Select from one of the case studies listed below and answer the following questi

Select from one of the case studies listed below and answer the following questions:
1) Rural and Migrant Health
The Delta is a town with a population of 8000.There are two primary care physicians and two nurse practitioner-managed clinics in the area. The closest hospital is 60 miles away. Two nurses from the health department provide some health care services for the county, primarily maternal–infant health care services (i.e., well-child visits).
Tanya Brown is a 35-year-old African American female living in Delta. Mrs. Brown has lived in Delta since she was a child, growing up on her parents’ 100-acre soybean farm. She is a stay-at-home mother with four small children: a 2-year-old girl, a 6-year-old boy, and 9-year-old twin boys. Her husband, Bill, is trying to get a permanent job, but for now does seasonal farm work. Mr. and Mrs. Brown cannot afford private health insurance and do not qualify for Medicaid. Mrs. Brown was recently diagnosed with type 2 diabetes, but she cannot afford the medications the nurse practitioner prescribed.
2) Teen Pregnancy
A nurse is implementing a new high-school based program for pregnant and parenting teen girls. The goal of the program is to keep these teens in school through graduation. The second goal is to provide knowledge and skills about healthy pregnancy, labor and delivery, and parenting. After delivery, students enrolled in this program were paid for school attendance, and the money could be used to defray the costs of child care.
The program has run for one year and the drop out rate was reduced by half and preterm labor rates also declined.
3) Mental Illness
Susan Teal is the director of the community mental health service agency, Healthy Minds, in Robertsville. Healthy Minds seeks to prevent exacerbations of mental illness through team care, case management, outreach, and a variety of rehabilitation models. Healthy Minds sees clients of all ages and socioeconomic levels who suffer with serious and persistent illnesses. Healthy Minds services have expanded to reach all people in the community.
Ms. Teal is coordinating an in-service for all new nurses working at Healthy Minds. The purpose of the in-service is to orient the novices to their roles as community mental health nurses, to educate them about the factors of mental health that affect community services, and to inform them of other possible referral resources in the area that are available for their clients.
4) Poverty and Homelessness
As a health dept. nurse, you have received a referral regarding a homeless client’s lesion on his lower let. The client has a history of mental illness, IV drug use, and repeat hospitalizations due to the leg and other injuries. After this discharge, he was placed in a homeless shelter by a social worker. In your initial intake assessment, you learn he is a has been homeless for 15 years, living with friends or on the streets. He has no income or savings. He does not drive. Your physical assessment reveals the dressing in need of changing but no supplies.
The shelter has the following available: two bathrooms, 15 private rooms, one common living space, and a small kitchen with a fridge and freezer.
Question: In each of these scenarios, the nurse is faced with a difficult challenge. With the information provided answer the following questions:
Identify three key challenges the nurse would face when working with these individuals (both career and personal).
Identify the levels of prevention needed for these situations (either already implemented or needing to be implemented).
How can we strengthen the community outreach for these individuals?