Updated
focusing on community health, psychosis, and schizophrenia care strategies.
Section 1: Community Health & Vulnerable Populations
1. A nurse refers a family to the State Children's Health Insurance Program
(SCHIP). This reduces health disparities by providing:
o a. Direct financial subsidies.
o b. Funds to insure currently uninsured children.
o c. Outreach to enroll children in Medicaid.
o d. Prospective payments for child services.
o Answer: b.
o Rationale: SCHIP provides funds to insure children who are currently
uninsured, thereby increasing access to care.
2. An older Native Alaskan woman in a remote village has hypertension and
diabetes but rarely visits a clinic. She is most at risk for:
o a. Disenfranchisement.
o b. Health disparities.
o c. Loss of independence.
o d. Resilience.
o Answer: b.
o Rationale: Lack of access to regular checkups in remote areas
significantly increases the risk for health disparities.
3. A young adult earning just above the poverty level with no health benefits
and a history of abuse is predisposed to:
o a. Poverty.
, o b. Resilience.
o c. Risk.
o d. Vulnerability.
o Answer: d.
o Rationale: Vulnerability is a predisposition to poor health outcomes
based on social and economic factors.
4. Vulnerable populations exposed to more than one hazard at a time
experience:
o a. Cumulative risk.
o b. Disenfranchisement.
o c. Resilience.
o d. Underserved status.
o Answer: a.
o Rationale: Cumulative risk refers to the simultaneous exposure to
multiple hazards.
5. What is the most critical strategy for nurses to improve the health of
migrant workers?
o a. Conduct a one-time comprehensive assessment.
o b. Establish a long-term trust relationship.
o c. Schedule immunizations for children.
o d. Use every opportunity to teach preventive health care.
o Answer: d.
o Rationale: Because migrant workers move frequently, nurses must
maximize every encounter for preventive education.
,6. The benefits of health education for vulnerable populations are most
affected by:
o a. Dependency cycles.
o b. Health literacy.
o c. Income level.
o d. Race and ethnicity.
o Answer: b.
o Rationale: Health literacy determines how well a client can
understand and act on health information.
7. Which factors contribute to vulnerability? (Select all that apply)
o a. Exercise habits
o b. Crime
o c. Peeling lead paint
o d. Social isolation
o e. Illiteracy
o Answer: a, b, c, d, e.
o Rationale: Both individual behaviors and environmental/social
stressors contribute to vulnerability.
8. To reduce health disparities for frail older clients in rural counties, the
nurse should use:
o a. Assessment.
o b. Case management.
o c. Geriatrics.
o d. Tertiary prevention.
, o Answer: b.
o Rationale: Case management helps coordinate care for complex, frail
populations in underserved areas.
9. In general, rural populations tend to:
o a. Engage in more leisure physical activity.
o b. Engage in more preventive behaviors.
o c. Perceive their overall health as less favorable.
o d. Use seat belts more often.
o Answer: c.
o Rationale: Rural residents often report poorer health perceptions
compared to urban counterparts.
10.A Hispanic worker at an apple orchard living in temporary housing is
categorized as a:
o a. Migrant farmworker.
o b. Seasonal farmworker.
o c. Underinsured worker.
o d. Undocumented alien.
o Answer: a.
o Rationale: Workers who move from place to place for seasonal
agricultural work are migrant farmworkers.
11.A child of migrant workers presents with excessive drowsiness. The school
nurse should first explore potential involvement in:
o a. Delinquent behavior.
o b. Drug use.
o c. Field work.