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RN SOCIAL INFLUENCES ASSESSMENT
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RN SOCIAL INFLUENCES ASSESSMENT
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RN SOCIAL INFLUENCES ASSESSMENTA nurse is assessing a new parent and their newborn in a community health
clinic. The parent reports that they have resumed smoking tobacco and eating
fast food more frequently. Which of the following topics would be most important
for the nurse to discuss with the parent?
Healthy eating and weight management
Postpartum depression and self-care
Smoking cessation and the effects of secondhand smoke
On-demand feeding and schedules
Smoking cessation and the effects of secondhand smoke
The nurse should identify that the greatest risk to this parent is the effect of secondhand
smoking on their newborn. Secondhand smoke is responsible for between 150,000 and
300,000 lower respiratory tract infections in infants and children under 18 months of
age, resulting in between 7,500 and 15,000 hospitalizations each year. It also causes
430 sudden infant death syndrome (SIDS) deaths in the U.S. annually.
A nurse is making recommendations to the school board regarding necessary
improvements at a high school located in a low-income area in order to improve
health outcomes. The nurse notes there is a lack of school lunch programs and
audio-visual equipment, a gymnasium that cannot be used because it requires
repairs, and there are a number of students who are experiencing mental and
emotional health issues, such as eating disorders, anxiety, and depression.
Which of the following interventions should the nurse recommend as the priority
for the school board to address?
Provide more audio-visual equipment for students.
Write a letter to local school board members to address the need for a new snack bar.
Implement repairs to the gymnasium.
Add a counselor to the school faculty.
Add a counselor to the school faculty.
When using the greatest risk priority framework, the nurse should identify that adding a
counselor to the school faculty could help to address mental and emotional issues
among the student body and improve health outcomes.
, An occupational health nurse is assessing the risk for workplace hazards and
injuries at a manufacturing center. Which of the following preventative actions is
the priority for the nurse to implement?
Limiting indoor smoking
Improving access to and adherence of the use of personal protective equipment
Planning an education program for employees on safety awareness
Updating outdated policies
Improving access to and adherence of the use of personal protective equipment
The nurse should identify that the greatest risk to the employees is injury due to
exposure to hazardous chemicals or substances in the workplace. Improved access to
and adherence of the use of personal protective equipment, such as masks and gloves,
would help to reduce hazards and injuries from this exposure.
An occupational health nurse is presenting information to county government
leaders. Which of the following occupations should the nurse include as having
higher health hazards and exposures?
Urban design architect
Customer service phone operator
Computer programmer
Outdoor landscaper
Outdoor landscaper
Although there are hazards and exposures with all jobs, manual labor jobs carry risks of
higher health hazards and exposures. Outdoor landscaping is a manual labor job. Being
an outdoor landscaper requires being subject to variable temperatures outside, loud
noises from equipment, and dangerous chemicals.
A nurse is providing teaching to a client who inquired about utilizing private
managed care insurance to cover medical expenses. Which of the following
statements should the nurse include in the teaching?
"The government provides basic coverage and the client is required to pay for
supplemental insurance."
"The government pays for coverage, including insurance policies that typically are
considered supplemental."
"Clients pay for health care coverage partially in the form of income tax and partially as
a monthly fee to an insurance provider."
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