Deck 24: Clients With Disabilities

Question 1

When working with the community to develop effective plans to meet the needs of people with disabilities, the community health nurse reviews the statistics involving individuals with disabilities. The nurse incorporates which statistic as reflecting the number of persons with ongoing disability?

A) 10 million people-<5% of the U.S. population
B) 27 million people-about 10% of the U.S. population
C) 61.4 million people-about 26% of the U.S. population
D) 150 million people-almost 50% of the U.S. population

Answer 1

61.4 million people-about 26% of the U.S. population

Question 2

A community health nurse is conducting a program for a group of community leaders who are working to improve the health of persons with disabilities. When explaining the concept of disability to this group, which description would be most appropriate for the community health nurse to include?

A) A disability is a condition someone has, not something one is.
B) The plan of care for two persons with the same disability would be the same.
C) A disability refers to a person's inability to do something.
D) Handicap and disability are two terms that go hand in hand.

Answer 2

A disability is a condition someone has, not something one is.

Question 3

A community health nurse is working in the community with the population of individuals experiencing disabilities. The nurse is developing programs to foster the achievement of the Healthy People 2020 goals for this population. On which area would the nurse focus?

A) Health promotion
B) Disease treatment
C) Dependency on others
D) Restricted quality of life

Answer 3

Health promotion

Question 4

A community health nurse is reading a journal article about Healthy People 2030 goals, the International Classification of Functioning, Disability, and Health, and the call for public action. Using this information as the basis for developing programs in the community, the nurse would most likely expect to focus activities on which areas? Select all that apply.

A) Improving the conditions of daily life for persons with disabilities
B) Addressing the inequitable distribution of resources
C) Raising awareness about determinants of health for people with disabilities through increased knowledge
D) Ensuring the health of people with disabilities by changing many social and physical factors
E) Using public health activities to focus primarily on preventing disability

Question 5

The community health nurse is invited to speak to a group of community leaders about individuals with disabilities. As part of the discussion, the nurse intends to describe the International Classification of Functioning, Disabilities, and Health (ICF) and its attempts at standardized language. After the discussion, the nurse determines that the group has understood the information when they identify which terminology as being standardized? Select all that apply.

A) Disability and impairment issues
B) Body functions
C) Handicapping conditions
D) Activities
E) Environmental factors
F) Personal factors

Question 6

A community health nurse is working with a group of community health leaders from various locations to develop programs to address the leading health risks facing these areas. The group incorporates understanding of the global risks for health in the development. Which health risk would the group need to address as the priority?

A) Unsafe sex
B) High blood pressure
C) Poor primary health care
D) Tobacco consumption

Question 7

A community health nurse is conducting a presentation for a local community group on disabilities and includes information about Healthy People 2020 goals. When addressing these goals, the nurse identifies differences from the goals addressed by Healthy People 2010. The nurse determines that additional discussion is needed when the group identifies which concept as a critical difference?

A) Rather than individuals with disabilities and/or chronic illnesses being defined by their limiting conditions, they are viewed as having the potential to meet and exceed health promotion and disease prevention goals set for the nation's population as a whole.
B) The approach to disability now emphasizes the principles of health promotion and disease prevention for those currently experiencing disabilities and/or chronic illness.
C) The main goal identified in Healthy People 2010 focuses health promotion and disease prevention of people with disabilities.
D) A growing realization that healthy life years for persons with disabilities equate to decreased health costs at local, state, and national levels, just as they do for persons without disabilities.

Question 8

A community health nurse is compiling a list of organizations that serve the needs of persons with disabilities in an effort to assist local community centers to address this issue. Which agency would the nurse suggest the centers to contact as a federal agency?

A) National Organization on Disability
B) National Council on Disability
C) National Association of the Deaf
D) American Foundation for the Blind

Question 9

A community health nurse is discussing the changes that have occurred in the national health goals over the years in relation to disabilities with a local government official in an effort to improve programs in this area. The nurse references the Healthy People 2010 goals in this discussion. Which concept would the nurse most likely cite as a major difference between Healthy People 2010 and Healthy People 2020?

A) Healthy People 2010 emphasized the disparities that persons with disabilities experience.
B) Healthy People 2010 emphasized "secondary conditions," while Healthy People 2020 focuses on a concern for health disparities for people with disabilities.
C) Healthy People 2010 supported the idea that people with disabilities do not experience health disparities any more than people in the general population.
D) Healthy People 2010 put an emphasis on concern for health disparities for people with disabilities.

Question 10

A community health nurse is reviewing the principles that resulted from the 2011 reassessment of global progress on addressing disability with a class. The nurse plans to include this information in a presentation to community leaders working to address policies and programs involving individuals with disabilities. Which information would be important for the nurse to emphasize?

A) The government must focus solely on seeking improvement in the lives of individuals and families living with disability.
B) Government must play the only role in addressing disability.
C) It is unimportant for service providers, academic institutions, the private sector, communities, and people with disabilities and their families to address disability.
D) The importance of all persons, including those with disabilities to participate in their country's development.

Question 11

A community health nurse is integrating information from the World Health Report into plans for community programs for individuals with disabilities. Which concept would the nurse most likely emphasize?

A) Unhealthy behaviors ultimately leading to chronic disease, disability, and early mortality
B) Lifestyle choices as an unlikely contributor to morbidity and mortality levels
C) Infectious disease as the primary threat
D) Malnutrition as the sole contributor to problems

Question 12

A community health nurse notices that a client with a disability has not undergone breast cancer screening for quite a few years due to a lack of accessible equipment and personnel at the local clinic. The nurse works with the clinic to obtain appropriate equipment to facilitate screening as well as ensuring that adequate personnel are available to help with the screening. The nurse is assuming which role?

