Exam 2: Questions from powerpoints
Causes of colorectal cancer
Not known
Colorectal cancer secondary prevention strategies and their effectiveness
- occult blood stool test, flexible sigmoidoscopy, colonoscopy, CT. - Makes the cancer easier to treat if caught early. - Polyps can show increased risk so identification is key for prevention of cancer development
A Vietnamese girl in her first year at an American elementary school was not feeling well one morning, so her mother rubbed the back of her neck with a coin. When the school staff discovered the welts on the girl's neck, they immediately assumed they were seeing a case of child abuse and reported the family to the authorities. 1. What is this traditional form of healing known as? 2. Why was this a concern for medical staff? 3. Why is it important to recognize and be familiar with this practice?
1. Ca̧o gío a Vietnamese practice to alleviate common symptoms of illness 2. They thought the child was being abused. 3. It's important to be familiar with this practice so that there isn't misunderstanding and to respect the culture of others
A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest-growing segment of the homeless population? A. Families with children B. Adolescent runaways C. Intimate partner abuse survivors D. Older adults
A
A nurse is working as a case manager with a vulnerable population. Which of the following actions should the nurse do when providing care? A. Be willing to enter into a long-term relationship with families. B. Direct and control the client's care because the nurse knows what is most needed. C. Encourage families to become self-sufficient and less dependent on nursing personnel for advice and referrals. D. Rotate assignments periodically to prevent attachment and codependency.
A
The emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction should be included in the discharge instructions? A. Information regarding shelters B. Instructions regarding calling the police C. Instructions regarding self-defense classes D. Explaining the importance of leaving the violent situation
A
The nurse is caring for a client who is 12 weeks pregnant and speaks Spanish only. Which interventions should the nurse include in the plan of care at the client's initial visit? Select all that apply. A. Provide brochures in the client's native language. B. Refer the client to a high-risk clinic. C. Discuss differences with the dominant culture. D. Arrange for an interpreter for her appointments. E. Discuss contraception and options. F. Review nutritional preferences.
A, D, F
A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? A. Determine the client's perception of his current health status. B. Gather data about the client's cultural beliefs. C. Determine how the client's culture can affect the effectiveness of nursing actions. D. Gather information about previous client interactions with the health care system.
B
A sexually active 20-year-old client has contracted hepatitis A virus. Which client statement indicates the need for further teaching? A. "I should avoid drinking alcohol." B. "I can go back to work right away." C. "My partner should get the vaccine." D. "A condom should be used for sexual Intercourse."
B
When communicating with a client who speaks a different language, which best practice should the nurse implement? A. Speak loudly and slowly. B. Arrange for an interpreter to translate. C. Speak to the client and family together. D. Stand close to the client and speak loudly.
B
A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? A. Providing support programs for new parents B. Screening a client whose partner recently died for suicide risk C. Teaching a client who has schizophrenia about medication interactions D. Discussing stress reduction techniques with employees at an industrial site
C
A mother calls a neighbor who is a nurse and tells the nurse that her 3-year-old child has just ingested liquid furniture polish. The nurse would direct the mother to take which immediate action? A. Induce vomiting B. Call an ambulance C. Call the Poison Control Center D. Bring the child to the emergency department
C
The community health nurse is instructing a group of young female clients about breast self-examination. The nurse should instruct the clients to perform the examination at which time? A. At the onset of menstruation B. Every month during ovulation C. Weekly at the same time of day D. One week after menstruation begins
D
The role of the nurse regarding complementary and alternative medicine should include which action? A. Advising the client about "good" and "bad" therapies. B. Recommending herbal remedies that the client should use. C. Discouraging the client from using any alternative therapies. D. Educating the client about therapies that he or she is using or is interested in using.
D
List the 4 EBP for primary prevention of colorectal cancer
Low-fat diet, regular exercise, smoking cessation and no heavy drinking, taking aspirin or other NSAIDs regularly
What are risk factors for being a victim of human trafficking?
Poor, foreign, already abused at home, homeless, LGBTQ+, mentally ill
Colorectal cancer's levels of prevention
Primary: education on risk factors Secondary: screening Tertiary: surgery, chemo, radiation, follow-up care and screening
List Chlamydia's levels of preventions
Primary: education, condoms Secondary: Screening Tertiary: proper treatment and follow up (antibiotics, azithromycin pills)
What are signs/symptoms to look for with someone who may be a victim of human trafficking? What are "red flags"?
Repetitive STIs, pregnancy and abortion in young women/children, bruises/marks on neck inner thighs torso and back. They don't carry their own documents, someone else does.
What can you do if you suspect a patient is a victim of human trafficking?
Report it
What will happen if the secondary prevention is not implemented for Chlamydia?
They might spread it to others from lack of treatment
List at least three health issues that affect vulnerable populations
substance abuse, STDs and STIs, TB, poor mental health, heart disease
