Exam 3- Community

Which nursing action is most effective in planning culturally sensitive care for a client from another culture?

Asking the client and family if there is any special care related to their culture

islam dietary practices

pork and intoxicating beverages are prohibited

Americans with Disabilities Act

prohibits discrimination against the disabled

12 standards of cultural competence

social justice critical reflection knowledge of cultures culturally competent practice competent practice cultural competence in health care organizations multicultural workforce education and training in cultural competence cross-cultural communication cross-cultural leadership policy development EBP and research

functional activities

walking, climbing stairs, reaching, seeing, lifting and carrying

lineal relationships

involve a client seeking assistance from another family member and allowing a relative to make important decisions related to health matters.

Mr. B has been diagnosed with a severe mental illness. He tells the nurse that his family says his disorder is his own fault and is because of his laziness. Which reply by the nurse is accurate?

"Mental illness is a disease with biopsychosocial causes that are not the patient's fault."

impairment

Physical deviation from normal structure, function, physical organization, or development objective and measurable

Ms. W, 18 years old, presents at a community clinic describing vague symptoms. She explains that she recently dropped out of high school and is having trouble keeping a job. She notes that she has difficulty concentrating and has used drugs (i.e., marijuana and alcohol) when riding motorcycles with friends. When conducting the initial assessment, the RN should include questions and tools that would screen for

attention-deficit disorder/attention-deficit hyperactivity disorder (ADD/ADHD)

Which statement is true about the disaster triage tag system?

Clients with airway obstruction, who require immediate attention, are given a red tag.

Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with diabetes. As his nurse, you know he is at risk for

depression

staging area in a disaster plan

acts as command station for disaster responders to report to and get assignments

relative homelessness

Individuals who have physical shelter but one that does not meet the standards of health and safety

green tag triage

"Walking-wounded clients"

The community health nurse is working in an emergency shelter with displaced families. Which clients have risk factors for posttraumatic stress disorder (PTSD)?

An 18-year-old client with a previous gunshot wound A 50-year-old client who saw people die in the disaster A 23-year-old client experiencing extreme fear A 35-year-old client with a history of schizophrenia

man-made disaster

An event caused by negligence, or error of humans that causes extensive loss of life or damage.

Based on the Department of Housing and Urban Development (HUD) definitions of homelessness, which individual would be considered homeless?

An individual who spends most nights at public or private places not designed for regular sleeping accommodations

Which consideration is the most important when evaluating behaviors of clients who are from different cultures?

Behavior reflects the standards accepted by client's society

Department of Homeland Security

Cabinet department created after the 9/11 terrorist attacks to coordinate domestic security efforts

black tag triage

Clients who are not expected to live or are dead

yellow tag triage

Clients who sustained major injuries and need to be treated in 30 minutes to 2 hours

Cohabition

Living together without being married with or without children

tertiary prevention disasters

clean up after the disaster preventing further death and destruction recovery rebuild

Response (disaster)

implementation of disaster plan

Market Justice

the concept that people are entitled only to those valued ends that they have acquired by their own individual efforts, actions or abilities.

Triage

the medical screening of patients to determine their relative priority of need and the proper place of treatment

transcultural nursing

the philosophical and theoretical similarities between nursing and anthropology

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."

Fatal Four

1. constipation/bowel obstruction 2. aspiration/ GERD 3. dehydration 4. seizures

phases of disaster management plan

1. preparedness 2. mitigation 3. response 4. recovery 5. evaluation

Which clients are triaged at the nonurgent level by the disaster response nurse after a natural disaster?

A client with a sprained ankle A client with a simple fracture of the forearm

American Red Cross

A disaster relief organization founded in Washington, D.C. on May 21, 1881 by Clara Barton to aid US military and conduct peace time relief work.

Which points would the nurse keep in mind when caring for a client who belongs to a different culture?

