NURSING TRENDS AND ISSUES EXAM
QUESTIONS WITH COMPETE
SOLUTIONS
Searching the Internet - Answer-quick and dirty (broad, search terms, use of a search
engine such as google, yahoo, bing, and ask); advanced (allows limits- suffix, language,
dates, etc.); brute force (type in a website and get options if incorrect- be careful); link
searching (links provided on a website that link to other relevant websites)
HIT & The Consumer - Answer-Web 2.0 (social media, blogs, wiki's, Internet interactive
sites & bulletin boards); role of the health care provider (answer direct questions,
provide the consumer with the tools to find accurate information); education of the public
(how do we know what is reputable and accurate?
Evaluation internet sources - Answer-authority (author and organization); objectivity
(site purpose and intended audience, sponsored?, opinions?); accuracy (references,
comparison, links); currency (date of posting); usability (design & layout, accessibility of
links)
vulnerable (marginalized) population - Answer-a subgroup of he population that tends to
be hidden, overlooked, or on the outer edge; people who feel they cannot comfortably
or safetly access and use standard resources (certain groups don't feel like they can go
to healthcare centers and don't feel like they belong even if they do have access)
culture - Answer-anything valuable to a person or group of people (not just ethnicity; can
be nurses, motorcycle riders, etc.)
vulnerable populations 2 - Answer-easily exploited, powerless, or naturally oppressed;
lack resources and lack access to those who hold resources; low income, low levels of
education, lack of social support
marginalized populations - Answer-groups that live on the periphery of mainstream
society; less visible; lives and health care needs are often kept secret; feel voiceless,
powerless
marginalized populations - Answer-older adults; gays and lesbians; recently arrived
immigrants (Russia, Afghanistan, Rwanda); less recent immigrants (South America,
Middle East)
Federally defined minority groups - Answer-African Americans, asians, hispanics, native
americans, pacific islanders, generally have reduced opportunities for education,
employment, property ownership
, elderly - Answer-social isolation and depression; safety risks; fixed income, inadequate
health insurance; potential for abuse; more chronic illnesses
women - Answer-most studies done on men under age 50; different signs and
symptoms of illness; may be double minority; increased stress (traditional female role);
substandard housing (fear of crime)
pregnant women - Answer-may lack quality prenatal care; may be victims of abuse;
often ambivalent toward pregnancy; risk to fetus; neonate (risk from contaminants in
breast milk
children - Answer-developmental age; lack of knowledge; physical size; exposure to
environmental contaminants; risky home situations; risk for abuse
immigrants racial/ethnic minorities - Answer-language and cultural differences; social
stigma; lower levels of education; may be undocumented immigrant; more likely to
practice unhealthy behaviors; disproportionately affected with chronic disease
vulnerable groups - Answer-immunocompromised: increased risk for acquiring and
spreading infections; ineligible for some immunizations; homeless: social isolation;
powerless; increased risk for adverse health-related outcomes
additional vulnerable groups - Answer-people with disabilities: physical barriers;
difficulty finding employment; may have secondary health conditions; institutionalized:
mentally ill (prisoners); decisions may be coerced; choices may not be voluntarily made
contributors to vulnerability - Answer-ethnic minorities receive less information about
disease tan non minority groups; receive fewer screening tests; lifestyle conditions
increase risk
what can nurses do? - Answer-provide quality care to all who need it; ensure access to
care for all; identify facts that create barriers; develop and implement interventions that
address disparities in health care; work with vulnerable populations; avoid stereotyping
what can nurses do? - Answer-EBP/clinical research- National Institutes of Health;
Continuing education; volunteer work- M-Power Ministries; health and social factors-
Robert Wood Johnson Foundation (poverty, race, education, housing)
a final point... - Answer-undeserved vulnerable groups need a medical home in a setting
that allows for long-term mutually respectful patient/provider relationships
demographics of workforce? - Answer-majority of nurses are white and female; men;
ethnic minorities; health care workforce reflective of the US population is critical
QUESTIONS WITH COMPETE
SOLUTIONS
Searching the Internet - Answer-quick and dirty (broad, search terms, use of a search
engine such as google, yahoo, bing, and ask); advanced (allows limits- suffix, language,
dates, etc.); brute force (type in a website and get options if incorrect- be careful); link
searching (links provided on a website that link to other relevant websites)
HIT & The Consumer - Answer-Web 2.0 (social media, blogs, wiki's, Internet interactive
sites & bulletin boards); role of the health care provider (answer direct questions,
provide the consumer with the tools to find accurate information); education of the public
(how do we know what is reputable and accurate?
