ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo. To what folk illness is her mother referring?
Correct Answer: A
Rationale: The correct answer is A: Evil eye. The term "mal de ojo" refers to the belief in many cultures, including Mexican, that a person can cause harm to someone else by looking at them with envy or malice, known as giving the evil eye. This belief is deeply rooted in folk traditions and is often associated with feelings of jealousy or ill will towards others. In this scenario, the mother's concern about her daughter being given mal de ojo reflects her fear of someone casting this harmful gaze upon her child. Summary: - B: Fallen fontanel is not related to the belief in the evil eye. It is a medical condition in which an infant's soft spot on the skull closes prematurely. - C: Soul loss is a different cultural belief, often associated with spiritual or emotional distress, but not specifically related to the evil eye. - D: Indigestion is a physical health issue and not relevant to the context of the mother's concern about mal de ojo.
Question 2 of 5
A migrant farmworker's family seemed to be very stressed, although their employer had given them the day off to visit the clinic and told them to take all the time they needed. In addition to the health issue, what might be the family's fear?
Correct Answer: B
Rationale: 1. The correct answer is B because migrant farmworkers often fear immigration officials due to their undocumented status. 2. Fear of deportation is a significant concern for migrant families, leading to stress and anxiety. 3. This fear is heightened by the current political climate and increased enforcement of immigration laws. 4. Choice A is incorrect as the scenario does not suggest any indication of theft being a primary fear. 5. Choice C is incorrect as there is no evidence in the scenario to suggest bias from clinic personnel. 6. Choice D is incorrect as the scenario states the employer gave them the day off, indicating a level of job security.
Question 3 of 5
A friend who is a nurse tells you that her family is moving from the urban area where you both live to a rural area to be near her spouse's parents, who are becoming less independent. What advice would you give for the nurse in preparing for any possible nursing role changes? Select all that apply.
Correct Answer: B
Rationale: Correct Answer: B Rationale: Moving from an urban to rural area can bring changes in nursing roles. In a small town, healthcare resources may be limited, leading to less autonomy for the nurse compared to a medical center setting. This is because the nurse may need to work closely with limited staff and resources, making decisions collaboratively rather than independently. It is important for the nurse to expect this change and adapt accordingly. Summary: A: Incorrect - Community perception may vary, and it is not a guaranteed outcome. C: Incorrect - Acceptance by the community is subjective and may not necessarily result in isolation. D: Incorrect - Sensitivity to rural lifestyle is important, but it does not directly address the change in autonomy levels for the nurse.
Question 4 of 5
A school nurse was caring for an 8-year-old child who had been hurt on the school playground. During the nurse's assessment, the child admitted that her mother was working but didn't make much money so the girl and her mother were living in their car. Based on this information, what might the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: The child may be a member of the 5H club. The 5H club stands for homeless, hungry, helpless, hopeless, and hurting. Given that the child and her mother are living in their car due to financial constraints, the nurse may suspect that the child is experiencing homelessness, hunger, helplessness, hopelessness, and potentially being hurt. This situation can significantly impact the child's physical and mental well-being, making it crucial for the nurse to address these issues promptly. Incorrect Choices: A: The child is accident-prone and clumsy - This choice does not address the underlying issue of homelessness and financial struggles indicated by the child's living situation. B: The child is being bullied and pushed around by other children - While bullying is a valid concern, the child's living situation suggests a more urgent issue related to homelessness and poverty. D: The child tripped, so perhaps she needs vision screening - Vision screening may be important for general health,
Question 5 of 5
Which finding in a young single pregnant woman would cause you the most concern?
Correct Answer: A
Rationale: The correct answer is A: Elevated blood pressure. This finding is concerning as it could indicate a potential complication like preeclampsia, which can be dangerous for both the mother and the baby. Elevated blood pressure needs immediate attention and monitoring to prevent serious health risks. Choice B (First prenatal visit at 5 months' gestation) is a concern but not as urgent as elevated blood pressure. Choice C (Persistent homelessness) is a social issue that should be addressed but doesn't pose an immediate health threat. Choice D (Positive STD test) is important for treatment but may not be as urgent as elevated blood pressure in a pregnant woman.