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The nurse is planning care for a client of Native Hawaiian descent who recently had a
baby. The nurse develops a teaching plan and includes info about which measure that's
related to a newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing - ANSWERS-1. Safe sleeping
Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is
a major cause of infant mortality. Safe sleeping is an important measure to prevent this
newborn complication.
The nurse is planning care for an assigned client. The nurse should include info in the
plan of care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
,2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons - ANSWERS-2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW) - ANSWERS-1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery
should have the respective preventive screenings. WSW and WSM should also have
screenings.
Which teaching method is most effective when providing instruction to members of
special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation - ANSWERS-1. Teach-back
Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming the
client understands the instructions.
,Which health concerns should the nurse be aware of as risk factors when caring for
clients of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus - ANSWERS-1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer
are prevalent among African Americans.
x
Which therapeutic communication technique is most helpful when working with
transgender persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions - ANSWERS-1. Using open-
ended questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client
the opportunity to express their thoughts and feelings.
The nurse planning care for a military veteran should prioritize nursing interventions
targeted at managing which condition, if present, that commonly occurs in this
population?
1. hypertension
, 2. hyperlipidemia
3. substance abuse disorder
4. PTSD - ANSWERS-4. PTSD
Rationale: PTSD is extremely common in this population. Identifying and treating mental
health disorders assists in lowering the suicide risk. Treatment of comorbid conditions
such as PTSD may also help address any substance abuse disorder. Use of screening
tools in identifying substance use disorder is helpful. Treatment of PTSD includes
exposure therapy, psychotherapy, and family/group therapy. Hypertension and
hyperlipidemia are important but not priority; the risk of suicide and other safety
concerns associated with PTSD are the priority for this population.
The nurse caring for a refugee considers which health care need a priority for this
client?
1. access to housing
2. access to clean water
3. access to transportation
4. access to mental health care services - ANSWERS-4. access to mental health care
services
Rationale: Mental health problems are the primary issue for this population as a result of
tortuous events. While all the other options are important, they do not address the
specific needs of this special population.
Which action by the nurse will best facilitate adherence to the treatment regimen for a
client with a chronic illness?
1. arranging for home health care
2. focusing on managing a single illness at a time
3. communicating with one provider only to avoid confusion for the client
4. allowing the client to teach a support person about their treatment regimen -
ANSWERS-1. arranging for home health care