1. A client recently purchased a home in an older neighborhood where lead paint was
used. The client has two young children. The client decides to take the children to a local
community clinic's lead screening program. Which Healthy People 2030 domain to
mitigate social determinants of health is this clinic addressing?- ANS-Neighborhood and
built environment
2. A common eye disorder that may impact learning. - ANS-Myopia
3. A common type of hearing loss that affects learning. - ANS-Sensorineural
4. A father and his two children are experiencing homelessness. Which statement best
describes the effects of homelessness on children? Select all that apply.- ANS-Higher
incidence of asthma
5. Lack of recommended immunizations
6. More cavities and dental problems
7. A few hours later, Mr. Liu's call bell rings and Jared enters the room with the medical
interpreter. Mr. Liu's spouse is sitting on the couch. She states, "You do not need an
interpreter. I speak English." Which response by Jared is most appropriate?- ANS-"Mr.
Lee is here to help with medical interpretation services in case I say anything that is
confusing."
8. A healthcare professional is practicing cultural competence to improve care. Which step
should the professional take first?- ANS-Assess own biases and attitudes
9. A healthcare professional is providing care for a culturally diverse population. Which
action indicates the professional is successful in the role of providing culturally
competent care?- ANS-Provides care that fits the client's valued life patterns and set of
meanings
10. A healthcare professional is providing health education to an Asian client who is newly
diagnosed with diabetes mellitus. The educator notes that the client is nodding yes to
everything that is being said. Based on an understanding of cultural attributes in Asian
Americans, how should the professional respond? - ANS-Prompt further to elicit
additional questions or concerns
11. A healthcare professional is using an interpreter to communicate with a client. Which
actions are appropriate when working with an interpreter? Select all that apply. -
ANS-Use short sentences and pause periodically for clarification.
12. Avoid medical terminology and jargon.
13. After the encounter, thank the interpreter and client.
14. A nurse cares for a client diagnosed with asthma during an acute attack. -
ANS-Downstream Factors
15. A nurse determines that housing represents a significant risk to the population in the
community. Specify upstream, midstream, and downstream interventions to assist with
this social determinant of health. - ANS-The nurse meets with elected community
officials to advocate for more affordable housing options.Upstream
, 16. The nurse works with the local health department to increase the availability of allergy
and asthma treatments for high-risk populations.Downstream
17. The nurse works with clients to improve substandard housing. Midstream
18. A nurse identifies that a client is struggling with food insecurity and recommends a local
food bank for assistance. - ANS-Midstream Factors
19. A nurse works with the local community health department to implement a pediatric lead
screening program. - ANS-Upstream Factors
20. A single parent becomes ill with colon cancer. The adolescent son steps in as primary
caregiver to the younger siblings. - ANS-
21. Resiliency
22. Ability to apply knowledge and skills to create something new- ANS-Creating
23. Ability to assess factors that influence client treatment and care. Acquired through the
practice of communication. One example is learning a different language. - ANS-Cultural
awareness
24. Ability to judge the value of something for a given purpose - ANS-Evaluating
25. Ability to understand the meaning of learned material - ANS-Understanding
26. According to the video on health literacy (Blue Cross Blue Shield of Michigan, 2021),
what are the consequences of low health literacy? Select all that apply. - ANS-Increased
emergency room visits
27. Increased incidence of chronic conditions
28. Poor self-care
29. Adverse childhood events (ACEs) can have a significant impact on future health. What
are the adverse effects of ACEs? Select all that apply. - ANS-Decreased self-esteem
30. Poor self-control
31. Pessimistic thinking
32. Problem avoidance
33. Adverse childhood events are potentially calming events occurring during adulthood that
can affect brain development and how the body responds to . - ANS-traumatic
34. childhood
35. kidney
36. stress
37. Advocate for community funding to reopen the nighttime shelter. - ANS-Upstream
Factors
38. After leaving the room, Jared expresses frustration to his supervisor and mentions how
difficult it is to care for clients who do not speak English. Jared states, "Older Asian
adults believe they must be stoic about pain and refuse to talk about mental health
problems. Mr. Liu wouldn't even let home health help him." - ANS-Stereotyping
39. After the surgery, Marie is discharged to her home with a home health nurse to visit
weekly. The home health nurse determines that Marie's son is struggling with caregiver
role strain.What actions by the nurse may be beneficial? Select all that apply. -
ANS-Provide contact information for nursing and healthcare providers to call with
questions or concerns.
40. Describe the importance of accepting assistance to give the primary caregiver rest.
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