Evaluation internet sources - Answer-authority (author and organization); objectivity
(site purpose and intended audience, sponsored?, opinions?); accuracy (references,
comparison, links); currency (date of posting); usability (design & layout, accessibility of
links)
vulnerable (marginalized) population - Answer-a subgroup of he population that tends to
be hidden, overlooked, or on the outer edge; people who feel they cannot comfortably
or safetly access and use standard resources (certain groups don't feel like they can go
to healthcare centers and don't feel like they belong even if they do have access)
culture - Answer-anything valuable to a person or group of people (not just ethnicity; can
be nurses, motorcycle riders, etc.)
vulnerable populations 2 - Answer-easily exploited, powerless, or naturally oppressed;
lack resources and lack access to those who hold resources; low income, low levels of
education, lack of social support
marginalized populations - Answer-groups that live on the periphery of mainstream
society; less visible; lives and health care needs are often kept secret; feel voiceless,
powerless
marginalized populations - Answer-older adults; gays and lesbians; recently arrived
immigrants (Russia, Afghanistan, Rwanda); less recent immigrants (South America,
Middle East)
Federally defined minority groups - Answer-African Americans, asians, hispanics, native
americans, pacific islanders, generally have reduced opportunities for education,
employment, property ownership
, elderly - Answer-social isolation and depression; safety risks; fixed income, inadequate
health insurance; potential for abuse; more chronic illnesses
women - Answer-most studies done on men under age 50; different signs and
symptoms of illness; may be double minority; increased stress (traditional female role);
substandard housing (fear of crime)
pregnant women - Answer-may lack quality prenatal care; may be victims of abuse;
often ambivalent toward pregnancy; risk to fetus; neonate (risk from contaminants in
breast milk
children - Answer-developmental age; lack of knowledge; physical size; exposure to
environmental contaminants; risky home situations; risk for abuse
immigrants racial/ethnic minorities - Answer-language and cultural differences; social
stigma; lower levels of education; may be undocumented immigrant; more likely to
practice unhealthy behaviors; disproportionately affected with chronic disease
vulnerable groups - Answer-immunocompromised: increased risk for acquiring and
spreading infections; ineligible for some immunizations; homeless: social isolation;
powerless; increased risk for adverse health-related outcomes
additional vulnerable groups - Answer-people with disabilities: physical barriers;
difficulty finding employment; may have secondary health conditions; institutionalized:
mentally ill (prisoners); decisions may be coerced; choices may not be voluntarily made
contributors to vulnerability - Answer-ethnic minorities receive less information about
disease tan non minority groups; receive fewer screening tests; lifestyle conditions
increase risk
what can nurses do? - Answer-provide quality care to all who need it; ensure access to
care for all; identify facts that create barriers; develop and implement interventions that
address disparities in health care; work with vulnerable populations; avoid stereotyping
what can nurses do? - Answer-EBP/clinical research- National Institutes of Health;
Continuing education; volunteer work- M-Power Ministries; health and social factors-
Robert Wood Johnson Foundation (poverty, race, education, housing)
a final point... - Answer-undeserved vulnerable groups need a medical home in a setting
that allows for long-term mutually respectful patient/provider relationships
demographics of workforce? - Answer-majority of nurses are white and female; men;
ethnic minorities; health care workforce reflective of the US population is critical
