Exam 18: Underserved Populations

The nursing student is creating a poster which will depict the top rural health priorities to meet the goals of Healthy People 2020. Which order should the student list the goals on this poster?

The nurse works at a clinic in Arizona that provides bilingual (English and Spanish) care to low-income immigrant workers from Mexico. Which designation most accurately describes the area or the population this nurse serves?

The public health nurse is concerned that certain members of the community are slipping through the cracks and are not receiving adequate healthcare. How can the nurse utilize genomics to help improve care to the underserved populations? (Select all that apply.)

A nurse is assessing a client who was recently released from prison. Which crime would the nurse most suspect that the client may have committed?

In the United States, detention centers, jails, and prisons are places that provide safety to the public by incarcerating people who have committed crimes and who are deemed a threat to society. Which demographics would the nurse predict to find is true of the majority of inmates? (Select all that apply.)

An older woman in a rural health clinic tells the nurse that this is the first time she's been in a medical facility for more than 10 years. She shows signs of advanced diabetes, including significant necrosis in her feet. When asked why she didn't come in sooner, she says, "I don't drive, myself, and I hate asking my son to bring me---I feel like such a burden." This situation exemplifies which of the seven A's of challenges to elders in rural areas?

The Children's Defense Fund supports initiatives at the individual, family, community, organizational, and government levels. Which strategies are prioritized at the government level? (Select all that apply.)

The public health nurse is evaluating the community in the effort to determine the underserved members with the goal of decreasing their risk for health problems. Which factors should the nurse evaluate to determine who belongs to this group? (Select all that apply.)

The public health nurse supervises a clinic in a rural area. Which factor can this nurse point out is a common concern?

The public health nurse is relocating to an area that is currently classified as a medically underserved region. Which situation will the nurse most likely encounter in this new position?

The Children's Defense Fund supports initiatives at the individual, family, community, organizational, and government levels. Which strategy should the nurse point out is at the family level?

The Healthy People 2020 initiatives strive to improve the health of all individuals. Which group is the focus of special attention and creative solutions to counter the health disparities and social injustice against them?

While visiting the home of an 89-year-old woman out in the country, the nurse learns that her primary care provider's office is one hour's drive away. The client states, "I've just stopped going in for appointments in the past few years. It's just too far for me to drive by myself." This situation exemplifies which of the seven A's of challenges to elders in rural areas?

The state public health department is comparing the latest census with the designation of state communities. Which communities would qualify as an urbanized area according to the U.S. Census Bureau? (Select all that apply.)

The public health nurse is meeting with the school nurses from the county to discuss the various health concerns. When addressing the various issues for families living in poverty, what percentage of rural children will this group find meet this criterion?

The nursing instructor has presented the basic information that is utilized to define the different types of populations. Which factors should the students now point out are utilized to define a rural population? (Select all that apply.)

A nurse has relocated from a rural hospital to a larger urban hospital and is noting some differences in the care being provided to the clients. Which most accurately characterizes the difference the Medicare clients with acute myocardial infarctions (AMIs) who were treated in rural hospital where the nurse used to work? (Select all that apply.)

When speaking with an older man in a rural community about his lifelong smoking habit, the nurse is alarmed to learn that he has never heard that cigarette smoking is the major cause of lung cancer. Which of the seven A's of challenges to elders in rural areas would the nurse point out is represented in this situation?

The nurse has contacted the Children's Defense Fund for support hosting a health fair to ensure all children who are eligible for Medicaid or state children's health insurance program are enrolled. Which level is the nurse utilizing?

The nurse visits a community health clinic in a remote rural area, at which emergency care is not provided because the facility lacks the medical staff necessary to offer such services. Which category will be most appropriate for this clinic?