Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 25, Working With Vulnerable People
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following would a community health nurse use to 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 | |
| Ans: | C | |
| Feedback: | ||
| Vulnerable populations are groups who have a heightened risk for adverse health outcomes. They may include various populations such as those with higher mortality rates, lower life expectancies, or chronic illnesses. However, presence of just one of these does not necessarily indicate that the population is vulnerable. | ||
| 2. | When assessing vulnerable populations, a community health nurse uses a popular model that contains three related concepts. Which of the following would the nurse include? Select all that apply. | |
| A) | Resource availability | |
| B) | Relative risk | |
| C) | Health status | |
| D) | Housing | |
| E) | Education | |
| Ans: | A, B, C | |
| Feedback: | ||
| A popular conceptual framework of vulnerability contains three related concepts: resource availability, relative risk, and health status. Housing and education are not one of the three related concepts in this popular model. | ||
| 3. | A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which of the following would the nurse include as an enabling factor? | |
| A) | Insurance | |
| B) | Acculturation | |
| C) | Knowledge of disease | |
| D) | Marital status | |
| Ans: | A | |
| Feedback: | ||
| Enabling factors include personal and family resources, as well as community resources (e.g., income, insurance, social support, region, health services resources, public benefits, transportation, telephone, crime rates, social services resources). Acculturation, knowledge of disease, and marital status are examples of predisposing factors. | ||
| 4. | A community health nurse is evaluating a population for socioeconomic resources. Which of the following would the nurse address? | |
| A) | Quality of care provided | |
| B) | Access to health care services | |
| C) | Educational opportunities | |
| D) | Adequacy of health care providers | |
| Ans: | C | |
| Feedback: | ||
| Socioeconomic resources include such things as human capital (e.g., jobs, income, housing, education), social connectedness or integration (e.g., social networks or ties, social support or the lack of it characterized by marginalization), and social status (e.g., position, power, role). Environmental resources deal mostly with access to health care and the quality of that care, including the adequacy of health care providers. | ||
| 5. | When assessing a population’s vulnerability, which of the following would the community health nurse identify as a predisposing factor? | |
| A) | Social support networks | |
| B) | Crime rates | |
| C) | Transportation | |
| D) | Living conditions | |
| Ans: | D | |
| Feedback: | ||
| Predisposing factors include demographic variables (e.g., gender, age, marital status), social variables (e.g., education, employment, ethnicity, social networks), and health beliefs (e.g., values and attitudes toward health and health care services, knowledge of disease). Social structures (e.g., acculturation and immigration), sexual orientation, and childhood characteristics (e.g., mobility, living conditions, history of substance abuse, criminal behavior, victimization, or mental illness) are also considered as predisposing factors. Enabling factors include personal and family resources, as well as community resources (e.g., income, insurance, social support, region, health services resources, public benefits, transportation, telephone, crime rates, social services resources). | ||
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