Exam 2: Vulnerable Populations

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Explain the impact of healthcare disparities and vulnerability on health outcomes.

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Healthcare disparities comprise differences in healthcare quality among individuals or groups with regard to access, treatment options, and preventative services. Segments of the global population experience social inequalities and are at risk for poor health outcomes. While any individual can become vulnerable at any point in their life, as documented in the literature, health outcomes and vulnerability fall along a social gradient and poorer people experience poorer health.

When discussing sexual orientation, the patient tells the nurse practitioner, "I view myself as being female, but I am attracted to other people regardless of how they view their gender or gender identity." Which sexual preference best describes the patient's perspective?

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A

Is there a specific vulnerable population that you want to learn more about and why?

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Student responses will vary according to personal interests.

Describe the nurse practitioner's approach to assessing and assisting an individual who may be subject to human trafficking.

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Reach out to an NP working in the prison system or with the homeless. Interview this person about how to approach patients. Does the interviewee deal with legal issues on a daily basis that impede providing health care in the manner preferred?

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Discuss factors that contribute to financial insecurity among the elderly.

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Identify factors which makes a person or population vulnerable?

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How would you begin developing a needs assessment on a particular vulnerable population?

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The nurse practitioner plans to advocate for improving access to health care among all populations. Which strategy does the nurse practitioner implement to advocate at the macrosystem level?

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Mary comes in to the urgent care clinic with a broken nose. She appears to be a young teen, perhaps 13 or 14, but says she is 21 years old. She is disheveled and very quiet, answering only with a few words and keeps her eyes downcast. There is a couple (man and woman) who appear to be in their 30s accompanying the girl to be treated. They continue to stare at her and refuse to leave her side. Your attending physician colleague is busy transferring a trauma patient. What are your next steps in specific order?

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When discussing gender and sexuality, a patient identifies as being "gender fluid." The nurse practitioner understands the patient's gender identification to be reflective of which self-perception?

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The nurse practitioner explores a patient's social determinants of health. When assessing lifestyle and behaviors, which question does the nurse practitioner ask the patient?

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Discuss transgenerational trauma and its impact on disease development.

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Describe key social and environmental factors that coexist with poverty.

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For the culturally competent nurse practitioner, the delivery of patient care is influenced by which principle?

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