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Female refugees: Sensitive care needed

doi: 10.1097/01.NURSE.0000446861.29902.e0
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INSTRUCTIONS Female refugees: Sensitive care needed


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Female refugees: Sensitive care needed

GENERAL PURPOSE: To provide information about caring for female refugees with a history of trauma. LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Identify typical signs and symptoms experienced by female refugee trauma victims. 2. Recognize various aspects associated with better outcomes for female refugee trauma victims. 3. Describe management strategies for female refugee trauma victims.

  1. People with PTSD
    1. gravitate toward triggers.
    2. have positive cognitions.
    3. often experience elevated moods.
    4. have little control over signs and symptoms.
  2. People with PTSD are more likely than the general population to
    1. smoke.
    2. be physically active.
    3. be less forgetful.
    4. adhere to medication regimens.
  3. Women traumatized by violence are more likely to develop
    1. alopecia.
    2. heart disease.
    3. skin disorders.
    4. neurologic deficits.
  4. Crime victims most likely to develop PTSD are women who've experienced
    1. natural disasters.
    2. military tours in war zones.
    3. war-related sexual violence.
    4. domestic partner abuse.
  5. Long-term consequences of sexual violence include
    1. cervical cancer.
    2. skin cancer.
    3. increased social status.
    4. reduced pain.
  6. Intrusive frightening thoughts after exposure to triggers are called
    1. flashbacks.
    2. disassociations.
    3. spirit possessions.
    4. hyperarousal behaviors.
  7. Hyperarousal behavior may cause
    1. bradycardia.
    2. hypoventilation.
    3. reduced anxiety.
    4. profuse diaphoresis.
  8. A coping mechanism in patients with crisis levels of stress is
    1. a flashback.
    2. agoraphobia.
    3. disassociation.
    4. hyperarousal behavior.
  9. Fear of reexperiencing memories of a traumatic event may lead to all of the following except
    1. isolation.
    2. suicidal ideation.
    3. flulike symptoms.
    4. feelings of claustrophobia.
  10. Trauma patients who fare better than others are more likely to have
    1. limited formal education.
    2. prolonged trauma experiences.
    3. significant family and community support.
    4. coping mechanisms without cultural protective factors.
  11. For refugees exposed to trauma, a higher educational level has
    1. no effect on mental health status.
    2. a negative effect on coping mechanisms.
    3. less empowerment for trauma preparedness.
    4. a protective effect on mental health status.
  12. If confidentiality is a concern,
    1. have translators sign an oath of secrecy.
    2. avoid translators with healthcare issues.
    3. have a translator participate remotely by phone.
    4. avoid sensitive issues.
  13. Patients with complex needs may benefit from
    1. multiple visits.
    2. one extended visit.
    3. previsit medication.
    4. bringing friends with them.
  14. For female refugee violence victims,
    1. maintain continuity of care.
    2. have them see different providers.
    3. schedule them for multiple offices.
    4. assign a different nurse at each visit.
  15. Patients with a history of violence should be screened for
    1. compliance issues.
    2. intellectual disabilities.
    3. triggers that cause flashbacks.
    4. current risk for violence as a victim or perpetrator.
  16. To encourage women to report violence against their children, begin by explaining that this country has
    1. restraining orders.
    2. some legal gender equity.
    3. available pediatric care.
    4. family law attorneys.
  17. Ensure that trauma victims have access to appropriate
    1. family support.
    2. health insurance.
    3. financial income.
    4. psychological treatment.
  18. Nurses caring for trauma victims are at risk for
    1. physical abuse by the patient.
    2. vicarious emotional trauma.
    3. emotional abuse by the patient.
    4. attacks by people from the refugee's country.


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