Page 146 - Saunders Comprehensive Review For NCLEX-RN

explanation and demonstration (teach-back) are of particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming
client understanding of the instructions. Video instruction, written materials, and
verbal explanation are helpful and may be incorporated with the teach-back method.
Test-Taking Strategy: Note the strategic words, most effective. Note that the correct
option—the teach-back method—is the umbrella option, and encompasses all other
options. Recall that asking the client to perform return demonstration is the best way
to confirm understanding.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Foundations of Care: Special Populations
Health Problem: N/A
Priority Concepts: Client Education; Health Promotion
Reference: Lewis et al. (2017), p. 56.

2. Answer: 1, 2, 3, 4, 6

Rationale: Obesity, diabetes mellitus, hypertension, heart disease, asthma, and
cancer are prevalent among this population. Hypothyroidism is not a particular risk
factor. It is important to understand risk factors associated with health and the
interplay of genetics, which can result in trends or patterns for specific ethnic
groups.
Test-Taking Strategy: Note the subject, health concerns for African Americans. It
is necessary to know the health risks associated with this group and that
hypothyroidism is not a concern in order to answer this question correctly.
Level of Cognitive Ability: Analyzing
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Assessment
Content Area: Foundations of Care: Spirituality, Culture, and Ethnicity
Health Problem: N/A
Priority Concepts: Caregiving; Health Promotion
Reference: U.S. Department of Health and Human Services Office of Minority
Health. (2019). Profile Black/African Americans. Retrieved from
https://www.minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61

3. Answer: 1

Rationale: The Native Hawaiian population has a disproportionately higher rate
of infant mortality compared with other ethnic groups. Sudden infant death
syndrome (SIDS) is a major cause of infant mortality. Safe sleeping is an important
measure to prevent this newborn complication. Car seat safety, breast-feeding, and
baby-proofing are important safety measures but are not specific to Native
Hawaiians.
Test-Taking Strategy: Note the subject, newborn teaching and a newborn
complication for the Native Hawaiian population. It is necessary to know that infant
mortality and SIDS is higher in this population. Recalling that safe sleeping is an

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