A nurse is reviewing common themes or social determinants among populations preventing clients' achievement of health care"“related goals. The nurse wants to include interventions into the clients' plan of care to help overcome effects of the identified social determinants. What would the nurse use to base conclusions?

Correct Answer: A

Rationale: The correct answer is A: Healthy People 2030. This is a comprehensive set of national health objectives designed to identify and address the most significant health issues facing the population. The nurse would use Healthy People 2030 to base conclusions because it provides evidence-based goals and strategies to improve health outcomes and address social determinants of health. Explanation: 1. Healthy People 2030 is a national initiative that focuses on improving the health and well-being of individuals and communities. 2. It includes specific objectives related to social determinants of health, such as poverty, education, and access to healthcare. 3. By using Healthy People 2030, the nurse can identify relevant interventions and strategies to address the identified social determinants and improve clients' health outcomes. Summary: B: Community-based outcomes may be relevant for specific interventions but do not provide the comprehensive national perspective needed to address social determinants. C: Culturally competent therapy is important but focuses on individualized care rather than addressing broader social determin

Correct Answer: C

Rationale: The correct answer is C: The dietitian to help the client increase consumption of thiamine-rich foods. Wernicke-Korsakoff syndrome is caused by thiamine deficiency, commonly seen in individuals with alcohol use disorder. Thiamine supplementation is essential in managing this condition. Collaborating with a dietitian can ensure the client receives proper education and guidance on increasing thiamine intake through diet. Incorrect choices: A: The psychiatrist for neurocognitive disorder medications - While medications may be prescribed for symptoms, addressing the underlying thiamine deficiency is crucial. B: The psychologist for counseling sessions - Counseling can be beneficial, but addressing the nutritional deficiency is a priority. D: The social worker for transportation to AA - Important for ongoing support, but addressing the nutritional needs comes first to manage Wernicke-Korsakoff syndrome.

Correct Answer: B

Rationale: The correct answer is B. Having the shaman meet the attending physician at the hospital is the most appropriate nursing intervention because it allows for collaboration between traditional beliefs and modern medical care. This approach respects the client's cultural and spiritual preferences while ensuring the client receives necessary medical treatment. It also helps establish a supportive and holistic care environment. Choice A is incorrect because denying the shaman access may lead to resistance from the client and hinder effective communication and trust-building. Choice C is inappropriate as it disregards the client's autonomy and may create conflict within the family. Choice D is incorrect as blaming the shaman for the client's condition is disrespectful and unprofessional.

Correct Answer: A

Rationale: Aversion therapy aims to reduce unwanted behaviors by associating them with negative consequences. Punishment, option A, is the most applicable technique as it involves applying an unpleasant stimulus to decrease the likelihood of a behavior occurring again. Desensitization (B) and positive reinforcement (D) aim to increase desired behaviors, which is not the goal of aversion therapy. Role modeling (C) involves observing and imitating others' behaviors, which is unrelated to aversion therapy's principles.

Correct Answer: A

Rationale: The correct answer is A because it directly acknowledges the patient's emotions and perspective without judgment. It shows understanding and validation of the patient's feelings, indicating empathy. Choice B focuses on the nurse's feelings, not the patient's. Choice C offers a solution without addressing the patient's emotional state. Choice D minimizes the seriousness of the patient's situation and lacks empathy. Overall, choice A demonstrates the most empathetic response by recognizing and empathizing with the patient's emotional distress.