Population-based risk factors
不同人群的风险因素 A. African Americans or Blacks 非裔美国人和黑人
1. This population has origins in Africa and the Caribbean.
这一人群起源于非洲和加勒比海地区。
2. Some in this population may be less likely to have health insurance coverage or a regular source of health care.
该群体有些人可能不太愿意参加健康保险或没有正规的医疗保健来源。
3. Nearly 50% of adults have chronic health conditions. For additional information, refer to https://cdn.americanprogress.org/wp-content/uploads/issues/2010/ 12/pdf/disparities_factsheet.pdf
近50%的成人有慢性健康问题。更多信息参见网址：
4. Obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are prevalent among this population.
肥胖症、糖尿病、高血压、心脏病、哮喘和癌症在该人群中较普遍。
5. Some leading causes of death among this population are heart disease, cancer, and stroke.
该人群死亡的某些主要原因包括心脏病、癌症和中风。
B. Hispanics/Latinos 西班牙裔美国人/拉丁美洲人
1. This population has origins in Mexico, Puerto Rico, Cuba, South or Central America, or other Spanish culture or origin.
这一人群具有墨西哥、波多黎各、古巴、南美或中美洲裔血统，或源于其他西班牙文化或血统。
2. Multiple subcultures have unique practices and behaviors. Providers must avoid stereotyping to ensure the delivery of culturally competent care to optimize health outcomes.
很多次族群都具有独特的医疗和行为。医疗保健服务人员必须避免墨守成规，以确保提供具备文化能力的护理服务，实现健康结果最佳化。
3. Some in this population may not have health insurance coverage or a regular source of health care.
该人群有些人可能没有医疗保险，或没有正规的医疗保健来源。
4. Language barriers and lack of access to preventative care influence health.
语言障碍、缺少预防性医疗可以影响健康。
5. Approximately 35% of adults have chronic health conditions.
约35%的成人有慢性健康问题
6. Lack routine health care and delay seeking health care for illness are common.
缺乏常规医疗保健，延误寻求疾病的医疗保健，这种情况较普遍。
7. Obesity, diabetes mellitus, end-stage renal disease secondary to diabetes, and cervical cancer are prevalent among this population.
肥胖症、糖尿病、继发于糖尿病的终末期肾病、宫颈癌等在这一人群中较普遍。
8. Some leading causes of death among this population are heart disease, cancer, and accidents.
该人群死亡的某些主要原因为心脏病、癌症和意外。
9. Important health topics include but are not limited to discussions surrounding diet and meal planning, exercise, and safe sex practices.
重要的健康议题包括但不限于进行饮食和餐饮计划、运动及安全性性行为等讨论。
★Vocabulary for Today ★
origin – n. v. 起源，出身，血统
Caribbean – a. n. 加勒比海的
coverage – n. 保险，保证金
prevalent – a. 流行的，盛行的
Mexico – n. 墨西哥
Puerto Rico – n. 波多黎各
Cuba – n. 古巴
Central America – 中美洲
unique – a. 独一无二的
preventative – a. 预防性的
end-stage – a. 终末期的
surrounding – a. 周围的n. 环境
Throwing my two cents in since I stalked this site religiously when I got my test date!
I graduated 9/30 in Southern California, got my ATT 10/15 (and started studying!), scheduled my exam for 10/28 at 1300 (75Q, 2h, 10-15 SATA, ridiculous # of prioritization/delegation, no hot spot, 1 audio ), name on DCA 10/30 at midnight.
I used Kaplan because my school paid for it and listened to the Mark Klimek audios.
Kaplan content is good; I felt prepared. The rationales are trash. They rarely explained why something wasn't right, they just said it was wrong. The questions were harder than NCLEX. There are more grammar and spelling errors than you'd expect from a program so expensive!
Kaplan scores (%), taken at various times during the day and night.
▪ Diagnostic Test 63.3
▪ Sample Test 1 62
▪ Sample Test 2 48
▪ Trainers (T1 51) (T2 60) (T3 51) (T4 64) (T5 57) (T6 60) (T7 66)
▪ Cap Test (1-3) yellow sub categories with green overall each time
▪ Readiness Test 66
▪ Qbank- scores and length varied a lot; used 370 of the 2105
▪ FYI, getting higher/lower scores is okay too! I'm only bothering to put them because I know the stress of wanting some type of comparison for your progress when you're prepping!
Mark Klimek audios were awesome! An overall review that simplified a lot of concepts.
I didn't buy Uworld but I did take the 25 free questions they offer. I was freaking out at first because everyone (except my Manda Panda) said you just HAD TO have it. Same content/difficulty as Kaplan, the only advantage is the rationales (these were awesome). If you have text anxiety, you may benefit from the interface because it looks just like the NCLEX screen.
▪ People have passed or failed using any resource you can name! I can't stress this enough! If I could make a billboard, I would. If you fail or pass, it's not because you bought or didn't buy such and such expensive a$$ program! It's about you! How well did you prepare? Do you have text anxiety? These things matter the most.
· Side note: anxiety is a B! If you've performed poorly during critical times in the past because of anxiety, definitely work on controlling it for the NCLEX! Perhaps, just as much as you are working on studying. A friend didn't pass and I know her test anxiety is the only reason why.
★Test ★
1. Which therapeutic communication technique is most helpful when working with transgender persons?
A. Using open-ended questions
B. Using their first name to address them
C. Using pronouns associated with birth sex
D. Anticipating the client's needs and making suggestions
2. Which special population should be targeted for breast cancer screening by way of mammography? Select all that apply.
A. Male-to-female (MTF)
B. Female-to-male (FTM)
C. Men-who-have-sex-with-men (MSM)
D. Women-who-have-sex-with-men (WSM)
E. Women-who-have-sex-with-women (WSW)
答案(Answers)
1. A
Rationale: The use of open-ended questions is most helpful in communicating with transgender persons because it assists in refraining from judgment and allows the client the opportunity to express their thoughts and feelings. The nurse should address the client with the name that the client prefers, so the first name may not necessarily be their preference. For the transgender person, it is likely that they would like to be addressed using pronouns associated with the sex they identify with now, which typically is not their birth sex. Anticipating the client's needs and making suggestions may be seen as passing judgment, so the nurse should refrain from doing this. 2. A, B, D, E
Rationale: Transgender persons who have undergone sexual reassignment surgery should have the respective preventive screenings. For example, MTF should have breast cancer screening by way of mammography if they are older than 50 years. Additionally, F「M should still have mammography routinely as indicated due to the risk for residual breast tis- sue to develop cancerous growth. WSW and WSM should have screening as well.
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