A nurse working in a women's health clinic has several patients who are from a minority culture, live in the inner city, lack employment that offers benefits, have large families, and often lack transportation to health care
Which of these factors are considered broad determinants of health? (Select all that apply.)
A.
Access to health care
B.
Employment
C.
Environment
D.
Family size
E.
Race
ANS: A, B, C, E
Broad determinants of health care are personal, community, and societal systems and include environment, employment, insurance, class, race, social support, access to health services, genetic endowment, and personal histories. Family size itself is not a broad determinant of health care; however, it could be included in the larger category of personal history.
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Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?
1. There is no central agency to govern healthcare systems. 2. Access to healthcare is available to all persons regardless of ability to pay. 3. Legal risk must be considered when providing healthcare. 4. High-tech equipment is available but payment for its use is troublesome to the system.
The nurse realizes that which of the following factors will probably shape reform of the health care delivery system?
a. Aging of the population b. Increased homogeneity of the population c. Decreased primary care initiatives d. Increased centralization of primary care
A patient who has a maladaptive response to eating regulation says, "I know my parents are already upset about me losing so much weight, but I need to lose a lot more to be at a weight that doesn't make me feel fat."
This statement suggests that the best treatment setting for this patient would be: a. the hospital. b. an outpatient program. c. a day treatment program. d. at home with weekly nursing visits.
A nurse has just met a family and is being doing their family assessment. Which of the following actions should the nurse take before engaging in self-disclosure?
a. Confirm the reason for the assessment. b. Demonstrate culture awareness. c. Take time to build trust. d. Understand the family dynamics.