module 17 quiz: At-Risk and Vulnerable Populations and Related Effects on Health

A nurse is reinforcing the importance of adhering to their medication regimen with a client who has been diagnosed with a mental illness. The nurse should identify that this is an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

c. Tertiary prevention

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

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

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

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

A nurse is assisting with a presentation about the importance of stress reduction techniques with a group of veterans. The nurse should identify this as an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

a. Primary prevention

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. A client who has asthma and reports increased need for inhaler use b. A client who has diabetes mellitus and reports inadequate medical supplies at home c. A client who has depression and reports inability to sleep at night d. A client who has hypertension and reports recent weight gain

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

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

b. Socio-economic status

A nurse is caring for a group of clients. The nurse should identify that which of the following 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 Rationale: Vulnerable populations include clients who have low socioeconomic status, are without housing, have special needs, have mental illness, have substance use disorder, and have been incarcerated. Vulnerable populations can include adolescents who are pregnant, migrant workers and immigrants, and individuals who are at risk for or have communicable diseases.

A nurse at a clinic is assessing a client who is apart of a vulnerable population. Which of the following actions should the nurse take? (Select all that apply.) - Ensure the environment is comfortable and nonthreatening. - Provide the client with financial advice. - Discuss client care with other members of the interprofessional team. - Provide culturally appropriate health care. - Offer the client personal medical advice.

- Ensure the environment is comfortable and nonthreatening. - Discuss client care with other members of the interprofessional team. - Provide culturally appropriate health care.

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

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

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

d. Initiate suicide precautions.

A nurse in a public health clinic is leading a discussion about decreasing the risk for depression among older adult clients. Which of the following interventions should the nurse recommend? a. Organize an exercise program at the local community center. b. Encourage clients to move to a nursing facility to be around others their age. c. Watch for signs of depression. d. Encourage clients to focus on their strengths rather than their weaknesses.

a. Organize an exercise program at the local community center.

A nurse is reinforcing the importance of screening for colorectal cancer with a group of older adult clients. The nurse should identify that this is an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

b. Secondary prevention

A nurse case manager is caring for a client who is a member of a vulnerable population. Which of the following actions should the nurse take? a. Set a time limit for the client to become self-sufficient. b. Take control of the client's care decisions. c. Attempt to develop a long-term relationship with the client. d. Rotate client caseloads frequently.

c. Attempt to develop a long-term relationship with the client.

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

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

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

c. The client reports being without housing.