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Special Populations Nurse Practitioner Practice
Exam: Questions and Answers, Exams of Nursing
2025/2026 Graded A+|Guaranteed Pass
are all questions from the "Special Population: needs assessment
tool" used for every individual? - ANSWERS -No. the nurse
should make a judgment on appropriate questions for each population and ask questions within that list, if appropriate for the client, based on the "general background questions". the "general background questions" are used as a guide to determine additional questions that need to be included in the assessment. why should family members not be asked to be an interpreter? -
ANSWERS -1. confidentiality
- potential for conflict of interest
- risk of relaying inaccurate information
african American population - ANSWERS -less likely to have
health insurance or a regular source of healthcare risk for: obesity, DM HTN, heart disease asthma cancer leading cause of death heart disease
cancer stroke
Hispanic/latinos - ANSWERS -some may not have health
insurance or regular source of healthcare language barrier * risk for: obesity, DM, ESRD cervical cancer leading causes of death: heart disease cancer accidents important topics to cover: diet and meal planning exercise safe sex practices
native Hawaii or other Pacific Islander - ANSWERS -high rates of
smoking, alcohol consumption, obesity, and DM leading cause of death:
high incidence of altered mental status, suicide, SIDS, teen pregnancy, liver disease, and hepatitis high incidence of infant mortality*
asian Americans - ANSWERS -disproportionately noted to have
different types of cancer, tb, and hepatitis leading causes of death: cancer, heart disease, stroke women are at an increased risk for suicide.
Risk factors for LGBTQ - ANSWERS -less likely to access
healthcare d/t stigmatization may not have health insurance less likely to have screening services done (mammogram, Pap smear, testicular ca screening) STI are a concern - HIV, HPV, gonorrhea, syphilis HIV most prevalent in MSM and MTF persons incidence of anal, breast and cervival ca are of concern
lesbians are more likely to be overweight or obese gay/bisexual more likely to have ED more likely to smoke depression and suicide more likely to be bullied and threatened + physical abuse less likely to have family members support them when disabled etc. health measures focus on depression screening, addressing suicide, educating for safe sex practices, and counseling for alcohol and drug use. side effects of hormone therapy for transgender individuals -
ANSWERS -polycythemia, occurring with testosterone
children affected by homelessness are sick more often with
illnesses such as: - ANSWERS -asthma, iron deficiency, lead
poisoning, ear infections, GI illnesses, and mental health and behavioral problems children may begin to ____ in the classroom when basic needs are
not met - ANSWERS -act out & become less attentive
NSAIDs quetiapine Sulfonyureas statins should be avoided because of potential dangerous interactions with alcohol and recreational drugs; the potential for abuse, risk for dehydration, and contraindications for chronic conditions
what are the intellectually disabled at risk of? - ANSWERS -
certain health conditions, that usually go untreated due to atypical symptom presentation, which leads to secondary problems later in life. risk factors for those who are intellectually disabled? -
ANSWERS -motor deficits
epilepsy allergies otitis media GERD dysmenorrhea sleep problems mental illness vision and hearing impairments constipation oral health issues chocking and aspiration bcus individuals tend to eat quicker
certain behaviors can cause a change in behavior; for example, there may be eating disturbances d/t GERD or self-injury d/t presence of an ear infection. nursing care for caring with individuals with intellectual
disabilities - ANSWERS -1. functional behavioral assessment is
important in identifying existing health problems
- awareness of altered behavior as manifestations of an illness is important in early identification and prevention of complications
- health interventions should be focused on treating a medical condition, followed by behavioral interventions to prevent continued behavioral response to an illness
abuse - ANSWERS -infants most at risk
prone for health effects that result from abuse - bruises, fx, chronic fatigue, SOB, muscle tension, involuntary shaking, changes in eating and sleeping, sexual dysfunction, fertility issues, PTSD, nightmares, anxiety, uncontrollable thoughts, depression, low self esteem, and substance abuse. children who witness violence are prone to fearfulness, anxiety, depression, and issues in school.
nursing care: neglect/abuse - ANSWERS -treat with respect and
compassion and acknowledge their dignity
prematurity those requiring assistive devices and technology dental conditions eating disorders encopresis enuresis mental health concerns
nursing care: foster children - ANSWERS -community resources
social workers freq. health visits may be needed for children transitioning from foster care to home.
risk factors: mental health illnesses - ANSWERS -cardiovascular
disease (especially in MDD, bipolar disorder, & schitzo) may be associated with sedentary lifestyle, excessive sleep, and poor nutrition. nutritional issues musculoskeletal disease sexual dysfunction
pregnancy complications obesity related cancers STI xerostomia from reduced salivary gland flow d/t meds can result in difficulty maintaining oral hygiene resp. infections cancer osteoporosis in schitzo, MDD, and bipolar disorders metabolic syndrome - common in schitzo and bipolar pts. DKA is also more prevalent in patients with schitzo, can be d/t psych meds. psychotropic meds may contribute to an altered health state and weight gain
most common type of abuse in the elderly? - ANSWERS -
neglect
PTSD* extremely common traumatic brain injury limb amputations long term health issues may result from exposure to chemicals and environmental irritants homelessness
nursing care: vets - ANSWERS -ID and tx mental health
disorders to px suicide tx com orbit conditions such as PTSD to help address substance abuse high suicide risk!! veterans' affairs services can assist in managing some of the health issues experiences by these individuals.
risks for prisoners - ANSWERS -communicable diseases (HIV,
TB, hepatitis, etc.) rape
asthma DM HTN HD mental illnesses
risks for immigrants and refugees - ANSWERS -mental health
issues*** acculturation: to the us culture, which includes eating a less healthy diet, increased smoking, drug and alcohol abuse, and lack of family support accidental injuries hypothermia u=burns cardiovascular events pregnancy complications
