Chapter 22: Vulnerable Populations Flashcards
A nurse is working with a group of refugees who recently arrived in the United States after suffering terrible violence in their country. The nurse knows that they should be assessed for:
A. Communicable diseases
B. injuries related torture or sexual assault
C. Mental Illness such as PTSD
D. All of the Above
D. All of the above
A nurse has finished an initial assessment of a community with a high rate of obesity. The nurse has observed that socioeconomic status seems to be linked with poor outcomes in this community. What is the next step?
A. Set goals to reduce obesity rate by 5 percent in the next 3 years.
B. Set up a community fair to begin educating people in the community about healthy food choices.
C. Involve key members of the community in the goal setting and plan formation phase of the nursing process.
D. Perform a cultural assessment to see what other factors may be involved in this community.
D. Perform a cultural assessment to see what other factors may be involved in this community
A nurse is assessing a young woman who recently lost her job. She has no way to support her family and has found herself living on the streets because she doesn’t have any other family in the area. Which of the following is the best way to proceed?
A. Look at the broader picture and see if there are any opportunities for policy change.
B. Refer her to a shelter and document.
C. Offer her a job-training program.
D. Ask her to come back in 6 months for a reevaluation.
A. Look at the broader picture and see if there are any opportunities for policy change
A nurse is working in a prison health center with many of the older prisoners. The nurse is anticipating having to manage which of the following conditions that tends to be more prevalent in the aging prison population?
A. Cognitive disorders
B. Cancer
C. Dental problems
D. Mental disorders
A. Cognitive disorders
A nurse is teaching a class about vulnerable populations. He instructs that vulnerable populations have been divided into three groups. Which of the following is not one of the three groups that research has identified?
A. People suffering as a result of their behavior (for example, drug addicts)
B. Children of parents who made bad decisions (for example, illegal immigrants)
C. People who became vulnerable through no fault of their own (for example, from cancer)
D. Adults that are born into vulnerable populations because of their ethnicity or race
D. Adults that are born into vulnerable populations because of their ethnicity or race
A school nurse has observed an increase in bully behavior in her school. The nurse has noticed that a lot of it seems to be directed toward two gay students and wonders if a school policy change is required to change this behavior. How should the school nurse proceed?
A. Institute a zero tolerance policy for any bully behavior.
B. Set goals for zero incidents of bullying next year.
C. Perform a community assessment to see why the bully behavior has increased.
D. Get the teachers involved in teaching anti-bully behavior in the classroom.
C. Perform a community assessment to see why the bully behavior has increased
A nurse is sitting in a community clinic and chatting with a South American patient. He reports that other members of the community are rude to him and his family and act as if he and his family are not part of the community. He mentions that this is a common experience among the South American population living in town. The nurse knows that:
A. This likely plays no role in his health or health status.
B. This family is being stigmatized.
C. The family needs to focus on bonding with their South American community.
D. Marginalization can lead to increased vulnerability and health disparities.
D. Marginalization can lead to increased vulnerability and health disparities
A public health nurse (PHN) is starting a study of different populations in the community to see which groups have face marginalization, and to what degree. The PHN is looking for evidence that:
A. A group has been discriminated against based on their race or ethnicity.
B. A group has been treated as if they are not important or of little consequence to the rest of society.
C. A group has been labeled by society as possessing a particular characteristic that is not valued, leading to a loss of status.
D. A group has been assigned a negative or positive belief that is believed to apply to the entire group.
B. A group has been treated as if they are not important or of little consequence to the rest of society
A nurse is working with the local government to determine where best to spend money obtained from a new funding program. The nurse is looking for particularly vulnerable communities. Which of the following communities might be best served by the increased funding?
A. A primarily Hispanic community that is rich in culture and community
B. A low socioeconomic Caucasian community that is facing abnormally high levels of lung cancer
C. A middle class African American community with an obesity rate of 15 percent
D. An upper class community where there is an outbreak of Hand, Foot, and Mouth Disease
B. A low socioeconomic Caucasian community that is facing abnormally high levels of lung cancer
A nurse is teaching a class about the effect of socioeconomic status on health outcomes. The nurse explains that socioeconomic status is related to:
A. Income
B. Occupation
C. Education
D. All of the above
D. All of the above
A nurse is caring for a young homeless man on the medical floor of the local hospital. He was admitted several days ago to safely detox from alcohol. He reports having nowhere to go once he is discharged. Who should be involved in his discharge planning?
A. Social worker
B. Addiction specialist
C. Psychiatrist
D. All of the above
D. All of the above
A nurse is caring for a young man who is squatting in an old factory a mile away. The nurse documents that he is experiencing what type of homelessness?
A. Primary
B. Secondary
C. Tertiary
D. He is not homeless because he has an indoor shelter in which to sleep.
A. Primary
A nurse received funding to start a mobile health unit to serve the needs of the homeless population. In addition to a general nurse staffing the unit, what other type of nurse should be hired to assist?
A. Cardiac
B. Surgical
C. Psychiatric
D. Nutrition
C. Psychiatric
A nurse is performing a pelvic exam on a woman in her mid-twenties. The nurse asks the woman what type of birth control she uses and the woman laughs, saying that she doesn’t need birth control because she is a lesbian. How should the nurse respond?
A. “That’s correct, you do not need contraception.”
B. “You should consider contraception anyway, just in case you ever decide to be intimate with a man.”
C. “You still need to use a barrier contraceptive because of the risk of sexually transmitted infections.”
D. “Hormonal contraceptives might be a good option for you.”
C. “You still need to use a barrier contraceptive because of the risk of sexually transmitted infections.”
A nurse is working within a community clinic on the Mexican-Californian border. The nurse frequently takes care of refugee families when they first arrive in the United States. When meeting with a new family, the nurse makes sure to inform them that they are eligible for which of the following services?
A. Medicaid eligibility
B. Free health insurance for 1 year
C. Housing and food support
D. Free English classes
C. Housing and food support
