A nurse is training for a new job at a community clinic after moving to Central California, an area rich in agriculture and migrant workers
The nurse asks about specific social and health issues that the migrant worker population faces and the nurse supervisor replies:
Select all that apply.
A. They have difficulty establishing residency in a single location, making them ineligible for government benefits.
B. Most of them lack access to workers compensation or disability insurance.
C. Frequent travel and location changes make it difficult for them to establish continuity of care with a single provider.
D. Illegal immigration status is often a problem.
E. Language is often a barrier.
ANS: A, B, C, E
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A client with a diagnosis of bipolar disorder asks the nurse what caused the illness. What should the nurse tell the client regarding the genetic transmission of bipolar disorder?
1. Bipolar disorder is caused by environmental factors. 2. There is no known cause for the development of bipolar disorder. 3. There appears to be a genetic link in the transmission of bipolar disease. 4. There is one single gene responsible for bipolar disorder.
A 40-year-old male client has a congenital syndrome that affects the function of the Langerhans cells of his epidermis. The man's care provider would expect which of the following manifestations of his condition?
A) Increased susceptibility to infection B) High permeability of his epidermis to environmental materials C) Lighter skin tone than other individuals of the same ethnicity D) Frequent separation between the dermal and epidermal layer of his skin
A patient comes to a clinic for tuberculosis medications 2 weeks after beginning treatment with a four-drug induction phase. The patient's sputum culture remains positive, and no drug resistance is noted
At this point, the nurse will expect the provider to: a. change the regimen to a two-drug contin-uation phase. b. continue the four-drug regimen and re-check the sputum in 2 weeks. c. obtain a chest radiograph and consider adding another drug to the regimen. d. question the patient about adherence to the drug regimen.
The nurse should expect to assess which manifestations in a patient with profound hypothermia?
A) Absent neurological reflexes, asystole B) Absent muscle reflexes, undetectable pulse C) J-waves on ECG, exaggerated tendon reflexes D) Agitation, vigorous shivering