transcultural nursing final exam
When the nurse uses informal or ad hoc translators such as family members or untrained hospital staff, it potentially (select all that apply): A. Breaches patient confidentiality B. Ensures compliance with the Office of Minority Health C. Meets ethical standards D. Is intrusive of patient privacy rights
A,D
When culturally competent nurses are working with diverse colleagues, the first step in the process is to: A. Determine the new colleague's level of communication. B. Explore their own attitudes, beliefs, and behavior. C. Share cultural knowledge about their own cultural background. D. Explore cultural differences that exist between themselves and the new staff member.
B
When defining spirituality, one common theme seems to be that spirituality is an expression of one's views about: A. Religion B. Meaning, purpose, and direction of life C. Cultural attitudes D. God
B
What statement by the nurse is true regarding the intersection of cultural differences, language barriers, lack of health insurance, and poverty? A. The combination of these factors compounds the problem of access for the poor. B. There are no differences between those with language barriers and those without in their impact on healthcare access. C. Cultural differences have little impact on healthcare access. D. All persons who lack private healthcare insurance are eligible for Medicare or Medicaid.
A
When caring for a patient who is newly diagnosed with a disability, the nurse's best response is to: A. Minimize the patient's involvement in care to avoid embarrassing situations B. Encourage the patient's participation as much as they are able C. Encourage the family to assist the nurse in providing care D. Seek an additional staff person to provide one-on-one supervision in the nurse's absence when possible
B
In the United States, ideas about death and dying are most often a result of America's focus on the medical model of care and: A. One's personal view of death B. A desire to engage in the afterlife C. An effort to fight against death D. A concern for a peaceful death
C
Two organizations that primarily provide support for persons with intellectual and developmental disabilities are: A. ADA and ICN B. WHO and ADA C. The Arc and LDA D. NCHS and WHO
C
According to the research, what factors best explain why there are some negative attitudes among citizens toward immigrants? A. New immigrants' failure to assimilate and natives' fear of losing jobs and resources B. Language diversity and differences in religious beliefs C. Political misunderstandings and value differences D. Socioeconomic differences
A
Stigmatization of obesity in society has resulted in: A. Vigilance by patients who are obese in anticipation of bias by healthcare workers B. Attitudes of increased support and empathy toward obese patients by healthcare workers C. Enhanced rapport between nurses and patients who are obese D. Increased numbers of persons who are obese
A
The ER nurse gives a report to the receiving nurse on a medical-surgical unit. She explains that the unit will receive Mr. G., a 45-year-old Arab patient. The receiving nurse expresses concern about what important consideration impacting this admission: A. There is an all-female staff on the unit. B. The nursing staff is uncertain about the correct pronunciation of the patient's name. C. The nurse assumes the patient will not like the food. D. The nurse is confused about the patient's attitudes toward American nurses and doctors.
A
The nurse admits a patient who is homeless to the unit. When planning care for this patient, what attitude by the nurse is most realistic? A. Homelessness poses a serious barrier to healthcare access. B. There are many available healthcare services provided by governmental agencies for the homeless. C. Quality care is provided to the homeless to the same extent it is provided to others. D. Persons who are homeless are aided by government subsidies like Medicaid.
A
The nurse performs a cultural assessment for a Puerto Rican patient using the Giger and Davidhizar model. When considering the biologic variations of members of this group, the nurse realizes that among Puerto Ricans: A. There is a high incidence of asthma, hypertension, and diabetes. B. There is a high susceptibility to gastrointestinal disorders. C. Arthritis and lupus are prevalent. D. Neurological and hematological illnesses are common.
A
potential complications of poor maternal nutrition during pregnancy include: Select all that apply A. Low birth-weight infants B. Prematurity C. Inhibited growth and development D. Genetic anomalies
A, B and C
Research indicates that _____________ is/are among the most significant factors in determining healthcare outcomes. A. Race and ethnicity B. Socioeconomic status C. Language skills D. Religious beliefs
A,B
Some important aspects of spiritual care are (select all that apply): A. Listening for spiritual clues B. Remaining nonjudgmental C. Consulting with other healthcare professionals as needed D. Incorporating one's own religious and moral views in patient care decision making
A,B,C
The culturally competent nurse observes patients for indications of spiritual distress, which include (select all that apply): A. Depression B. Crying C. Apathy D. Insomnia E.
