Ch. 5: Population Health Nursing

Question 1

Vulnerable groups experience…

Answer 1

Greater risk factors, a lack of necessary access to care, and increased morbidity and mortality as compared with the general population.

Question 2

What kind of an assessment should be done if a client voluntarily seeks care?

Answer 2

Perform a focused assessment.

Ex: cough and chills? Focus on respiratory assessment and treatment.

Question 3

What encourages adherence and follow up?

Answer 3

If the nurse focuses on reported symptoms first.

Question 4

What should subsequent care include?

Answer 4

Health maintenance, attention to common problems and concerns, and establishing an emergency contact person if available.

Question 5

Minority groups are more/less often affected by health care disparities than non minority groups?

Answer 5

MORE often affected.

Question 6

Which group is less likely to have health insurance/regular source of health care?

Answer 6

Many minority groups.

Question 7

What medical issues are more common in the Hispanic American/Latinx population?

Answer 7

Obesity, diabetes mellitus, end-stage renal disease secondary to diabetes, and cervical cancer

Question 8

What medical issues are more common in the Native Hawaiian/Pacific Islander population?

Answer 8

There are higher rates of smoking, alcohol consumption, obesity, and DM. Hepatitis B, HIV and AIDS, TB are more frequent diseases. High incidence of SIDS too.

Question 9

What medical issues are more common in the Native American and Alaska Native population?

Answer 9

Geographic isolation can cause issues with health care, inadequate water supply/sewage disposal can cause infectious diseases. Smoking and alcohol use are more common, DM, cancer, stroke, heart disease, and accidents are a concern. Additional concerns include mental health, SI, infant mortality/SIDS, teen pregnancy, liver disease, and hepatitis

Question 10

What medical issues are more common in the African American population?

Answer 10

Obesity, DM, HTN, heart disease, asthma, and cancer occur more commonly. Leading causes of death being heart disease, cancer, and stroke.

Question 11

What medical issues are common in the Asian American population?

Answer 11

Cancer, TB, hepatitis. Leading causes of death are cancer, heart disease, and stroke.

Question 12

When can family members be used as interpreters?

Answer 12

Never; this would cause issues with confidentiality, potential conflict of interests, and potentially relaying inaccurate info.

Question 13

What type of teaching is important to ensure safety and mutual understanding?

Answer 13

Return explanation and demonstration (teach back).

Question 14

What are some health considerations for the LGBTQIA population?

Answer 14

Breast cancer and cervical cancer are a concern, school absenteeism, and abuse by family members.

Question 15

What are health promotion measures to focus on for the LGBTQIA population?

Answer 15

STI, screening for things like cancer, depression/suicide, and education on safe-sex practices.

Question 16

Which type of transgender persons should undergo preventative screenings?

Answer 16

Those with and without reassignment surgeries.

Question 17

Infants affected by homelessness often have which two characteristics?

Answer 17

Low birth weights and are more likely to die within the first 12 months of life.

Question 18

Children affected by homelessness often have which sicknesses?

Answer 18

They are sick more often with illnesses such as asthma, iron deficiency, lead poisoning, ear infections, GI illnesses, behavioral and mental health illnesses.

Question 19

What encourages adherence and follow-up care?

Answer 19

When the nurse focuses on reported symptoms first.

Question 20

A client who is homeless comes to the health care clinic for treatment of a painful open foot wound. Priority client needs include:

Answer 20

Provide measures for pain relief
Identify the cause of the open foot wound
Assess and treat the open foot wound
Provide care with a nonjudgmental and nonthreatening approach.
Determine medical history and existing health problems
Provide available access to health care resources
Establish an emergency contact person if available
Establish a follow-up plan of care

Question 21

What are social determinants that can influence health and health outcomes?

Answer 21

Educational level, income, family, social support, and community safety

Question 22

Which individuals are more likely to engage in risky health behavior?

Answer 22

Individuals of a low socioeconomic status due to limited financial resources, which causes a higher risk for chronic disease and any diseases associated with primary prevention.

Question 23

Why does acculturation to the US increase risk for poor health for immigrants?

Answer 23

Cost of food, increased risk-taking behaviors, and separation from family support networks.

Question 24

How does a history of incarceration increase risk of poor health?

Answer 24

Inadequate reform available, inadequate housing, employment and education, and lack of family stability.

Question 25

What disease does the environment of a prison predispose a person to different health conditions?

Answer 25

TB, STD, or other infectious/communicable diseases.

Question 26

What is the most common type of abuse in the elder populations and children birth to 1 year of age?

Answer 26

Neglect.

Question 27

Why do health disorders go untreated among intellectually disabled individuals?

Answer 27

Atypical symptom presentation such as self injury due to presence of an ear infection, and communication barriers

Question 28

What is a health care consideration for intellectually disabled individuals?

Answer 28

Health interventions must be focused on treating a medical condition, followed by behavioral interventions to prevent continued behavioral response to an illness.

Question 29

What impacts a child’s risk of battery/abuse?

Answer 29

Maternal socioeconomic status and parental behavioral issues.

Question 30

Why are preventive screenings important among the single parent population?

Answer 30

Negative effects of stress from single parenting.

Question 31

Why are individuals with mental health problems more likely to experience STIs?

Answer 31

Higher frequency of substance abuse, risky sexual behaviors, and lack of knowledge regarding risks

Question 32

How can medications meant to treat mental health disorders impact an individual negatively?

Answer 32

Sexual dysfunction and xerostomia (which can cause difficulty maintaining oral hygiene)

Question 33

Foster children are at a greater risk of experiencing which health conditions?

Answer 33

ADHD, aggressive behavior, anxiety disorder, bipolar disorder, depression, mood disorder, PTSD, reactive detachment disorder, sleep problems, and personality disorder.