Question 1

Mrs.Karlyn Lincoln,an African American from the southern part of the United States,is 6 months pregnant with her third child.Her hemoglobin and serum potassium remain low despite supplemental iron and oral potassium.The nurse had told her the dangers of eating clay on a previous checkup,but Mrs.Lincoln indicated that her mother and grandmother did that and she would continue doing so to make sure the fetus got the minerals it needed.What advice should the nurse now give?
1) Change from red clay to blue clay.
2) Decrease the amount of clay she eats.
3) Eat the clay on an empty stomach.
4) Eat the clay only with lunch.
Chapter 6: People of African American Heritage
Answer Section
MULTIPLE CHOICE

2

Accepted Answer

The nurse should advise Mrs. Lincoln to decrease the amount of clay she eats as eating clay can lead to serious health problems such as anemia, constipation, and damage to the digestive system. It is important to address the cultural beliefs and practices of the patient, but also provide education on the potential risks and alternative sources of minerals. Switching to different types of clay or timing of ingestion will not address the underlying issue of potential harm to the patient's health.

Question 2

A community-health worker wants to work with the African American community to help decrease the teenage pregnancy rate.The most effective approach would to be work through
1) School teachers.
2) One-on-one contact.
3) Contact at nightclubs.
4) Church leaders.

4

Accepted Answer

Working with church leaders would be the most effective approach as the African American community often holds strong ties to their churches and religious leaders. These leaders can help build trust and encourage community members to participate in the program. Additionally, they can promote abstinence and safe sex practices through religious teachings and sermons.

Question 3

Compared with hypertension in other ethnic groups,hypertension among African Americans
1) Is more common but less severe.
2) Is more severe but less common.
3) Is more resistant to treatment.
4) Starts at an older age.

3

Accepted Answer

Hypertension among African Americans is more resistant to treatment compared to other ethnic groups, often requiring more intensive management strategies.

Question 4

A common belief among African Americans and among other groups is that
1) Suffering and pain are inevitable.
2) Being stoic with pain will decrease it.
3) Immediate treatment will increase the pain.
4) Pain is primarily due to liver disease.

Accepted Answer

The statement that suffering and pain are inevitable is a common belief among African Americans and other groups, and is reflected in some cultural attitudes towards pain management, such as the belief in enduring pain without seeking prompt medical attention. This may contribute to higher rates of pain-related health problems and differences in pain management outcomes among different racial and ethnic groups.

Question 5

The home-health nurse visited Mrs.Underwood,a 68-year-old African American woman,to determine her progress with her insulin regulation.Four children,appearing to be between the ages of 4 and 12,were present.Mrs.Underwood explained that two of the children were her daughter's and the other two were the children of a friend who was unable to care for them.The nurse recognizes this family structure as a(an)
1) Subfamily.
2) Augmented family.
3) Secondary family.
4) Nonblood family.

Accepted Answer

An augmented family is one in which nonrelatives are integrated into the family unit, often for caregiving purposes, such as in this case. The other options do not accurately describe this family structure.

Deck 6: People of African American Heritage