Health & Physical Assessment in Nursing, 4e (Fenske/Watkins/Saunders/D'Amico/Barbarito)

Chapter 4 Health Disparities

1. The community health nurse wants to promote services that are available at a local free clinic for vulnerable populations within the community. Which client is considered vulnerable?

1. A married mother of two children.

2. A single male with a full-time job.

3. A divorced female.

4. A married male veteran.

Page Ref: 38

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. Which is a goal of Healthy People 2020 for vulnerable populations?

1. To provide insurance for all citizens.

2. To improve access to quality of care.

3. To ensure all clients have a primary care provider.

4. To eliminate co-payments for services.

Page Ref: 40

Cognitive Level: Remembering

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient/family/community preferences and values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. | AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.3: Identify strategies to reduce and eliminate health disparities.

MNL Learning Outcome: 4.4: Implement strategies to reduce and eliminate health disparities.

1. Which vulnerable population has high death rates from heart disease?

1. African Americans.

2. Asian Americans.

3. Hispanics.

4. Pacific Islanders.

Page Ref: 36

Cognitive Level: Remembering

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient/family/ community preferences and values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. | AACN Essentials Competencies: I.5. Apply knowledge of social and cultural factors to the care of diverse populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is incorporating the use of the Omaha system into a home health practice. Which should the nurse anticipate obtaining from the use of the system?

1. Nursing diagnosis.

2. Medical diagnosis.

3. Identification of cultural needs.

4. Identification of teaching needs.

Page Ref: 35

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: III.B.1. Participate effectively in appropriate data collection and other research activities. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Knowledge and Science: Practice-Know-How | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.4: Implement strategies to reduce and eliminate health disparities.

1. Which factors may lead to health disparities among vulnerable populations? Select all that apply.

1. Race.

2. Geography.

3. Disability status.

4. Age.

5. Marital status.

Page Ref: 35

Cognitive Level: Remembering

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: I.5. Apply knowledge of social and cultural factors to the care of diverse populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is reviewing the data on community populations that experience more issues with preventable diseases. Which should the nurse recognize is a contributing factor for the minority population of these communities?

1. Genetic predisposition for disease.

2. Educational level of the population.

3. Poor patient provider interaction.

4. Nutritional status of the community.

Page Ref: 35

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: I.5. Apply knowledge of social and cultural factors to the care of diverse populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is obtaining information from a parent of a child that is of low socioeconomic status. Which question should the nurse ask the parent?

1. "Who lives in your household?"

2. "Do have enough food in your home?"

3. "Do you have access to transportation?"

4. "Does anyone use alcohol in the home?"

Page Ref: 36

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity; Nutrition and Oral Hydration

Standards: QSEN Competencies: III.A.2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values. | AACN Essentials Competencies: I.5. Apply knowledge of social and cultural factors to the care of diverse populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.3: Recognize how geography, disability status, and socioeconomic status can influence health disparities in vulnerable populations.

1. The nurse is planning an educational session for clients who are at an increased risk for health disparities. When using information from Racial and Ethnic Approaches to Community Health (REACH), which topics will the nurse include in the session?

1. Weight loss information.

2. Safer sex practice.

3. Shelters for the homeless.

4. Sun safety.

Page Ref: 40

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: III.A.2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.3: Identify strategies to reduce and eliminate health disparities.

MNL Learning Outcome: 4.4: Implement strategies to reduce and eliminate health disparities.

1. When assessing a client who is considered vulnerable, which is a priority before beginning the assessment process?

1. Review of the health history.

2. Review of psychosocial history.

3. Awareness of other races.

4. Awareness of own cultural beliefs.

Page Ref: 35

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient/family/community preferences and values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. | AACN Essentials Competencies: VIII.6. Reflect on one's own beliefs and values as they relate to professional practice. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is caring for an adolescent patient who has been identified as vulnerable. When assessing this patient, which should the nurse be most concerned with? Select all that apply.

