NUR 322 EXAM 1 COMPLETE FINAL EXAM STUDY GUIDE
WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS
2025–2026
A nurse volunteering at the free clinic in her community informs a client seeking treatment for
hypertension that the family's children may qualify for enrollment in the State Children's Health
Insurance Program (SCHIP). The nurse's intervention can reduce health disparities for these
vulnerable children by making a referral to a program that provides:
1) direct financial subsidies for children.
2) funds to insure currently uninsured children.
3) outreach efforts to enroll eligible children in Medicaid.
4) prospective payments for child services. - correct answer -ANS: 2
funds to insure currently uninsured children.Title XXI of the Social Security Act provides for the
State Children's Health Insurance Program (SCHIP) to provide funds to insure currently
uninsured children. The SCHIP program is jointly funded by the Federal and State governments
and administered by the states. Using broad Federal guidelines, each state designs its own
program, determines who is eligible for benefits, sets the payment levels, and decides upon the
administrative and operating procedures. The program is subject to change when states
undergo budget reductions.
outreach efforts to enroll eligible children in
Vulnerable populations may be exposed to more than one hazard at a time. This is known as:
1) cumulative risk
2) disenfranchised populations.
3) resilience.
4) underserved populations. - correct answer -ANS: 1
cumulative risk.
Vulnerable populations often experience multiple cumulative risks, and they are particularly
sensitive to the effects of those risks. Risks come from environmental hazards (e.g., lead
exposure from lead-based paint from peeling walls or that which has been used in toy
,manufacturing or melamine added to milk supplies), social hazards (e.g., crime, violence),
personal behavior (e.g., diet, exercise habits, smoking), or biological or genetic makeup (e.g.,
congenital addiction, compromised immune status)
A nurse participates with a community planning board addressing housing strategies and future
community needs. The nurse is aware that the community has a population of homeless
families served by local churches. The nurse is also aware that this agricultural community relies
on migrant workers during seasonal harvesting of local produce. The nurse is concerned that
these disenfranchised populations may be:
1) complicated to address.
2) costly to serve.
3) invisible to the community
4) resilient to the community - correct answer -ANS: 3
invisible to the community.
Disenfranchisement refers to a feeling of separation from mainstream society. Groups such as
the poor, the homeless, and migrant workers are "invisible" to society as a whole and forgotten
in health and social planning. Vulnerable populations are at risk for disenfranchisement because
their social supports are generally weak, as are their links with formal community organizations.
A city uses the local media (radio, television, and newspapers) to post ratings of air quality on
days when the air quality is poor. This notification is directed toward older adults, very young
members of the community, and those with chronic breathing problems. These groups are an
example of:
1) disenfranchised populations.
2) disadvantaged populations
3) vulnerability.
4) vulnerable populations - correct answer -ANS: 4
vulnerable populations.
Vulnerable populations are those groups who have an increased risk to develop adverse
outcomes. A vulnerable population group is a subgroup of the population, more likely to
,develop health problems as a result of exposure to risk or to have worse outcomes from a
health problem than is the rest of the population. The risks are often cumulative risks from
environmental hazards, personal behavior, or biological or genetic makeup.
A nurse in community health directly contacts a mammography clinic to arrange an
appointment for a female migrant worker with limited English language abilities. The nurse
communicates with the client through an interpreter to ensure that the client's appointment is
scheduled to meet her needs and that the client understands the procedure to be performed.
This strategy used with vulnerable populations can best be described as:
1) advocacy
2)culturally competent care.
3) partnership.
4) social justice - correct answer -ANS: 1
advocacy.
Advocacy refers to those actions one undertakes on behalf of another. Nurses may function as
advocates for vulnerable populations by working for the passage and implementation of policies
that lead to improved public health services for these populations.
