A gerontological nurse is providing care at a local community health center that serves large black American and white American older adult populations. The nurse is working to develop culturally appropriate programs to meet each group's health needs and notes differences in health status between the groups. Which reason would the nurse most likely identify as accounting for the differences between the populations?- Skildor

Question 1 of 5

A gerontological nurse is providing care at a local community health center that serves large black American and white American older adult populations. The nurse is working to develop culturally appropriate programs to meet each group's health needs and notes differences in health status between the groups. Which reason would the nurse most likely identify as accounting for the differences between the populations?

A. High incidence of violent crime and sexually transmitted diseases in the black population B. Reliance on family for health care advice and rejection of formal service agencies in the white population C. Cultural preference for unconventional medical treatments like herbal remedies in the white population D. Lower standard of living and less access to health care services in the black population

Correct Answer: D

Rationale: The correct answer is D. Black older adults historically possess many health problems that have accumulated over a lifetime due to a poor standard of living and limited access to health care services. Option A is incorrect because it presents stereotypes about the black population that are not supported by evidence. Option B is incorrect because it generalizes the behavior of the white population without a strong basis. Option C is incorrect as it also generalizes the white population and does not address the disparities in health status between the two groups.

Question 2 of 5

Following a recent lawsuit that implicated one of their colleagues, the nursing staff at an assisted-living facility are especially aware of the need to safeguard themselves legally. Which of the following measures should the nurses take? Select one that does not apply.

A. Investigate whether their liability insurance is sufficient B. Ensure that work performed by unlicensed care staff under their supervision is adequate C. Avoid admitting residents who have living wills or advance directives D. Assess the competence of employees under their supervision

Correct Answer: C

Rationale: Denying admission to residents with living wills or advance directives is not a legal safeguard measure and may be considered discriminatory. Measures like investigating liability insurance adequacy, ensuring adequate work by unlicensed staff, and assessing employee competence are all valid ways for nurses to protect themselves legally. These measures help in ensuring proper care, reducing risks, and maintaining a high standard of practice.

Question 3 of 5

To receive government funding, a county hospital must provide demographic statistics on its client population. When selecting the box labeled Hispanic on the forms, what characteristic of the client population would a worker consider?

A. immigrant workers who entered the United States and their descendants B. immigrants who have a Spanish accent C. native Spanish-speaking people living in the United States D. persons with brown skin and dark hair

Correct Answer: C

Rationale: The correct answer is C because the term 'Hispanic' includes Spanish-speaking individuals from various countries like Spain, Cuba, Mexico, and Puerto Rico. It is essential to understand that Hispanic does not solely refer to individuals with brown skin, dark hair, or those with a Spanish accent. Therefore, choices A, B, and D do not accurately represent the characteristic of the client population that would be classified as Hispanic.

Question 4 of 5

A nurse is reviewing the client population of a local community health center and identifying the health care needs of the group. The nurse decides to develop a screening program for hypertension. Which client population would the nurse most likely be working with?

A. A seniors' group based at a Jewish community center. B. A Native American reservation/Canadian aboriginal reserve. C. A predominantly Chinese-American neighborhood. D. A minimum-security prison serving young, rehabilitating offenders.

Correct Answer: B

Rationale: Hypertension is disproportionately high among Native American/First Nations clients. This condition is not noted to be a major health problem among Jewish Americans, prisoners, or Americans of Chinese ancestry. Developing a screening program for hypertension in a Native American reservation/Canadian aboriginal reserve would be most appropriate based on the prevalence of the condition in this population.

Question 5 of 5

Nurse M obtains a signature on an informed consent form from Mr. Y, who is later shown to have a fluctuating level of mental competency. In this case, what is Nurse M's most likely legal position?

A. Freedom from liability because Mr. Y signed the form B. Possibly liable for a violation of Mr. Y's rights C. Liable unless a malpractice insurance policy is in effect D. Not liable because no family member had a durable power of attorney

Correct Answer: B

Rationale: An informed consent may be considered invalid if the patient does not fully understand what he or she is signing. Patients with a fluctuating level of mental function are incapable of granting legally sound consent. Nurse M could be held liable for a violation of Mr. Y's rights as he did not have the capacity to provide informed consent. The presence of an insurance policy and the legal status of family members are irrelevant in this context and do not absolve Nurse M of potential liability.

Gerontology Nursing Questions And Answers PDF

Skildor

ATI LPN

ATI LPN

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