Be aware of his or her own cultural values and behavior patterns. Focus on understanding the client's traditions, values, and beliefs. Understand that unique cultural perceptions exist regarding health practices.

weapons of mass destruction

Biological, chemical, or nuclear weapons that can cause a massive number of deaths in a single use.

disability example

Cannot walk unassisted; uses crutches and/or a manual or power wheelchair; blindness, deafness

CDC

Centers for Disease Control and Prevention

Which agency has a mission to support citizens and first responders to ensure that as a nation everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from, and mitigate all?

FEMA

FEMA

Federal Emergency Management Agency

collateral relationships

Focus primarily on group goals—and family orientation is important.

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

Evaluation (disaster)

ID success and failures of response to prepare for furture

Imminent Risk of Homelessness

Individuals and families who will imminently lose their primary nighttime residence

Which statement is true concerning the Individuals with Disabilities Education Act (IDEA)?

It ensures a free public education from preschool through secondary education for children with disabilities.

Which phase of disaster management is the nurse executing when teaching hygiene practices and symptoms of various infections to victims of a hurricane?

Mitigation

Mental illnesses adversely affect achievement of social justice. Which statement related to marginalization of some populations because of mental illness is false?

Most mental illnesses are caused by genetic factors; therefore, problems associated with them persist across generations and among certain racial and ethnic groups

nuclear family

Mother, father and children living as a unit in the same household

According to the ICF (International Classification of Functioning, Disability, and Health), which would be classified as a disability?

Need to use a powered wheelchair

handicap

Not objective or measurable; is an experience related to the responses of others

The U.S. Department of Education defines a homeless child as

Sharing the housing of other persons because of loss of or inadequate housing Abandoned in hospital Awaiting foster care placement

Which intervention is best to reduce the incidence of mental health disorders among children in the community?

Speaking to high school students about coping with anxiety

impairment examples

Spina bifida, spinal cord injury, amputation, and detached retina

A community health care nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness?

The children do not have a physical shelter and may sleep outdoors or in vehicles.

Homeless under other federal statutes

Unaccompanied youth and families with children and youth who are defined as homeless under other federal statutes who do not otherwise qualify as homeless under this definition

socioeconomic status (SES)

a composite of the economic status of a family or unrelated individuals based on income, wealth, occupation, educational attainment, and power.

natural disaster

a natural event such as a flood, earthquake, or hurricane that causes great damage or loss of life.

social justice model

a perspective of criminal justice that argues that crime is the result of the burdens and benefits in society not being equally distributed among its members

mormonism dietary restrictions

alcohol tabacco beverages with caffeine are all prohibited

Hinduism dietary restrictions

all meats are prohibited

mass casualty

an event that causes injuries to more than 100 people who require emergency health care in the same period of time

multiple casualty

an event that causes injuries to more than 2 people but fewer than 100 people who require emergency health care in the same period of time

Which findings would the nurse observe in a client who has schizophrenia?

bizarre behavior disorganized speech auditory hallucinations

NA-TECH disaster

combo of natural disaster and man made disaster that results in widespread technological problems ex: earthquake causing bridge collapse

Which is the critical factor among health care professionals, state agencies, and federal agencies to determine when and how to evacuate safely during a natural disaster?

communication

recovery (disaster)

community stabilization after acute disaster

secondary prevention disasters

disaster in process get people out activate first responders evacuation

A family of five people presented to a hospital after the flooding of their urban home. These family members are classified as

displaced persons

Which question is most important to ask a depressed client when assessing current risk of attempting suicide?

do you have a plan to end your life

primary prevention disasters

drills plans

You work in a community clinic that specializes in pediatric mental health. Joy, age 12 years, has been diagnosed with depression. You know a major risk factor for depression in childhood is

family hx of depression

Department of Housing and Urban Development (HUD)

federal agency that works with state and local governmetns and nonprofit housing groups to provide financial housing assistance to low-income families

ying/yang theory

health is believed to exist when all aspects of the person are in perfect balance; all organisms and objects in universe consist of yin and yang energy forces Yin energy: represents the female and negative forces such as emptiness, darkness, cold Yang forces: male and positive, emitting warmth and fullness Foods are classified as hot or cold, transformed into yin and yang energy when metabolized by body

high risk for death in homelessness

homeless >6m and more then one condition HIV substance abuse >3 ER visits in past 3m

cultural negotiation

the process in which messages, instructions, and belief systems are manipulated, linked, or processed between the professional and the lay models of health problems and preferred treatment

