A. Native Hawaiian or other Pacific Islander 土著夏威夷人或其他太平洋岛民
1. This population has origins in the Pacific Islands, including Polynesia, Micronesia, and Melanesia.
该人群出身于太平洋群岛，包括波利尼西亚、密克罗尼西亚和美拉尼西亚。
2. This population is noted to have higher rates of smoking, alcohol consumption, obesity, and diabetes mellitus.
该人群的显著特点是较高的吸烟、饮酒、肥胖症和糖尿病率。
3. Some leading causes of death among this population are cancer, heart disease, accidents, stroke, and diabetes.
该人群死亡的某些主要原因为癌症、心脏病、意外、中风和糖尿病。
4. There is a higher incidence of infant mortality and sudden infant death syndrome (SIDS).
婴儿死亡率和婴儿猝死综合征（SIDS）发病率较高。
5. Hepatitis B, human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), and tuberculosis are other diseases prevalent among this population.
乙肝、HIV、AIDS和结核病为该人群的其他流行性疾病。
B. American Indians and Alaska Natives 美洲印第安人和阿拉斯加土著人
1. This population has origins in North, Central, and South America and have tribal or community attachment.
该人群出身于北美洲、中美洲和南美洲，具有部落和社区归属感。
2. Some in this population may not have health insurance coverage or a regular source of healthcare.
该群体有些人可能没有医疗保险，或没有正规的医疗来源。
3. Cultural barriers, geographic isolation, and low income prevent this population from receiving quality health care.
文化障碍、地理隔离和低收入等阻碍该人群获得优质的医疗保健服务。
4. Smoking is a common practice; nearly one-third of this population older than age 18 years smokes and some consume alcohol in large amounts.
普遍吸烟；近1/3的18岁以上人群吸烟，有些人大量饮酒。
5. This population is noted to have higher incidence of diabetes mellitus and stroke.
该人群的显著特点是糖尿病和中风发病率高。
6. Some leading causes of death among this population are heart disease, cancer, malignant neoplasm, cerebrovascular disease, and accidents.
该人群死亡的某些主要原因是心脏病、癌症、恶性肿瘤、脑血管病和意外。
7. This population is at high risk for altered mental health, suicide, sudden infant death syndrome (SIDS), teenage pregnancy, liver disease, and hepatitis.
该人群的精神健康改变、自杀、婴儿猝死综合征（SIDS）、青春期妊娠、肝病和肝炎等风险高。
8. There is a high incidence of infant mortality.
★ Vocabulary for Today ★
native – a. 土著的，土生土长的
Hawaiian – a. n. 夏威夷人
Pacific Islander – 太平洋岛民
Pacific Islands – 太平洋群岛
Polynesia – n. 波利尼西亚
Micronesia – n. 密克罗尼西亚
Melanesia – n. 美拉尼西亚
note – v. 著名，提到
incidence – n. 意外事故
mortality – n. 死亡率
SIDS -- sudden infant death syndrome
SIDS – 婴儿猝死综合征
American Indians – 北美洲印第安人
Alaska Natives – 阿拉斯加土著
tribal – a. 部落的
attachment – n. 依恋，归属感
★Video ★
American Indians
★NCLEX-RN Experience★ 考试从来不易，前行者的经验可以使后来者少走不少弯路！
Failed Nclex after 2 years now what? Ilovelife1234
I need advice,
I recently just took the nclex on October 10th and feel like I have failed. I did the "good pop up" and got the bad pop up. I had 255 questions and ran out of time. This was my 4th time taking the NCLEX and I have spent 2 years studying for it. I do not know if I have officially passed but I know that I have after my 4th time taking it. I cannot seem to pass it. I am completely devastated and heart broken. I have not stepped foot in a hospital since I graduated in 2017. At this point I really do not know what to do. There has been so many times where I thought I was going to pass but I have not. I have done World, Kaplan, and ATI. I even have a tutor.
So basically anyone that has encouragement or any advice on what to do I would appreciate it!! Kimmi_1993
TO IloveLife1234
My advice is slow down! You’re doing too much, you probably should do a content review and then do a question bank, like uworld! I used mainly uworld along with nclex mastery app! Occasionally I would listen to YouTube videos, but it was mainly questions. The most questions I’ve done is 50 a day and that’s it. I would review all the questions by writing down the rationales and rereading them! Sometimes I would do 30 or 25! I would take it slowly and not rush myself by trying to do as many questions as possible. I would take many breaks because I get fatigued so before it gets that way I stop and go on my phone or take a walk! I also read the nclex summary pages that was floating around a couple times and the remar quick facts text book. I hope this helps strawberryluv, BSN, RN
（strawberryluv is a BSN, RN and specializes in LTC, Med-surg.）
I recommend to do at most 50 questions per day like someone else said. But you have been out of school for so long so you do need a content review. I recommend to read a good content review book like Saunders Comprehensive Review for the NCLEX-RN. Just pick one chapter of it a day and do 50 questions on that chapter, next day pick a new chapter and repeat until your finish the entire book. If you think one chapter is too less then choose 2 chapters, read the content then do up to 50 questions. When you do the questions focus on the question stem and what the question is asking, spend a little more time to think about eliminating each answer on the MCQ (multiple choice question).
★Test ★
1. The nurse is volunteering with an outreach program to provide basic health care for homeless people. Which finding, if noted, should be addressed first?
A. Blood pressure 154/72 mm Hg
B. Visual acuity of 20/200 in both eyes
C. Random blood glucose level of 206 mg/d L (11.47 mmol/L)
D. Complaints of pain associated with numbness and tingling in both feet
2. The nurse is preparing discharge resources for a client being discharged to the homeless shelter. When looking at the discharge medication reconciliation form, the nurse determines there is a need for follow-up if which medication was prescribed?
A. Glipizide
B. Lisinopril
C. Metformin
D. Bedomethasone
答案(Answers)
1. D
Rationale: The nurse should address the complaints of pain and numbness and tingling in both feet first with this population. If the client perceives value to the service provided, they will be more likely to return for follow-up care. While the blood pressure, blood glucose, and vision results are concerning, the client's stated concern should be addressed first. 2. A
Rationale: There are a number of medications that should be avoided, if possible, for the homeless person due to the safety risks. Glipizide is an oral hypoglycemic medication and is classified as a sulfonylurea. A major side effect of this medication is hypoglycemia, which presents a safety risk to the homeless person. Lisinopril is an angiotensin-converting enzyme inhibitor. Although there are side effects that should be included in discharge instructions, there is less of a threat to safety with this medication, and the benefits of it are important. Metformin is an oral biguanide and is used for type 2 diabetes mellitus. Hypoglycemia is less of a concern with this medication compared with other oral hypoglycemic. Bedomethasone is an inhaled corticosteroid used for obstructive lung disease, and although there are side effects that the client should know about, there is not a particular safety risk associated with this medication for the homeless person.
当前位置：
