Medication and diet compliance

Carolyn Mason is a nurse working in a community health setting. One of her roles is to organize screenings and clinics in local retirement communities. She is conducting a diabetes screening clinic in a lower income retirement complex. The center has access to transportation for the residents to visit primary care providers. The residents live independently and prepare their own meals.


Carolyn is approached by a 72-year-old woman who has non–insulin-dependent diabetes and hypertension. She shares with Carolyn that she has been experiencing episodes of fatigue, weakness, and thirst. She is able to perform her grocery shopping through public transportation, but because of her limited income, she relies on convenience foods most of the time.


  1. In a lower income retirement community, what is the community health nurse most concerned with regarding diabetes care and control of symptoms?


  1. Medication and diet compliance
  2. The use of complementary therapies
  3. Access to transportation
  4. Availability of general practitioners in the community


  1. Carolyn Mason uses technology to upload glucose readings to primary care providers to ensure that they are aware of trends. What are the most significant negative aspects of the use of new technology? (Select all that apply.)


  1. High cost of equipment
  2. Potential for privacy breach
  3. More convenient for providers
  4. Increased legal liability
  5. Increased efficiency


  1. A few residents of the retirement community in which Ms. Mason is working belong to the Medicare Advantage program. This is an example of which of the following systems?


  1. Health maintenance
  2. Primary care
  3. Public health
  4. Managed care


  1. In the event that a resident of the senior retirement community required follow-up for a tuberculosis exposure, which entity would have primary accountability for service?


  1. State health department
  2. Centers for Disease Control and Prevention
  3. Local public health department
  4. Home health providers

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