Which of the following are factors that may contribute to vulnerability? select all:
1) exercise habits
2) crime
3) peeling lead pain
4) social isolation
5) illiteracy - correct answer -ANS: 1, 2, 3, 4, 5
Vulnerability results from the combined effects of limited resources. Limitations in physical
resources, environmental resources, personal resources (or human capital), and biopsychosocial
resources (e.g., the presence of illness, genetic predispositions) combine to cause vulnerability.
Poverty, limited social support, and working in a hazardous environment are examples of
limitations in physical and environmental resources. People with preexisting illnesses, such as
those with communicable or infectious diseases or those with chronic illnesses such as cancer,
, heart disease, or chronic airway disease, have less physical ability to cope with stress than those
without such physical problems
A young adult with a history of prior parental abuse recently has been diagnosed with a stress-
related illness. The individual works at a local convenience store, earning a little more than the
federal poverty level, but receives no health benefits. This individual is predisposed to the
development of:
1) poverty
2) resilience
3) risk
4) vulnerability - correct answer -ANS: 4
Vulnerability results from the combined effects of limited resources. Limitations in physical
resources, environmental resources, personal resources (or human capital), and biopsychosocial
resources (e.g., the presence of illness, genetic predispositions) combine to cause vulnerability.
Poverty, limited social support, and working in a hazardous environment are examples of
limitations in physical and environmental resources.
The most critical strategy that can be used by nurses in community health to improve the health
status of migrant workers that spend only a few months in a geographic location is to:
1) conduct a comprehensive assessment and formulate a plan for treatment.
2) establish a long-term trust relationship to prevent disappointment.
3) schedule appointments for appropriate immunizations for the children.
4) use every opportunity to teach about preventive health care. - correct answer -ANS: 4
Focus on prevention. Use every opportunity to teach about preventive health care. A single
client visit may focus on an acute health problem such as influenza, but it may also include
health education about diet and exercise, counseling for smoking cessation, and a follow-up
appointment for immunizations once the influenza is over. The shift away from hospital-based
care includes a renewed commitment to the public health services that vulnerable populations
need to prevent illness and promote health, such as reductions of environmental hazards and
violence and assurance of safe food and water.
WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS
2025–2026
A nurse volunteering at the free clinic in her community informs a client seeking treatment for
hypertension that the family's children may qualify for enrollment in the State Children's Health
Insurance Program (SCHIP). The nurse's intervention can reduce health disparities for these
vulnerable children by making a referral to a program that provides:
1) direct financial subsidies for children.
2) funds to insure currently uninsured children.
3) outreach efforts to enroll eligible children in Medicaid.
4) prospective payments for child services. - correct answer -ANS: 2
funds to insure currently uninsured children.Title XXI of the Social Security Act provides for the
State Children's Health Insurance Program (SCHIP) to provide funds to insure currently
uninsured children. The SCHIP program is jointly funded by the Federal and State governments
and administered by the states. Using broad Federal guidelines, each state designs its own
program, determines who is eligible for benefits, sets the payment levels, and decides upon the
administrative and operating procedures. The program is subject to change when states
undergo budget reductions.
outreach efforts to enroll eligible children in
Vulnerable populations may be exposed to more than one hazard at a time. This is known as:
1) cumulative risk
2) disenfranchised populations.
3) resilience.
4) underserved populations. - correct answer -ANS: 1
cumulative risk.
Vulnerable populations often experience multiple cumulative risks, and they are particularly
sensitive to the effects of those risks. Risks come from environmental hazards (e.g., lead
exposure from lead-based paint from peeling walls or that which has been used in toy
,manufacturing or melamine added to milk supplies), social hazards (e.g., crime, violence),
personal behavior (e.g., diet, exercise habits, smoking), or biological or genetic makeup (e.g.,
congenital addiction, compromised immune status)
A nurse participates with a community planning board addressing housing strategies and future
community needs. The nurse is aware that the community has a population of homeless
families served by local churches. The nurse is also aware that this agricultural community relies
on migrant workers during seasonal harvesting of local produce. The nurse is concerned that
these disenfranchised populations may be:
1) complicated to address.
