Socioeconomically Disadvantaged Individuals and Families
社会经济弱势个体和家庭
A. Disadvantage in the socioeconomic sense can correlate with poor health outcomes.
社会经济方面的不利与不良健康结果存在相关性。
B. Education level, income, family, social support, and community safety are factors that can influence health and health outcomes.
教育程度、收入、家庭、社会支持和社区安全等因素可以影响健康和健康结果。
C. In addition to healthy lifestyle and access to routine, quality care, the social determinants of health are equally as important in promoting positive health outcomes.
除健康的生活方式和获得常规、优质医疗外，健康的社会决定因素在促进积极的健康结果时也同样重要。
D. Risk factors
风险因素
1. Individuals of low socioeconomic status (SES) are more likely to engage in risky health behaviors such as smoking, alcohol use, recreational drug use, physical inactivity, poor nutrition, and engagement in criminal violence.
社会地位低的个体更容易从事一些危险性健康行为，如吸烟、酗酒、嗑药、缺乏体力活动、营养不良、参与犯罪暴力等。
2. Due to limited financial means to purchase health insurance, pay for health care services, and afford healthy foods and other resources, these individuals are at a higher risk for chronic disease and any diseases associated with primary prevention.
由于经济能力有限，难以购买健康保险、支付健康医疗服务，买不起健康食品和其他资源，这些个体的慢性病和一级预防相关疾病风险较高。
3. The health of children can be affected later in life due to risk factors.
由于这些风险因素，儿童健康即使在以后也会受到影响。
E. Health care considerations for socioeconomically disadvantaged individuals and families
社会经济弱势个体和家庭的健康医疗考虑
1. Social work services are helpful in connecting this population to needed health care services, as well as resources to assist in paying for health care.
社会工作机构可以帮助将该群体与所需要的健康医疗服务机构及各种资源联结起来，协助健康医疗的支付。
2. Direct-pay clinics, an emerging model of health care, offer access to affordable health care services.
直接付费门诊是一种新兴的健康医疗模式，可使患者获得付得起的健康医疗服务。
★Vocabulary for Today ★
disadvantage – n. v. 缺点，不利；危害
correlate with – 与…相关联
determinant – n. 决定因素
socioeconomic status (SES) – 社会经济地位
engage (in) – v. 从事，着手
primary prevention – 一级预防
affect – v. n. 影响，侵袭，情感
later in life – 以后
disadvantaged – a. 处于不利地位的，弱势的
social work services – 社会工作服务
direct-pay clinics – 直接付费门诊
emerging – a. 新出现的
I'm freaking out, I'm freaking out. I took my NCLEX-RN for CA Bon Mon may 1, 17. I RAN OUT OF TIME. I'm a foreign nurse from Nigeria and has taken NCLEX-RN numerous times all to no avail.. I finished nursing almost 17 YEARS ago, yes 17 yrs ago in Nigeria. Came to the US 6 yrs ago to achieve my dream. I was so scared even to study and concentrate all these yrs. I have been working a full time job in mental health setting but not as a nurse.
Anyways it’s been really hard and difficult for me to concentrate and remember whenever I study. This Mon May 1, 17, I took it again, ran out of time with 230 or so I really don't know what to make of it. I cried my eyes out till I got home. I felt defeated, hopeless, kept shaking my head and said to myself, “I will never pass this exam for eternity." I really don't know what to do my fellow nurses. CA Bon takes forever to release their results. I’m just devastated and hopeless at this point.. BUT I really believe that God is a GOD OF MIRACLE, HE'S THE GOD OF IMPOSSIBILITY. He has brought me this far and I know he will never forsake me. I believe He's been by my side and He will surely see me through. I wrote on the paper they give people to write on during the exam * I can do all things through Christ who strengthens me. I pray this in His name. Still believing...
By Double-Helix, BSN, RN
(Double-Helix has 6 years’ experience as a BSN, RN and specializes in PICU, Sedation/Radiology, PACU).
Foreign trained nurses have far more difficulty passing NCLEX than US trained graduates in general. Not only that, but your knowledge base is almost two decades old. You also report that you have not been studying consistently or effectively. I am not surprised that you have not passed the NCLEX, nor should you pass without the knowledge of how to practice safely. If you want to pass NCLEX and be a nurse in the United States, you need - at minimum - an in-depth refresher course. However, even that isn't likely to be enough after all this time and my recommendation is that you return to nursing school and complete an associate degree program.
★Test ★
1. The nurse is completing the admission assessment for a client who is intellectually disabled. Which part of the client encounter may require more time to complete?
A. The history
B. The physical assessment
C. The nursing plan of care
D. The readmission risk assessment
2. The nurse working in a correctional facility is caring for a new prisoner. The client asks about health risks associated with living in a prison. How should the nurse respond?
A. “Healthcare is very limited in the prison setting″
B. "Living in a prison isn't different than living at home.″
C. ″Living in a prison can predispose a person to different health conditions.″
D. “Living in a prison is similar to living in a condominium complex or dormitory″
答案 (Answers)
1. A
Rationale: Intellectually disabled clients tend to be poor historians, and it may be necessary to take more time to ask questions in a variety of different ways when collecting the history data. The physical assessment, nursing plan of care, and readmission risk assessment portions, although they rely on the history; take less time because they require less client questioning.
2. C
Rationale: The environment of a prison can predispose a person to different health conditions, such as tuberculosis, human immunodeficiency syndrome, sexually transmitted infections, or other infectious diseases. Option 1 does not address the client's question. Options 2 and 4 convey incorrect information.
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