Which of the following clients is a concern for the community ...

[jace]

Which of the following clients is a concern for the community health nurse? (Select all that ap-ply.)
 
  1. The homeless woman with a history of congestive heart failure
  2. The elderly gentleman who fell while disembarking from a bus
  3. The child of itinerant workers who has a developed asthma
  4. A client diagnosed with HIV who recently lost her insurance
  5. A 15-year-old who was injured while at a public swimming pool
  6. A retired service veteran who has a chronic psychiatric disorder

Question 2

The nurse is assessing a client diagnosed with chronic bronchitis who has been experiencing an increase in dyspnea. The client lives within 2 blocks of a factory that emits pollution into the air.
 
  In light of this information, the nurse is primarily concerned with:
  1. Performing a complete client health history and physical assessment
  2. Providing the client with assess to all the required breathing treatments
  3. Identifying a correlation between the pollution and the client's increased dyspnea
  4. Determining the availability of alternate housing for the client away from the factory

[mcarey591]

Answer to Question 1

ANS: 1, 3, 4
Community-based health care occurs outside traditional health care institutions, such as hospitals. It provides services for acute and chronic conditions to individuals and families with in the community (Stanhope and Lancaster, 2006). Some of these problems include an increase in homeless and immigrant populations, an increase in sexually transmitted diseases, underimmun-ization of infants and children, and life-threatening diseases (e.g., clients living with HIV and other emerging infections). All of these clients possess risk factors that are community based

Answer to Question 2

ANS: 3
There may be many factors that are affecting the client's breathing. Determining the client's ex-posure to the pollution and it's affects of the client's breathing would be the nurse's primary concern for this client. The assessment and history is important but is not the best option available regarding the effects of air pollution on the client's respirations.
The availability of required breathing treatments is important but it is not the best option regard-ing the effects of air pollution of the client's respirations. It may be necessary for the client to consider moving but only if it is determined that the pollution is responsible of the increase in the dyspnea.