1. Use of alcohol.

2. Use of prescription drugs.

3. Participation in sports.

4. Participation in after school activities.

5. Use of tobacco products.

Page Ref: 36

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; High Risk Behaviors

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient/family/community preferences and values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is obtaining information from a parent prior to assessing the child in a community clinic. Which statement made by the parent should be most concerning for the nurse?

1. "I have been receiving food from the local pantry."

2. "My husband only smokes in the house after the children go to bed."

3. "My mother said she would take my children to get their immunizations."

4. "I am going to sign my child up to receive breakfast and lunch at school."

Page Ref: 36

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance; High Risk Behaviors

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: Patient/family/community preferences and values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and continuity. | AACN Essentials Competencies: 1.1: Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is assessing a patient that has type I diabetes mellitus who lives in a rural area of the state. Which should the nurse recognize is a primary factor that may impact the patient's ability to obtain healthcare?

1. Location.

2. Finances.

3. Work schedule.

4. Level of education.

Page Ref: 37

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: 1.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: 1.5. Apply knowledge of social and cultural factors to the care of diverse populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.3: Recognize how geography, disability status, and socioeconomic status can influence health disparities in vulnerable populations.

1. The nurse is preparing to assess an adolescent in a community clinic. Which information should the nurse recognize is most important to obtain from the client?

1. Activity level.

2. Dietary intake.

3. Educational level.

4. Available transportation.

Page Ref: 36

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity; Nutrition and Oral Hydration

Standards: QSEN Competencies: 1.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The manager is reviewing the risky behaviors of the adolescent population with the nursing staff. Which behaviors should the manager include in the discussion? Select all that apply.

1. Tobacco use.

2. Sexual risk.

3. Violence.

4. Alcohol use.

5. Drug abuse.

Page Ref: 36

Cognitive Level: Understanding

Client Need & Sub: Health Promotion and Maintenance; High Risk Behaviors

Standards: QSEN Competencies: 1.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is reviewing the risk factors for vulnerable populations. Which should the nurse take into consideration when caring for older adults?

1. Older adults are predisposed to the need for medical care.

2. Older adults are at the greatest risk for nutritional deficiency.

3. Older adults are identified as having a risk for alcohol abuse.

4. Older adults are the most vulnerable population.

Page Ref: 37

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Aging Process

Standards: QSEN Competencies: I.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is caring for an older adult. Which should the nurse recognize is a unique challenge for the older adult?

1. Neglect.

2. Transportation.

3. Substance abuse.

4. Homelessness.

Page Ref: 37

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance; Aging Process

Standards: QSEN Competencies: 1.5: Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is integrating the use of Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) in the plan for the care of women in a community clinic. Which should the nurse plan on using the program for?

1. Provide prescription medication.

2. Provide insurance for women.

3. Provide nutritional counseling.

4. Provide counseling for domestic abuse.

Page Ref: 36

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity; Nutrition and Oral Hydration

Standards: QSEN Competencies: III.B.3: Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.3: Identify strategies to reduce and eliminate health disparities.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is preparing to document the sexuality of a client. Which question should the nurse ask to ensure accuracy of the information obtained?

1. "How do you identify?"

2. "What is your sexuality?"

3. "Are you male or female?"

4. "Do you have a sexual preference?"

Page Ref: 36

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Screening

Standards: QSEN Competencies: III.B.1. Participate effectively in appropriate data collection and other research activities. | AACN Essentials Competencies: VII.3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is obtaining a history from a client that has identified themselves as bigender. Which should the nurse carefully assess the client for?

1. Employment.

2. Adequate housing.

3. Substance abuse.

4. Sexually transmitted diseases.

Page Ref: 36

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; High Risk Behaviors

Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence | AACN Essentials Competencies: VII.3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is using The World Health Organization Disability Assessment Schedule (WHODAS 2.0) to evaluate a client. Which information should the nurse anticipate to obtain?

1. Substance abuse.

2. Cognition.

3. Socioeconomic status.

4. Medical history.

Page Ref: 37

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Screening

Standards: QSEN Competencies: III.B.1. Participate effectively in appropriate data collection and other research activities. | AACN Essentials Competencies: VII.3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Knowledge and Science: Evidence and best practices for nursing | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.3: Identify strategies to reduce and eliminate health disparities.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is reviewing the socioeconomic status and the contributing factors to health disparity. Which should the nurse understand is one of the most common factors in determining a client's socioeconomic status?

