When assessing members of a vulnerable population, the community ...

[cookcarl]

When assessing members of a vulnerable population, the community health nurse should realize that the primary need is to:
 
  1. Provide culturally competent assessment.
  2. Organize in your mind exactly what you need to ask.
  3. Create a comfortable, nonthreatening environment.
  4. Be alert for indications of mental and physical abuse.

Question 2

The nurse working in a free clinic often utilized by Hispanic immigrants is assessing a client who reports a cough and malaise. The client is hearing impaired, speaks very little English and is cur-rently living in a homeless shelter.
 
  The nurse's primary concerns should be the client's:
  1. Language barrier
  2. Risk for tuberculosis
  3. Hearing impairment
  4. Lack of health care resources

[enass]

Answer to Question 1

ANS: 3
In order to be successful in assessing a member of a vulnerable population, the nurse must first create an environment that is encourages the client to cooperate with and actively participate in the assessment process While it is important that the nurse be cultural considerate of the client, it is not the primary need of those offered as options.
While organization to thought is important to the effective use of time needed for an assessment, it is not the primary need of those offered as options. While vulnerable populations may be more susceptible to both mental and physical abuse making observation for signs of abuse important, it is not the primary need of those offered as options

Answer to Question 2

ANS: 2
Risk for tuberculosis presents the greatest risk since it is supported by the physical signs, is highly contagious and a risk factor among the homeless and some immigrant populations. The language barrier is a concern since it impacts the communication between the nurse and the client but it is not the primary concern among the options offered. The client's hearing impairment is a concern because it has an impact on the communication between the nurse and the client but it is not the primary concern among the options offered. The client's lack of insurance is a concern because it affects the treatment plan necessary for the client's recovery, but it is not the primary concern among the options offered.

[cookcarl]

TYSM

[jomama]

Excellent