2) costly to serve.
3) invisible to the community
4) resilient to the community - correct answer -ANS: 3
invisible to the community.
Disenfranchisement refers to a feeling of separation from mainstream society. Groups such as
the poor, the homeless, and migrant workers are "invisible" to society as a whole and forgotten
in health and social planning. Vulnerable populations are at risk for disenfranchisement because
their social supports are generally weak, as are their links with formal community organizations.
A city uses the local media (radio, television, and newspapers) to post ratings of air quality on
days when the air quality is poor. This notification is directed toward older adults, very young
members of the community, and those with chronic breathing problems. These groups are an
example of:
1) disenfranchised populations.
2) disadvantaged populations
3) vulnerability.
4) vulnerable populations - correct answer -ANS: 4
vulnerable populations.
Vulnerable populations are those groups who have an increased risk to develop adverse
outcomes. A vulnerable population group is a subgroup of the population, more likely to
,develop health problems as a result of exposure to risk or to have worse outcomes from a
health problem than is the rest of the population. The risks are often cumulative risks from
environmental hazards, personal behavior, or biological or genetic makeup.
A nurse in community health directly contacts a mammography clinic to arrange an
appointment for a female migrant worker with limited English language abilities. The nurse
communicates with the client through an interpreter to ensure that the client's appointment is
scheduled to meet her needs and that the client understands the procedure to be performed.
This strategy used with vulnerable populations can best be described as:
1) advocacy
2)culturally competent care.
3) partnership.
4) social justice - correct answer -ANS: 1
advocacy.
Advocacy refers to those actions one undertakes on behalf of another. Nurses may function as
advocates for vulnerable populations by working for the passage and implementation of policies
that lead to improved public health services for these populations.
Which of the following are factors that may contribute to vulnerability? select all:
1) exercise habits
2) crime
3) peeling lead pain
4) social isolation
5) illiteracy - correct answer -ANS: 1, 2, 3, 4, 5
Vulnerability results from the combined effects of limited resources. Limitations in physical
resources, environmental resources, personal resources (or human capital), and biopsychosocial
resources (e.g., the presence of illness, genetic predispositions) combine to cause vulnerability.
Poverty, limited social support, and working in a hazardous environment are examples of
limitations in physical and environmental resources. People with preexisting illnesses, such as
those with communicable or infectious diseases or those with chronic illnesses such as cancer,
, heart disease, or chronic airway disease, have less physical ability to cope with stress than those
without such physical problems
A young adult with a history of prior parental abuse recently has been diagnosed with a stress-
related illness. The individual works at a local convenience store, earning a little more than the
federal poverty level, but receives no health benefits. This individual is predisposed to the
development of:
1) poverty
2) resilience
3) risk
4) vulnerability - correct answer -ANS: 4
Vulnerability results from the combined effects of limited resources. Limitations in physical
resources, environmental resources, personal resources (or human capital), and biopsychosocial
resources (e.g., the presence of illness, genetic predispositions) combine to cause vulnerability.
Poverty, limited social support, and working in a hazardous environment are examples of
limitations in physical and environmental resources.
The most critical strategy that can be used by nurses in community health to improve the health
status of migrant workers that spend only a few months in a geographic location is to:
1) conduct a comprehensive assessment and formulate a plan for treatment.
2) establish a long-term trust relationship to prevent disappointment.
3) schedule appointments for appropriate immunizations for the children.
4) use every opportunity to teach about preventive health care. - correct answer -ANS: 4
Focus on prevention. Use every opportunity to teach about preventive health care. A single
client visit may focus on an acute health problem such as influenza, but it may also include
health education about diet and exercise, counseling for smoking cessation, and a follow-up
appointment for immunizations once the influenza is over. The shift away from hospital-based
care includes a renewed commitment to the public health services that vulnerable populations
need to prevent illness and promote health, such as reductions of environmental hazards and
violence and assurance of safe food and water.
