After an assessment, the nurse determines that a client of ...

[berenicecastro]

After an assessment, the nurse determines that a client of African American descent is experiencing disparities that are a part of behavioral health determinants. What assessment data did the nurse use to come to this conclusion?
 
  1. Treated for asthma
  2. Body mass index of 32
  3. Unemployed for 9 months
  4. Smokes 1 ppd of cigarettes
  5. Mother diagnosed with heart disease

Question 2

The nurse is planning to provide culturally responsive care to a minority client and family. What actions should the nurse perform when providing this care?
 
  1. Personally reflecting on feelings related to the client's nationality
  2. Making an effort to direct all assessment questions initially to the client
  3. Involving the family with the client's permission
  4. Assessing the client's interest in alternative healing methods
  5. Educating the client and family when appropriate

[ApricotDream]

Answer to Question 1

Correct Answer: 2, 4

Rationale 1: Asthma would be included as an environmental determinant of health.

Rationale 2: Behavioral determinants of health include obesity.

Rationale 3: Employment status influences social determinants of health.

Rationale 4: Behavioral determinants of health include use of drugs, tobacco, or alcohol.

Rationale 5: Family health history is a part of biological and genetic determinants of health.

Answer to Question 2

Correct Answer: 1, 3, 4, 5
Rationale 1: Culturally responsive care that involves family appropriately includes self-reflection to identify your personal assumptions, biases, attitudes, prejudices, and stereotypes.
Rationale 2: Determine the cultural expectations related to the hierarchy of the family.
Rationale 3: Culturally responsive care that involves family appropriately includes explaining in detail the client's condition and the treatment plan with the family if the client is willing for the nurse to do so.
Rationale 4: Culturally responsive care that involves family appropriately includes asking about the client's use of cultural or alternative approaches to healing.
Rationale 5: Culturally responsive care that involves family appropriately includes explaining in detail the client's condition and treatment plan with the family if the client is willing for the nurse to do so.