University of San Francisco - NURS 320

Chapter 21: Vulnerability and Vulnerable Populations: An Overview Test Bank

MULTIPLE CHOICE

1)Which of the following is the primary cause of vulnerability to health problems?

1. 1. Breakdown of family structures
   2. Poverty
   3. Prejudice
   4. Social isolation

2. Which of the following terms is used to describe aggregates who are at high risk for having poor health outcomes because of limited resources?
   1. Disadvantaged families
   2. Multi-problem families
   3. Resilient populations
   4. Vulnerable populations

3. A community health nurse would like to implement an intervention to increase lasting resilience among new immigrants. Which of the following actions should be taken by the nurse?
   1. Direct clients to English-as-second-language courses.
   2. Give immigrant clients money to help them get settled.
   3. Identify areas in the city where housing is less expensive.
   4. Solicit donations for food, clothing, and other needs.

4. Which of the following factors predisposes many migrant farmworkers to disenfranchisement?

1. 1. Being a minority group member
   2. Inability to attend religious services because of work requirements
   3. Previous experiences of physical abuse
   4. Short length of time in the community

5. A large financial grant was being offered to whichever health facility wanted to accept the responsibility for giving care to local vulnerable populations. Which of the following actions would most likely be taken by the local medical centers?
   1. Agree to collaboratively apply for the funds in a cooperative proposal.
   2. Individually compete eagerly for the additional funds now available.
   3. Reach out enthusiastically to this previously underserved population group.
   4. Strongly consider not applying, because this population will be expensive to treat.

6. Which of the following statements best describes an outcome of the Balanced Budget Act of 1997?
   1. Additional funding was provided to the State Children’s Health Insurance Program (SCHIP).
   2. Individuals were able to keep their health insurance when moving from one place to another.
   3. Patient privacy and security of health information was enhanced.
   4. A prospective payment system for home health services was created.

7. A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which of the following nursing actions would be most appropriate?
   1. Begin tests to determine the cause of the bleeding while asking about other family concerns from nutrition to shelter for the night.
   2. Refer the man to a urologist to address the urinary bleeding.
   3. Suggest that the family take him to an urgent care center immediately.
   4. Treat the urinary infection and give the man medication to take to prevent the return of infection.

8. Nursing students have been assigned to set up a health fair for the homeless population in a large urban setting. Without any funds to pay for space, where should the health fair be located, assuming that all of the following sites are available at no cost?
   1. At the city’s homeless shelter, which is, by policy, vacant during the day
   2. At a large medical center, where the students could get permission to use an empty clinic in the evening
   3. At the largest inner-city policestation whether was a large empty space available
   4. At the local community college, where there are plenty of tables and chairs

9. Which of the following bills would the nurse lobbyist, who believes strongly in social justice, encourage legislators to support?
   1. A bill that establishes policies requiring all persons to pay the same cost for services regardless of income
   2. A bill that promotes universal health insurance coverage
   3. A bill that requires all health care providers to give care to uninsured persons without charge
   4. A bill that requires health care workers to report undocumented immigrants who present for treatment

10. A nurse who is providing diabetes screening at a community clinic discovers that a new client has type 2 diabetes mellitus. The nurse provides counseling, refers the client to an endocrinologist for initial assessment and treatment, arranges for the client to see someone regarding financial assistance, contacts the mobile van to arrange transportation, and sets up a follow-up appointment. Which of the following types of service do these actions represent?
    1. Case management
    2. Client advocacy
    3. Holistic care
    4. Wrap-around services

11. A nurse offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB. Which of the following levels of prevention is being used?
    1. Primary prevention
    2. Secondary prevention
    3. Tertiary prevention
    4. Secondary and tertiary prevention

12. A community health nurse is implementing a tertiary prevention activity related to tuberculosis. Which of the following interventions is the nurse most likely completing?
    1. Administration of skin tests to identify persons who have been infected with tubercle bacilli

1. 2. Assessing for signs and symptoms of active tuberculosis
   3. Directly observing clients with active tuberculosis as they take their antitubercular medications
   4. Interpretation of tuberculosis skin test findings

13. A staff member is orienting a new nurse to a health clinic that serves primarily vulnerable populations. Which of the following statements indicates a need for additional staff education?
    1. “If a client who does not speak English comes in, you must obtain an interpreter right away.”
    2. “We try to take care of as many problems as possible in one visit, so when you interview the client ask about additional concerns.”
    3. “You will like working with Hispanic immigrants because they have close-knit family structures.”
    4. “You will need to assist the client by scheduling any referral or follow-up appointments around their work schedules.”

14. Nurses at a homeless clinic are concerned that homeless clients rarely return to have the nurses assess the findings of their tuberculosis (TB) skin tests. Which of the following is the most appropriate policy for the clinic to have regarding the screening test findings?
    1. Call all homeless clients 48 hours after TB skin testing to remind them to return to the clinic for test interpretation.
    2. Have homeless individuals read their TB skin test, if necessary, and mail in results on a postage-paid card coded to protect privacy.
    3. Re-administer the TB skin test if the client returns later than scheduled for test interpretation.
    4. Routinely refer all homeless clients for chest x-rays.