Chapter 21: Vulnerable Populations Nursing School Test Banks
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What is the single most crucial variable associated with health status?
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Cultural background
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Ethnic group
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Race
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Socioeconomic class
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This nursing school test bank, titled 'Chapter 21: Vulnerable Populations', assesses knowledge on the impact of socioeconomic factors on health. It covers statistics on poverty, health insurance coverage, and the specific needs of ethnic and racial minorities and uninsured children.
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- 2.
In 2010, how many people fell below the poverty in the United States?
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About 4.5% or 13 million people
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About 8.5% or 25 million people
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About 15.1% or 46 million people
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Fewer people than in the year 2008
Correct Answer
A. About 15.1% or 46 million peopleExplanation
In 2010, approximately 15.1% or 46 million people fell below the poverty line in the United States. This indicates that a significant portion of the population was living in poverty during that year. The other options provided (4.5% or 13 million people and 8.5% or 25 million people) suggest lower numbers, which would not accurately reflect the extent of poverty in the country. Additionally, the option "Fewer people than in the year 2008" does not provide a specific number or percentage, making it an incomplete answer.Rate this question:
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- 3.
What is the relationship between race and ethnicity and health status?
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Ethnic and racial minorities are equally as vulnerable to poor health status as the rest of the population.
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Ethnic and racial minorities are less vulnerable to poor health status than the rest of the population.
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Ethnic and racial minorities are more vulnerable to poor health status than the rest of the population.
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There is no significant relationship between ethnic and racial background and health status.
Correct Answer
A. Ethnic and racial minorities are more vulnerable to poor health status than the rest of the population.Explanation
Ethnic and racial minorities are more vulnerable to poor health status than the rest of the population. This suggests that there is a significant relationship between race and ethnicity and health status. This could be due to various factors such as socioeconomic disparities, limited access to healthcare, discrimination, and cultural barriers. These factors can contribute to higher rates of chronic diseases, lower life expectancy, and poorer overall health outcomes among ethnic and racial minorities.Rate this question:
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- 4.
Approximately what percentage of the American population does not have health insurance according to the U.S. Census Bureau?
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4%
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8%
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12%
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16%
Correct Answer
A. 16%Explanation
According to the U.S. Census Bureau, approximately 16% of the American population does not have health insurance.Rate this question:
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- 5.
Which of the following is the primary reason that only a small percentage of those eligible participate in COBRA insurance?
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COBRA is too costly for most eligible people.
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They do not think it is important to have health care insurance.
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Medicaid is a more effective choice to obtain health care.
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They are healthy and are willing to not carry insurance.
Correct Answer
A. COBRA is too costly for most eligible people.Explanation
The primary reason that only a small percentage of those eligible participate in COBRA insurance is because it is too costly for most eligible people. COBRA insurance allows individuals to continue their health insurance coverage after leaving a job, but the premiums can be very expensive since the employer no longer subsidizes the cost. As a result, many eligible individuals cannot afford to pay for the coverage, leading to low participation rates.Rate this question:
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- 6.
An uninsured child lives in a family which has an income level below the poverty level. Under which of the following programs can this child receive health care?
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Childrens Health For All initiative
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No Child Left Behind Act
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State Childrens Health Insurance Program
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Temporary Assistance to Needy Families Program
Correct Answer
A. State Childrens Health Insurance ProgramExplanation
The State Children's Health Insurance Program (SCHIP) is a program that provides health care coverage to uninsured children in families with low income levels, including those below the poverty level. This program is specifically designed to ensure that children have access to necessary health care services, regardless of their family's financial situation. The other options mentioned, such as the Children's Health For All initiative, No Child Left Behind Act, and Temporary Assistance to Needy Families Program, do not specifically focus on providing health care coverage to uninsured children.Rate this question:
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- 7.
A homeless veteran, who finds his posttraumatic stress disorder so overwhelming that he cannot deal with society, lives by the river underneath a bridge, in a large packing crate, and seems to have adapted to his situation. Which of the following best describes this type of homelessness?
