuccessful. On the contrary, identifying and linking individuals to care is a key objective of such programs. The success of the program can be measured by its ability to reach high-risk individuals, provide testing, and ensure they receive appropriate care and support.

Choice C Reason:
Outside the healthcare team, the nurse should keep this diagnosis confidential. While confidentiality is critical in healthcare, the reporting of notifiable diseases like HIV is an exception due to public health concerns. The nurse must balance confidentiality with the legal obligation to report the diagnosis to public health authorities. This ensures that appropriate measures can be taken to prevent further transmission and provide necessary public health interventions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is calculating the number of deaths of school-age children in a county. Which of the following methods should the nurse use to obtain this data?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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