Deck 7: Social Issues

Question 1

The nurse at a women's clinic is reviewing a new client health information questionnaire. Which question does she find to be insulting and discriminatory toward lesbian clients?

A) Who should be contacted in case of emergency?
B) What method of birth control do you use?
C) How often do you drink alcohol?
D) Do you feel safe in your relationship?

Answer 1

B

Question 2

The community health nurse manager is reviewing the charts of female elderly clients. Which issue are these clients most likely to experience?

A) Adequate financial resources to purchase medications
B) Senior services that provide transportation to healthcare appointments
C) Multiple medications prescribed by different physicians
D) Medicare that covers healthcare costs so no out-of-pocket expenses occur

Answer 2

C

Question 3

The pregnant client employed at a factory asks the nurse whether exposure to chemicals can cause harm to her fetus. The nurse should advise the client that exposure to which substance can lead to neurological damage?

A) Lead
B) Latex
C) Formaldehyde
D) Benzene

Answer 3

A

Question 4

The nurse manager is preparing an educational in-service for staff nurses about elder abuse. The nurse manager develops a hypothetical situation: A wheelchair-bound client who lives with her daughter has experienced hunger because she cannot reach the cupboards to make lunch. Which category of elder abuse does this example describe?

A) Psychologic abuse
B) Physical abuse
C) Neglect
D) Financial abuse

Question 5

The nurse working at a homeless shelter is studying case statistics. Of the total homeless population served at the shelter, which group would the nurse's statistics likely uncover as the fastest-growing group?

A) Unemployed women
B) Families with children
C) The mentally ill
D) The elderly

Question 6

At the end of a routine examination, a 68-year-old female asks the nurse what she should observe to determine if she should obtain custody of her two preschool-age grandchildren. What factors should the nurse tell this patient to look for?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Parental divorce
2. Long work hours
3. Drug or alcohol abuse
4. Intimate partner violence
5. Use of public transportation

Question 7

Pesticide exposure can be linked to a variety of adverse health outcomes, including which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Increased risk of cancer
B) Endocrine abnormalities
C) Liver damage
D) Birth defects
E) Cardiovascular diseases

Question 8

While visiting the home of a single patient who is raising school-age children, the nurse becomes concerned that the quality of care for the children after school is less than adequate. What did the nurse observe that led to this conclusion?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Children fighting in the front yard
2. Youngest child failing spelling and arithmetic
3. Middle child received an A on a writing assignment
4. Youngest child received a black eye from a child in school
5. Oldest child riding the bicycle in the street without a helmet

Question 9

The nurse is planning a community educational presentation for people living below the poverty level. The nurse knows that which of the following is the largest population in this socioeconomic category?

A) Adults in communal living situations
B) Young married couples under the age of 20
C) Single women with children
D) Single adults

Question 10

Which of the following federal departments actively investigates and prosecutes individuals who cross state lines to avoid paying child support, and now intercepts delinquent parents' income tax refunds?

A) U.S. Department of Health and Human Services
B) U.S. Department of Labor
C) U.S. Department of Justice
D) U.S. Equal Employment Opportunity Commission

Question 11

An older patient is demonstrating a new onset of confusion and forgetfulness. While reviewing the patient's medical records, the nurse suspects these new manifestations are drug-induced. Which medications did the nurse identify as causing changes in cognitive functioning in this patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Antihistamine for allergies
2. Antidepressant for nerve pain
3. Antibiotic for bronchial infection
4. Anticoagulant for atrial fibrillation
5. Antihypertensive for high blood pressure

Question 12

The community nurse is conducting health assessments at the homeless shelter and notes that the majority of clients are female. What should the nurse identify as reasons for the percentage of women who are homeless?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Unemployment
2. Substance abuse
3. Recent prison release
4. Lack of family support
5. Inadequate child support

Question 13

There have been a number of historical trends that have contributed to the existing wage gap, including which of the following?

A) There was a perception that men were the sole breadwinners.
B) Women who were competitive in the work environment were viewed positively.
C) Women in past generations generally were not limited to certain occupations.
D) Increase in societal importance of women's intellectual traits.

Question 14

Psychologic elder abuse includes, but is not limited to, which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Verbal assaults
B) Humiliation
C) Desertion
D) Intimidation
E) Failure to provide reasonable care

Question 15

Lesbian, transgendered, and bisexual women are at greater risk for health and social disparities, including which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Increased suicide risk
B) Increased risk of homelessness
C) Lack of screening for female-related cancers
D) Lack of screening for lung cancers
E) Increased divorce rates

Question 16

A home care nurse is looking over the charts of four elderly female clients. The nurse knows that which client has the highest risk for developing diabetes and heart disease?

A) A woman who is 55 and white
B) A woman who is 60 and from a middle-class background
C) All women over 55
D) A woman over 65 who is African American

Question 17

The community clinic nurse manager is working on a long-term budget. The manager understands that in the next few years, Medicaid is expected to pay for fewer births. This is, in part, because of which of the following?

A) The U.S. economy is becoming stronger.
B) More women are able to pay for private insurance.
C) New public policies are providing other forms of payment.
D) Rules for Medicaid have been changed.

Question 18

The nurse working with a client who is seeking a family and medical leave knows that the employee must meet which eligibility requirement of the Family and Medical Leave Act (F M L A) of 1993?

A) Work at least 40 hours per week
B) Have been employed for at least 1 month
C) Work for a company with fewer than 50 employees
D) Parental leave for childbirth or adoption by her employer

Question 19

The nurse recognizes that what are the most common disabilities in women?

