6.7: Review Questions
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1.
After performing a community assessment, a nurse determines that a neighborhood with a higher concentration of BIPOC clients lacks access to medical care. Which term describes a major factor contributing to this finding?
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Structural racism
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Personally mediated racism
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Internalized racism
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Scientific racism
2.
Which of these nurse actions would be considered an example of microaggression?
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Asking a transgender client their pronouns
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Telling an Asian client that they speak perfect English
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Determining the dietary preferences of a Jewish client
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Obtaining a medical interpreter for a client who does not speak English
3.
Which of the following is an example of racial profiling?
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Suspecting a person of criminal behavior based on race
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Segregating communities based on race
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Assuming all men of a certain racial group are dangerous
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Community-wide disinvestment based on race
4.
Which statement best highlights the continuing prevalence of racism in the U.S. health care system?
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A university researcher has built a relationship with the local community.
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Some states have attempted to impose work-reporting requirements as a means of restricting Medicaid expansion.
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The city council is considering a summer jobs program for local teenagers.
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The police department has established a community advisory board in each precinct.
5.
Which client being seen in the community health clinic does the nurse anticipate is most affected by allostatic load?
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A 52-year-old Native American construction worker with osteoarthritis of the knees
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A 24-year-old Black man with persistent hypertension
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A 62-year-old White woman with newly diagnosed hypothyroidism
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A 38-year-old Hispanic woman concerned about a change in the color of a mole
6.
Which environmental condition is a consequence of the redlining of neighborhoods that has negatively affected health outcomes of BIPOC individuals?
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Decreased urban heat
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Less green space
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Improved air quality
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Increased access to clean water
7.
A public health nurse running a cost-free vaccination clinic for COVID-19 in an underserved community notes that the turnout is lower than expected. Which factor is the most likely explanation for the low turnout?
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Medicaid expansion
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Low perceived personal risk for COVID
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Lack of health insurance
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Distrust of the health system
8.
A nurse is caring for four clients in the medical-surgical inpatient unit. One is a Black woman who has been admitted with pancreatitis, another is a White man who has been admitted with acute low back pain, the third is a Black man with pneumonia, and the fourth is a White woman who has been admitted with cholecystitis. The nurse medicates the Black woman with one oral Percocet tab for 8/10 pain, medicates the White man with two oxycodone tabs for 7/10 pain, does not medicate the Black man as he does not have current pain, and medicates the White woman with 2 mg of IV morphine for 8/10 pain. What is this an example of?
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Explicit racism
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Implicit bias
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Professional standard of care
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Structural racism
9.
The community health nurse is working on creating nutrition initiatives for a community with a high incidence of heart disease and diabetes. Which of the following is a driving factor in the persistence of food deserts in areas of the United States?
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Structural racism
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Implicit bias
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Explicit racism
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Mass incarceration
10.
Which of the following issues are implicated in the current maternal mortality public health crisis?
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Differences in health insurance coverage and access
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Income level
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Provider discrimination
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Distrust in the medical system