A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify which of the following clients are most likely to experience long-term economic stability?
An older adult couple living in a community where goods and services are within walking distance.
A single parent of two children who uses ride-share services.
A client who has diabetes mellitus and regularly relies upon a family member for transportation.
A young family regularly using public transportation services to acquire goods and services.
The Correct Answer is A
Choice A Reason:
An older adult couple living in a community where goods and services are within walking distance is likely to experience long-term economic stability due to reduced transportation costs and increased accessibility to essential services. This setup minimizes the need for a vehicle, which can be a significant financial burden, especially for those on a fixed income. Additionally, the proximity to services can enhance their quality of life and reduce healthcare costs by promoting physical activity and social engagement.
Choice B Reason:
A single parent of two children who uses ride-share services may face financial instability due to the high costs associated with frequent ride-share usage. While ride-share services provide flexibility and convenience, they can be expensive over time, especially for a single parent managing multiple responsibilities and expenses. This choice does not offer the same level of economic stability as living in a walkable community.
Choice C Reason:
A client who has diabetes mellitus and regularly relies upon a family member for transportation may experience economic instability due to the dependency on others for mobility. This reliance can limit their ability to access employment opportunities and essential services independently. Additionally, managing a chronic condition like diabetes can be financially burdensome due to ongoing medical expenses.
Choice D Reason:
A young family regularly using public transportation services to acquire goods and services may face challenges related to the reliability and availability of public transportation. While public transportation can be cost-effective, it may not always be convenient or accessible, especially for families with young children. This can impact their ability to maintain consistent employment and access essential services, potentially affecting their long-term economic stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: "I will not know if I am going to be in the intervention or control group."
This statement indicates a misunderstanding of the nature of a cross-sectional study. Cross-sectional studies involve observing a specific population at a single point in time to gather data on various variables. There are no intervention or control groups in such studies, as they do not involve experimental manipulation or longitudinal follow-up.
Choice B reason: "The study will last for 10 years. You will contact me annually for an interview and blood work."
This statement describes a longitudinal study, not a cross-sectional study. Longitudinal studies involve repeated observations of the same variables over an extended period. Cross-sectional studies, on the other hand, collect data at one specific point in time, making this statement incorrect.
Choice C reason: "You'll need to find other participants like me but who do not have this disease."
This statement suggests a case-control study design, where participants with a specific condition (cases) are compared to those without the condition (controls). Cross-sectional studies do not require such comparisons; they simply collect data from a population at a single point in time to analyze the prevalence of certain characteristics or conditions.
Choice D reason: "The survey will take an hour to complete and then I'll be done."
This statement accurately reflects the nature of a cross-sectional study. These studies typically involve a one-time data collection process, such as a survey or interview, to gather information on various variables. Once the survey is completed, the participant's involvement in the study is finished, making this the correct understanding of a cross-sectional study.

Correct Answer is B
Explanation
Choice A: Public Health
Public health focuses on protecting and improving the health of populations through education, policy-making, and research for disease and injury prevention. It typically operates within a specific country or community, addressing local health issues and promoting healthy lifestyles. While public health initiatives can have international implications, they are generally not centered on international collaboration to the same extent as global health.
Choice B: Global Health
Global health is defined as the area of study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. It emphasizes international collaboration and a multidisciplinary approach to address health issues that transcend national boundaries. Global health initiatives often involve partnerships between countries, international organizations, and various sectors to tackle health disparities and improve health outcomes globally.
Choice C: Community Health
Community health focuses on the health status and needs of specific communities or populations within a defined geographic area. It involves the development and implementation of strategies to improve the health and well-being of community members. While community health can contribute to broader public health goals, it does not typically involve the same level of international collaboration as global health.
Choice D: Population Health
Population health refers to the health outcomes of a group of individuals, including the distribution of such outcomes within the group. It aims to improve the health of an entire population by addressing a wide range of factors that influence health, such as social, economic, and environmental determinants. Population health strategies can be applied at local, national, or global levels, but the term itself does not specifically imply international collaboration.
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