A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health as low income can impact access to proper nutrition, medication, and healthcare services crucial for managing diabetes effectively. Lower income levels can also limit the ability to afford necessary lifestyle changes. Choice B (Reading level of a third grader) is not a social determinant directly related to the client's ability to manage diabetes. Choice C (Medication ineffective due to error in prescription) is a healthcare system issue rather than a social determinant. Choice D (Originally from Sudan) is related to cultural background but not directly linked to the client's ability to manage diabetes based on the given scenario.

Correct Answer: B

Rationale: The correct answer is B: Community organization skills. Public health nursing involves working directly with communities to promote health and prevent diseases. Community organization skills are essential for building partnerships, mobilizing resources, and empowering communities. Intuitive assessment skills (choice A) may be important, but they are not specific to public health nursing. Communication skills (choice C) are important but not unique to public health nursing. Cultural competency skills (choice D) are important in public health nursing, but they are not one of the domains of practice specifically mentioned in the question.

Correct Answer: B

Rationale: The correct answer is B because reducing health inequity, decreasing disparities, and improving the health of certain groups align with the Healthy People 2020 goal of achieving health equity. This goal focuses on addressing social determinants of health to ensure everyone has the opportunity to achieve their full health potential. Choices A, C, and D do not specifically address health equity or disparities, making them incorrect for this question. A focuses on preventable diseases, C on creating healthy environments, and D on promoting healthy behaviors for the elderly, which are important but not the primary focus of the Healthy People 2020 initiative.

Correct Answer: A

Rationale: The correct answer is A: Elimination of common infectious diseases. This is a significant public health achievement in the 20th century due to the development of vaccines and antibiotics, leading to the eradication or control of diseases like smallpox and polio. This achievement has had a substantial impact on improving population health. Summary: - Choice A is correct as it directly addresses a major public health milestone. - Choice B is incorrect as recognizing tobacco as a health hazard, while important, is not a specific public health achievement in the 20th century. - Choice C is incorrect as fluoridation of drinking water is a notable public health intervention but not one of the great achievements in the 20th century. - Choice D is incorrect as healthier mothers and babies is an important public health goal but does not represent a specific achievement in the 20th century.

Correct Answer: A

Rationale: Step 1: Increasing number of people with acute conditions implies a greater demand for continuous monitoring. Step 2: Home monitoring devices allow for convenient and cost-effective monitoring of individuals with acute conditions. Step 3: This trend is supported by the rising prevalence of chronic diseases. Step 4: Other choices are incorrect as they don't directly address the primary reason for the increasing use of home monitoring devices, which is the rising number of people with acute conditions.