Deck 23: Working With Vulnerable Populations

Question 1

How would a community health nurse define vulnerable populations?

A) Those persons with higher mortality rates
B) Individuals with lower life expectancy
C) Those with increased risk for adverse health outcomes
D) Individuals with chronic illness

Answer 1

Those with increased risk for adverse health outcomes

Question 2

When assessing vulnerable populations, a community health nurse uses a popular model that contains three related concepts. Which concepts would the nurse include? Select all that apply.

A) Resource availability
B) Relative risk
C) Health status
D) Housing
E) Education

Answer 2

Resource availability
Relative risk
Health status

Question 3

A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which would the nurse include as an enabling factor?

A) Insurance
B) Acculturation
C) Knowledge of disease
D) Marital status

Answer 3

Insurance

Question 4

A community health nurse is evaluating a population for socioeconomic resources. Which resource would the nurse address?

A) Quality of care provided
B) Access to health care services
C) Educational opportunities
D) Adequacy of health care providers

Question 5

When assessing a population's vulnerability, which would the community health nurse identify as a predisposing factor?

A) Social support networks
B) Crime rates
C) Transportation
D) Living conditions

Question 6

When assessing a vulnerable population's relative risk, which would the community health nurse identify most likely as contributing to this risk?

A) Well-balanced diet
B) Up-to-date immunizations
C) Enabling factors
D) Exposure to abuse

Question 7

When teaching the causes of vulnerability to a group of students, which information would the instructor integrate into the teaching plan?

A) Vulnerable populations are fairly similar across the nation and globally.
B) Statistics about vulnerable populations are highly accurate.
C) The most important causative factor is race or ethnicity.
D) Many of the factors and conditions suggest vulnerability overlap.

Question 8

Which statement about relative risk is most accurate?

A) Lifestyle, behaviors, and choices do not relate to relative risk.
B) Relative risk refers to exposure to risk factors identified from a substantial body of research.
C) Relative risk means that if a risk exists, the illness or adverse event will occur.
D) Any factor that is likely to cause increased risk is considered relative risk.

Question 9

A community health nurse is describing social capital and its impact on populations to a group of local community leaders. Which would the nurse suggest as a way to improve the social capital of the community?

A) Better job training
B) Improved educational programs
C) Expanded employment opportunities
D) More community organizations

Question 10

Which statement is true regarding social capital?

A) Social capital includes investments in individuals' capabilities and skills.
B) Social capital includes marital status and family structure.
C) Social capital includes jobs, income, housing, and education.
D) Examples of social capital are education and job training.

Question 11

When preparing to conduct research on a vulnerable population, which would the community health nurse attribute to the differential vulnerability hypothesis?

A) Exposure to risk factors affects the population's social and human capital.
B) Everyone is at risk because of stressful events occurring in life.
C) A risk for a negative outcome increases with lower education and income levels.
D) Certain groups are impacted by stressful events more than others.

Question 12

After teaching a group of students about factors associated with vulnerable populations, the instructor determines the need for additional teaching when the students identify which as a factor?

A) Homelessness
B) Acute illness
C) Income
D) Immigrant status

Question 13

A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful?

A) Increase use of early screenings.
B) Increase emergency room visits.
C) Increase episodic care.
D) Increase disparities in care.

Question 14

Which action would be most important for a community health nurse to take first when working with vulnerable populations?

A) Helping them to make choices
B) Guiding them to think things through
C) Getting them to interact with the nurse
D) Providing honest feedback

Question 15

A community health nurse is working to empower clients of a vulnerable population. Which client behavior indicates that the nurse is achieving this goal?

A) Collaboration with their health care providers
B) Demonstration of a reactive focus
C) Hesitancy in the use of resources
D) Viewing of situations as nonchangeable

Question 16

Which action would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about his or her personal situation as compared to his or her clients?

