What designation is given to groups at high risk of having poor health outcomes?

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Foundations for Population Health in Community/Public Health Nursing Test Bank Questions

Question 1 of 5

What designation is given to groups at high risk of having poor health outcomes?

Correct Answer: D

Rationale: The correct answer is D: Vulnerable populations. Vulnerable populations are groups at high risk of experiencing poor health outcomes due to various factors such as socioeconomic status, lack of access to healthcare, discrimination, and underlying health conditions. This term encompasses a wide range of individuals who are more susceptible to adverse health outcomes. A: Cumulative risk groups do not specifically highlight the increased susceptibility to poor health outcomes. B: Health disparity groups focus on differences in health outcomes among various populations but do not necessarily indicate the level of risk. C: Resilient populations refer to groups that can adapt and overcome challenges, which is the opposite of being at high risk for poor health outcomes. In summary, vulnerable populations accurately describe groups facing increased risks of poor health outcomes, making it the correct choice.

Question 2 of 5

A community health nurse (CHN) presents a proposal for a program for preventing adolescent pregnancy to a group of parents. In the discussion that follows the presentation, which statement by a parent indicates the need for additional teaching by the CHN?

Correct Answer: B

Rationale: The correct answer is B because being very strict and constantly checking on a child does not promote open communication or trust. This approach may lead to rebellious behavior and hiding information. Choice A shows willingness to communicate about birth control, C demonstrates a plan for open dialogue, and D indicates increased parental involvement, which are all positive strategies for preventing adolescent pregnancy.

Question 3 of 5

What community health nursing action could potentially increase accessibility to health care services for clients experiencing mental illness and housing instability?

Correct Answer: A

Rationale: The correct answer is A because funding a mobile clinic can bring healthcare services directly to clients, addressing the accessibility issue. This action eliminates transportation barriers and provides care in a familiar environment. Choice B only informs clients of existing services without addressing accessibility. Choice C addresses housing instability but not healthcare accessibility. Choice D addresses basic needs but not healthcare access. Overall, choice A is the most effective in directly improving accessibility to healthcare services for clients with mental illness and housing instability.

Question 4 of 5

A community health nurse (CHN) suspects that a new client may have a substance use disorder. When getting the health history of the client, the CHN needs to keep in mind that the client may not admit to drug use. What is a primary symptom of substance use disorder?

Correct Answer: B

Rationale: The correct answer is B: Denial. A primary symptom of substance use disorder is denial, where individuals may be unwilling to acknowledge their drug use or its negative consequences. This is a common defense mechanism to protect their addiction. Explanation: 1. Denial is a hallmark feature of substance use disorder where individuals may refuse to admit to their drug use. 2. Confusion (A) can be a symptom of acute intoxication but may not be a primary symptom. 3. Forgetfulness (C) can occur with chronic substance use but is not specific to substance use disorder. 4. Mental status changes (D) can be a broad symptom and may not specifically indicate substance use disorder.

Question 5 of 5

A community health nurse who starts up a needle-exchange program to help reduce the risk of blood-borne infections is using which strategy:

Correct Answer: B

Rationale: The correct answer is B: Harm reduction. This strategy focuses on minimizing the negative consequences associated with risky behaviors, such as drug use, by providing services like needle exchange programs. This approach acknowledges that complete abstinence may not be immediately achievable and aims to reduce harm in the meantime. A: Trauma-informed care is a different approach that considers past traumas when providing care, not specifically related to harm reduction strategies. C: Tertiary care refers to specialized medical care for serious health conditions, not related to harm reduction initiatives. D: Violent care is not a recognized term in healthcare and does not align with the concept of harm reduction.

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