Deck 4: Health Disparities

Question 1

The nurse is caring for an adolescent patient who has been identified as vulnerable. When assessing this patient, which should the nurse be most concerned with? Select all that apply.

A) Use of alcohol.
B) Use of prescription drugs.
C) Participation in sports.
D) Participation in after school activities.
E) Use of tobacco products.

Answer 1

Use of alcohol.
Use of tobacco products.

Question 2

The nurse is planning an educational session for clients who are at an increased risk for health disparities. When using information from Racial and Ethnic Approaches to Community Health (REACH), which topics will the nurse include in the session?

A) Weight loss information.
B) Safer sex practice.
C) Shelters for the homeless.
D) Sun safety.

Answer 2

Weight loss information.

Question 3

When assessing a client who is considered vulnerable, which is a priority before beginning the assessment process?

A) Review of the health history.
B) Review of psychosocial history.
C) Awareness of other races.
D) Awareness of own cultural beliefs.

Answer 3

Awareness of own cultural beliefs.

Question 4

The nurse is reviewing the risk factors for vulnerable populations. Which should the nurse take into consideration when caring for older adults?

A) Older adults are predisposed to the need for medical care.
B) Older adults are at the greatest risk for nutritional deficiency.
C) Older adults are identified as having a risk for alcohol abuse.
D) Older adults are the most vulnerable population.

Question 5

Which is a goal of Healthy People 2020 for vulnerable populations?

A) To provide insurance for all citizens.
B) To improve access to quality of care.
C) To ensure all clients have a primary care provider.
D) To eliminate co-payments for services.

Question 6

The community health nurse wants to promote services that are available at a local free clinic for vulnerable populations within the community. Which client is considered vulnerable?

A) A married mother of two children.
B) A single male with a full-time job.
C) A divorced female.
D) A married male veteran.

Question 7

The nurse is caring for an older adult. Which should the nurse recognize is a unique challenge for the older adult?

A) Neglect.
B) Transportation.
C) Substance abuse.
D) Homelessness.

Question 8

The manager is reviewing the risky behaviors of the adolescent population with the nursing staff. Which behaviors should the manager include in the discussion? Select all that apply.

A) Tobacco use.
B) Sexual risk.
C) Violence.
D) Alcohol use.
E) Drug abuse.

Question 9

The nurse is incorporating the use of the Omaha system into a home health practice. Which should the nurse anticipate obtaining from the use of the system?

A) Nursing diagnosis.
B) Medical diagnosis.
C) Identification of cultural needs.
D) Identification of teaching needs.

Question 10

The nurse is integrating the use of Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN)in the plan for the care of women in a community clinic. Which should the nurse plan on using the program for?

A) Provide prescription medication.
B) Provide insurance for women.
C) Provide nutritional counseling.
D) Provide counseling for domestic abuse.

Question 11

The nurse is reviewing the data on community populations that experience more issues with preventable diseases. Which should the nurse recognize is a contributing factor for the minority population of these communities?

A) Genetic predisposition for disease.
B) Educational level of the population.
C) Poor patient provider interaction.
D) Nutritional status of the community.

Question 12

Which vulnerable population has high death rates from heart disease?

A) African Americans.
B) Asian Americans.
C) Hispanics.
D) Pacific Islanders.

Question 13

The nurse is obtaining information from a parent of a child that is of low socioeconomic status. Which question should the nurse ask the parent?

A) "Who lives in your household?"
B) "Do have enough food in your home?"
C) "Do you have access to transportation?"
D) "Does anyone use alcohol in the home?"

Question 14

The nurse is using The World Health Organization Disability Assessment Schedule (WHODAS 2.0)to evaluate a client. Which information should the nurse anticipate to obtain?

A) Substance abuse.
B) Cognition.
C) Socioeconomic status.
D) Medical history.

Question 15

The nurse is preparing to document the sexuality of a client. Which question should the nurse ask to ensure accuracy of the information obtained?

