A nurse is working in a community with a high index of health disparity. Which social determinant of health does the nurse recognize as temporary?

Contaminated water supply
Largest employer closed during winter storm
Relocation of manufacturing jobs out of state
Multiple areas without grocery stores


Largest employer closed during winter storm

That the area’s largest employer is closed for a weather event is likely a short-term determinant. As long as the employer is able to open after the storm, effects on employees and the community’s economy should be minimal. A contaminated water supply, relocation of large numbers of job out of the area, and multiple areas of food deserts are long-term issues.

Nursing

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The client has made a difficult decision to refuse treatment for a potentially curable malignancy. The nurse asks the client, "How are you going to tell your spouse about this decision?" What is the nurse attempting to assess?

1. Whether the client has considered all of the treatment options available. 2. Whether the client was able to choose freely among treatment options. 3. Whether the client is prepared to act on the decision. 4. Whether the client feels good about the decision made.

Nursing

A client admitted to a health care facility with cardiac arrhythmia is prescribed propranolol. Which of the following would the nurse closely monitor as part of the ongoing assessment during the therapy?

A) Pulse rate B) Tendon reflexes C) Hydration D) Visual acuity

Nursing

A nurse screens blood products, donor organs, and tissues for the hepatitis C infection. Which of the following best describes this nursing action?

a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion

Nursing

A family is referred to the home care psychiatric nurse because of repeated arrests of their teenage son for dealing drugs. The family consists of the parents and their children: Joe, age 15, and Maryann, age 10

During the nurse's first home visit, the family reported many concerns stemming from family members' impulsive spending habits. During the visit, there were several arguments between the parents. Joe (the 15-year-old son) left the meeting abruptly. Maryann (the 10-year-old daughter) constantly interrupted when other members of the family were speaking. There was little concern or discussion about the teenage son's potential jail term. The nurse assessed that the family has which of the following levels of differentiation? a. low b. medium c. moderate d. high

Nursing