Deck 3: Diversity

Question 1

Which criterion limits access to health care?
1)Transition programs for newly arrived legal residents
2)Employment opportunities
3)No public transportation
4)Advocacy groups for immigrants

Answer 1

3

Question 2

Legal permanent residents tend to initially settle in urban areas.What can be inferred from this?
1)Employment may be found,but will probably be in lesser-paying jobs.
2)Unemployment will not be a concern.
3)Employment is easy to obtain in urban areas.
4)Income earning potential is higher.

Answer 2

1

Question 3

The healthcare organization is analyzing the demographics of its current patient population,and notes many patients are classifying themselves as members of many different groups.What is the challenge with comparing this data with previous years' information?
1)There is a considerable amount of data to review.
2)This data cannot be compared to the data before 2000.
3)The data does not clearly identify the patient's health care needs.
4)Does not help predict the length of stay for the average hospitalization

Answer 3

2

Question 4

A patient whose ancestry is European,but was born in Puerto Rico,is deciding how to classify race and Hispanic origin while completing demographics prior to having a medical procedure.How would the patient complete this classification? Select all that apply:
1)White
2)Hispanic
3)Asian
4)Black
5)Other

Question 5

While completing demographics for a new admission,the nurse notices there are separate categories for race and Hispanic origin.What influenced this change to occur in demographic data reporting?
1)Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.
2)The number of people identified as non-White was increasing out of proportion to the population.
3)Identifies in which health plans the patient is eligible to enroll
4)Better differentiates categories within the African-American group

Question 6

According to the 2014 Census Bureau estimates,the population between the ages of 18 and 64 was 62.5%.What are the long-term implications for the health of this group?
1)Providing health care focused on gerontological needs
2)Developing medications to prolong life at any cost
3)Providing health insurance for all people.
4)Developing systems to provide healthcare only to those older citizens who remain healthy

Question 7

The nurse is trying to determine if a patient is a refugee.Which characteristics would the patient need to fulfill in order to be classified as a refugee? Select all that apply:
1)The person is outside the country of nationality.
2)The person is unable to return to the country of nationality because of persecution.
3)The person is unable to return to the country of nationality because of fear of persecution.
4)The person is outside of the country of last habitual residence.
5)The person is naturalized and owes allegiance to the United States.

Question 8

The nurse notices a larger number of foreign-born patients are being seen in the hospital.From which countries are the majority of foreign-born legal permanent residents? Select all that apply:
1)Mexico
2)China
3)India
4)Europe
5)South America

Question 9

A foreign-born patient tells the nurse about preparing for the naturalization exam.What kinds of questions will be on this exam? Select all that apply:
1)Questions about the Constitution
2)Branches of the U.S.government
3)Which branch makes federal laws
4)The number of justices on the Supreme Court
5)Words of the U.S.national anthem

Question 10

Statistics for 2014 indicated that 14.8 million people were in poverty.What health implications can be drawn from this statistic? Select all that apply:
1)The people run a higher risk of poor overall health status.
2)Public health clinics can provide preventive care.
3)Medicaid assistance can enable people to receive healthcare.
4)Increased funding for public health has resulted from these statistics.
5)More information is needed to make an interpretation.

Question 11

A patient in the Emergency Department is concerned about the cost of treatment because of no financial income.What areas would the nurse include when assessing this patient? Select all that apply:
1)Preventive care
2)Nutritional status
3)Number of accidents
4)Shelter
5)Status of current immunizations

Question 12

Among the very real concerns for all residents of the United States,both citizens and legal permanent residents,is the rise in undocumented people entering the country.What impact is this having on healthcare?
1)Increased numbers of undocumented people are straining healthcare resources.
2)There is a concern that undocumented people will lead to bioterrorist attacks.
3)Health insurance is being given to all people in the country,ensuring universal coverage.
4)The rise in undocumented people is contributing to the rise in exotic and rare diseases in the country.