A) "How do you identify?"
B) "What is your sexuality?"
C) "Are you male or female?"
D) "Do you have a sexual preference?"

Question 16

Which factors may lead to health disparities among vulnerable populations? Select all that apply.

A) Race.
B) Geography.
C) Disability status.
D) Age.
E) Marital status.

Question 17

The nurse is preparing to assess an adolescent in a community clinic. Which information should the nurse recognize is most important to obtain from the client?

A) Activity level.
B) Dietary intake.
C) Educational level.
D) Available transportation.

Question 18

The nurse is assessing a patient that has type I diabetes mellitus who lives in a rural area of the state. Which should the nurse recognize is a primary factor that may impact the patient's ability to obtain healthcare?

A) Location.
B) Finances.
C) Work schedule.
D) Level of education.

Question 19

The nurse is obtaining a history from a client that has identified themselves as bigender. Which should the nurse carefully assess the client for?

A) Employment.
B) Adequate housing.
C) Substance abuse.
D) Sexually transmitted diseases.

Question 20

The nurse is obtaining information from a parent prior to assessing the child in a community clinic. Which statement made by the parent should be most concerning for the nurse?

A) "I have been receiving food from the local pantry."
B) "My husband only smokes in the house after the children go to bed."
C) "My mother said she would take my children to get their immunizations."
D) "I am going to sign my child up to receive breakfast and lunch at school."

Question 21

The nurse is performing a health screening for a child from a mixed-status family. Which should be the nurse's most immediate concern?

A) Homelessness.
B) Deficient healthcare.
C) Inadequate education.
D) Lack of transportation.

Question 22

The nurse is planning to address the healthcare needs for the fastest growing veteran population. Which subpopulation of veterans should the nurse prepare for?

A) Women.
B) Older veterans.
C) Younger men.
D) Minority men.

Question 23

The nurse is reviewing the socioeconomic status and the contributing factors to health disparity. Which should the nurse understand is one of the most common factors in determining a client's socioeconomic status?

A) Education.
B) Gender.
C) Sexual orientation.
D) Ethnicity.

Question 24

The nurse is caring for a male prison population. Which ethnicity should the nurse understand has the greatest risk for poorer health outcomes?

A) Hispanic.
B) African American.
C) White.
D) Native American.

Question 25

The nurse is preparing to create a health program for the population with the highest risk for health disparity. Which population should the nurse focus upon?

A) Children.
B) Patients with disabilities.
C) Refugees.
D) Older veterans.

Question 26

The nurse is setting up a clinic to care for health needs of unaccompanied children entering the United States illegally. Which major vulnerability should the nurse prepare to address when caring for the children?

A) Existing illness.
B) Malnourishment.
C) Minimal education.
D) Language barrier.

Question 27

The nurse is assessing a client that is a new refugee in the country. Which should the nurse assist the client with to help them overcome a barrier unrelated to the healthcare system?

A) Insurance navigation.
B) Fear of the healthcare system.
C) Lack of transportation.
D) Healthcare literacy.

Question 28

The nurse is caring for a homeless population of women in the clinic. Which increased risk factor should the nurse screen the women for?

A) Pregnancy.
B) Malnutrition.
C) Substance abuse.
D) Sexual abuse.

Question 29

The nurse is planning to address the health disparity in the Native American population. Which should the nurse consider the primary reason for the health disparity?

A) Many Native Americans do not reside on reservations.
B) Many Native Americans do not trust the healthcare system.
C) Many Native Americans do not engage in western medicine.
D) Many Native Americans do not have health insurance.

Question 30

The nurse is planning care for a vulnerable population. Which should the nurse take into consideration when planning the care?

A) Educating the population about the risk factors for disease.
B) Implementing health promotion in the community.
C) Increasing awareness of healthy lifestyle choices.
D) Eliminating access barriers to healthcare.