NMNC 1110 EAQ 9: Health Disparities

A client reports a cold and a whooping sound with a cough. Which organism is responsible for this condition?

Bordetella pertussis

When a client is a member of a different ethnic community, which action would the nurse take?

Offer a therapeutic regimen compatible with the lifestyle of the family.

The parent of a large family asks the home health nurse about inexpensive sources of B vitamins. Which suggestion would the nurse make?

"Bake with whole wheat flour."

Which statement made by the client is a socioeconomic influence on the client's health beliefs?

"I cannot afford expensive medications because I have to take care of my family."

Which are examples of public or population health informatics? Select all that apply. One, some, or all responses may be correct.

- Global health informatics - Community health informatics

Which are the characteristics of equitable care? Select all that apply. One, some, or all responses may be correct.

- Strives to serve underserved people - Does not vary in quality among groups - Delivered in a system that allows for exemptions

When compared with their non-Hispanic white counterparts, which factors contribute to the health disparities among the older adult Hispanic population? Select all that apply. One, some, or all responses may be correct.

- Value differences - Language barrier - Lack of health care facility - Inadequate health insurance

Which concept would the nurse consider when caring for school-aged children who are obese?

There are familial influences on childhood eating habits.

Which point is included in the World Professional Association for Transgender Health (WPATH) document regarding core principles of care for transgender clients?

Seeking informed consent before providing treatment

Which statement of the nurse is true regarding disasters?

"An internal disaster creates a need for evacuation or relocation."

Read the details about the four clients from the nurse's logbook. Which client has the highest chance of receiving inadequate health access leading to health disparity?

Client C

The nurse recognizes that belly binding is a common cultural practice for the mother of a 9-month-old infant with extrusion of the umbilicus. Which variation of belly binding would the nurse discourage?

Coin in the umbilicus

The nurse leader states, "The people in rural America dress and act differently from those in urban centers." Which concept describes this statement?

Cultural marginality

Which would the nurse consider before confronting the problem of obesity with individual children?

Familial and cultural influences are deciding factors in eating habits.

Which nursing action during a psychosocial assessment of a transgender client may contribute to health disparities?

Insisting on using the name listed on the client's driver's license

Which statement regarding an interpreter is correct?

Interpreting not only the language but also the culture is important.

The nurse is caring for an Asian client who had a laparoscopic cholecystectomy 6 hours ago. When asked whether there is pain, the client smiles and says, "No." Which action would the nurse take?

Monitor for nonverbal cues of pain.

Which factor can interfere with the nurse's ability to actively listen to a 15-year-old client who has a history of drug abuse, stealing, truancy, and a general disregard for others?

Nurse's personal cultural beliefs

For families raised in a culture of poverty, which behavior is most likely?

Powerlessness relative to changing their situation

Which statement describes the step followed to provide competent care for vulnerable populations?

"Understand the clients' cultural beliefs, values, and practices to determine their specific needs and interventions."

Which clients are ideal candidates for interpreter service to prevent contributing health disparities? Select all that apply. One, some, or all responses may be correct.

- A non-English-speaking client in the emergency department - A Spanish-speaking client ready to be discharged from the facility - An Indian American who does not speak the language used at the facility

Which points will be part of the nurse preceptor's lecture on caring for the lesbian, gay, bisexual, transgender, and questioning (LGBTQ) older adult population? Select all that apply. One, some, or all responses may be correct.

- May have sexual organs that conflict with their gender identity. - Are at an elevated risk for disability from chronic disease and mental distress. - May hide their gender identities and sexual orientations from the nurse and other health care providers.

Which nurses are taking actions that contribute to the nursing goal of achieving cultural competence? Select all that apply. One, some, or all responses may be correct.

- Nurse A examines own beliefs about mental health. - Nurse B reads an article about interpreting nonverbal behavior. - Nurse C volunteers at a clinic that serves an immigrant population. - Nurse E uses a cultural assessment tool to gather client data.

The nurse administrator is assessing the quality of health care provided by the nursing team in a health care center using the Donabedian model of care quality. Which components would the nurse assess while evaluating the "process" of the health care delivery system? Select all that apply. One, some, or all responses may be correct.

- Nurses work in coordination with each other. - Nurses are providing adequate client education.

Which scenario would contribute to health disparities?

An English-speaking nurse conducts the admission interview of a Puerto Rican immigrant with limited knowledge of English.

Which organization has a publication that includes the objective, "Aiming to develop a system to identify clients who are lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)"?

U.S. Department of Health and Human Services (USDHHS)

The nurse is getting ready to perform an initial assessment interview of a Chinese older adult who does not speak English and is hard of hearing. Which would be available before starting the interview to minimize communication problems that may lead to health disparity?

Hearing aid and interpreter

An older adult is hospitalized for weight loss and dehydration due to nutritional deficit. Which factor would the nurse consider when planning care for this client?

The nutritional needs of an older adult are basically unchanged except for a decreased need for calories.

A nursing student is conducting an assessment of a client who does not speak English. No interpreter is available. Which action by the student nurse is incorrect?

Using medical terminology

A client with bubonic plague has a body temperature of 103°F (39.4°C) associated with chills, swollen glands, headache, and weakness. Which microorganism is responsible for the client's condition?

Yersinia pestis