Rosh Inclusive Language Assessments 30 Questions with Verified Answers
Consider this patient summary:
A 37-year-old G3P2002 woman with a history
... [Show More] of substance use disorder, active HIV, hepatitis C, and previously treated tuberculosis delivered a viable male infant at 39 weeks 6 days in Detroit, Michigan.
What piece of information given in this patient summary does not align with inclusive, bias-free language and should be omitted? - CORRECT ANSWER In Detroit, MI
A woman presents to clinic, reporting she has lost her home. What is the best way to describe her housing situation? - CORRECT ANSWER Woman without housing
Consider this initial sentence of the patient summary:
A 22-year-old African American presents to the ED after his partner found him during an unsuccessful suicide.
Which of the following word choices for the underlined terms uses the most inclusive language? - CORRECT ANSWER Man, Partner, during a suicide attempt
A 28-year-old man with dark skin presents to the office to establish care. The physician wants to be sensitive to and inquire about the stressors the patient experiences because of his ethnicity. What is the best way to determine whether to use African American, Black, man of color, or another term to address his ethnic background? - CORRECT ANSWER the whole premise above is insensitive
Consider this patient summary:
A 19-year-old woman presents for an annual exam. She denies any current symptoms or complaints. She admits to being an intravenous drug abuser and being sexually active with multiple partners.
Which of the following lists all the terms in the patient summary that should be replaced with more inclusive, bias-free wording? - CORRECT ANSWER Denies, complaints, admits, intravenous drug abuser
Rates of tuberculosis are highest in undeveloped countries.
How can the statement above be rephrased to apply the principles of inclusive language? - CORRECT ANSWER Rates of TB are highest in India, Indonesia, and China
A 30-year-old asthmatic presents to the clinic complaining of disrupted sleep due to asthma symptoms almost every night. She admits to using an albuterol inhaler a few times a day with good relief. What is the most appropriate management of this patient?
How can the underlined words in the above vignette be better stated? - CORRECT ANSWER Woman with asthma, reporting, uses, management of this patient's asthma
A woman returns for a postpartum follow-up visit with the obstetrician and starts to cry, saying she cannot sleep and feels sad all the time. What is the best way to describe a potential diagnosis of depression? - CORRECT ANSWER she is a woman who may be experiencing depression
What is the best way to determine a patient's gender? - CORRECT ANSWER let the patient report their gender
A patient presents to the emergency department with a fatal self-inflicted gunshot wound. The patient's family is waiting for an update. Which of the following is the best language for the clinician to use when talking to the family? - CORRECT ANSWER died by suicide
A 34-year-old patient tells the clinician they are a Jehovah's Witness while discussing an elective surgery. Which of the following can be assumed? - CORRECT ANSWER more details are needed to know how to proceed
A resident is presenting the case of an 84-year-old woman with diabetes during morning rounds and refers to her as elderly. Which of the following is the preferential term when referring to a person in this age group? - CORRECT ANSWER older individual
Which of the following is an important element to obtain when taking a family history on a patient with thalassemia? - CORRECT ANSWER ancestry
Which of the following statements exemplifies the use of inclusive person-first language when relating information about a patient presenting to the clinic? - CORRECT ANSWER She is an 18 year old with a disability who will need accommodations in the dorm when she starts college later this year.
Consider this statement from a patient's social history:
The patient is an Asian man.
How could this patient best be described using inclusive language? - CORRECT ANSWER The patient is a man who moved from Vietnam 3 years ago.
When is it most appropriate to inquire about a patient's sexual orientation? - CORRECT ANSWER during primary care visit
A patient who uses a wheelchair presents for a new patient appointment. What is the best way to document this patient's physical ability? - CORRECT ANSWER physically disabled
Which of the following terms is frequently used to refer to people who have a light skin color and traditionally European origins, but the term is outdated, has a problematic history, and should not be used? - CORRECT ANSWER Caucasian
You are the AG-ACNP caring for a critically ill patient in the intensive care unit who sustained a cardiac arrest. After administering CPR for 40 minutes without return of spontaneous circulation, the resuscitation was ended and the patient was declared dead. When informing the family, which of the following statements is the most appropriate example of therapeutic communication? - CORRECT ANSWER After providing CPR we were unable to resuscitate him and he has died. I am very sorry for your loss.
A patient is referred by her primary care provider to an outpatient pulmonology clinic for recent shortness of breath and unintentional weight loss. CT of chest shows multiple 10 mm or larger ground-glass nodules in bilateral lungs, and a biopsy confirms malignancy. Follow-up positron emission tomography (PET) shows metastasis to brain, and the patient is diagnosed with terminal cancer. Which of the following is important to assess with the patient in order to help make appropriate decisions about the future plan of care? - CORRECT ANSWER spiritual or ethnic group values
The adult-gerontology acute care nurse practitioner is evaluating a 65-year-old man with acute onset of substernal chest pain that radiates down his left arm. He endorses jaw pain, is diaphoretic, and has a new left bundle branch block on ECG. Choosing to discharge the patient with outpatient cardiology follow-up is an example of which of the following? - CORRECT ANSWER negligence
The adult-gerontology acute care nurse practitioner is caring for a patient that presented for an elective procedure. During the procedure, a medication error occurred, and the patient suffered an iatrogenic cardiac arrest. Which of the following resources would be the most appropriate to contact for additional guidance? - CORRECT ANSWER risk management
The adult-gerontology acute care nurse practitioner is trying to communicate the HIV status of a patient to the infectious disease physician. Which of the following methods is a violation of the Health Insurance Portability and Accountability Act (HIPAA)? - CORRECT ANSWER texting
The adult-gerontology acute care nurse practitioner is evaluating a patient at a follow-up visit. The patient states they incorrectly reported a history of coronary artery disease and would like to have that diagnosis removed from their medical record. Which of the following is the appropriate action? - CORRECT ANSWER inform patient he has the right to make corrections to his medical record
At what level is practice authority granted? - CORRECT ANSWER state
When setting goals for a quality improvement project, the Institute for Healthcare Improvement (IHI) identifies the first priority should be focused on ensuring which of the following elements? - CORRECT ANSWER safety
Which of the following best describes the medical-legal responsibility to act within the standards of care for a provider's health care specialty? - CORRECT ANSWER liability
Which of the following best describes the unlawful touching of a patient by a provider without the patient's consent? - CORRECT ANSWER Battery
A primary care provider is informed a patient has posted defamatory remarks on the Internet regarding the physician and his practice. The statements state the physician has been indicted for fraud and has lost his medical license, both of which are false. Which of the following is the most appropriate legal term for this form of defamation? - CORRECT ANSWER Libel
A 64-year-old man is admitted to the cardiology service for acute on chronic congestive heart failure and is determined to be in New York Heart Association class 3. The patient states, "I have been so tired lately and unable to go golfing." Which of the following is an appropriate intervention? - CORRECT ANSWER refer palliative care [Show Less]