Which action by the nurse is an example of engaging in environmental justice?

Correct Answer: C

Rationale: The correct answer is C: Eliminating lead-based paint in public housing. This action exemplifies environmental justice by addressing a specific environmental hazard that disproportionately affects marginalized communities. Lead-based paint poses significant health risks, especially to children living in public housing. By eliminating this hazard, the nurse is promoting equality and advocating for a safe and healthy environment for all individuals. Choices A, B, and D, while beneficial, do not directly address an environmental injustice issue like lead-based paint in public housing.

Correct Answer: A

Rationale: The correct answer is A because the question asks about the specific mitigation strategy the nurse would teach, aligning with the purpose of educating the community. Choice B is incorrect as it focuses on preparedness rather than mitigation. Choice C, while beneficial for reducing emissions, is not a direct mitigation strategy. Choice D is more about adaptation to climate change impacts rather than mitigation. Therefore, A is the correct answer as it directly addresses the nurse's role in educating the community on mitigation strategies.

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.