Module 3 Special Vulnerable Populations Questions & Answers

Module 3 Special Vulnerable Populations Questions & Answers A nurse is planning a training session for a new group of disability determination workers regarding the leading causes of severe disabilities in U.S. adults. The training should address: a. arthritis, heart disease, and back or spine problems. b. arthritis, lung disease, and back problems. c. back problems, heart disease, and pulmonary disease. d. genetic abnormalities, arthritis, and orthopedic pathology. a. arthritis, heart disease, and back or spine problems. Children with chronic health problems face challenges in school because of: a. difficulty gaining access to public school education. b. embarrassment and self-imposed social isolation. c. increased special education costs in public schools. d. psychological distress related to the severity of their disability. b. embarrassment and self-imposed social isolation. Physically compromised individuals often experience poverty, as do other special population groups. The impact of poverty on the onset of disability can best be expressed by which of the following statements? a. Being underinsured through the workplace limits options for health care services. b. Low income can increase the risk of preventable disability. c. Successful insurance settlements for injury claims limit the financial impact of disability. d. Transportation for persons with limited mobility affects access to health care services. b. Low income can increase the risk of preventable disability. The role of the community-oriented nurse working with the special needs population is largely influenced by which of the following? a. Community awareness of and commitment to meeting the needs of people with disabilities b. Educational institutions in the community c. Number of people with disabilities in the community d. Nurse's attitude toward people with physical challenges a. Community awareness of and commitment to meeting the needs of people with disabilities A person who is limited in independent living skills, economic self-sufficiency, and self-help ability would meet the definition of: a. developmentally disabled. b. dual-diagnosed. c. impaired. d. physically disabled. a. developmentally disabled. The nurse assesses a client with paraplegia and cataracts. The client holds a full-time job and engages in several hobbies. The nurse documents that the client has: a. dual diagnoses. b. functional limitations and is wheelchair bound. c. visual and physical limitations. d. visual impairment and physical disability. c. visual and physical limitations. During an Individuals with Disabilities Education Act (IDEA) screening to detect mental or psychological conditions in young school-age children, a child is identified as having a cognitive disability. The school nurse should now consider this child to be at greatest risk for: a. abuse or neglect. b. age-inappropriate friendships. c. embarrassment. d. physical inactivity. a. abuse or neglect. Women with disabilities may be at higher risk for abuse because women with disabilities are: a. less exposed to multiple caretakers. b. less likely to have access to resources. c. more independent. d. socially unattractive. b. less likely to have access to resources. A nurse conducting a home visit for a child with cerebral palsy observes the child gazing out of the window into the neighborhood. The nurse should provide guidance to the parents regarding: (Select all that apply.) a. adjusting the school schedule to keep the child occupied with studies. b. community attitudes about interacting with children with disabilities. c. opportunities for organized and spontaneous play. d. physical activity needs to avoid obesity. b. community attitudes about interacting with children with disabilities. c. opportunities for organized and spontaneous play. d. physical activity needs to avoid obesity. Conditions that may lead to disability typically are the focus of primary prevention activities. However, all three levels of prevention apply to physically compromised clients, primarily because the focus should be on which of the following? (Select all that apply.) a. Addressing the client's perception of himself or herself in terms of the disability b. Establishing lifelong, health-promoting behaviors c. Integrating appropriate complementary and alternative medicine treatments d. Overcoming barriers to disease prevention activities e. Preventing complications from the effects of immobility and the disease process b. Establishing lifelong, health-promoting behaviors d. Overcoming barriers to disease prevention activities e. Preventing complications from the effects of immobility and the disease process A nurse volunteering at a local homeless shelter notes that many of the clients have acute and chronic illnesses and are in need of primary health care services. The most effective strategy to consider when networking with homeless individuals, families, or populations is to: a. form a community partnership to establish a clinic for homeless persons. b. create a trusting environment and establish a therapeutic relationship. c. collaborate with the local United Way to obtain funding for primary care services. d. dialogue with local clergy to address the unmet primary care need for homeless persons. b. create a trusting environment and establish a therapeutic relationship. Which of the following best represents the concept of homelessness as crisis poverty? a. Man with chronic alcoholism and drug abuse living in a halfway house b. Recently unemployed man evicted from his apartment c. Teenager living on the streets and abusing drugs d. Woman with schizophrenia who is living in a shelter b. Recently unemployed man evicted from his apartment Deinstitutionalization of chronically ill individuals from publicly funded psychiatric hospitals had the unintended consequence of: a. moving clients to readily available community-based care. b. shortening hospital stays in mental health facilities. c. increasing the funding for community-based services. d. increasing the number of homeless persons. d. increasing the number of homeless persons. Within the impoverished older adult population, the most vulnerable group may be: a. elderly couples living in poverty with serious chronic illnesses. b. elderly men with alcoholism and limited incomes. c. homeless older adults. d. newly widowed, low-income elderly women. c. homeless older adults. A nurse working in a clinic in an inner city with high poverty and unemployment rates recognizes the need for programs for women because impoverished women are at higher risk for: a. decreased access to social services. b. poorer health status. c. exposure to environmental toxins. d. poorer academic success. b. poorer health status. A recent movie release portrays a female drug user living with her abusive boyfriend, who has two children by different women, in a rundown inner city neighborhood with high levels of poverty and unemployment. This portrayal best describes the influence of which class of factors on societal responses to poverty and homelessness? a. Cultural b. Environmental c. Political d. Social a. Cultural A nurse case manager identifies a potential health outcomes concern for a 1 year old with special needs living in an impoverished neighborhood, because this child is at increased risk for: a. developmental delays. b. ear infections. c. frequent colds and infections. d. irritability. a. developmental delays.