Which of the following strategies should the nurse include when planning care for children of migrant workers?
Answer(s): B
Migrant workers should be provided with the medical records and immunization records for their children, including growth charts. The parents should also be encouraged to take those records with them to every health care visit, including Emergency Department visits.It is important to provide immunizations even when the child is there for an acute illness because preventive care is often not obtained.Preventive services should also be provided, not scheduled, when a child presents for an acute illness. Using a single primary care provider is not an option for most migrant families. The nurse should ask the parents about where they are going next and give them the name, address, and phone numbers of providers there.
A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
Answer(s): A
Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury. There are many dangers in the home for small children. Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention.Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury.Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury.Health promotion is any activity that increases a client’s health and wellness.
A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink.What action should the nurse perform next to prevent ischemia?
The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully.If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately.If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client’s foot due to ischemia.Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.
American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?
Scholars suggest that the reasons families are having difficulty providing health care for their members lies with both the structure of the health care system and the family structure.Major factors explaining differences in utilization patterns of medical services include the lack of healthcare insurance coverage, lack of services for special populations (that is, teenage males), perception by families of the health care system and the health care provider, and lack of partnership between health care providers and families in mutually addressing health care issues.
Kleinman’s Explanatory Model of Health and Illness is significant because ______________.
Answer(s): C
The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care professionals’ biomedical understanding of the health problem, while illness is the client’s personal and unique understanding and definition of what is happening to him.The theorist states that cultural factors determine the importance of the various domains of influence.
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