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Chronic
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Episodic
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Not really homelessness
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Temporary
Correct Answer
A. ChronicExplanation
The given scenario describes chronic homelessness. Chronic homelessness refers to individuals who experience long-term or repeated episodes of homelessness, often due to underlying issues such as mental illness or substance abuse. In this case, the homeless veteran's posttraumatic stress disorder is overwhelming, making it difficult for him to reintegrate into society and leading to his long-term homelessness under the bridge.Rate this question:
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- 8.
The middle-aged white woman seemed unable to relate to the staff in any meaningful way or to behave in an appropriate manner in the emergency department, where the police officer had brought her as a result of inappropriate behavior at a public gathering. Which of the following would best describe this woman?
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A public nuisance
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An unfortunate drain on society
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Extremely mentally and physically ill
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Psychologically and socially decompensated
Correct Answer
A. Psychologically and socially decompensatedExplanation
The term "psychologically and socially decompensated" refers to a person who is experiencing a breakdown in their psychological and social functioning. This woman's inability to relate to the staff and her inappropriate behavior suggest that she is struggling with mental and social challenges. The term "psychologically and socially decompensated" captures the complexity of her situation, indicating that her difficulties extend beyond a mere public nuisance or being a drain on society.Rate this question:
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- 9.
Although single men are the largest single group of homeless people, which of the following is the fastest growing group of homeless people?
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Adolescents
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Adult single women
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Elderly
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Families with children
Correct Answer
A. Families with childrenExplanation
Families with children are the fastest growing group of homeless people. This can be attributed to various factors such as the high cost of housing, lack of affordable housing options, and economic instability. Many families are unable to afford stable housing and end up experiencing homelessness. The number of homeless families with children has been increasing in recent years, highlighting the urgent need for solutions to address this issue and provide support for vulnerable families.Rate this question:
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- 10.
What is the primary reason women with small children are homeless?
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Domestic abuse
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Lack of education
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Lack of employment
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Lack of job skills
Correct Answer
A. Domestic abuseExplanation
The primary reason women with small children are homeless is domestic abuse. Domestic abuse can lead to women and their children being forced to leave their homes in order to escape the violence and find safety. This can result in homelessness as they may not have the resources or support system to find alternative housing. Domestic abuse can also have long-lasting effects on a woman's mental and emotional well-being, making it difficult for them to secure stable housing and employment.Rate this question:
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- 11.
The nurse was assessing a child who had spent the last 3 years living with her mother in homeless family shelters. Which of the following would the nurse expect of the child in relation to intellectual development?
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Development is somewhat below grade level
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Development is above grade level
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Development is at the appropriate grade level
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Development is quite low for her age and grade level
Correct Answer
A. Development is quite low for her age and grade levelExplanation
Based on the information provided, the nurse would expect the child's intellectual development to be quite low for her age and grade level. This is because living in homeless family shelters for the past 3 years may have limited the child's access to educational resources and opportunities for cognitive stimulation, leading to a delay in intellectual development.Rate this question:
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- 12.
Which of the following would a homeless adolescent see as an important survival skill?
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Being able to beg, manipulate, and lie to obtain resources
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Using free clinics to obtain access to health care providers
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Trying to keep a list of all social programs in the community
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Trying to look and act like a middle class member of society
Correct Answer
A. Being able to beg, manipulate, and lie to obtain resourcesExplanation
An important survival skill for a homeless adolescent would be being able to beg, manipulate, and lie to obtain resources. This skill would enable them to convince others to provide them with the necessary resources for survival, such as food, shelter, and money. Homeless adolescents often face limited options and resources, and being able to manipulate and lie may be necessary for their survival in such circumstances.Rate this question:
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- 13.
A community/public health nurse is caring for clients living at a local homeless shelter. Which of the following would be most likely expected of many of the clients?
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Many suffer from alcohol or drug abuse or are mentally ill.
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Many are extremely violent and dangerous to be around.
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Many receive free care at the local public health clinics.
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Many suffer from acute illnesses resulting from exposure to weather extremes.
