Nursing students have been assigned to set up a health fair for the homeless population in a large urban setting. Without any funds to pay for space, where should the health fair be located, assuming that all of the following sites are available at no cost?

Correct Answer: A

Rationale: The correct answer is A: At the city's homeless shelter, which is, by policy, vacant during the day. This location is the most suitable for the health fair for several reasons. Firstly, it is easily accessible to the homeless population, ensuring maximum participation. Secondly, being at the shelter aligns with the purpose of the event, making it more relevant and impactful. Thirdly, using a vacant space during the day means that the health fair can run during peak hours when the homeless population is more likely to be available. Choice B, using a clinic in the evening, may not be ideal as homeless individuals may have limited access to transportation or may not be comfortable visiting a medical center. Choice C, the police station, may not be the best location for a health fair as it may not be perceived as a welcoming or safe environment for the homeless population. Choice D, the community college, may not be as accessible or relevant to the homeless population as the homeless shelter.

Correct Answer: C

Rationale: Rationale for Correct Answer C: Nurses should encourage families to become self-sufficient and less dependent on nursing personnel for advice and referrals when using case management with vulnerable populations. This approach promotes empowerment, independence, and sustainability within the community. By fostering self-sufficiency, nurses help families develop the skills and resources necessary to manage their health needs effectively, leading to better long-term outcomes. This aligns with the principles of patient-centered care and promotes autonomy and self-advocacy among vulnerable populations. Summary of Incorrect Choices: A: Entering into a long-term relationship with families may not always be feasible or appropriate in case management settings, as it can lead to boundary issues and potential burnout for the nurse. B: Directing and controlling the client's care disregards the client's autonomy and individual needs, going against the collaborative and patient-centered approach required in case management. D: Rotating assignments to prevent attachment and codependency may disrupt continuity of care and hinder the development of trust and

Correct Answer: A

Rationale: The correct answer is A: "I always address the problem that the client believes is the most important." This statement demonstrates understanding of the unique needs of vulnerable groups by prioritizing client-centered care and respecting their autonomy. By focusing on the client's perceived priorities, the nurse acknowledges the individual's perspective and fosters a trusting relationship. Explanation: 1. Client-Centered Approach: By prioritizing the client's perceived problem, the nurse shows sensitivity to individual needs and preferences, crucial for vulnerable populations who may have specific concerns or barriers. 2. Empowerment: Allowing clients to identify their most important issue empowers them to be active participants in their care and decision-making process. 3. Trust Building: Addressing the client's priority concern builds trust and rapport, essential for effective communication and collaboration in care delivery. Incorrect Choices: B: "I avoid asking clients for income or financial information, because this is an invasion of privacy." - This choice may hinder the nurse's ability to provide comprehensive

Correct Answer: A

Rationale: The correct answer is A: Absence of culturally competent care. Hispanic migrant farmworkers often face language barriers, cultural differences, and lack of understanding of their unique health needs by healthcare providers. Culturally competent care ensures that healthcare providers understand and respect the diversity of their patients, leading to better communication and trust. B: Availability of specialists is not a specific barrier faced by Hispanic migrant farmworkers compared to other populations. C: Distance of health care facilities is a common barrier in rural areas but not unique to Hispanic migrant farmworkers. D: High cost of health care is a general issue affecting many individuals, not specific to Hispanic migrant farmworkers.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates cultural sensitivity and respect towards Mexican immigrants. Calling the client by name and socializing before addressing the problem show warmth and friendliness, which are valued in Mexican culture. Being very respectful aligns with the cultural importance placed on politeness and courtesy. These behaviors help establish a positive rapport and build trust with the client. Choice A is incorrect because avoiding touching the client may be perceived as cold and distant in Mexican culture, where physical touch is often used to convey warmth and connection. Choice C is incorrect because keeping interactions direct and to the point may come off as abrupt and disrespectful, as Mexicans typically value building relationships before getting to the main point. Choice D is incorrect because avoiding any disagreement can be seen as insincere and may hinder open communication, which is essential for building relationships with Mexican immigrants.