Community - Exam Blueprint 3
Factors that can Threaten Health *** - *Low income*
- Difficulty assessing health care (uninsured or underinsured)
- *Poor self-esteem*
- *Young or advanced age*
- Chronic stress
- Environmental factors
- *presence of communicable disease*
- *racial and ethnic minority status*
- the disparities for minority groups that differ across each population
Vulnerable Populations *** have multiple risk factors for negative health outcomes
- identifying modifiable risk factors and targeting interventions can promote better health outcomes and
population resilience
Issues Vulnerable Populations are Subjected to *** - violence
- substance use disorders
- mental health issues/illnesses
- poverty and homelessness (low income)
- rural residency
- migrant employment
- veteran status
- disability
- child abuse
,Health Disparities *** significant differences in health status and access to health services across varied
groups
- can be linked to gender, ethnicity, race, education, and income differences
- Healthy People has a goal to eliminate disparities to achieve health equity
National Health Goals for Vulnerable Populations *** - increasing the number of people who have a
routine PCP
- increasing the number of people who have health insurance
- *reducing the number of people who are unable to access, or have a delay in accessing, health care
services and prescribed medications*
- reducing the number of people who have disabilities who report physical barriers to accessing health
and wellness programs in the community
Nursing Actions for Vulnerable Populations *** - create rapport and provide a safe environment
- be knowledgeable about population characteristics. when the client is an individual, investigate
individual's preferences that may differ from population trends.
- facilitate care coordination among providers, facilities, and community resources
- advocate for the needs of the population, with focus on preventative services
- assist the client to obtain as much control over personal health and healthcare as possible
- develop an interprofessional network to assist with improving the health of the population
Types of Violence Within Communities *** homicide, assault, rape, suicide, violence (physical, sexual,
emotional, and neglect), economic maltreatment
Homicide *** - often related to substance abuse
- most are committed by someone known to the victim and occur during an argument
- violence often precedes homicide within families
- rates of homicide are increasing among adolescents more than in other age groups
,Assault *** - *males are more likely than females to be assaulted*
- *youths are at a significantly increased risk*
Rape *** - often unreported
- most incidences are spousal (marital) or acquaintance (date) rape
- *females are more likely than males to be raped*. the risk of rape is *increased in cities, between 8PM
and 2AM, on the weekends, ands in the summer months*
Suicide *** - rates are highest among individuals 45 to 64 years old
- *females are more likely to attempt suicide; however, males are more likely to complete suicide*
- caucasians are more likely than other ethnic groups to commit suicide
- risk factors: depression or other mental health disorders, substance use, having access to a firearm,
and partner violence or neglect issues
Physical Violence *** occurs when pain or harm results
- *toward an infant or child*: shaken baby syndrome
- *toward a spouse or partner*: striking or strangling; higher risk when leaving the relationship
- *toward an older adult*: pushing which results in a fall
- *toward a nonspouse or nonpartner*
Sexual Violence *** occurs when sexual contact takes place without consent
Emotional Violence *** includes behavior that minimizes an individual's feelings of self-worth or
humiliates, threatens, or intimidates a family member
Neglect *** failure to provide
, - *physical care* (food, shelter, and hygiene)
- *emotional care* (to achieve developmental milestones, speaking and interacting)
- *education*
- *health or dental care*
Economic Maltreatment *** - Failure to provide the needs of a victim when adequate funds are
available
- Unpaid bills when another person is managing the finances
- Theft of or misuse of money or property
Individual Risk Factors for Violence *** History of being abused or exposure to violence
Low self-esteem
Fear and distrust of others
*Poor self-control*
*Inadequate social skills*
Minimal social support/isolation
Immature motivation for marriage or childbearing
Weak coping skills
Recognizing Potential Child Abuse/Neglect *** Unexplained injury
*Unusual fear of the nurse and others*
Injuries/wounds not mentioned in history
Fractures, including older healed fractures
Presence of injuries/wounds/fractures in various stages
of healing
