Nurses at a homeless clinic are concerned that homeless clients rarely return to have the nurses assess the findings of their tuberculosis (TB) skin tests. What should the clinic's policy be regarding the screening test findings?

Correct Answer: A

Rationale: The correct answer is A: Call all homeless clients 48 hours after TB skin testing to remind them to return to the clinic for test interpretation. This approach ensures proactive follow-up and increases the likelihood of clients returning for test interpretation. Calling clients directly allows for immediate communication and personalized reminders, addressing the issue of non-compliance among the homeless population. Option B is not ideal as relying on homeless individuals to read and mail in their TB skin test results may lead to inaccuracies, lack of follow-up, and potential privacy breaches. Option C is not recommended as re-administering the TB skin test may not be necessary and can lead to unnecessary testing and costs. Option D of routinely referring all homeless clients for chest x-rays is excessive and not warranted without first interpreting the TB skin test results.

Correct Answer: C

Rationale: The correct answer is C because a migrant farmworker is defined as someone who moves from place to place to earn money by performing seasonal agricultural work. This definition accurately captures the essence of a migrant farmworker's lifestyle, which involves traveling to different locations to work in farming during specific seasons. Choice A is incorrect because it focuses on the primary means of employment, whereas migrant farmworkers typically engage in seasonal agricultural work for income regardless of other employment opportunities. Choice B is incorrect as it specifically mentions immigration to the United States, which is not a universal characteristic of migrant farmworkers. Choice D is incorrect because it describes a person specializing in rural land development for farming purposes, which is not synonymous with the transient nature of a migrant farmworker's job. In summary, choice C best encapsulates the defining feature of a migrant farmworker as someone who moves around to perform seasonal agricultural work for income.

Correct Answer: D

Rationale: The correct answer is D because the scenario suggests that the parents were not aware of the child being outside for an extended period, leading to heat stroke. This is supported by the fact that the nurse had to inform the father about the danger signs, indicating a lack of prior knowledge or supervision. Choice A is incorrect as heat stroke is not a rare occurrence in hot climates. Choice B assumes the daughter's actions caused the heat stroke, which is not implied in the scenario. Choice C is irrelevant to the immediate cause of the heat stroke, which is lack of supervision.

Correct Answer: D

Rationale: The correct answer is D. Workers' Compensation would be available to a migrant farm family if the father becomes injured at work. Workers' Compensation provides benefits to workers who are injured on the job, regardless of their immigration status. This assistance includes medical treatment, wage replacement, and rehabilitation services. Option A (Emergency department) may provide immediate care but does not address long-term financial support. Option B (Migrant Health Act clinics) focuses on healthcare for migrants but may not provide financial assistance for work-related injuries. Option C (OSHA) is responsible for ensuring workplace safety but does not provide direct financial assistance to injured workers.

Correct Answer: D

Rationale: The correct answer is D because tertiary prevention focuses on managing and treating the consequences of a health condition to prevent complications. In this case, treating a client who has pesticide exposure can prevent complications such as toxicity or long-term health effects. Observing for unsafe handling (A) is more related to primary prevention, teaching about handling pesticides (B) is secondary prevention, and teaching signs of poisoning (C) is also secondary prevention. Treating the exposed client aligns with the tertiary prevention goal of minimizing the impact of the exposure.