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IHS 4245 - Final Exam Questions with Accurate Answers 2024
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IHS 4245 - Final Exam
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IHS 4245 - Final ExamSubstance abuse and Family Violence - answer When alcohol and or drugs are abused
there is an increased risk of IPV. Although these substances do not cause the violence
they can make the violence worse. Heavy drinking is defined as one drink per day for
women and two or more a day for men. Binge drinking is five or more drinks on one
occasion. A higher abuse incidence is noted in men, white, Native American, and young
unmarried adults. Binge and heavy drinking are both considered alcohol abuse and can
be found in the (DSM-IV).
Among people ages18-20, drug abuse is the highest. Drugs like marijuana, cocaine,
heroin, or prescription medications are illicit drugs. A screening tool called CAGE (cut
back, annoyance by critics, guilt about drinking, and eye-opening morning drinking) is a
well used tool. Also, inquiring if the patient has used prescription stimulants or sedatives
for non-medical reasons is helpful for assessment.
The Substance Abuse and IPV Connection - answer•There is a connection between
substance abuse and IPV in that people continue both despite negative consequences,
they are obsessed with the behavior, and they develop a tolerance for the behavior.
•A victim might develop an alcohol or drug problem trying to numb or escape the IPV.
The abuser may be violent after using the drug or they may become violent in attempts
to get the drug.
Addressing the IPV and substance abuse - answerIf the person is abusing substances
then that factor must be addressed along with the IPV. Victims of IPV have trouble
trusting others. Connecting these individuals to support systems helps them address
both concerns.
Child Abuse and Substance Abuse - answer•Child abuse increases when there is
substance abuse. Substance abuse is often involved in cases of child abuse and
neglect. A child witnessing substance abuse and IPV is more likely to; abuse
substances, be depressed, attempt suicide, smoke, contract STDs, and experience
violence into adulthood. Children can be greatly affected in utero by substance abuse
and violence. Substance abuse in the home puts children at risk in many ways. Women
who abuse substances are hesitant to seek help because they are worried they will lose
their children. Combining assistance, with both IPV and substance abuse, would benefit
in a more well-rounded manner.
Substance abuse and Elder Abuse - answer•The risks for elder abuse increases when
there is substance abuse in the home because of the complexities in caretaking for the
elderly. This is especially true for elderly who abuse substances, combined with
caretakers who abuse substances, can lead to a volatile situation. A screen, by
,healthcare workers, that asks about alcohol or drug behaviors can assess the situation.
With this age group having more health issues and seeing healthcare professionals
more often detection can happen quicker.
Healthcare professionals should ask many questions alluding to both FV and substance
abuse. It is important for healthcare providers to refer to counselors, AA, and social
services to provide needed supports.
Indigent and homeless individuals are vulnerable - answer•Indigent and homeless
individuals are vulnerable because they have a complete lack of resources; which can
cause an increase in negative health altering consequences.
Shelters are full and more families are without resources, to maintain a healthy lifestyle.
Immigrants and refugees are vulnerable - answer•These individuals are vulnerable;
because a key factor in proper healthcare is effective communication.
•When immigrants, are illegal, they will not seek out healthcare because they do not
want to be sent back to their country.
•There are policies to protect these individuals rights, but they are very limited.
Addressing Health Disparities in Immigrant Populations in the US - answer•With the
population growing in the US, foreign born individuals are accounting for more of that
growth. Policies are changing regarding this group of individuals. Many immigrants do
not have health insurance and thus have limited access to adequate healthcare.
•Because individuals come into the US , with a variety of health backgrounds,
healthcare professionals must be able to meet their needs.
•Regardless of policy changes there will always be individuals with a variety of health
backgrounds, and meeting the challenges of healthcare is essential to all populations.
Clarification of terms - answer•term immigrant can be used for most of the population
based on the shear fact that our past generations all came from different countries.
•According to the US Citizenship and Immigration Services (USCIS) if a person is a
lawful resident then they are no longer referred to as an immigrant.
•Illegal aliens are those individuals who have entered into the US without inspection.
•The term foreign-born citizen refers to those who are born in the US; which includes
immigrants, migrants, refugees, and those people who are illegally in the US.
•Refugees are those who are seeking refuge in a place that allows them to make their
own decisions about religion and politics, just to name a few.
Importance of screenings - answer•It is important to offer high risk populations
screenings, so that healthcare concerns are kept in check.
•For example the CDC reaches out to countries where health concerns are prevalent,
such as tuberculosis, so that if these individuals come to the US there is not an
outbreak.
Certain populations are more prone to certain diagnosis.
, •Cancer screens and treatment are important for all individuals. The incidence of cancer
is higher in some ethnic/cultural groups then others; thus making it important to make
screens accessible to all.
•Offering screens and treatment without the stigma of discrimination is essential.
•For example the US has a high obesity rate so monitoring those coming to the US is
important. The longer individuals stay in the US the more likely they are to become
obese.
Access to healthcare - answer•Increased poverty rates among foreign born and non-
citizens, means they are usually uninsured.
•The 1996 Welfare Reform Act excluded immigrants from getting Medicaid, except for
emergency care.
•States, since this act, have set up funds to cover some adult immigrant costs. Reforms
are need as the immigrant population increases in areas including; housing, child care,
and medical care.
Language as a barrier - answer•Immigrants, with languages other then English, can
have barriers in healthcare. Physicians will tend to use family members as interpreters
because funds are limited for certified interpreters. In the case where a minor is used as
an interpreter inaccuracies compromising communication may occur.
Immigrants as a Vulnerable Population - answer•The immigrant population is listed as a
vulnerable population, by the Agency for Healthcare Research Quality, so they are
protected when it comes to healthcare research. Although there is genetic research that
needs to be conducted, it is essential that participants are fully informed.
Vulnerabilities to IPV for Immigrant Women - answer-Limited status
-Limited English
-Limited understanding of laws that protect women
-Isolation from family and others who could provide support
-Pressure from their community
Because of these vulnerabilities a healthcare provider may become a trusted individual
that they can turn to.
Immigrant Women Demographics - answer-Documented and undocumented
-Can be fleeing war, political oppression, economic issues, and domestic violence.
-If she enters undocumented she has even more pressure to stay with her partner due
to this status.
-Because immigrant women are so diverse it is difficult to obtain data, due to the
language barrier.
-There is a high rate of homicides among immigrant groups.
-If they have experienced IPV at home they may be devastated.
-If they are undocumented there is a lack of legal rights and men tend to have a higher
immigrant status.
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