A) Asthma and headaches
B) Arthritis or rheumatism
C) Adverse kidney and nervous system functioning
D) Cardiovascular diseases

Question 20

The nurse is working with a group of recent immigrants from a country in which female genital mutilation (F G M) is practiced. In order to be effective in teaching about gynecologic care in the U.S., the nurse must keep which issues in mind?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Women might undergo F G M willingly to support the status quo of society.
B) Women might undergo the procedure to be considered for marriage.
C) Women who immigrate to other countries feel a sense pride once the procedure has been performed.
D) Women might undergo the procedure to gain greater sexual pleasure.
E) Women might undergo the procedure to lose their virginity.

Question 21

A female is offered a position as a manager with a major city hotel that offers flexibility with childcare and family issues. What should this individual also investigate financially before accepting this position?

A) Number of sick days
B) Expectations to work holidays
C) Number of overtime hours expected to work every month
D) Wages that are commensurate with those of male employee managers

Question 22

An older female patient with a known intellectual disability is newly diagnosed with osteoporosis and admitted with a fractured hip after falling in the home. What should the nurse realize could have contributed to this patient's health problem?

A) Importance of resting during the day
B) Need to reduce the amount of physical activity
C) Understanding home environmental safety needs
D) Reducing the oral intake of protein and carbohydrates

Question 23

An older person contacts the emergency medical service at 11 P M to report that she has been left sitting in her wheelchair all day after her caregiver left in the morning to buy groceries. What type of elder abuse is this person experiencing?

A) Abandonment
B) Physical abuse
C) Financial abuse
D) Psychological abuse

Question 24

The nurse notes that a lesbian client who recently found a breast lump on self-examination has not had a mammogram for 10 years. When asked about this delay the client states that she was not made to feel comfortable during the last mammogram. What should the nurse recognize is the underlying problem that this client is describing?

A) Social barrier
B) Emotional barrier
C) Fear of finding a health problem
D) Discomfort with the examination

Question 25

A patient requiring back surgery wants to take family/medical leave to recover but is not sure if she is eligible. What should the nurse review as eligibility requirements for this coverage?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Work more than 25 hours per week
2. Have been in the job for at least 1 year
3. Be expected to return to work within 4 weeks
4. Be willing to accept a lower-paying position upon return
5. Have provisions to self-pay for health insurance while off from work

Question 26

An older female patient is concerned about the finances needed to run her home. What event in this person's life should the nurse realize is causing her financial concern?

A) Change in the number of prescribed medications
B) Recent death of spouse after a long and costly illness
C) Participation in activities at the community center
D) Relocation of older children to another city

Question 27

The elderly parent of an employee at an insurance company sustains a myocardial infarction and needs assistance for several weeks after returning home from the hospital. What option should the employee consider to cover her absence while caring for her parent?

A) Sick days
B) Personal days
C) Vacation days
D) Family medical leave

Question 28

The nurse is concerned that a clinic patient is at risk for experiencing poverty. Which information did the nurse use to make this clinical determination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Of African-American descent
2. Attends church on Sunday mornings
3. Completed only up to 10^th grade
4. Raising 2 children under the age of 10 alone
5. Works as a clothing assistant in a retail store

Question 29

While conducting a health interview, the nurse suspects that a middle-aged female client has undiagnosed learning disabilities. What did the nurse observe to make this clinical determination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Difficulty reading instructions
2. Illegible signature on treatment forms
3. Difficulty tying shoes when eyeglasses are not being worn
4. Inability to hear normal conversation through the right ear
5. Inability to select correct paper money to pay the insurance co-pay

Question 30

During a routine prenatal visit the nurse suspects that a patient in the 14^th week of gestation is affected by environmental pollution. What assessment findings caused the nurse to come to this conclusion?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Headache
2. Scratchy throat
3. Chest wheezing
4. Abdominal pain
5. Itchy burning eyes

Question 31

A 24-year-old patient with an intellectual disability at 30 weeks' gestation asks when it is safe to have an abortion. How should the nurse respond to this patient?

A) "Have you been hiding your pregnancy?"
B) "The safe time to end a pregnancy has passed."
C) "Is it safe for me to assume that you don't want to have this baby?"
D) "I guess you didn't realize that an abortion should have occurred months ago."

Question 32

A patient with female genital mutilation is being prepared for a gynecologic examination. What cultural implications should the nurse keep in mind when assisting with this examination?

A) Maintain a nonjudgmental attitude
B) The procedure was performed by choice
C) The patient is at increased risk for genital infection
D) The procedure was performed to increase sexual satisfaction

Question 33

The nurse determines that a patient in the clinic has a learning disability. What did the nurse assess to make this clinical determination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Dyslexia
2. Dysgraphia
3. Hearing loss
4. Osteoarthritis
5. Bilateral cataracts

Question 34

While attending a community fair the nurse is surprised to learn the number of women who are homemakers, teachers, and nurses. What impact should the nurse recognize that this has on these individuals' income?

A) Potential for longer lifespan
B) Overall lower income than men
C) Reduced risk for chronic illnesses
D) Increased risk for health problems

Question 35

A lesbian female is surprised to learn of contracting the human papillomavirus. What should the nurse explain to this patient?

A) "Are you telling me everything about your sexual orientation?"
B) "It is rare for this infection to occur in women such as yourself."
C) "Is it possible that your partner has been having intercourse with a man?"
D) "Exposure to vaginal secretions can increase the risk of sexually transmitted infections."