What should nurses be careful to do when using case management with vulnerable populations?

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: 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.

Correct Answer: C

Rationale: The correct answer is C: Pesticide poisoning. The symptoms described align with acute pesticide poisoning, including abdominal pain, nausea, vomiting, diarrhea, headache, and neurologic symptoms like difficulty concentrating. Pesticide exposure commonly occurs in farmworkers, making it a likely cause. Appendicitis typically presents with localized abdominal pain, while bacterial gastroenteritis usually includes fever and may have a more gradual onset. A viral illness would not typically cause such severe and acute symptoms. Thus, pesticide poisoning is the most likely explanation based on the symptoms and the patient's occupation.

Correct Answer: A

Rationale: The correct answer is A: Accidents and genetic conditions. In rural areas, children are more exposed to accidents due to limited safety measures and supervision. Additionally, genetic conditions may not be detected early or managed effectively in remote regions, leading to higher mortality rates. Summary of other choices: B: While cancer can be a cause of death in children, accidents are more prevalent in rural areas. C: Homicide and suicide are less common causes of death in children living in rural areas compared to accidents. D: While machinery-related accidents and drowning can occur in rural settings, they are not the primary causes of death in children.