Racial and Ethnic Equity

The nurse is caring for an American Indian woman who reports having intermittent acid reflux. The client tells the nurse that some medications provided by the tribal healer have been helpful. Which is the best response made by the nurse?

"Tell me more about the medications and how you take them."

In the table below, the outcomes are listed in the rows and the goals are in the columns. For each outcome, click to specify which program goal it has addressed. Select only one answer in each row.

Increase options for healthy nutrition across the lifespan. ​: Created farmers' markets in African American communities Promote community planning and transportation plans that create places for safe and accessible physical activity.: Created safer places for physical activity for African American residents of three low-income housing towers Support tobacco-free living.: Increased the number of commercial shopping plazas with voluntary smoke-free policies in an Asian American community Connect clinics to community programs so people can manage chronic diseases, such as heart disease and diabetes.: Trained community health workers to serve in the Navajo Nation

Which of the following are health disparity outcomes for minorities? Select all that apply.

Increased healthcare costs Higher mortality rates Poorer health outcomes Higher prevalence of chronic conditions​

Select whether each nursing action is indicated or contraindicated. Select only one answer in each row.

Indicated: Advocate for all clients' beliefs even when care is not based on evidence. Take time to educate the client and family about all the treatment options. Be mindful and understanding of medical mistrust. Acknowledge the client's potential fears or concerns. Contraindicated: Always implement healthcare provider orders without question.

For each potential nursing intervention, indicate whether the intervention is indicated or contraindicated. Select only one answer in each row.

Indicated: Stay up-to-date on evidence-based practices and guidelines Ask questions about all treatment options for all clients Notice patterns of clients who are and are not receiving the same treatment for similar conditions Reflect on own biases Contraindicated: File a civil rights complaint on behalf of the client

The assumptions and biases of the healthcare provider contributed to which outcomes? Select all that apply.

Lack of treatment for cholesterol Delay in needed care Critical information not communicated Mistrust of healthcare providers Delay in seeking treatment

For each nursing action below, specify whether it is an example of maintenance, negotiation, or restructuring under the Sunrise Model. Select only one answer in each row.

Maintenance: The nurse administers normal saline Negotiation: The nurse administers a transfusion of clotting factor Restructuring: The nurse administers a blood transfusion

Which are federal programs to improve the health of minority groups? Select all that apply.

National Breast and Cervical Cancer Early Detection Program Ryan White Comprehensive AIDS Resources Emergency (CARE) National Institute on Minority Health and Health Disparities Racial and Ethnic Approaches to Community Health (REACH)

The nurse leader of a healthcare clinic is trying to promote culturally responsive healthcare services to the community. Which actions should the nurse leader take? Select all that apply.

Participate in community events to promote the services available. Compare the diversity of individuals served at the clinic to the diversity of the community. Develop a healthcare advisory board that includes community members. Ensure client education materials are prepared in multiple languages. Provide staff with cultural professional development opportunities.

Review the case information and highlight the findings that are concerning to the nurse.

The client did not want to see the healthcare provider told him to "lay off the fried foods told he did not meet the criteria and was at low risk the client did not disclose information The wife was told to wait for the prescribed medicationto begin to work

The nurse challenged the care team to consider and educate the client's wife about all treatment options. The client's treatment plan was changed to integrate the most recent evidence and he eventually recovered. Which action contributed the most to the client's health outcome?

The nurse speaking up about the difference in the care provided for the client

The nurse is completing a cultural assessment. Match the assessment question with the coordinating component of the cultural assessment.

What does your sickness mean to you? Attitude What is important for me to know about your faith or spiritual needs? Beliefs What has your experience been since coming to the United States? Context How are decisions about healthcare made in your family? Decision-making style

Which actions promote social justice? Select all that apply.

Which actions promote social justice? Select all that apply.

The client has a terminal diagnosis and the family has not told the client the diagnosis yet. At this point, the nurse should

not tell the client

The client continued to decline, so his wife took him to the hospital. He was admitted with pneumonia. The client coded, was intubated, and transferred to the intensive care unit. The client was diagnosed with coronavirus. One nurse noticed that the client was not receiving the same treatment as other coronavirus clients. The client is at highest risk for

poor outcomes bias and discrimination

The nurse is caring for a client in an acute care unit. The healthcare provider rounds on all the clients in the unit except one because the healthcare provider runs out of time. The nurse calls the healthcare provider back to the unit to round on that client. The nurse is demonstrating

social justice