NR 222 Exam 2 (Review ) exam questions fully solved (verified for accuracy)

Which of the following is an example of a patient with a health disparity? (Select all that apply.) 1. A patient who has a homosexual sexual preference 2. A patient unable to access primary care services 3. A patient living with a chronic disease 4. A family who relies on public transportation 5. A patient who has had a history of smoking for 10 years 2. A patient unable to access primary care services 3. A patient living with a chronic disease 5. A patient who has had a history of smoking for 10 years A 35-year-old woman has Medicaid coverage for herself and two young children. She missed an appointment at the local health clinic to get an annual mammogram because she has no transportation. She gets the annual screening because her mother had breast cancer. Which of the following are social determinants of this woman's health? (Select all that apply.) 1. Medicaid insurance 2. Annual screening 3. Mother's history of breast cancer 4. Lack of transportation 5. Woman's age 1. Medicaid insurance 4. Lack of transportation 5. Woman's age During a nursing assessment a patient displayed several behavior. Which behavior suggests the patient may have a health literacy problem? 1. Patient has difficulty completing a registration form at a medical office 2. Patient asks for written information about a health topic 3. Patient speaks Spanish as primary language 4. Patient states unfamiliarity with a newly ordered medicine 1. Patient has difficulty completing a registration form at a medical office A nurse desires to communicate with a young woman who is Serbian and who has limited experience with being in a hospital. The nurse has 10 years of experience caring for Serbian women. The patient was admitted for a serious pregnancy complication. Apply the LEARN model and match the nurse's behaviors with each step of the model. 1. L____ a. The nurse note that she has learned that fathers can visit mothers at any time in both Serbia and the United States. 2. E____ b. The nurse shares her perception of the woman's experiences as a patient. 3. A____ c. The nurse asks the patient how she can maintain bed rest when she returns home 4. R____ d. The nurse attends to the patient and listens to her story about hospitals in Serbia. 5. N____ e. The nurse involves the patient in a discussion of the treatment options for her condition. 1. L____ d. The nurse attends to the patient and listens to her story about hospitals in Serbia. 2. E____ b. The nurse shares her perception of the woman's experiences as a patient. 3. A____ a. The nurse note that she has learned that fathers can visit mothers at any time in both Serbia and the United States. 4. R____ e. The nurse involves the patient in a discussion of the treatment options for her condition. 5. N____ c. The nurse asks the patient how she can maintain bed rest when she returns home Health care organizations must provide which of the following based on federal civil rights laws? (Select all that apply.) 1. Provide language assistance services at all points of contact free of charge. 2. Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services. 3. Use patients' family members to interpret difficult topics. 4. Ensure that interpreters are competent in medical terminology. 5. Provide language assistance to all patients who speak limited English or are deaf. 1. Provide language assistance services at all points of contact free of charge. 2. Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services. 4. Ensure that interpreters are competent in medical terminology. 5. Provide language assistance to all patients who speak limited English or are deaf. A nurse working in a large occupational health clinic knows that many of the workers at her company are marginalized and at risk for poor health outcomes. Which of the following individuals are most likely to be marginalized? 1. Wives of the employees 2. The head supervisors of the company 3. Workers who have a high school education 4. Workers employed for less than a year at the company 3. Workers who have a high school education A mother is concerned about her child's flulike symptoms. You learn from the health assessment that the mother practices use of "hot" and "cold" foods to treat ailments. Which of the following foods do you expect the mother to use to treat her child? 1. Chicken 2. Yogurt 3. Fresh fruits 4. Eggs 4. Eggs Which explanation provided by the nurse is the most accurate meaning for "providing culturally congruent care"? 1. It fits the patient's valued life patterns and set of meanings. 2. It is the same set of values as those of the health care team member providing daily care. 3. It holds one's own way of life as superior to those of others. 4. It directs the patient to a more socially expected set of values. 1. It fits the patient's valued life patterns and set of meanings. Which statement made by a new graduate nurse about the teach-back technique requires intervention and further instruction by the nurse's preceptor? 1. "After teaching a patient how to use an inhaler, I need to use the teach-back technique to test my patient's technique." 2. "The teach-back technique is an ongoing process of asking patients for feedback." 3. "Using teach-back will help me identify explanations and communication strategies that my patients will most commonly understand." 4. "Using pictures, drawings, and models can enhance the effectiveness of the teach-back technique." 1. "After teaching a patient how to use an inhaler, I need to use the teach-back technique to test my patient's technique."