The nurse is participating in a mobile health screening project in a rural area of the state. A family brings their children in for their health screening, and the nurse determines that the children are behind in receiving immunizations
The nurse reasons this problem might be the result of which of the following? 1. Demographic changes in the population
2. Uneven distribution of health care services
3. The increase in elders consumes more resources.
4. Rising cost of health care
2
Rationale 1: There is a severe shortage of health care workers in parts of the country, as evidenced by the number of health care workers per capita of population available, resulting in some rural areas having insufficient providers to meet needs. Demographic changes would not be the likely cause of this family's issues, because rural demographics have not changed significantly. The elderly, while rapidly increasing in representation, are not consuming all the resources. Ability to pay for a child's immunizations is not at issue. If immunizations cannot be afforded, they will be provided at little or no cost.
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