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Population and Community Health Nursing Chapter 21

Terms in this set (10)

A community health nurse is working in a clinic that serves a large number of homeless clients. Of the following, which would not meet one of the 11 principles of the WHO document: Health Principles of Housing? The nurse helps assure that all clients have/are:

a. Access to affordable health care.
b. Protected against chronic disease.
c. Provided information on stress reduction.
d. Access to safe drinking water.
Access to affordable health care.

Correct: Access to affordable healthcare is not mentioned in these principles.
A community health nurse is surveying clients from a free clinic. Which client is at greatest risk to contract HIV?

a. An elderly female
b. A middle-aged male
c. A teenage runaway
d. An elderly male
A teenage runaway

Correct: In addition to other health risks, homeless youth have been found to be two to 10 more times likely to be HIV-infected than their housed age mates.
A public health nurse frequently visits homeless shelters to address health concerns or needs. Considering the environmental conditions within most homeless shelters, what is an appropriate prevention measure for the nurse to implement?

a. Nutritional education classes
b. TB screening
c. Screening for high blood pressure
d. Education on prevention of STDs
TB screening

Correct: Homelessness, particularly among those with HIV/AIDS, also increases the risk of tuberculosis (TB), due to crowded conditions in shelters.
Homeless children pose a particular challenge to the community health nurse. Identify those conditions of particular concern for the child who is homeless. (Select all that apply.)

a. Lead poisoning
b. Asthma
c. Diabetes
d. Poor weight gain
e. Cancer
Lead poisoning
Correct: Children who are homeless are at higher risk for lead poisoning than are housed children.

Asthma
Correct: Asthma is a common finding among homeless adults and children.

Poor weight gain
Correct: Homelessness may lead to poor nutrition and poor weight gain.
A community health nurse is interviewing a teenage, homeless client. Which assessment question is of highest priority?

a. "Do you have any allergies?"
b. "Do you have a place to sleep tonight?"
c. "When did you last see a doctor?"
d. "Are you taking any medication?"
"Do you have a place to sleep tonight?"

Correct: Safety is the number one priority.
A homeless client is explaining to the nurse how his apartment was taken over so the building could be refurbished. The nurse recognizes the area of the city being described and has seen some of the new condominiums which now exist in this same area. This is an example of:

a. Remodeling
b. Urban Decay
c. Commercialization
d. Gentrification
Gentrification

Correct: Gentrification is defined as the displacement of low-income housing by higher-income space use such as luxury apartments, condominiums, or office buildings.
A community health nurse would like to survey homeless clients. Understanding the variables associated with the homeless population, the nurse decides to conduct the survey during one of the meals offered at a shelter. Before beginning, strategy is appropriate for the nurse to implement to elicit the best and most useful information?

a. Enlist the assistance of the local clinic that provides services to the homeless in the area.
b. Develop a tool based on the nurse's knowledge of health problems specific to the homeless population.
c. Check with local churches for information on homeless in the area.
d. Ask several of the homeless to help devise the survey tool.
Ask several of the homeless to help devise the survey tool.

Correct: All of these options would be appropriate, but the input from those clients who actually understand the health concerns of the homeless would be the best and most helpful in providing useful information.
From information gathered through the school system, the community health nurse identifies a large number of homeless children with asthma and chronic respiratory conditions. An appropriate nursing diagnosis for this situation would be:

a. Risk for homelessness, related to chronic health problems.
b. Increased incidence for respiratory disease related to inappropriate medical care.
c. Ineffective airway clearance, related to increased bronchial resistance.
d. Activity intolerance, related to chronic respiratory condition.
Increased incidence for respiratory disease related to inappropriate medical care.

Correct: Diagnoses made at the aggregate level are relative to specific problems engendered by homelessness.
A nurse in a busy clinic is working with a family whose primary income earner has just been diagnosed with cancer and will require extensive treatment. The family has been evicted from their apartment and the car they were living in has been repossessed. They have no health insurance or investment income. Which nursing interventions are the priority? (Select all that apply.)

a. Arrange for shelter for the family
b. Work with social services to obtain clothing and other necessities.
c. Put the family in contact with a site to provide meals.
d. Contact the school system to reinstate the children in school.
e. Find a source for prescription drugs for the cancer victim
Arrange for shelter for the family.
Correct: Population health nurses working with homeless individuals must first address their priority concerns for shelter and basic necessities before other health needs can be addressed.

Work with social services to obtain clothing and other necessities.
Correct: Population health nurses working with homeless individuals must first address their priority concerns for shelter and basic necessities before other health needs can be addressed.

Put the family in contact with a site to provide meals.
Correct: Population health nurses working with homeless individuals must first address their priority concerns for shelter and basic necessities before other health needs can be addressed.
A community health nurse has set up evening workshops on money management and budget strategies focused on homeless individuals who have now obtained employment. What level of prevention does this represent?

a. Restoration
b. Resolution
c. Promotion
d. Primary
Restoration

Correct: Health restoration strategies are aimed at preventing a recurrence of poverty and homelessness.
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