NUR 388 MIDTERM EXAM MODULES 4- 6 2024/2025 WITH VERIFIED QUESTIONS AND CORRECT ANSWERS GRADED A+
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Course
NUR 388
Institution
NUR 388
NUR 388 MIDTERM EXAM MODULES 4-
6 2024/2025 WITH VERIFIED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
Which of the following is the primary cause of vulnerability to health problems?
a. Breakdown of family structures
b. Poverty
c. Prejudice
d. Social isolation - ANS-b. Poverty
People with l...
NUR 388 MIDTERM EXAM MODULES 4-
6 2024/2025 WITH VERIFIED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
Which of the following is the primary cause of vulnerability to health problems?
a. Breakdown of family structures
b. Poverty
c. Prejudice
d. Social isolation - ANS-b. Poverty
People with lower incomes and less education tend to be at higher risk for health problems. Poverty is a
primary cause of vulnerability.
Which of the following terms is used to describe aggregates who are at high risk for having poor health
outcomes because of limited resources?
,a. Disadvantaged families
b. Multi-problem families
c. Resilient populations
d. Vulnerable populations - ANS-d. Vulnerable populations
Vulnerable populations are groups (aggregates) with an increased risk to develop adverse health
outcomes. Families are a subgroup of populations and do not appropriately fit the definition of
"aggregates." Resilience refers to the ability to resist poor health outcomes, not to succumb to them.
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?
a. Direct clients to English-as-second-language courses.
b. Give immigrant clients money to help them get settled.
c. Identify areas in the city where housing is less expensive.
d. Solicit donations for food, clothing, and other needs. - ANS-a. Direct clients to English-as-second-
language courses.
Vulnerability can be reversed by obtaining resources to increase resilience. Learning the basic language
of the country of residence will give immigrants the ability to communicate and navigate through
systems and thus remove barriers that promote disenfranchisement and disadvantaged status.
Which of the following factors predisposes many migrant farm workers to disenfranchisement?
a. Being a minority group member
b. Inability to attend religious services because of work requirements
c. Previous experiences of physical abuse
d. Short length of time in the community - ANS-d. Short length of time in the community
Disenfranchisement refers to a feeling of separation from mainstream society. The person does not
seem to have an emotional connection with any group in particular or the larger society. For migrant
workers who are frequently moving, the short length of time they stay in the community does not allow
,for the development of social ties. Being a minority group member would not by itself cause
disenfranchisement if the minority group member lived in a community with persons from similar ethnic
and cultural backgrounds. A person's inability to attend religious services or to have had experienced
previous physical abuse are not specifically related to disenfranchisement of the population of migrant
farmworkers.
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?
a. Agree to collaboratively apply for the funds in a cooperative proposal.
b. Individually compete eagerly for the additional funds now available.
c. Reach out enthusiastically to this previously underserved population group.
d. Strongly consider not applying, because this population will be expensive to treat. - ANS-d. Strongly
consider not applying, because this population will be expensive to treat.
Many agencies do not wish to provide services to vulnerable populations. Vulnerable populations are
more expensive to treat because they have multiple, cumulative risks and require special service
delivery considerations (e.g., to help overcome transportation problems or provide culturally competent
care). Because of the major costs associated with providing care to this population and risks related to
reimbursement, it would not be in the best interest of the agency to want to eagerly apply to provide
care to this group.
Which individual has the greatest risk for becoming a member of the vulnerable population of the local
community?
a. A male diagnosed with a cardiac issue who recently moved in with his adult child
b. A single mother who is studying for a law degree at the local university
c. A 50-year-old married female who has worked as a server in local restaurants for her entire adult life
d. A single male who has a history that includes a learning disability and a parent diagnosed with type 2
diabetes - ANS-d. A single male who has a history that includes a learning disability and a parent
diagnosed with type 2 diabetes
, The WHO, consistent with Healthy People 2030, describes three overall determinants of health to be (1)
the social and economic environment, (2) the physical environment, and (3) the person's individual
characteristics and behaviors. The WHO also notes that individuals are unlikely to be able to directly
control many of the determinants of health, and this is directly related to vulnerability. The seven WHO
factors are as follows (WHO, 2015, pp. 1-2):1. Income and social status: Higher income and social status
are associated with better health.2. Education: Low education is linked with poor health, more stress,
and lower self-confidence.3. Physical environment: Safe water and clean air; healthy workplaces; safer
homes, communities, and roads; and good employment and working conditions, especially when the
person has more control, all contribute to good health.4. Social support networks: Family, friends, and
community as well as culture, customs, traditions, and beliefs affect health.5. Genetics, as well as
personal behavior and coping skills, affect health.6. Health services: Access and use of services affect
health.7. Gender: Men and women suffer from different types of diseases at different agesThe single
male with a history of learning disabilities and a family history of type 2 diabetes has several potential
risk factors including those related to his social support network (being single); learning disabilities
(effecting education and possible low self-esteem); and a first degree family history of a chronic disease
(type 2 diabetes). While the life stories in the remaining options present the individual with risks, none
have multiple risks like the male depicted in the correct option.
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?
a. Begin tests to determine the cause of the bleeding while asking about other family concerns from
nutrition to shelter for the night.
b. Refer the man to a urologist to address the urinary bleeding.
c. Suggest that the family take him to an urgent care center immediately.
d. Treat the urinary infection and give the man medication to take to prevent the recurrence of
infection. - ANS-a. Begin tests to determine the cause of the bleeding while asking about other family
concerns from nutrition to shelter for the night.
It is important to provide comprehensive, family-centered, "one-stop" services. Providing multiple
services during a single clinic visit is an example of one-stop services. If social assistance and economic
assistance are provided and included in interdisciplinary treatment plans, services can be more
responsive to the combined effects of social and economic stressors on the health of special population
groups. If the family is referred to a different provider or agency, it is likely that this follow-up will never
occur. Only addressing the urinary infection, and not the homeless status of this family, does not
provide the comprehensive services that are expected from a public health clinic.
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