Correct Answer
A. Many suffer from alcohol or drug abuse or are mentally ill.Explanation
Many clients living at a local homeless shelter are likely to suffer from alcohol or drug abuse or have mental illnesses due to the high prevalence of these issues among the homeless population. Homelessness can often be a result of these factors, as individuals may struggle to maintain stable housing and employment due to their substance abuse or mental health issues. Therefore, it is expected that many clients at the shelter would be dealing with these challenges.Rate this question:
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- 14.
Why do many migrant/seasonal workers not complain about their poor living conditions?
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Being undocumented, they risk discovery and deportation
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Conditions here are so much better than in their original home
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There is nothing a nurse can do about housing conditions
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It is not a part of their ethnic groups culture to complain
Correct Answer
A. Being undocumented, they risk discovery and deportationExplanation
Many migrant/seasonal workers do not complain about their poor living conditions because they are undocumented and face the risk of being discovered and deported.Rate this question:
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- 15.
The two wage earners in a family with four children have recently become unemployed. Suddenly, they are unsure as to how they are going to pay their mortgage, monthly bills, and purchase groceries. To which of the following governmental assistance programs would the nurse most likely refer this family?
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Aid to Families with Dependent Children (AFDC)
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Medicaid
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Temporary Assistance for Needy Families (TANF)
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Women, Infants, and Children Program (WIC)
Correct Answer
A. Temporary Assistance for Needy Families (TANF)Explanation
The nurse would most likely refer this family to the Temporary Assistance for Needy Families (TANF) program because it provides financial assistance to families with dependent children who are experiencing temporary unemployment or financial hardship. TANF offers cash benefits, job training, and other support services to help families meet their basic needs and become self-sufficient. Medicaid primarily provides healthcare coverage for low-income individuals and families, while the Women, Infants, and Children Program (WIC) focuses on providing nutrition assistance to pregnant women, new mothers, and young children. The Aid to Families with Dependent Children (AFDC) program was replaced by TANF in 1996.Rate this question:
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- 16.
Which of the following populations was most affected by the federal budget cuts made in 1996?
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The upper and middle class
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The wealthy
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The lower-middle class
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The poverty-stricken
Correct Answer
A. The poverty-strickenExplanation
The correct answer is the poverty-stricken. This is because federal budget cuts often have a disproportionate impact on vulnerable populations, such as those living in poverty. These cuts can result in reduced access to social welfare programs, healthcare, education, and other essential services that are crucial for the well-being of individuals and families living in poverty. Therefore, it is likely that the poverty-stricken population would have been most affected by the federal budget cuts made in 1996.Rate this question:
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- 17.
What has happened to the funds set aside for nutrition and food programs, such as WIC?
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They have decreased a small amount in an effort to be fair to everyone
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They have increased the recognition of the number of low-income mothers seeking assistance
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They have been maintained at current levels, even though more women are documenting eligibility for help
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They have been sharply reduced with benefits limited to one year
Correct Answer
A. They have been sharply reduced with benefits limited to one yearExplanation
The funds set aside for nutrition and food programs, such as WIC, have been sharply reduced with benefits limited to one year. This means that the amount of money allocated for these programs has been significantly decreased, and individuals can only receive benefits for a maximum of one year. This reduction in funds and limited benefits may have a negative impact on the accessibility and availability of nutrition and food assistance for low-income individuals, particularly low-income mothers.Rate this question:
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- 18.
When the nurse accepted a position at the local community health center, the nurse was told to not ask the immigration status of any client. Why would an agency have such a policy?
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Agency personnel do not want to get involved in political or legal concerns in any possible way.
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All state and federally funded programs are barred from using funds to care for illegal immigrants, so care can only be given if status is unknown.
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The agency did not want to inadvertently refuse care to a U.S. citizen by constantly requiring documentation, which wastes agency time, effort, and money.
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The agency recognizes that immigration status has no bearing on a clients health or need for care, so there is no reason to ask.
Correct Answer
A. All state and federally funded programs are barred from using funds to care for illegal immigrants, so care can only be given if status is unknown.Explanation
The agency has a policy of not asking about immigration status because state and federally funded programs are not allowed to use funds to provide care for illegal immigrants. Therefore, in order to provide care to all clients, regardless of their immigration status, the agency chooses to not ask about it.Rate this question:
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- 19.
