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440 Topic 4

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

A city uses the local media (radio, television, and newspapers) to post ratings of air quality on days when the air quality is poor. This notification is directed toward older adults, very young members of the community, and those with chronic breathing problems. These groups are an example of:

a)

disenfranchised populations.

b)

disadvantaged populations.

c)

vulnerability.

d)

vulnerable populations

2.

A nurse participates with a community planning board addressing housing strategies and future community needs. The nurse is aware that the community has a population of homeless families served by local churches. The nurse is also aware that this agricultural community relies on migrant workers during seasonal harvesting of local produce. The nurse is concerned that these disenfranchised populations may be:

a)

complicated to address.

b)

costly to serve.

c)

invisible to the community.

d)

resilient to the community.

3.

The most critical strategy that can be used by nurses in community health to improve the health status of migrant workers that spend only a few months in a geographic location is to:

a)

conduct a comprehensive assessment and formulate a plan for treatment.

b)

establish a long-term trust relationship to prevent disappointment.

c)

schedule appointments for appropriate immunizations for the children.

d)

use every opportunity to provide comprehensive services.

4.

Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics?

a)

Better access to health care services but poor health outcomes

b)

Greater likelihood of exposure to risk factors

c)

Multiple risk factors but equal health outcomes

d)

No difference in access or outcomes

e)

Worse health outcomes despite access

5.

A nurse in community health is working in a rural setting. In planning for programs to address the population’s needs, the nurse should be aware that, in general, rural populations:

a)

engage in physical activity during leisure time.

b)

engage in preventive behaviors.

c)

perceive their overall health as less favorable.

d)

use seat belts.

6.

The local hospital emergency department has recently experienced an increase in gastroenteritis cases among migrant farmworkers. The local health department is informed of this rise in cases and schedules a case mapping of local:

a)

bars frequented by migrant workers.

b)

farm fields employing migrant workers.

c)

housing for migrant workers.

d)

restaurants frequented by migrant workers.

7.

A district health nurse is assigned to two rural counties in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail older clients in the two counties, the nurse should consider using what community-oriented nursing skill?

a)

Assessment

b)

Case management

c)

Geriatrics

d)

Tertiary prevention

8.

A case management nurse for a locally funded program for special-needs children is increasingly concerned about a recent referral for a 1-year-old child with a congenital illness residing in a poverty-stricken community. The nurse knows that this child may be at higher risk for the most harmful effects of poverty, including:

a)

developmental delays.

b)

ear infections.

c)

frequent colds and infections.

d)

irritability.

9.

The goal of deinstitutionalization was to improve the quality of life for people with mental disorders by providing services in the communities where they lived rather than in large institutions. At what program level did this change in locus of care fail?

a)

Assessment level

b)

Design level

c)

Evaluation level

d)

Implementation level

10.

Effects of homelessness on health care outcomes can be devastating and may include which of the following? (Select all that apply.)

a)

Higher incidence of acute and chronic disease

b)

Higher risk of physical trauma

c)

Crisis-oriented health care, usually in emergency departments

d)

Lack of awareness of care options

11.

A father brings his daughter to the family clinic for an immunization update before the new school year. The nurse notices the interaction between the young girl and her father. The child appears tense and cautious and wraps her arms around herself in a protective manner. The child startles when touched by the father and pulls away. The father is overheard saying, “I’ll leave you here if you don’t behave and act nice.” In this scenario, it would be important for the nurse to explore in her assessment the possibility of:

a)

child neglect.

b)

family secrets.

c)

sexual abuse

d)

impaired family functioning.

12.

In giving care to the survivors of violence, the nurse should demonstrate respect and care for all family members, insist that safety is the first priority, and demonstrate intolerance for violent behavior. Additionally, the nurse should be:

a)

absolutely honest about what will be reported and what the family can expect.

b)

authoritarian in approaching the problem.

c)

cautious in reporting unconfirmed reports of violence.

d)

sincere in concern for the victims.

13.

A nurse new to the community evaluates the resources available to a father that has sought help with his escalating abuse and threats of violence to his family. After making the referral, the nurse approaches the local newspaper about running a series on the nature and extent of human abuse in the community. This strategy would:

a)

advocate for government programs to treat survivors.

b)

demonstrate the provider’s commitment to address the need for services.

c)

increase awareness of community resources to address violence and abuse.

d)

increase the number of individuals identified as perpetrators.

14.

When planning health education for migrant farmworkers who frequently relocate, which approach is most effective for nurses to ensure the workers receive essential information?

a)

Refer workers to local health agencies for follow-up.

b)

Offer brief, targeted education during each encounter.

c)

Provide written materials for later reference.

d)

Schedule group sessions at the end of the season.

15.

During a home visit, a nurse observes that an elderly client living alone has limited access to transportation and struggles to obtain medications. What is the nurse’s best initial action to reduce this client’s vulnerability?

a)

Arrange for medication delivery services.

b)

Encourage the client to move to an assisted living facility.

c)

Schedule regular check-ins by phone.

d)

Advise the client to ask neighbors for help.