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. Which of the following 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: Understand (Comprehension) REF: p. 375

2. Which of the following terms is used to describe aggregates who are at high risk for having poor health outcomes because of limited resources?
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: Remember (Knowledge) REF: p. 375

3. A community health nurse would like to implement an intervention to increase lasting resilience among new immigrants. Which of the following actions should be taken by the nurse?
a.
Direct clients to English-as-second-language courses.
b.
Give immigrant clients money to help them get settled.
c.
Identify areas in the city where housing is less expensive.
d.
Solicit donations for food, clothing, and other needs.

ANS: A
Vulnerability can be reversed by obtaining resources to increase resilience. Although money, food, and clothing meet needs for the short term, they do not help the immigrant develop the power and control to improve health risks over the long term or contribute to lasting resilience. Learning the basic language of the country of residence will give immigrants the ability to communicate and navigate through systems and thus remove barriers that promote disenfranchisement and disadvantaged status.

DIF: Cognitive Level: Analyze (Analysis) REF: p. 376

4. Which of the following factors predisposes many migrant farmworkers to disenfranchisement?
a.
Being a minority group member
b.
Inability to attend religious services because of 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: Understand (Comprehension) REF: p. 376

5. A large financial grant was being offered to whichever health facility wanted to accept the responsibility for giving care to local vulnerable populations. Which of the following actions would most likely be taken by the local medical centers?
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, because this population 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 because 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: Analyze (Analysis) REF: p. 376