1. Education.

2. Gender.

3. Sexual orientation.

4. Ethnicity.

Page Ref: 37

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Screening

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.3: Recognize how geography, disability status, and socioeconomic status can influence health disparities in vulnerable populations.

1. The nurse is caring for a male prison population. Which ethnicity should the nurse understand has the greatest risk for poorer health outcomes?

1. Hispanic.

2. African American.

3. White.

4. Native American.

Page Ref: 38

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Screening

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is performing a health screening for a child from a mixed-status family. Which should be the nurse's most immediate concern?

1. Homelessness.

2. Deficient healthcare.

3. Inadequate education.

4. Lack of transportation.

Page Ref: 38

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Screening

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Diagnosis

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is planning care for a vulnerable population. Which should the nurse take into consideration when planning the care?

1. Educating the population about the risk factors for disease.

2. Implementing health promotion in the community.

3. Increasing awareness of healthy lifestyle choices.

4. Eliminating access barriers to healthcare.

Page Ref: 35

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.1: Consider the issues of health disparity in relation to vulnerable patient groups and its impact on the nurse's role in health assessment.

1. The nurse is planning to address the health disparity in the Native American population. Which should the nurse consider the primary reason for the health disparity?

1. Many Native Americans do not reside on reservations.

2. Many Native Americans do not trust the healthcare system.

3. Many Native Americans do not engage in western medicine.

4. Many Native Americans do not have health insurance.

Page Ref: 36

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is planning to address the healthcare needs for the fastest growing veteran population. Which subpopulation of veterans should the nurse prepare for?

1. Women.

2. Older veterans.

3. Younger men.

4. Minority men.

Page Ref: 38

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, and referral and follow-up throughout the lifespan. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is setting up a clinic to care for health needs of unaccompanied children entering the United States illegally. Which major vulnerability should the nurse prepare to address when caring for the children?

1. Existing illness.

2. Malnourishment.

3. Minimal education.

4. Language barrier.

Page Ref: 38

Cognitive Level: Applying

Client Need & Sub: Safe and Effective Care Environment; Advocacy

Standards: QSEN Competencies: I.A.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.1: Explain health disparities in relation to vulnerable patient groups and their impact on the nurse's role in health assessment.

MNL Learning Outcome: 4.4: Implement strategies to reduce and eliminate health disparities.

1. The nurse is caring for a homeless population of women in the clinic. Which increased risk factor should the nurse screen the women for?

1. Pregnancy.

2. Malnutrition.

3. Substance abuse.

4. Sexual abuse.

Page Ref: 40

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.2. Describe how diverse cultural, ethnic, and social backgrounds function as sources of patient, family, and community values. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.2: Recognize how age, race and ethnicity, gender, and sexual orientation and gender identity can influence health disparities in vulnerable populations.

1. The nurse is preparing to create a health program for the population with the highest risk for health disparity. Which population should the nurse focus upon?

1. Children.

2. Patients with disabilities.

3. Refugees.

4. Older veterans.

Page Ref: pg. 37

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention

Standards: QSEN Competencies: 1.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4.2: Identify the factors that influence health disparities in vulnerable populations.

MNL Learning Outcome: 4.3: Recognize how geography, disability status, and socioeconomic status can influence health disparities in vulnerable populations.

1. The nurse is assessing a client that is a new refugee in the country. Which should the nurse assist the client with to help them overcome a barrier unrelated to the healthcare system?

1. Insurance navigation.

2. Fear of the healthcare system.

3. Lack of transportation.

4. Healthcare literacy.

Page Ref: 38

Cognitive Level: Applying

Client Need & Sub: Safe and Effective Care Environment; Advocacy

Standards: QSEN Competencies: 1.5. Examine common barriers to active involvement of patients in their own healthcare processes. | AACN Essentials Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4.3: Identify strategies to reduce and eliminate health disparities.

MNL Learning Outcome: 4.4: Implement strategies to reduce and eliminate health disparities.