Exam 15: Working With Vulnerable Populations

CHNs at a clinic for homeless people are concerned that clients rarely return for follow-up after their TB skin (Mantoux) tests. What policy would be the most appropriate one for addressing this situation?

A CHN suspects that an elementary school student is being physically abused. Which action would be the most appropriate one for the CHN to take?

What CHN intervention would best serve a vulnerable population?

A client reports that the narcotic she took for pain on a regular basis made her feel bad and that when she tried an alternative analgesic, she experienced withdrawal symptoms. What is this client suffering from?

What is the best intervention a community health nurse (CHN) can initiate to increase lasting resilience among new immigrants?

What definition accurately reflects the meaning of the term health inequities?

While screening for diabetes at a community clinic, a CHN found out that a new client had type 2 diabetes. The CHN then provided counselling, referred the client to an endocrinologist for initial assessment and treatment, helped with arrangements for financial assistance, arranged transportation, and booked a follow-up appointment. What role does this type of service exemplify?

A CHN is concerned about caregiver stress in the children of older clients with health concerns. What secondary prevention strategy can the CHN implement to limit caregiver stress?

A CHN is asked by a parent group to explain the risk factors for alcoholism. What statement should the CHN include in the explanation?

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

What CHN action would best ensure long-term positive health outcomes in pregnant teens from low-income groups and their children?

A 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?

What action should a CHN take when using the case management approach with vulnerable populations?

At a district board meeting, the CHN requests funding for an after-school recreation program that promotes healthy, fun activities in an effort to decrease substance abuse. Which level of prevention does this exemplify?

A CHN is orienting a new recruit to a health clinic that primarily serves vulnerable populations. Which statement by the CHN indicates a need for additional information?

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

A CHN presents a proposal for a program for preventing teen 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?

What is the cause of the greatest overall costs to the community for providing health care to people who are homeless?

Which statement made by a parent indicates a need for more education about child abuse?

A client who abuses intravenous (IV) drugs admits to the CHN that he has no desire to change this behaviour, so the CHN counsels him on the importance of sterilizing his needles to prevent infection and transmission of blood-borne diseases. Which level of prevention does this action represent?