A nurse is investigating bacteria that have caused a health problem in the community. Only some of the people exposed to the bacteria have become ill. What could account for this?

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Nursing Care of Vulnerable Populations Questions

Question 1 of 5

A nurse is investigating bacteria that have caused a health problem in the community. Only some of the people exposed to the bacteria have become ill. What could account for this?

Correct Answer: C

Rationale: The correct answer is C: Host factors. Host factors refer to individual characteristics that influence susceptibility to a pathogen, such as immune status, genetic predispositions, age, and underlying health conditions. In this scenario, the variation in illness among individuals exposed to the bacteria suggests that host factors play a significant role. Chemical agent factors (A), environmental factors (B), and physical agent factors (D) are not directly related to individual susceptibility and are less likely to explain why only some individuals become ill after exposure to the bacteria. Therefore, the most plausible explanation for the differing outcomes is the variation in host factors among the exposed individuals.

Question 2 of 5

The nurse observes the interaction between a father and his school-age child during which the father tells the

Correct Answer: C

Rationale: The correct answer is C: Esteem. In the interaction, the father's behavior may affect the child's sense of self-worth and confidence, which are components of esteem needs in Maslow's hierarchy. Esteem needs involve feeling respected, valued, and having a sense of accomplishment. Self-actualization (B) is higher in the hierarchy and pertains to fulfilling one's potential. Social needs (D) relate to belongingness and relationships, which are not directly impacted in this scenario. Choice A is incorrect as it is too general and does not specifically address the impact on the child's self-esteem.

Question 3 of 5

The nurse is working with a group of older adult couples to help them learn more about fall prevention and how to make modifications in their home to decrease their risk of falls. This is an example of which level of health promotion?

Correct Answer: A

Rationale: The correct answer is A: Primary. Primary level of health promotion focuses on preventing the occurrence of a disease or injury before it happens. In this scenario, the nurse is educating older adult couples on fall prevention to reduce their risk, which aligns with primary prevention strategies. Secondary prevention (choice B) involves early detection and treatment of a disease to prevent complications. Tertiary prevention (choice C) aims to minimize the impact of an existing disease or injury. Primordial prevention (choice D) focuses on preventing the development of risk factors that could lead to diseases. In this case, the emphasis is on preventing falls before they occur, making it a primary level of health promotion.

Question 4 of 5

Which of the following would be included on a genogram?

Correct Answer: D

Rationale: The correct answer is D: Health conditions. Genograms are used to depict family relationships and medical histories. Including health conditions helps identify patterns of inheritance and risk factors. Occupations (A) are not typically included unless relevant, as well as religious affiliations (B) and sources of health care (C) are not standard components of genograms.

Question 5 of 5

The community health nurse is performing an admission assessment on a client with a substance use disorder. Which of the following questions is most appropriate for the nurse to use when interviewing the client about their substance use history?

Correct Answer: B

Rationale: The correct answer is B because it focuses on gathering specific and relevant information about the client's substance use history. By asking about the type of substances used and frequency, the nurse can assess the severity of the addiction and plan appropriate interventions. A: This question assumes a judgmental tone and may make the client defensive. C: This question is more about the client's commitment to treatment rather than exploring their substance use history. D: This question may imply blame on the client and does not facilitate an open and honest discussion about their substance use.

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