Preparedness (disaster)

the protective plan designed before the occurrence of a disaster to assess the risk and evaluate the potential damage. risk is assessed and potential damage is evaulated

disability

umbrella term for any lost, absent, or impaired physical or mental function objective and measurable

biomedical perspective

viewpoint that emphasizes biological factors in the development of physiological disorders

Red tag triage

given to clients with conditions such as airway obstruction and shock, who have immediate threats to life and should be treated immediately.

naturalistic perspective

human life is only one aspect of nature and a part of the general order of the cosmos

minority groups in US population

in 2017 38.7% of the population IDs as a minority

absoulute homelessness

individuation who do not have a physical shelter and may sleep in cars outside and abandoned buildings

instrumental activities of daily living (IADLs)

involve such things as going outside the home, shopping, tracking money or bills, light housecleaning, and preparing meals.

literal homelessness

is defined as individuals and families who lack a fixed, regular, and adequate nighttime residence and includes a subset for an individual who resided in an emergency shelter or a place not meant for human habitation and who is exiting an institution where he or she temporarily resided

Mitigation (disaster)

is the attempt to limit a disaster's impact on human health and community functions. educate about spread of disease and hygiene practices

social construct paradigm for disability (as opposed to the medical model

it focuses on the interaction between features of a person's body and features of the society in which the person lives.

Concerned about the growing incidences of suicides among high school students, the school nurse conducts an awareness session for parents. Which would the nurse teach are warning signs associated with risk for suicide?

feelings of loneliness verbalization of suicidal thoughts decreased school preformance

natural disaster examples

floods wild fire hurricane tornado tsunami earth quake landslide

behavioral therapy

focuses on changing behavior by identifying problem behaviors, replacing them with appropriate behaviors, and using rewards or other consequences to make the changes

individual therapy

focuses on the client's current life and relationships within the family, social, and work environments

Heroic Phase of Disaster

medical personnel contributing long hours of volunteer work helping unfamiliar people after a disaster

Seventh Day Adventism dietary restrictions

no pork seafood and fermented beverages vegetarian is encouraged

Homeless Information Management System (HIMS)

obtain national data, including the number of and demographic information on the homeless population

Which nursing actions contribute to a health care facility's emergency preparedness and response before a natural disaster?

participating in drills evaluating outcomes

activites of daily living (ADLs)

personal daily care tasks, including bathing, skin, nail, and hair care, walking, eating and drinking, mouth care, dressing, transferring, and toileting

handicap examples

physical and psychological characteristics of the person, culture, and specific circumstances

Judaism dietary restrictions

pork predatory fowl shellfish raw meat are all prohibited

A community health nurse is reviewing the results of SIPP (Survey of Income and Program Participation) used by the U.S. Census Bureau to collect disability data. Which will the nurse find classified as an instrumental activity of daily living?

preparing meals

In providing effective nursing care to clients from different cultural backgrounds, which strategy would the nurse follow?

provide care that fits the clients cultural beliefs

Tony, age 16 years, comes to see you, the school nurse, with complaints of abdominal pain. You note that Tony exhibits signs and symptoms of depression, states he wishes he did not wake up today, and exhibits signs of anxiety. You would

refer him immediately for evaluation

cultural competence

respecting and understanding the values and beliefs of a certain cultural group so that one can function effectively in caring for members of that cultural group

survival sex

sex engaged in by people who sell their bodies for basic needs such as food, clothing, and shelter most at risk homeless group are young women