RN At-Risk and Vulnerable Populations and Related Effects on Health

A nurse in the ER is assisting with the care for an older adult client who lives with a family member reports the client has blood in their urine. Which action should the nurse suggest taking first? Determine the cause of the bleeding while asking about other social family concerns. Plan to refer the client to an outpatient urologist to address blood in the client's urine. Send the client home with their family member and inform the client to return to the ED if fever develops. Provide the client prescribed medication to manage their condition.

Determine the cause of the bleeding while asking about other social family concerns.

A nurse is assisting with the care of multiple clients at a community health center. For which of the following clients should the nurse anticipate a referral for a social worker? A client who has asthma and reports increased need for inhaler use A client who has diabetes mellitus and reports inadequate medical supplies at home A client who has depression and reports inability to sleep at night A client who has hypertension and reports recent weight gain

A client who has diabetes mellitus and reports inadequate medical supplies at home.

A nurse is assisting with a community group presentation about eh needs of vulnerable groups. WOTF statements by the nurse indicates an understanding of the unique needs of vulnerable groups? "I always address the problem that the client believes is the most significant." "I avoid asking clients for income or financial information, because this is an invasion of privacy." "I include the client's cultural traditions as I complete my assessment." "I make sure to do a complete assessment, since we often don't know when the person will return to the clinic."

"I include the client's cultural traditions as I complete my assessment."

A nurse is caring for a group of clients. The nurse should ID the WOTF clients is a member of a vulnerable population? Select all that apply. - A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who recently had a baby and requests information about child care - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas tour of duty after being injured.

- A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas tour of duty after being injured.

A nurse is caring for a client who is a member of a vulnerable population. WOTF actions should the nurse take? Set a time limit for the client to become self-sufficient. Take control of the client's care decisions. Advocate for the client needs. Refer the client to another community center.

Advocate for the client needs.

A public health nurse is conducting a windshield survey in a new community they will be serving. WOTF data should the nurse expect to collect? Condition of roads and other infrastructure Number of homes containing lead paint How many children live in the neighborhood Where the informal community leaders live

Condition of roads and other infrastructure

A nurse is preparing an in-service about methods to remove barriers to health care. WOTF info should the nurse include? Attend an antidiscrimination rally held in the local community. Provide free food at a food bank. Support an initiative to add more homeless shelters to the community. Establish a mobile clinic to provide services for clients in rural communities.

Establish a mobile clinic to provide services for clients in rural communities.

A nurse is reviewing that data for the number of new colorectal cancer screenings. This data is for the 6 months following a community campaign stressing the importance of screening for colorectal cancer. The nurse should ID that this is an example of which of the following phases of the nursing process? Assessment Evaluation Implementation Planning

Evaluation

A nurse is reinforcing the importance of adhering to their medication regimen with a vulnerable group of clients who has been diagnosed with a mental illness. The nurse should ID that this is an example of WOTF phases of the nursing process? Assessment Analysis/Diagnosis Implementation Planning

Implementation

A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance use disorder, and anorexia nervosa. WOTF actions should the nurse takes first? Administer a depression assessment tool. Review the client's laboratory report. Make a contract with the client regarding their eating behavior. Initiate suicide precautions.

Initiate suicide precautions

A community health nurse is speaking with an older adult client about methods to reduce the risk of depression. WOTF is a primary intervention the nurse should include in the teaching? A. Provide stress reduction techniques for the client. B. Encourage the client to move to a nursing facility. C. Request their provider to prescribe an antidepressant. D. Offer a mental health support group for the client to attend.

Provide stress reduction techniques for the client.

A nurse understands that social determinants contribute to poor health, health disparities, and inequities. Which of the following is an example of a social determinant of health? a. Gender b. Socio-economic status c. Age d. Genetic disorder

Socio-economic status

A nurse is collecting data form an adolescent who is pregnant. WOTF findings represents the greatest risk factor for the client? The client had their first prenatal visit in the third trimester. The client has an elevated blood pressure. The client reports being without housing. The client has a sexually transmitted infection.

The client reports being without housing.

A nurse manager is preparing an in-service about vulnerable populations for nursing staff. WOTF info should the nurse include? Population-based community health nursing interventions are focused only on those individuals who seek health care services. Childhood poverty does not increase the risk for poorer health across the lifespan. Pre-existing illness and age are social factors that can lead to vulnerability. Vulnerable populations experience more adverse health outcomes than the general population.

Vulnerable populations experience more adverse health outcomes than the general population.