Deck 11: Health and Illness in the Black Population

Question 1

During a home visit with an African American patient,the patient's older family member is preparing items to help with chest congestion.What might the older family member be preparing?
1)Hot camphorated oil and warm flannel
2)Salt pork
3)Raw onions
4)Sugar and turpentine

Answer 1

1

Question 2

From which nations are immigrants now coming to the United States? Select all that apply:
1)Sudan
2)Ghana
3)Haiti
4)Jamaica
5)Dominican Republic

Answer 2

1,2,3,4,5

Question 3

Which is considered a traditional Black belief about ILLNESS?
1)ILLNESS is a state of disharmony.
2)ILLNESS is a separation of body,mind,and spirit.
3)ILLNESS is an alteration in the energy force.
4)ILLNESS is due to evil ancestral influence on the person.

Answer 3

1

Question 4

Which HEALTH maintenance practice would an African American patient use to keep the system "open"?
1)Take laxatives.
2)Have massages.
3)Participate in rooting and prayer.
4)Wear amulets.

Question 5

An African American patient tells the nurse about family members in Louisiana who practice voodoo and prepare gris-gris.What are examples of good gris-gris? Select all that apply:
1)Love powder
2)Love oil
3)Luck water
4)Flying devil oil
5)Black pepper

Question 6

The nurse is preparing to conduct a health history with an African American patient.Which health problems will the nurse focus on when conducting this assessment? Select all that apply:
1)Sickle cell anemia
2)Heart disease
3)Lung cancer
4)Diabetes
5)Brain tumors

Question 7

What is a traditional Black belief regarding HEALTH?
1)The mind,body,and spirit are not separated.
2)Health represents energy forces.
3)Health represents a process rather than a state.
4)Health is believed to be influenced by ancestors.

Question 8

Which is a health statistic of significance to Black or African Americans when compared to all races?
1)Male death from homicide higher
2)Lower percentages of low birth weight infants
3)A lower crude birth rate
4)Lower male death rates from homicide

Question 9

While in the home of a traditional African American patient,the nurse notes the presence of many pictures of saints along one area of the living room wall.Recalling the practice of voodoo,which saints would be represented? Select all that apply:
1)Saint Michael
2)Saint Anthony de Padua
3)Saint Mary Magdalene
4)The Virgin Mary
5)Mother Teresa

Question 10

What is an important practice of HEALTH protection for the traditional members of the Black community?
1)Eating three nutritious meals each day,including a hot breakfast
2)Drinking hot tea when feeling ill
3)Drinking orange juice every day
4)Eating two small meals each day,then having a large dinner

Question 11

Which is a preparation used in the spring of each year by African American people to protect HEALTH? Select all that apply:
1)Using a sulfur and molasses preparation
2)Wearing asafetida around the neck
3)Drinking blackstrap molasses
4)Drinking cod liver oil weekly

Question 12

What is the geographic origin of the majority of African Americans?
1)West coast of Africa
2)African interior
3)Southern coast of Africa
4)East coast of Africa

Question 13

A Black American patient recalls stories about a HEALER who was consulted for HEALTH problems.What are characteristics of the traditional Black HEALER? Select all that apply:
1)Usually female
2)Used herbs and roots to treat ILLNESS
3)Practiced voodoo if followed folk medicine approaches
4)Taught patients to limit the intake of food when ill
5)Cautioned patients about eating clay during pregnancy

Question 14

Why might a Black Muslim patient refuse insulin to treat diabetes mellitus?
1)It might have a pork base.
2)Any injectable medication is forbidden.
3)Diabetes implies the person has not led a holy life.
4)Insulin is not allowed during Ramadan.

Question 15

The nurse is caring for an older African American.When assessing the patient,what will the nurse identify as traditional African American HEALTH protection practices? Select all that apply:
1)Ingesting cod liver oil
2)Avoiding physicians
3)Wearing copper or silver bracelets
4)Taking an aspirin a day
5)The act of prayer on a daily basis

Question 16

An African American patient recalls a family member making poultices to treat various illnesses.Which items would be used to create these poultices? Select all that apply:
1)Potatoes
2)Cornmeal and peach leaves
3)Onions
4)Flaxseed
5)Garlic

Question 17

What was believed to be the benefit of geophagy?
1)Red clay is rich in iron.
2)Pica is an accepted cultural practice.
3)Dirt is high in calcium.
4)Starch is sweet and dry.

Question 18

Why are folk remedies still used today in the African American community?
1)Tradition of personal care and treatment by HEALERS
2)Acknowledgement of the African heritage
3)Rituals associated with folk remedies
4)Close proximity of hospitals in the community

Question 19

In the African American community,what home remedy may be used to treat colds? Select all that apply:
1)Sassafras tea
2)Hot lemon water with honey
3)Hot toddy made of tea,honey,lemon,peppermint,and alcohol
4)Garlic
5)Chopped raw garlic,chopped onion,parsley and water mixture

Question 20

How would a patient from an African American heritage treat poison ivy?
1)Sprinkle crushed bluestone powder on the affected area.
2)Place a mixture of garlic,onions,and parsley on the site.
3)Place clay in a dark leaf over the affected area.
4)Rub Vicks® VapoRub® on the affected area.

Question 21

How often would the nurse plan to wash the hair of a Black patient?
1)As needed
2)After it has been oiled
3)Only when dry
4)Daily to maintain oiliness

Question 22

What should be done if a Black patient practices aspects of folk medicine while also receiving Western treatment?
1)Integrate the two treatments.
2)Discourage folk medicine practices.
3)Consult the minister to give approval.
4)Choose which treatment option they prefer.

Question 23

Who does the nurse recognize as being the leading authority figure within the Black familial structure?
1)Female
2)Minister
3)Male
4)Oldest adult child

Question 24

Which American city has had to cope with an unexpected high level of lead in the drinking water?
1)New York,NY
2)Baltimore,MD
3)Flint,MI
4)Los Angeles,CA

Question 25

Why would some Black or African American patients resent using health clinics for care?
1)A day's work may be lost in waiting to be seen by a physician.
2)Cheaper accessible healthcare is regarded as demeaning.
3)Prescription medications are given out only to those seen first.
4)There are not enough clinics to focus on Black or African American health problems.

Question 26

What skin change is observed when a scar forms at a wound site of a Black patient?
1)Keloid
2)Pigmentary disorder
3)Pseudofolliculitis
4)Melasma

Question 27

What is the leading cause of death in the Black or African American population?
1)Heart disease
2)Cerebrovascular disease
3)Unintentional injuries
4)Septicemia

Question 28

Why would a clinic nurse cautiously discuss birth control with an African American patient?
1)Birth control may be determined by the patient to be a way to limit community growth.
2)Birth control would hinder the patient's socioeconomic status.
3)Birth control does not work on members of the Black community.
4)Birth control is not recognized as a method to space children.

Question 29

During the examination of a Black patient,how will the nurse recognize pallor?
1)Observing the absence of underlying red tones
2)Palpating the skin
3)Observing the sclera
4)Noting a low blood return