What is the most helpful intervention a nurse in community health can initiate to increase lasting resilience among new immigrants?

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.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Tertiary prevention focuses on reducing the impact of an existing disease. 2. Directly observing clients with active tuberculosis taking their medications ensures treatment adherence. 3. By ensuring medication adherence, the nurse helps prevent complications and spread of the disease. 4. This intervention falls under the realm of tertiary prevention for tuberculosis. Summary: - Option A is related to screening for tuberculosis, not tertiary prevention. - Option B involves detecting active tuberculosis, which is more about secondary prevention. - Option D involves interpreting test results, which is part of diagnostic processes, not tertiary prevention.

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.