The nurse is performing an environmental assessment in an apartment building where many people have reported burning eyes, skin rash, stuffy nose, and sore throat. Which type of hazard does the nurse anticipate is present in the apartment building?

Correct Answer: C

Rationale: The correct answer is C: Mold. Mold is likely the hazard present in the apartment building due to the symptoms reported by the residents, which are commonly associated with mold exposure. Burning eyes, skin rash, stuffy nose, and sore throat are all common symptoms of mold exposure. Mold thrives in damp environments, and if not properly controlled, it can lead to various health issues. Radon (A) is a colorless, odorless gas that can cause lung cancer but does not typically present with the symptoms described. Mice (B) can cause allergies and respiratory issues, but the symptoms mentioned are more indicative of mold exposure. Lead (D) exposure can lead to neurological problems and is not typically associated with the symptoms described.

Correct Answer: D

Rationale: The correct answer is D: Implementing pollution prevention strategies. Tertiary prevention focuses on reducing the impact of an existing disease or condition. Pollution prevention strategies aim to reduce or eliminate pollutants at the source, thus preventing harm to the environment and human health. This intervention targets the root cause of environmental health issues, aligning with tertiary prevention goals. Choice A involves identifying risks but doesn't directly address prevention. Choice B focuses on emergency response, which is more aligned with secondary prevention. Choice C involves assessing community health but doesn't specifically target prevention strategies like choice D.

Correct Answer: A

Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health as low income can impact access to proper nutrition, medication, and healthcare services crucial for managing diabetes effectively. Lower income levels can also limit the ability to afford necessary lifestyle changes. Choice B (Reading level of a third grader) is not a social determinant directly related to the client's ability to manage diabetes. Choice C (Medication ineffective due to error in prescription) is a healthcare system issue rather than a social determinant. Choice D (Originally from Sudan) is related to cultural background but not directly linked to the client's ability to manage diabetes based on the given scenario.

Correct Answer: D

Rationale: The correct answer is D because facilitating a community-wide smoking cessation program directly impacts public health on a larger scale by addressing a common health issue at a community level. This task focuses on preventive measures and health promotion, which are key aspects of public health initiatives. In contrast, choices A, B, and C primarily involve individual patient care and education, which do not have the same broad impact on public health. Reading nursing journals and instructing a client on wound care are important for individual patient outcomes, while participating in a videoconference call with a remote client focuses on improving access to care but does not necessarily address broader public health concerns.

Correct Answer: B

Rationale: The correct answer is B: Community organization skills. Public health nursing involves working directly with communities to promote health and prevent diseases. Community organization skills are essential for building partnerships, mobilizing resources, and empowering communities. Intuitive assessment skills (choice A) may be important, but they are not specific to public health nursing. Communication skills (choice C) are important but not unique to public health nursing. Cultural competency skills (choice D) are important in public health nursing, but they are not one of the domains of practice specifically mentioned in the question.