A nurse works in a community health center whose population consists of many working poor. Which characteristic would the nurse expect in this population?

Correct Answer: A

Rationale: The correct answer is A: Most clients receiving care in the clinic hold jobs but are uninsured. This is because the population consists of working poor who may not have access to employer-sponsored health insurance. They are likely to be uninsured despite having jobs, as they may not qualify for Medicaid benefits and may not be able to afford private insurance. Choice B is incorrect because it assumes that most clients are working and have health insurance, which is not the case for the working poor population. Choice C is incorrect as it generalizes that most clients engage in health-promotion activities due to lack of health insurance, which may not necessarily be true. Choice D is incorrect as it assumes that most clients will qualify for Medicaid benefits, which may not be the case for all working poor individuals.

Correct Answer: A

Rationale: The correct answer is A because Asian populations have a higher prevalence of hepatitis B compared to other ethnic groups due to various cultural and biological factors. Hepatitis B is endemic in many Asian countries, leading to a higher transmission rate within these communities. Additionally, certain cultural practices such as sharing personal items or traditional medical practices may contribute to the spread of the virus. It is important for the nurse to be aware of this higher prevalence to provide appropriate care and preventive measures. Choices B, C, and D are incorrect. Choice B is incorrect because the rate of tuberculosis is actually higher among Asian populations, especially in countries with limited access to healthcare. Choice C is incorrect because mental health stigma is prevalent in many Asian cultures, leading to underreporting and underutilization of mental health services. Choice D is incorrect because Asian populations have a higher genetic predisposition to conditions like diabetes, including prediabetes.

Correct Answer: B

Rationale: The correct answer is B because assessing the client's potential barriers to care demonstrates cultural competence and individualized care, which can help build trust with underrepresented clients. By understanding their specific challenges, the nurse can tailor interventions to meet their needs effectively. Option A is incorrect because asking family members to remain in the waiting area may not necessarily address the client's trust concerns or barriers to care. Option C is incorrect because providing education materials in English may not be helpful if the client's primary language is different, leading to potential misunderstandings and lack of trust. Option D is incorrect because simply reading about the client's culture may not provide accurate or relevant information to establish trust; direct communication and assessment are more effective in this context.

Correct Answer: B

Rationale: The correct answer is B: It allows the nurse to see trends in the client's blood pressure. Rationale: Telehealth allows the nurse to remotely monitor the client's blood pressure readings over time, enabling the identification of trends and patterns. This data helps in assessing the effectiveness of medications and lifestyle changes. It enhances continuity of care and enables timely interventions. Summary of other choices: A: There is no charge for telehealth visits - This is not necessarily true as telehealth services may involve costs. C: It increases the number of emergency department visits - Telehealth aims to reduce unnecessary emergency visits by providing proactive monitoring and management. D: It is not as effective in treating conditions as in-office visits - Telehealth has been shown to be effective in managing various health conditions, including hypertension.

Correct Answer: A

Rationale: The correct answer is A: Smoking cessation. Smoking is a major risk factor for cardiovascular disease, leading to arterial damage and increased risk of heart attacks and strokes. By quitting smoking, individuals can significantly reduce their risk of developing cardiovascular disease. It is the most crucial behavior modification to address first in this scenario. Weight loss, increasing physical activity, and reducing dietary sodium intake are also important in preventing cardiovascular disease, but smoking cessation should be emphasized first due to its direct impact on cardiovascular health.