How has requiring proof of citizenship for all Medicaid recipients caused a problem for these clients?
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Additional paperwork always increases workload and costs for agencies.
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Citizens are not accustomed to having to prove they are citizens and may not have appropriate documentation immediately available.
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Many low-income people do not have drivers licenses or birth certificates immediately available with which to prove citizenship.
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Most agencies recognize that immigration status has no bearing on a clients need for Medicaid assistance.
Correct Answer
A. Many low-income people do not have drivers licenses or birth certificates immediately available with which to prove citizenship.Explanation
Requiring proof of citizenship for all Medicaid recipients has caused a problem for these clients because many low-income people do not have immediate access to documents such as driver's licenses or birth certificates that are required to prove their citizenship. This creates a barrier for them to access Medicaid assistance, as they may not have the necessary documentation readily available.Rate this question:
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- 20.
A single adult male is employed full-time and is earning the minimum wage. Under which of the following conditions could he afford housing?
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If he combines his earnings with another adult who is employed part-time
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If he chooses to live in a one-room efficiency apartment
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If he lives in an apartment located in a low-income housing area
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If he uses over 50% of his net income to pay for housing
Correct Answer
A. If he uses over 50% of his net income to pay for housingExplanation
If the single adult male uses over 50% of his net income to pay for housing, it suggests that he is willing to allocate a significant portion of his earnings towards housing expenses. This indicates that he prioritizes having a place to live over other expenses, potentially making it more feasible for him to afford housing even if he is earning the minimum wage.Rate this question:
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- 21.
Facing the changes in society, what have most state and local governments chosen to do?
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Cut programs for low-income families to balance the budget
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Cut programs that primarily serve the middle class
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Increase taxes to meet revenue requirements
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Ignore any federal mandates that are unfunded
Correct Answer
A. Cut programs for low-income families to balance the budgetExplanation
In order to balance their budgets, most state and local governments have chosen to cut programs for low-income families. This decision is likely made because these programs often require significant funding, and cutting them can help reduce expenses. Additionally, governments may believe that cutting programs for low-income families is a more politically viable option compared to cutting programs that primarily serve the middle class.Rate this question:
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- 22.
What is an extremely important strategy that a community/public health nurse can take to assist vulnerable families?
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Encourage the families to find and use free food distribution centers
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Encourage the families to find and attend so-called free clinics for health care
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Share information about local assistance programs and eligibility requirements
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Write letters to the editor in the local newspapers
Correct Answer
A. Share information about local assistance programs and eligibility requirementsExplanation
An extremely important strategy that a community/public health nurse can take to assist vulnerable families is to share information about local assistance programs and eligibility requirements. This can help families access the support they need, such as financial assistance, food programs, healthcare services, and other resources. By providing this information, the nurse empowers families to navigate the system and access the help they require, ultimately improving their overall well-being and reducing their vulnerability. Encouraging families to find and use free food distribution centers and attend free clinics for health care are also important strategies, but sharing information about local assistance programs covers a broader range of support services. Writing letters to the editor in local newspapers may raise awareness about issues, but it does not directly assist vulnerable families.Rate this question:
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- 23.
The nurse wanted to engage in primary prevention in relation to the vulnerable populations for whom the nurse provided care. For what might the nurse choose to volunteer?
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Counselor at the homeless shelter
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Instructor for the community college home aide course
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Nurse in a homeless clinic
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Speaker to community groups as an advocate for vulnerable groups
Correct Answer
A. Speaker to community groups as an advocate for vulnerable groupsExplanation
The nurse would choose to volunteer as a speaker to community groups as an advocate for vulnerable groups because this role allows the nurse to educate and raise awareness about the needs and challenges faced by vulnerable populations. By speaking to community groups, the nurse can promote primary prevention strategies and encourage community involvement in addressing the health and social issues faced by these populations. This aligns with the nurse's goal of engaging in primary prevention and making a positive impact on the health and well-being of vulnerable populations.Rate this question:
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May 08, 2020Quiz Created by
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