A) Setting up an community agency clothing drive collection
B) Working for changes in community attitudes
C) Sending a personal donation to an agency in the area
D) Remaining grounded

Question 17

A community health nurse working with a group of vulnerable clients is focusing on empowering them. Which action would be most effective?

A) Keeping the clients to a firm schedule of visits
B) Viewing the clients as active partners in the process
C) Having the clients cut through bureaucratic red tape
D) Focusing on the clients' limitations

Question 18

A community health nurse is preparing a presentation for a group of local community nurses about measures to help decrease health disparities. Which suggestion would be the least effective?

A) Avoiding political involvement in issues
B) Working with schools to reduce the dropout rate
C) Organizing task forces to raise community awareness
D) Holding community meetings to identify needs

Question 19

After teaching a group of students about the socioeconomic gradient in health, the instructor determines that the students understand the concept when they state that the relationship between social class and health is:

A) direct.
B) inverse.
C) positive.
D) unequal.

Question 20

Which statement is true regarding the socioeconomic gradient of health?

A) The behavior of smoking is lowest among those who have low income and low educational levels.
B) The socioeconomic gradient of health has been found in populations around the world.
C) All persons who have a low socioeconomic status will develop particular health problems.
D) The socioeconomic gradient of health is universal.

Question 21

Which types of health disparities are due to inequities that can be corrected? Select all that apply.

A) Clients feel that they are unable to trust the information given to them and may not follow it as explained.
B) Limited access to appropriate level of care.
C) Poor access to quality care.
D) Overt discrimination.
E) Health-damaging behaviors that are chosen by an individual despite health education and counseling efforts.

Question 22

Which vulnerable populations have been subjected to perceived poor quality of care and access to care? Select all that apply.

A) HIV-infected persons
B) Persons who use illicit drugs
C) People of non-White race/ethnicity
D) People of White race/ethnicity
E) Homeless persons

Question 23

A homeless client arrives at a free health clinic with reports of blood in the urine. Which action should the nurse take next?

A) Refer the client to a urologist.
B) Assist the client in finding shelter.
C) Gather additional data to determine the cause of bleeding.
D) Direct the client to the nearest emergency room immediately.

Question 24

The community health nurse discovers a client with type 2 diabetes during a diabetes screening at a free clinic in an impoverished neighborhood. The nurse provides counseling, refers the client to an endocrinologist for further assessment, arranges free transport, and refers the client to an organization for financial and medication assistance. Which theme does the nurses actions most demonstrate?

A) Having a client-centered approach
B) Developing a trusting relationship
C) Employing advocacy
D) Teacher and role model

Question 25

A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which would the nurse include as predisposing factor?

A) Insurance
B) Income
C) Social support
D) Marital status

Question 26

A community health nurse is evaluating a population for environmental resources. Which would the nurse attribute to environmental resources and the impact of on health?

A) Jobs
B) Income
C) Housing
D) Quality of care

Question 27

A community health nurse working with a group of vulnerable clients is focusing on empowering them. Which approach, if implemented by the nurse, would be most effective?

A) Keeping the clients to a firm schedule of visits
B) Focusing on the clients strengths to build capacity
C) Having the clients be silent partners
D) Focusing on the clients' limitations

Question 28

A nurse is caring for a client who has shared stories about being in combat. The client has also expressed waking up at night with "night terrors." The client tells the nurse that because of what the client experienced; the client does not feel worthy of receiving health care. Which type of injury does the nurse suspect and documents in the electronic health record?

A) Moral injury
B) Post traumatic stress disorder (PTSD)
C) Military sexual trauma
D) Generalized anxiety disorder (GAD)

Question 29

A nurse is teaching a group of nursing students who are completing a public health clinical rotation. The nurse has finished presenting on global poverty. Which statement by the students indicates that the teaching was effective?

A) Global poverty has increased 20% in the last 10 years.
B) Poorness in one country means that one is poor in another.
C) There are many elements that contribute to poverty and not just money.
D) Sub-Saharan Africa has the least amount of poverty in the world.