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The nurse practitioner explores a patient's social determinants
of health. When assessing
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lifestyle and behaviors, which question does the nurse
practitioner ask the patient?
a. "Do you use tobacco products?"
b. "Are you currently employed?"
c. "Do you have sufficient food?"
d. "What is your level of education?" - ANSWER -"Do you use
tobacco products?"
The nurse practitioner plans to advocate for improving access
to health care among all populations. Which strategy does the
nurse practitioner implement to advocate at the macrosystem
level?
a. Becoming motivated to act on the behalf of other individuals
b. Developing cultural skills
c. Working through the chain of command of a healthcare
organization
,d. Gaining insight into self - ANSWER -Working through the
chain of command of a healthcare organization
Describe key social and environmental factors that coexist with
poverty. - ANSWER -Beyond representing strictly a
socioeconomic issue, poverty impacts health, well-being, and
quality of life for generations to come. Key social and
environmental factors that coexist with poverty include poor
housing; inadequate nutrition; lack of clean water; increased
exposure to violence; fragmented health care; and a higher
prevalence of physical illness, mental health issues, and
disabilities.
Discuss factors that contribute to financial insecurity among
the elderly. - ANSWER -While social security income is often
identified as a protective factor against elderly poverty,
increases in the life expectancy of the elderly over time mean
that financial resources have to last longer. Simultaneously,
healthcare and housing costs are rising and employer benefit
pension plans have decreased. As a result, elderly individuals
face significant insecurity about whether or not their resources
are sufficient to cover the duration of their lives after
retirement.
Discuss transgenerational trauma and its impact on disease
development. -
ANSWER -Transgenerational or intergenerational trauma
comprises wounding
,from a traumatic event that produces effects upon generations
after the initial trauma. Transgenerational trauma may occur in
individual families. In addition, transgenerational trauma may
occur among groups who have experienced various traumatic
events (such as genocide, terrorism, and natural disasters) as
collective trauma. For both individuals and groups, long-lasting
harmful effects on physiological processes in the body may
lead to the development of chronic disease
Describe the nurse practitioner's approach to assessing and
assisting an individual who may be subject to human
trafficking. - ANSWER -The NP must be educated on identifying
victims of human trafficking, developing culturally appropriate
caring patient/provider relationships, becoming knowledgeable
on reporting laws, and assisting colleagues to better identify
and refer potential victims. Potential indicators of trafficking
include (a) being accompanied by someone who appears to be
controlling the individual and the scenario; (b) fear; (c)
sadness; (d) bruises and other traumatic injuries; (e) lack of
documentation; (f) discrepancy of behavior and reported age;
and (g) generally poor health. Recommended approaches to
assessment of individuals who may be subject to human
trafficking include (a) assuring safety and confidentiality as a
primary step; (b) asking about the individual's living
arrangements and freedom to come and go at will; (c) asking if
the individual is subject to threats or harm; and (d) asking if the
individual has been forced to have sex or perform sex acts.
Useful laboratory testing includes complete blood count, STD
testing (including HIV), ova and parasites, hepatitis B and C,
, and tuberculosis. By working as a team with social services
and law enforcement, the NP can help get the victim to safety
and into services to assist transitioning to safe housing with
long-term treatment for psychological and medical issues.
When discussing gender and sexuality, a patient identifies as
being "gender fluid." The nurse practitioner understands the
patient's gender identification to be reflective of which self-
perception?
a. The patient does not identify with any gender.
b. The patient identifies as mixed or neutral gender.
c. The patient identifies with the gender assigned at birth.
d. The patient's gender is not static but shifts. - ANSWER -The
patient's gender is not static but shifts.
When discussing sexual orientation, the patient tells the
nurse practitioner, "I view myself as being female, but I am
attracted to other people regardless of how they view their
gender or gender identity." Which sexual preference best
describes the patient's perspective? a. Pansexual
b. Homosexual
c. Asexual
d. Bisexual - ANSWER -Pansexual
Research suggests the delivery of disparate health services
is most prevalent among patients who receive mental health
treatment in which setting? a. Primary care
b. Psychiatric
c. Community health