A nurse shared information with a family concerning a community resource, including a brochure with telephone number. The family agreed to follow up. Which demonstrates to the nurse that the family wants to use those resources?

Correct Answer: D

Rationale: Under the Health Insurance Portability and Accountability Act, it is doubtful any agency would suddenly call to share such information with the nurse. If the family always agrees with the nurse's suggestion, it may be cultural rather than actual interest in the suggestion. Although the family may prefer the nurse do all the work of calling and setting up services, they may do so simply because they are not really that interested and they can always cancel later. However, if the family calls and sets up the service, it demonstrates commitment to the plan to use those resources.

Correct Answer: D

Rationale: Home health care is typically more affordable than and just as effective as care that people receive in a hospital or skilled nursing facility. Examples of home health care services include wound care, education, IV therapy, nutrition therapy, follow-up with a patient after discharge from the hospital, and monitoring of an unstable or chronic illness. The goal of home health care is to help people get better in their own homes to regain as much independence as possible (Medicare.gov, 2016a). Hospice care focuses on caring for people facing a terminal illness when the goal is no longer curing the disease (National Hospice and Palliative Care Organization [NHPCO], 2016). The goal of hospice care is that each person will die pain free and with dignity. Note: Choices E ('The goal of home health care care is for clients to die with dignity') and F ('The goal of home health care is for clients to regain as much independence as possible') were evaluated, and F is correct for home health care, while E pertains to hospice care.

Correct Answer: A

Rationale: The correct answer is A: Being a minority group member. Migrant farmworkers often belong to marginalized minority groups, facing discrimination, language barriers, and limited access to resources and information, leading to disenfranchisement. Choice B is incorrect as religious practices are not directly related to disenfranchisement. Choice C is incorrect as previous physical abuse may not necessarily lead to disenfranchisement. Choice D is incorrect as the length of time in the community does not determine disenfranchisement, but rather the social status and treatment of minority group members.

Correct Answer: A

Rationale: The correct answer is A. Beginning tests to determine the cause of the bleeding while asking about other family concerns is appropriate because it addresses the immediate health issue while also considering the family's holistic needs. By conducting tests, the nurse can identify the underlying cause of the bleeding and provide necessary treatment. Additionally, inquiring about other family concerns such as nutrition and shelter shows a comprehensive approach to care, considering social determinants of health. Choice B is incorrect because referring the man to a urologist bypasses the initial assessment and testing that should be done at the clinic. Choice C is incorrect as suggesting urgent care does not address the immediate need for assessment and testing. Choice D is incorrect because assuming a urinary infection without proper assessment can lead to incorrect treatment.

Correct Answer: A

Rationale: The correct answer is A because directing clients to English-as-second-language courses can empower new immigrants by improving their language skills, facilitating communication, enhancing social integration, and increasing access to resources. Learning English is crucial for obtaining employment, accessing healthcare, and navigating daily life in a new country. Providing money (choice B) may offer temporary relief but does not address the root cause of resilience. Identifying affordable housing (choice C) is important but does not directly build resilience. Soliciting donations (choice D) may help with immediate needs but does not promote self-sufficiency and long-term resilience like language skills.