Deck 6: Assessment of Vulnerable Populations

Question 1

While reviewing the client's demographic information, the nurse notes the client is from Cuba. When planning care for this client, which racial group will the nurse use to determine this client's risk for health disparities?

A) Asian American.
B) African American.
C) Hispanic.
D) Multiracial.

Answer 1

Hispanic.

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

The nurse is assessing a pediatric client during a routine health maintenance visit. Which assessment finding would cause the nurse to assess this client further for sexual abuse?

A) Bruises in different stages of healing.
B) Marks that indicate coining.
C) Weight that falls below the fifth percentile.
D) Persistent urinary tract infections.

Answer 3

Persistent urinary tract infections.

Question 4

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 5

The nurse is assessing access to health care for a family who lives in a rural area of the state. The family's youngest child is diagnosed with type 1 diabetes mellitus. Which geographic factor may impact their ability to seek appropriate care for their child?

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

Question 6

Which factors may lead to health disparities among vulnerable populations?

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

Question 7

When assessing the gender roles of a vulnerable client, which items will the nurse include in the assessment process?

A) Age.
B) Religion.
C) Ethnicity.
D) Marital status.
E) Level of education.

Question 8

The nurse is caring for an adolescent client who has been identified as vulnerable. When assessing this client, which items will the nurse include as they are linked to death and disability for vulnerable adolescents?

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

Question 9

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

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

Question 10

The nurse is providing care to an Asian American, who does not speak English. The client has not been seen by a health care provider in several years. Which may have been a factor in why this client has not accessed the health care system?

A) Income.
B) Level of education.
C) Fear of deportation.
D) Age.

Question 11

A client is admitted with injuries sustained from a domestic dispute. When planning care, the nurse will include which priority assessment?

A) Self-development.
B) Self-esteem.
C) Immediacy of danger.
D) Ability to provide payment.

Question 12

The nurse is planning care for a client who is disabled. Which is an advantage of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) when assessing this client?

A) It is applicable across cultures.
B) It is cost effective.
C) It does not require training.
D) It is already included in the nursing assessment.

Question 13

A young client is brought into the emergency department (ED) by a friend who says the client was "beat up" at school. The client is reluctant to provide the names of parents or a home address. What should the nurse suspect has occurred with this client?

A) The client does not want the individual who did the beating to get in trouble.
B) The client does not know his parents.
C) The client does not want the school to get in trouble.
D) The client is a victim of interpersonal violence.

Question 14

The nurse is assessing a client who recently immigrated to the United States; which is a priority?

A) Medication assessment.
B) Physical assessment.
C) Psychosocial assessment.
D) Heritage assessment.

Question 15

A child is admitted to the hospital with physical injuries. What would indicate to the nurse that the child is a victim of child abuse?

A) Confusion.
B) Missing teeth.
C) Inappropriate response to pain.
D) Abrasions to the mouth, lips, and genitalia.
E) Dehydration.

Question 16

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

A) Reviewing the health history.
B) Reviewing vital signs.
C) Being aware of race.
D) Being aware of own heritage.

Question 17

The nurse is planning care for a client who is identified as a Pacific Islander. Which will the nurse include in the plan of care for this client because of the identified race?

A) Blood glucose.
B) BUN blood test.
C) Chest radiography.
D) HIV blood test.

Question 18

Which vulnerable population has high death rates from heart disease?

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

Question 19

An older adult client is brought into the emergency department (ED) for a recent fall. The nurse suspects elder abuse. Which are clinical manifestations that support the nurse's suspicions?

A) Poor hygiene.
B) Dehydration.
C) Intracranial trauma.
D) Fecal impaction.
E) Dislocations.

Question 20

The nurse is assessing an older adult client who is cared for by an adult child. The client requires wound care and constant supervision. Because this client is considered vulnerable, what will the nurse include in the assessment?

A) Weight.
B) Vital signs.
C) Bruises.
D) Level of consciousness.

Question 21

Which law's goal is to decrease social detriments that cause health problems by increasing access to health insurance?

A) Americans with Disabilities Act.
B) Affordable Care Act.
C) Health Insurance Portability and Accountability Act.
D) Equal Opportunity Act.

Question 22

The nurse is providing care to a client diagnosed with HIV. Which goal is supported by the Center for Disease Control (CDC) to increase opportunities for healthy living?

A) Using a medical approach to care.
B) Using a holistic approach to care.
C) Decreasing the spread of infection.
D) Increasing education on prevention.

Question 23

After an assessment, the nurse suspects a client with multiple injuries is a victim of intimate partner violence (IPV). What should occur next?

A) Conduct a team assessment.
B) Medicate for anxiety as prescribed.
C) Notify the police.
D) Treat the injuries.

Question 24

The nurse is preparing a seminar regarding goals that are appropriate for eliminating health disparities. Which goal is supported by Healthy People 2020?

A) Improving access to care.
B) Improving insurance coverage.
C) Improving prescription drug usage.
D) Improving nurse-client relationships.

Question 25

The nurse is reviewing a client's medical record. Which item found in the record is an example of a socioeconomic detriment of vulnerable populations?

A) Having a disability.
B) Lacking health insurance.
C) Living in a rural area.
D) Relying on public transportation.

Question 26

Which is a socioeconomic detriment to health that is often experienced by immigrants?

A) Fear of deportation.
B) Language difficulties.
C) HIV infection.
D) Mental illness.

Question 27

The nurse is providing care to clients who are considered vulnerable. What is the ultimate goal of their care?

A) Decreasing risk factors for disease.
B) Educating on healthy living.
C) Providing psychosocial support.
D) Eliminating access barriers.

Question 28

Which is an appropriate goal for intimate partner violence (IPV)?

A) Encouraging the use of firearms.
B) Discouraging the use of alcohol.
C) Educating on prevention methods.
D) Discouraging gender roles.

Question 29

When preparing a lecture regarding social detriments, which topic will the educator include in the presentation?

A) Place of employment.
B) Visual problems.
C) Hearing problems.
D) Communication issues.

Question 30

The nurse is preparing a seminar regarding detriments that affect vulnerable populations. Which are the main detriments to health that the nurse will include in the seminar?

A) Physical environment.
B) Educational environment.
C) Social environment.
D) Family environment.
E) Economic environment.