Subdural hematomas
Factors that can Threaten Health *** - *Low income*
- Difficulty assessing health care (uninsured or underinsured)
- *Poor self-esteem*
- *Young or advanced age*
- Chronic stress
- Environmental factors
- *presence of communicable disease*
- *racial and ethnic minority status*
- the disparities for minority groups that differ across each population
Vulnerable Populations *** have multiple risk factors for negative health outcomes
- identifying modifiable risk factors and targeting interventions can promote better health outcomes and
population resilience
Issues Vulnerable Populations are Subjected to *** - violence
- substance use disorders
- mental health issues/illnesses
- poverty and homelessness (low income)
- rural residency
- migrant employment
- veteran status
- disability
- child abuse
,Health Disparities *** significant differences in health status and access to health services across varied
groups
- can be linked to gender, ethnicity, race, education, and income differences
- Healthy People has a goal to eliminate disparities to achieve health equity
National Health Goals for Vulnerable Populations *** - increasing the number of people who have a
routine PCP
- increasing the number of people who have health insurance
- *reducing the number of people who are unable to access, or have a delay in accessing, health care
services and prescribed medications*
- reducing the number of people who have disabilities who report physical barriers to accessing health
and wellness programs in the community
Nursing Actions for Vulnerable Populations *** - create rapport and provide a safe environment
- be knowledgeable about population characteristics. when the client is an individual, investigate
individual's preferences that may differ from population trends.
- facilitate care coordination among providers, facilities, and community resources
- advocate for the needs of the population, with focus on preventative services
- assist the client to obtain as much control over personal health and healthcare as possible
- develop an interprofessional network to assist with improving the health of the population
Types of Violence Within Communities *** homicide, assault, rape, suicide, violence (physical, sexual,
emotional, and neglect), economic maltreatment
Homicide *** - often related to substance abuse
- most are committed by someone known to the victim and occur during an argument
- violence often precedes homicide within families
- rates of homicide are increasing among adolescents more than in other age groups
,Assault *** - *males are more likely than females to be assaulted*
- *youths are at a significantly increased risk*
Rape *** - often unreported
- most incidences are spousal (marital) or acquaintance (date) rape
- *females are more likely than males to be raped*. the risk of rape is *increased in cities, between 8PM
and 2AM, on the weekends, ands in the summer months*
Suicide *** - rates are highest among individuals 45 to 64 years old
- *females are more likely to attempt suicide; however, males are more likely to complete suicide*
- caucasians are more likely than other ethnic groups to commit suicide
- risk factors: depression or other mental health disorders, substance use, having access to a firearm,
and partner violence or neglect issues
Physical Violence *** occurs when pain or harm results
- *toward an infant or child*: shaken baby syndrome
- *toward a spouse or partner*: striking or strangling; higher risk when leaving the relationship
- *toward an older adult*: pushing which results in a fall
- *toward a nonspouse or nonpartner*
Sexual Violence *** occurs when sexual contact takes place without consent
Emotional Violence *** includes behavior that minimizes an individual's feelings of self-worth or
humiliates, threatens, or intimidates a family member
Neglect *** failure to provide
, - *physical care* (food, shelter, and hygiene)
- *emotional care* (to achieve developmental milestones, speaking and interacting)
- *education*
- *health or dental care*
Economic Maltreatment *** - Failure to provide the needs of a victim when adequate funds are
available
- Unpaid bills when another person is managing the finances
- Theft of or misuse of money or property
Individual Risk Factors for Violence *** History of being abused or exposure to violence
Low self-esteem
Fear and distrust of others
*Poor self-control*
*Inadequate social skills*
Minimal social support/isolation
Immature motivation for marriage or childbearing
Weak coping skills
Recognizing Potential Child Abuse/Neglect *** Unexplained injury
*Unusual fear of the nurse and others*
Injuries/wounds not mentioned in history
Fractures, including older healed fractures
Presence of injuries/wounds/fractures in various stages
of healing
Subdural hematomas
