Foundations of Nursing Study Set 1

Nursing

Quiz 23 :

Poverty, Homelessness, Mental Illness, and Teen Pregnancy

Quiz 23 :

Poverty, Homelessness, Mental Illness, and Teen Pregnancy

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Explain nursing interventions for poor and homeless people, pregnant teens and their significant others, and individuals who are mentally ill or at risk for mental illness.
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Nurses play a vital role in providing health care facilities to the poor, homeless, teenagers, mentally-ill, and other people. The nurses should have adequate knowledge about the concerned topic, effective assessment plan, available resources, and the ability to deal people with respect.
While working with the high-risk groups, the nurses should be able to create an environment of trust and comfort. This can be done by talking to the client and discussing their problems and other needs. The nurses should show respect and concern to the client. They should be attentive while listening to them.
While dealing with the client, the nurses should not make any assumptions beforehand. They should first listen to the problem without judging the person and then draw conclusions. In order to provide effective health services, the nurses need a complex and efficient network of services and providers.
This network should be well coordinated. The nurse should provide advocacy services to help the client get the best service. The nurses should keep their prime focus on prevention of health problems.

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Develop nursing interventions for the prevention of pregnancy problems that at-risk adolescents might experience.
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The lack of education and resources results in increased vulnerability of poor teenage girls towards teenage pregnancies. The United States (US) has the maximum number of cases of teenage pregnancies. It leads to deleterious effects on the child, mother, and the families.
The nurses can help in preventing teenage pregnancies by working with the high-risk adolescent girls. They can do so by designing education and counseling programs. The teenage students should be educated about sexuality, reproduction, contraception, and sexually transmitted diseases (STDs).
The education should be provided to the students before they start engaging themselves in sexual activities. The nurses can design and implement community-based programs. In such programs the teenage girls should be regularly checked, and informed about the methods to prevent pregnancies.
The socially and economically weaker sections should be given importance. The nurses should participate actively with the schools, parents, teachers, youth organizations, and national agencies.

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Describe the social, political, cultural, and environmental factors that influence poverty.
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Poverty can be defined as the state of insufficiency of money or materialistic possessions. It is affected by various social, economic, and political factors. The inability to get the basic needs, including food, shelter and clothes is defined as absolute poverty.
In the United States (US), there are many factors, which lead to increasing poverty. It includes the lowered incomes of people, and the increasing unemployment. The changes in the retirement benefits also lead to increased number of poor people.
The increase in the number of female governed households has also led to an increase in the poverty rate. The alterations in the labor force, and increasing children to mother ratio also contribute to the increased poverty issues.
The major cause of unemployment is the lack of adequate education and skilled people. The less number of antipoverty programs and awareness projects also play a vital role in the cause.

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Describe the ways in which teen pregnancies affect the baby, the parents, and their families.
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Although not even 2 years old, twins Reba and Tracy have had an eventful childhood. Their 16-year-old mother, Sheri, started prenatal care late in her pregnancy and delivered them at 35 weeks of gestation; they were small for gestational age. Sheri and the baby's father, Jeb, who was 21, had dropped out of high school; he used illegal drugs. The twins left the hospital at 2 weeks of age to live with Sheri at the Salvation Army apartments. Sheri's erratic and hostile behavior was impossible for her parents to tolerate. Her father was on disability compensation for extreme hypertension, and his elderly, bedridden mother lived in the mobile home as well. Sheri, Jeb, and the twins were evicted from the Salvation Army when Sheri was found to be using drugs, so they moved in with some other young friends. By the time the twins were 15 months old, they showed clear signs of developmental delay. Tracy seemed not to see well, and Reba did not walk yet. Neither of the twins spoke an intelligible word, and neither was up to date on immunizations. With Sheri's permission, public health nurse Gina Smith talked with Sheri's parents about taking custody of the twins so that they might get the stability and care they needed. The grandparents agreed, and Sheri looked relieved when she moved the girls in with her parents. Sheri returned to living with friends. Ms. Smith assessed the safety of the grandparents' mobile home for toddlers. She reviewed the normal milestones the girls should be attaining and taught the grandparents games they could play that would help the girls progress in their speech. She brought children's books from the local Book Buddies program for them to look at together. Normal nutritional needs for toddlers were reviewed. Within months the girls started talking and gaining weight. Tracy got glasses, and Reba got physical therapy to help her learn to walk. With the help of the nurse and their grandparents, the twins began to thrive. Are there other actions that the nurse could take to provide comprehensive care to the grandparents who have now become the caregivers for these young twins
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Discuss how being homeless affects the health and well-being of individuals, families, and communities.
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Discuss the effects of poverty on the health and well-being of individuals, families, and communities.
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Explain the extent of the problem of patients who have mental illness or who are at risk for mental illness.
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