Confirmed A+.
Vulnerability correct answers susceptibility to actual or potential stressors that may lead to an
adverse effect
results from the interaction of internal and external factors that cause a person to be susceptible
to poor health
vulnerable populations correct answers those groups with increased risk for adverse health
outcomes
more likely than the general population to suffer from heath disparities
health disparities correct answers the wide variations in health services and health status among
certain population groups
vulnerable population are more likely to.... correct answers -develop health problems as a result
of exposure to risk or to have worse outcomes from those health problems than the population as
a whole
-be sensitive to risk factors bc they are often exposed to cumulative risk factors
-results from combined effects of limited physical, environmental etc resources
List of vulnerable population groups correct answers -poor and homeless persons
-pregnant adolescents
-migrant workers
-severely mentally ill individuals
-substance abusers
-abused persons
-perons w/ communicable disease
-persons with HIV, HepB, STDS
-racial and ethnic minorities
Factors contributing to vulnerability correct answers -social determinants of health (economic
status, poverty, lack of insurance)
-education
-environmental factors
-nutrition, stress
-prejudice
,-health status (age, changes in normal physiology)
Outcomes of vulnerability correct answers -neg or post
-often have worse health outcomes in terms of morbidity and mortality
-cycle to vulnerability (sometimes when one problem is solved, another quickly emerges--
>feelings of hopelessness)
Predictors of populations at risk correct answers -social status: age, sex, race
-social capitol: family structure, marital status, volunteer org, social networks
**marriage usually is helpful but not in veterans returning to civilian life
-populations at risk: high, lower
-human capitol: schools, jobs, income, housing
Disempowerment correct answers lack of power or control over critical resources
Victim blaming correct answers blaming individual for things outside of their control
disenfranchisement correct answers feeling of separation from mainstream society
disadvantaged status correct answers limited political power or control in minority groups over
potential and actual health needs in a system that focuses on the majority
SES correct answers poverty in its relative and absolute sense predisposes people to vulnerability
Age correct answers very young and very old are more vulnerable
health related causes correct answers certain diseases compromise the ability to respond
effectively to additional risks
life experiences correct answers negative experiences early in life decrease resilience
Public policies affecting vulnerable populations correct answers -social security act of 1935
(=created largest federal support program for elderly and poor Americans)
-social security amendments, Medicare**, Medicaid, SCHIP (state Children's health insurance
program)
-health insurance portability and accountability (HIPPA- important is allowing people to change
employers and keep insurance)
-patient protection and affordable care act (ObamaCare)
Medicare correct answers usually provides healthcare for the elderly
you have to be 65 years old to receive Medicare
, Medicaid correct answers program for poor and disabled
have to have certain income to meet criteria
federal money, administered by state
poverty level: 4 person home making less than $24,000
Nursing approaches to care in community correct answers trend toward providing more
comprehensive, services, want one-stop services
advocacy
social justice
culturally and linguistically appropriate health care
Healthy People 2020 correct answers objectives emphasize improving health by modifying the
individual, social, and environmental determinants of health
having a primary care provider who coordinates health services and provides preventative
services
Levels of Prevention Ex. correct answers Primary: influenza vaccination
Secondary: TB screening
Tertiary: therapy group for severely mentally ill adults
Assessment should include client evaluation of: correct answers -socioeconomic resources
-preventative health needs
-congenital and genetic predisposition to illness
-amount of stress
-living environment and neighborhood surroundings
Planning and Implementing Care for Vulnerable populations correct answers -create a trusting
environment!
-show respect, compassion, concern
-do not make assumptions
-coordinate services and provides
-advocate for accessible health care services