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Nurse Practitioner:
doi: 10.1097/01.NPR.0000446953.98568.14
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Deaf culture: Competencies and best practices

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INSTRUCTIONS Deaf culture: Competencies and best practices

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Deaf culture: Competencies and best practices

General Purpose: To provide information about the deaf culture, provision of appropriate care, and cultural competency for the deaf population. Learning Objectives: After reading this article and taking the test, you should be able to: 1. Summarize information about theories and research study findings for the deaf culture. 2. Identify management interventions and barriers to receiving appropriate healthcare for patients who are deaf. 3. Discuss the history and culture of the deaf community and the use of ASL.

  1. One of the three identified factors that affect health behaviors in the deaf culture is
    1. language proficiency.
    2. types of healthcare needs.
    3. availability of medical equipment.
    4. access to a provider in the local area.
  2. To successfully function in the hearing world where many people do not know ASL, deaf individuals must be able to
    1. read and write.
    2. hire interpreters.
    3. use body language.
    4. teach others to use ASL.
  3. Leninger's theory is used in regard to the deaf population since it addresses how people solve problems based on their
    1. goal attainment.
    2. environment adaptation.
    3. ability to provide self-care.
    4. perceived cultural frameworks.
  4. Perceptions of people who are deaf changed early in the 19th century when deaf
    1. schools were opened.
    2. communities were disbanded.
    3. people were given limited jobs.
    4. individuals were considered inferior.
  5. Presently, social theorists consider the deaf community to be a
    1. deficit-defined minority group.
    2. disempowered group at society's margins.
    3. subculture of the larger hearing population.
    4. group in cultural conflict with the larger community.
  6. Ethnically, the deaf population share similar
    1. genetic attributes.
    2. ancestry and heritage.
    3. geographic area locations.
    4. abilities, customs, and experiences.
  7. The deaf community feels that children who are provided cochlear implants have
    1. a higher quality of life.
    2. been given a great hearing opportunity.
    3. impeded communication and socialization.
    4. exactly the same hearing abilities as nondeaf individuals.
  8. When considering surgical hearing options, hearing parents of deaf children need to
    1. consider their child's wishes.
    2. identify the highest technology options.
    3. keep the child uninvolved in the decision.
    4. find experimental options that are available.
  9. When referring to deaf culture,
    1. a capital letter “D” is used (Deaf).
    2. a lower case letter “d” is used (deaf).
    3. the letters “nh” are used (nonhearing).
    4. the letters “SL” are used (Sign Language).
  10. In a study investigating perceptions of deaf capabilities, the group with theleastpositive perception was composed of people who are
    1. deaf exposed to the deaf culture.
    2. deaf unexposed to the deaf culture.
    3. hearing exposed to the deaf culture.
    4. hearing unexposed to the deaf culture.
  11. As compared with the hearing population, deaf individuals have a higher incidence of
    1. respiratory ailments.
    2. cancer-related illnesses.
    3. mental health problems.
    4. musculoskeletal disorders.
  12. Factors identified by Steinberg et as negatively impacting deaf healthcare include all of the followingexcept
    1. treatment avoidance.
    2. inadequate appointment considerations.
    3. uninformed consent
    4. health education provided by use of technology.
  13. A study found that children of deaf parents, as compared with those with hearing parents, have intellectual functioning test scores that are
    1. equivalent.
    2. significantly higher.
    3. slightly lower.
    4. significantly lower.
  14. ASL
    1. has a written form.
    2. does not use body language or facial expressions.
    3. is the third most common non-English U.language.
    4. is a combination of American Indian and French signs.
  15. For deaf individuals who use ASL for communication, reading English is
    1. a better method for health-related information.
    2. easier since it is very similar to ASL.
    3. hard with cumbersome syntax.
    4. rarely misunderstood.
  16. Lip reading
    1. yields an 80% understanding rate.
    2. is performed by all deaf individuals.
    3. is less effective if facial hair is present.
    4. is the most effective way to communicate with a deaf person.
  17. The U.law that mandated healthcare providers to use qualified ASL interpreters was the
    1. Americans with Disabilities Act.
    2. Bilingual Education Act.
    3. Education Reform and Funding Act.
    4. Affordable Care Act.
  18. Regarding healthcare provider communication with deaf patients,
    1. use lip reading for patient teaching.
    2. ask family members to interpret during health visits.
    3. use TTY/TDD as a last resort method of communication.
    4. deaf patients need to pay for an ASL medical interpreter.
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