Test Generator Questions, Chapter 14, Underserved Populations and Cultural Considerations

1. A nurse is assessing a middle-aged woman who was brought to the community health center by her daughter. The woman has a history of diabetes and developed an open sore on her foot. The daughter states, “She didn’t want to come here because she was afraid and doesn’t trust medical people.” The woman along with her four children recently immigrated to the United States to escape the political unrest in their native country. The family lives in a one-bedroom apartment in the inner city and has no health insurance. Two of the children work part-time and are the sole providers for the family. The daughter who came to the clinic is the only family member who speaks English. When developing the plan of care, which issue(s) would the nurse identify as potentially contributing to health disparities for this individual? Select all that apply.

A. Living conditions

B. Financial status

C. Language barrier

D. Beliefs about medical care

E. Age

Learning Objective: 1

Cognitive Level: Apply

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Nursing Process

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2. A nurse is working as part of a group tasked with developing programs to address social determinants of health in the community. The group is planning to implement the use of a standardized screening tool. Which information would be important for the group to address to promote the use of the tool with providers? Select all that apply.

A. Ensuring that the time taken to complete the screening is minimized

B. Providing clear explanations about the purpose of the tool and how to use it

C. Explaining that this type of screening is appropriate for individuals

D. Assuring that reimbursement through federal programs for this screening will occur

E. Describing how the information obtained from screening could be used by the providers

Learning Objective: 1

Cognitive Level: Apply

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Nursing Process

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3. A group of healthcare professionals working in rural healthcare is looking for ways to address the challenges faced by this population. Which strateg(ies) would be appropriate to address the needs of this population? Select all that apply.

A. Leveraging digital technologies

B. Using physician-led care teams

C. Employing mobile integrated care

D. Focusing on specific age groups

E. Partnering with community resources

Learning Objective: 2

Cognitive Level: Understand

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Nursing Process

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4. An ambulatory care nurse is providing care to an individual who has recently resettled in the United States. The nurse is assisting the individual in navigating the healthcare system. The individual asks, “How will I pay for this care?” Which response by the nurse would be most appropriate?

A. “You will get these services free-of-charge for the first year.”

B. “You’ll have short-term health insurance for 8 months.”

C. “You must sign up for Medicaid immediately.”

D. “You’ll pay for this care but at a reduced rate.”

Learning Objective: 2

Cognitive Level: Understand

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Communication and Documentation

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5. An ambulatory care nurse is working as part of a group to address health issues of the homeless population in the community. Which issue would be a priority for the group to address?

A. Mental health

B. Diabetes

C. Heart disease

D. Hypertension

Learning Objective: 3

Cognitive Level: Understand

Client Needs: Psychosocial Integrity

Integrated Process: Nursing Process

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