Chapter 21 Vulnerability and Vulnerable Populations: An Overview

Chapter 21  Vulnerability and Vulnerable Populations: An Overview

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. What is the primary cause of vulnerability to health problems?
a.
Breakdown of family structures
b.
Poverty
c.
Prejudice
d.
Social isolation

ANS: B
People with lower incomes and less education tend to be at higher risk for health problems. Poverty is a primary cause of vulnerability.

DIF: Cognitive Level: Knowledge REF: p. 386

2. Aggregates at high risk for having poor health outcomes because of limited resources are called:
a.
Disadvantaged families
b.
Multi-problem families
c.
Resilient populations
d.
Vulnerable populations

ANS: D
Vulnerable populations are groups (aggregates) with an increased risk to develop adverse health outcomes. Families are a subgroup of populations.

DIF: Cognitive Level: Knowledge REF: p. 386

3. What factor predisposes many migrant farmworkers to disenfranchisement?
a.
Being a minority group member
b.
Inability to attend religious services due to work requirements
c.
Previous experiences of physical abuse
d.
Short length of time in the community

ANS: D
Disenfranchisement refers to a feeling of separation from mainstream society. The person does not seem to have an emotional connection with any group in particular or the larger society. For migrant workers who are frequently moving, the short length of time they stay in the community does not allow for the development of social ties. Being a minority group member would not by itself cause disenfranchisement if the minority group member lived in a community with persons from similar ethnic and cultural backgrounds.

DIF: Cognitive Level: Application REF: p. 388

4. A large financial grant was being offered to whichever health facility wanted to accept the responsibility for giving care to local vulnerable populations. What would you expect the local medical centers to do?
a.
Agree to collaboratively apply for the funds in a cooperative proposal
b.
Individually compete eagerly for the additional funds now available
c.
Reach out enthusiastically to this previously underserved population group
d.
Strongly consider not applying, since vulnerable populations have multiple cumulative risks and will be expensive to treat

ANS: D
Many agencies do not wish to provide services to vulnerable populations. Vulnerable populations are more expensive to treat, since they have multiple, cumulative risks and require special service delivery considerations (e.g., to help overcome transportation problems or provide culturally competent care).

DIF: Cognitive Level: Application REF: p. 389

5. Some faculty at the College of Nursing decide to establish an innovative new program to help families with technology-dependent children. The program will include home care and respite care, among other services. When the group is applying for funding, what would such a service be called?
a.
Family professional respite care
b.
High tech-high care family comprehensive treatment
c.
Pediatric intensive care for homebound families
d.
Specialty “carve out”

ANS: D
One approach used to manage care for high-risk populations is to contract their care to specialty organizations (referred to as “carve outs”). These specialty organizations often develop innovative approaches to caring for these high-risk populations.

DIF: Cognitive Level: Application REF: p. 391