Page 122 - Saunders Comprehensive Review For NCLEX-RN

and tuberculosis are other diseases
prevalent among this population.
4. American Indians and Alaska Natives
a. This population has origins in North,
Central, and South America and have
tribal or community attachment.
b. Some in this population may not have
health insurance coverage or a regular
source of health care.
c. Cultural barriers, geographic isolation,
and low income prevent this
population from receiving quality
health care.
d. Smoking is a common practice; nearly
one-third of this population older than
age 18 years smokes and some
consume alcohol in large amounts.
e. This population is noted to have higher
incidence of diabetes mellitus and
stroke.
f. Some leading causes of death among
this population are heart disease,
cancer, malignant neoplasm,
cerebrovascular disease, and accidents.
g. This population is at high risk for
altered mental health, suicide, sudden
infant death syndrome (SIDS), teenage
pregnancy, liver disease, and hepatitis.
h. There is a high incidence of infant
mortality.
5. Asian American
a. This population has origins in eastern
Eurasia, Southeast Asia, or the Indian
subcontinent.
b. This population is disproportionately
noted to have different types of cancer,
tuberculosis, and hepatitis.
c. Some leading causes of death among
this population are cancer, heart
disease, and stroke.
d. Some older Asian-American women
are at an increased risk for suicide.
H. Health care considerations for racial and ethnic minorities

1. Cultural competence is a mainstay in the effort

to reduce racial and ethnic health care disparity.
2. The nurse and other health care professionals should
be trained in health care variations and risk factors for

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