NR 570 MIDTERM EXAM COMMON DIAGNOSIS
AND MANAGEMENT IN ACUTE CARE PRACTICUM
ACTUAL EXAM AND PRACTICE EXAM COMPLETE
350 QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST 2024-2025
Risk factors associated with human trafficking?
- History of abuse and/or neglect
- LGBTQIA+
- History of Mental Health Disorder(s)
- Racial/ethnic minority
- Recent migration or relocation
- Young age (12-16)
- Female gender
- Runaway/homeless youth
- History of substance abuse
Suspected behaviors of human trafficking?
- Sexually provocative
- Accompanied by a controlling individual
- Frequent testing for STIs and/or pregnancy
- Exhibiting fear, anxiety, or anger inappropriately for situation/context
- Inability to provide address
- Lack of control over ID documents and/or finances
- Refusal to provide health information
Potential indicators of human trafficking
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- Is the patient accompanied by an individual who refuses to leave during the visit, or who
insists on speaking for the patient?
- Does the accompanying person insist on being the interpreter?
- Does the accompanying person possess the patient's ID documents?
- Does the patient present without identification?
- Is the patient able to provide an address?
- Does the patient seem unaware of their location, date, or time?
- Does the patient avoid eye contact or demonstrate hostility, fear, or nervousness?
- Is the patient reluctant or unwilling to answer questions regarding their illness or injury?
- Does the patient provide inconsistent information, seem coached, or is unable to provide
information consistent with the clinical findings?
What are the 3 sections of recognizing human trafficking as an NP?
1. Signs & Symptoms
2. Risk Factors
3. Suspected Behaviors
Physical signs and symptoms of human trafficking?
- Anal and/or genital trauma
- Branding tattoos
- Hidden or unusual trauma (burns, strangulation marks, cuts, bruises)
- Recurrent STIs, UTIs, or abnormal PAP results
- Avoidance of eye contact
- Emotional lability
- Exhaustion
Types of Elder Abuse
- Emotional
- Sexual
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- Physical
- Financial
- Neglect
- Abandonment
Risk factors for elder abuse
- Lack of close family ties
- Increased age
- Physical or mental impairment
- Caregiver stress
- Unsafe housing
- Poverty or financial distress
Assessment questions for elder abuse
- Has anyone tried to hurt you?
- How did that (injury) get there?
- Is there stress where you live?
- Tell me about your caregiver.
- How is your money being handled?
- Is anyone making you do anything that you don't want to do?
Physical exam findings to look for in elder abuse
- Injuries: burns, bite marks, lesions from improper restraints, hematomas, lacerations, black
eyes, abrasions, bilateral bruising of arms, and fractures.
- Malnutrition and dehydration
- Lack of personal hygiene
- Inappropriateness of dress
- Pressure ulcers
- Pain
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- Mobility and ROM problems
- Genital/Rectal injuries, infections, irritation, scarring, bleeding, and/or discharge
- Abnormal serum levels of medications
What is cultural competence?
- The ongoing capacity of health care systems, organizations, and professionals to provide for
diverse patient populations high-quality care that is safe, patient and family-centered,
evidence-based, and equitable.
What cultures view prolonged eye contact as disrespectful?
- Eye contact is a powerful CULTURE-SPECIFIC communication tool.
- In many Asian cultures, eye contact is a sign of disrespect.
- Maintaining eye contact during social interaction is a more important principle for Western
Europeans that for East Asians (Japanese, Chinese). While maintaining eye contact is positively
evaluated by Western Europeans, it is not the case with people of East Asian cultural
backgrounds. In fact, in Japanese culture, people are taught not to maintain eye contact with
others because too much eye contact is often considered disrespectful.
- Americans consider eye contact a sign of respect.
What cultures view hand gestures as rude?
- Gestures are CULTURE-SPECIFIC. A hand gesture can mean one thing in a culture, and
something completely different in another.
- Many Middle Eastern countries find hand gestures rude.
What cultures prefer LESS personal space during social interactions?
- The amount of personal space considered acceptable varies widely across cultures.
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