Question 13

While shifts in the population profile are occurring,what is an important consideration to address in health care?
1)Healthcare providers need to be younger to care for an aging population.
2)Healthcare needs to be streamlined for consistent care delivery.
3)More physicians need to be trained to deliver healthcare.
4)Cultural health needs of varying groups must be considered.

Question 14

The healthcare administrator is comparing the 2014 Census Bureau estimates with patient demographic data.Which cultural group represented 17.3% of the population in 2000?
1)American Indian and Alaskan Native
2)Asian
3)African American
4)Hispanic or Latino

Question 15

Prior to completing an admission assessment,a foreign-born patient provides the nurse with a green card.What does this green card represent? Select all that apply:
1)Proof of legal permanent residency
2)All rights of a U.S.citizen with exceptions
3)Inability to vote
4)Restrictions to become a citizen
5)Automatic U.S.citizenship

Question 16

When determining healthcare needs for a patient population,the healthcare organization analyzes the percentage of races represented within the organization with those of the U.S.Census.What was the change in the White population between the 2000 Census data and 2014 Census Bureau estimates?
1)7.2%
2)1.2%
3)0.3%
4)3.8%

Question 17

The nurse desires employment in a metropolitan area with a high percentage of foreign-born legal residents.In which areas would the nurse consider employment? Select all that apply:
1)New York City
2)Los Angeles
3)Miami
4)Baltimore
5)Dallas

Question 18

A patient,who is an immigrant from another country,is waiting to be seen in the Emergency Department.With what difficulties may this patient be dealing with since coming to a new country? Select all that apply:
1)Learning a new language
2)Adapting to a new climate
3)Eating new foods
4)Fitting in with the new culture
5)Rejecting old customs in favor of new ones

Question 19

According to the 2014 Census Bureau estimates,the percentage of the population over 65 years of age was at 14.5%.How will health planning needs be affected by this percentage?
1)This population will have greater demands on the health care system as it ages.
2)Planning needs for other segments of the population can be revised downwards.
3)There is no need to increase manufacture of childhood immunizations.
4)Cultural accommodations for other minority groups can be decreased.

Question 20

The nurse is comparing the patient population at a healthcare organization with the US Bureau of the Census population statistics.Which statement would the nurse use to make this comparison?
1)The percentage of U.S.White alone people in the 2014 estimates was 61.9 % of the population.
2)The percentage of Black Americans dropped considerably between 2000 and the 2014 estimates.
3)People of color are the majority population within the United States.
4)People of color as a percentage of the overall U.S.population are decreasing.

Question 21

How might immigration contribute to income inequality in the United States?
1)Many immigrants' willingness to do jobs for less money than native-born residents
2)Being the primary income earners in the family
3)Advocating for higher minimum wages
4)A willingness to join labor unions as in previous immigrant trends

Question 22

Which characteristic would the nurse assess in a family experiencing multi-generational poverty?
1)Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes
2)Members not wishing to improve their life circumstances
3)Decreased interest by lawmakers in reducing poverty circumstances
4)Increased government efforts to provide money to improve incomes

Question 23

Why would a patient who has a higher income generally have better health outcomes?
1)Have better access to healthcare
2)Have better job skills
3)Can afford private transportation
4)Can afford private insurance

Question 24

A patient explains how a former job has been outsourced to another country.What impact has globalization had on the economy?
1)Increased income inequality for some groups in the United States
2)Improved income for all minority groups in the United States
3)Increased membership in labor unions
4)Decreased immigration

Question 25

What does the nurse identify as reasons why income influences health? Select all that apply:
1)Increases access to health care
2)Enables people to live in better neighborhoods
3)Enables people to afford better housing
4)Enables people to live in areas without environmental hazards
5)Reduces despair

Question 26

While taking the health history,a Black Hispanic patient tells the nurse about having difficulty finding employment.The nurse realizes which factor causes income disparity within this segment of the population?
1)Shift to labor requiring higher technological skills
2)Increase in the real minimum wage potential
3)Increase in traditional labor skills for these groups
4)Shift of skilled jobs to unskilled labor