Author Question: Which ethnic groups in the United States have higher rates of diabetes mellitus than non-Hispanic ... (Read 88 times)

charchew · **on:** Jul 11, 2018

Which ethnic groups in the United States have higher rates of diabetes mellitus than non-Hispanic white people? (Select all that apply.)

a. Pima Indians
b. Alaskan Natives
c. Cuban Americans
d. Native Americans
e. African Americans
f. Mexican Americans

Question 2

The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement?

a. Move onto the discussion about medica-tion.
b. Ask the older woman how she feels about this topic.
c. Instruct the interpreter to repeat the in-structions.
d. Have the older woman repeat the instruc-tions for clarity.

mcni194 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, D, E, F
Pima Indians who live in southwestern United States have the highest incidence of diabetes mel-litus in the world. Alaskan Natives have an incidence of diabetes mellitus of 14.2. Native Americans have diabetes at a rate of 6 to 29.3. African Americans are 1.8 times more likely to have diabetes mellitus. Mexican Americans have the highest incidence of diabetes mellitus in the United States. The rate of diabetes mellitus for non-Hispanic whites in the United States was 6.6 in 2007 . Cuban Americans have the lowest rates of diabetes mellitus.

Answer to Question 2

B
When working with an interpreter, the nurse closely watches the older adult for nonverbal com-munication and emotion regarding a specific topic and therefore validates the assessment about the older adult's tension before proceeding. Because the nurse notices her tension, the nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the older adult is uncomfortable discussing elimination, then important instructions can be missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate the older adult's discomfort. Instructing the older adult to repeat the nurse's instruction ignores the her needs.