Chapter 24: Vulnerable Populations

Chapter 24: Vulnerable Populations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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 to torture or sexual assault
C.	Mental illness such as PTSD
D.	All of the above

 

 

ANS:  D

Objective: 2. Distinguish groups in our society who are traditionally considered vulnerable.

1. 604-605

Heading: Migrant Workers, Immigrants, Refugees, and Asylees > Refugees and Asylees

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Infection; Diversity; Violence; Assessment

Difficulty: Easy

	Feedback
A	The correct answer is all of the above. Refugees arriving in the United States have likely faced violence or rape in their refugee camps or on the journey to this country. There is also a significantly increased risk of contracting infectious diseases or developing mental illness secondary to the trauma they survived.
B	The correct answer is all of the above. Refugees arriving in the United States have likely faced violence or rape in their refugee camps or on the journey to this country. There is also a significantly increased risk of contracting infectious diseases or developing mental illness secondary to the trauma they survived.
C	The correct answer is all of the above. Refugees arriving in the United States have likely faced violence or rape in their refugee camps or on the journey to this country. There is also a significantly increased risk of contracting infectious diseases or developing mental illness secondary to the trauma they survived.
D	This is correct. Refugees arriving in the United States have likely faced violence or rape in their refugee camps or on the journey to this country. There is also a significantly increased risk of contracting infectious diseases or developing mental illness secondary to the trauma they survived.

 

 

PTS:   1                    CON:  Infection | Diversity | Violence | Assessment

 

2. 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.

 

 

ANS:  D

Objective: 6. Differentiate the various roles and responsibilities of the nurse when caring for vulnerable populations.

1. 590

Heading: Risk Factors Related to Vulnerability > Multiple Determinants of Vulnerability

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Diversity; Nutrition; Promoting Health

Difficulty: Moderate

	Feedback
A	Before setting goals, the nurse needs to complete a cultural assessment and look for other variables.
B	Before creating a plan to address the obesity rate, the nurse needs to complete a cultural assessment and look for other variables.
C	Before creating a plan to address the obesity rate, the nurse needs to complete a cultural assessment and look for other variables.
D	Before setting goals or creating a plan to address the obesity rate, the nurse needs to complete a cultural assessment and look for other variables.

 

 

PTS:   1                    CON:  Diversity | Nutrition | Promoting Health

 

3. 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.

 

 

ANS:  A

Objective: 5. Develop strategies for reducing vulnerability among various groups.

1. 583-586

Heading: Introduction

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis [Analyzing]

Concept: Promoting Health; Critical Thinking; Legal

Difficulty: Moderate

	Feedback
A	This is correct. There is great opportunity to help more people than this one young woman through policy change. Many people suffered during the recent economic down turn and are in need of assistance as well.
B	This is incorrect. Simply referring her to a shelter does not address the larger problem. There is great opportunity to help more people than this one young woman through policy change. Many people suffered during the recent economic down turn and are in need of assistance as well.
C	This is incorrect. Simply referring her to a job-training program does not address the larger problem. There is great opportunity to help more people than this one young woman through policy change. Many people suffered during the recent economic down turn and are in need of assistance as well.
D	This is incorrect. Simply having her come back in six months does not address the larger problem. There is great opportunity to help more people than this one young woman through policy change. Many people suffered during the recent economic down turn and are in need of assistance as well.

 

 

PTS:   1                    CON:  Promoting Health | Critical Thinking | Legal

 

4. 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

 

 

ANS:  A

Objective: 6. Differentiate the various roles and responsibilities of the nurse when caring for vulnerable populations.

1. 606

Heading: Incarceration and Vulnerability > Impact on Health

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Cognition; Promoting Health

Difficulty: Moderate

	Feedback
A	This is correct. Aging prisoners are more likely to face cognitive disorders such as Alzheimer’s and dementia.
B	This is incorrect. Aging prisoners are more likely to face cognitive disorders such as Alzheimer’s and dementia.
C	While the rate of dental problems is higher in the prison population, the aging prisoners are more likely to face cognitive disorders such as Alzheimer’s and dementia.
D	While the rate of mental disease is higher in the prison population, the aging prisoners are more likely to face cognitive disorders such as Alzheimer’s and dementia.

 

 

PTS:   1                    CON:  Cognition | Promoting Health