A) Advocate
B) Researcher
C) Coordinator
D) Educator

Question 13

A community health nurse is planning to apply the International Classification of Functioning, Disability, and Health to clinical care in the community. The nurse could use this document as a basis for which of the following?

A) Curriculum design
B) Needs assessment
C) Quality of life measures
D) Policy design

Question 14

A community health nurse is working with a group of visually impaired individuals and is developing a program to promote equality and integration of the blind into society. Which organization would be a valuable resource for the nurse?

A) American Foundation for the Blind
B) American Council of the Blind
C) Guide Dogs for the Blind
D) National Federation of the Blind

Question 15

A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nurse would be most appropriate?

A) "His disability should automatically cover the cost of the chair."
B) "We'll need to check with the insurance company about coverage."
C) "You'll probably be able to get it if you pay for half the cost."
D) "You might be able to get a regular wheelchair, but a motorized one is impossible."

Question 16

A community health nurse is developing a plan of care for a family who is providing round-the-clock care in their home for a daughter who is chronically ill. Which area would be most important for the nurse to integrate into the plan?

A) Insurance limitations
B) Skill teaching
C) Flexible visiting
D) Respite care

Question 17

A community health nurse is working as part of a community health team tasked with developing programs to assist individuals with disability and chronic illness. Which component would be most important for the nurse to integrate into the programs?

A) Narrow focus
B) Holistic viewpoint
C) Orientation to the present
D) Episodic care

Question 18

A community health nurse is providing information handouts that describe the need for annual gynecologic examinations to local health clinics that provide care for individuals with disabilities. The nurse is fulfilling which role?

A) Advocate
B) Coordinator
C) Researcher
D) Educator

Question 19

A community health nurse is meeting with a group of various private businesses and organizations who provide employment in the community about the Americans with Disability Act. One of the members of the group asks, "So how many employees must I have to be bound by the legislation?" Which amount if stated by the nurse would be most accurate?

A) 5
B) 10
C) 15
D) 20

Question 20

When reviewing the concept of universal design with a group of community developers, the community health nurse recognizes that the emphasis is on which component as the underlying theme?

A) Disability needs
B) Adaptation
C) Access
D) Safety

Question 21

A community health nurse is conducting a program for a group of community leaders about universal design and its benefits. The nurse determines that the group has a good understanding about this concept based on which statement?

A) Universal design involves purposely creating environments so that things can be accessible with the need for modifications.
B) A healthier population may be achieved with attention to the environmental barriers that impede healthy lifestyles for all persons, including those with chronic or disabling conditions.
C) The built environment refers to the naturally occurring features of the planet.
D) Access implies that universal design is in place.

Question 22

A community health nurse is working as part of a team to develop programs to address chronic and disabling diseases and conditions. Which condition would the team focus on as the leading cause of disability in this country?

A) Asthma
B) Chronic kidney disease
C) Chronic back pain
D) Arthritis

Question 23

After reading a journal article about the International Classification of Functioning, Disability, and Health and concepts describing the view of health, the nurse applies this information to clients at the community health center. Which concept would the nurse attribute to a client involved in completing self-care?

A) Body function
B) Impairment
C) Activity
D) Body structure

Question 24

A community health nurse is incorporating information from the World Health Report into programs being offered by the local community. Which programs would best reflect the area that the nurse would emphasize as crucial to improving health? Select all that apply.

A) Treatment of AIDS
B) Heart healthy diet
C) Increased activity levels
D) Water sanitation
E) Smoking cessation

Question 25

A community health nurse is reviewing information about Healthy People 2030. Which areas would the nurse most likely find as needed public health action? Select all that apply.

A) Improvement in the conditions of daily life
B) Addressing the inequitable distribution of resources
C) Raising awareness of health determinants
D) Treating acute conditions vigorously
E) Limiting the expansion of health training opportunities

Question 26

A community health nurse is conducting research about issues involving health-related services provided at a local community clinic for individuals with disabilities. The nurse's findings correlate with the findings from other studies, comparing individuals with disabilities and those without. Based on this research, the nurse would identify the inability to access which areas as a problem? Select all that apply.

A) Medical care
B) Dental care
C) Prescription drug care
D) Mental health care
E) Specialty care

Question 27

A nurse is preparing to assist a public school district to screen for disabilities. Which screenings are important to assess in the preschool population? Select all that apply.

A) Hearing
B) Vision
C) Cognitive
D) Ambulatory
E) Self-care
F) Independent living

Question 28

A nurse is caring for an older female who recently loss sight in her left eye due to cancer. She is planning on visiting her daughter in a few months and expresses concern about flying and getting around the airport. Which law should the nurse explain to the client?

A) American with Disabilities Act
B) Telecommunications Act of 1996
C) Individuals with Disabilities Education Act
D) Air Carrier Access Act

Question 29

A community health nurse is following up on a home health visit with a child with cerebral palsy. The mother has expressed challenges with the child as the other children have also become acutely ill. Which risk does the nurse suspect?

A) Risk for abuse
B) Risk for infection
C) Risk for social isolation
D) Risk for stress

Question 30

A nurse is caring for a 48-year-old female who has recently been diagnosed with multiple sclerosis. During the home health visit, the client tells the nurse that her retirement funds as a schoolteacher will be eliminated next month. She does not have any children and is not married. Which government assistance program should the nurse assist in applying for?

A) American with Disabilities Act
B) Temporary Assistance for Needy Families (TANF)
C) Social Security Supplemental Security Income (SSI)
D) Medicaid