A,B,C,D,E
To ensure the cultural acclimation of newly hired nurses from culturally diverse backgrounds, nurse administrators and human resource personnel can assist by (select all that apply): A. Providing staff development opportunities that promote cultural sharing B. Orienting culturally diverse nurses to the culture of the unit and the institution C. Setting a deadline by which new staff must complete their orientation D. Assigning a mentor to work specifically with a new nurse
A,B,D
The nurses on a busy hospital unit in an urban metropolitan area observed a sudden influx of Hispanic patients from Puerto Rico and Mexico over the past several months. Which statement by the staff is accurate about current demographics and Hispanic populations? (Select all that apply) A. Hispanics currently represent more than 16% of the population with a projection of 19% by 2050. B. Current trends suggest a decrease in the number of Hispanics coming to America. C. The largest group of Hispanic immigrants come from Mexico. D. Hispanics are typically younger than their U.S. counterparts.
A,C,D
What percentage of Americans speak a language other than English in the home? A. One in five B. One in 10 C.One in 15 D. One in 20
A. One in five
A Mexican migrant farmworker is seen in the emergency room (ER) for a work-related injury. During the intake interview, the patient reveals that she is worried about being treated because she has no health insurance. The nurse's best response is: A. Only citizens are eligible to receive hospital care. B. All persons who live and work in America are entitled to emergency care. C. Green card holders may receive only hospital care. D. There is a fee that must be paid by those without health insurance.
B
The primary focus of nursing care for morbidly obese patients during the initial meeting with the patient should be to: A. Assess the patient's cultural values and beliefs. B. Establish a positive rapport and partnership to identify the patient's care needs. C. Develop a plan for weight modification. D. Teach the patient about the importance of good nutrition.
B
When initiating care for new immigrants, nurses should be guided by what important principle: A. The patient's culture determines values, attitudes, and beliefs. B. The patient is a unique individual with cultural attitudes, values, and beliefs. C. The patient's religion will determine values and behavior. D. Members of the same cultural group share similar attitudes and ideals.
B
Which statement best describes nurses' use of terms like cultural humility, cultural awareness, cultural sensitivity, and cultural competency? *Select all that apply* A.The words all have the same meaning. B.The words convey different meanings and are often a source of confusion. C.Each term conveys some aspect of being culturally competent.
B and C
What are examples of the layers of vulnerability that children are subject to in the healthcare system? Select all that apply A. Autonomy B. Dependency C. Lack of agency D. Physical and emotional immaturity
B, C, and D
According to research, what problems are most often encountered by patients who live in poverty? (Select all that apply.) A. Bilingualism B. Too little time for sharing information with providers C. ER overuse D. Mistrust of healthcare providers
B,C,D
A nurse selects a cultural assessment model when performing a nursing history of a newly admitted recent immigrant from Cambodia. The primary reason for selecting the model is to A.Determine the nurse's ability to provide culturally competent care. B.Assess the patient's ability to communicate in English. C.Gain cultural knowledge about factors that may influence the patient's healthcare decision making. D.Determine the patient's readiness to utilize Western medicine.
C
According to the CDC, the percentage of U.S. citizens who are obese is: A. 10% B. 25% C. 36% D. 60%
C
Research shows a positive relationship among income, completed education, net worth, and A. Language abilities B. Cultural attitudes C. Private health insurance D. Religious values
C
The nurse who works in a busy urban area has frequent encounters with patients from multicultural populations. When working with members of ethnically diverse groups, the nurse understands that the poorest patients are most likely to be found among: A. Asian immigrants B. Pacific Islanders C. Blacks and Hispanics D. Ethnic Whites
C
When discussing a patient's eligibility for indigent programs based on U.S. government definitions of poverty, what statement by the nurse demonstrates a good understanding of poverty thresholds? A. Thresholds vary based on individual states' determinations. B. Thresholds are based on the income of the person designated head of household. C. Thresholds are consistent throughout the nation and are based on family size and age of its members. D. Thresholds are determined by townships and/or municipalities.
C
A Muslim patient who is terminally ill refuses to eat during Ramadan. What statement by the nurse demonstrates a good understanding of culturally competent care to patients who are terminally ill? A. "You don't have to honor Ramadan at your stage of illness." B. "Fasting will only make you sicker. You must really try to eat something." C. "Your health is the most important consideration at this time." D. "I will bring you a tray after sundown."
D
The nurse encounters multiple patients from culturally diverse groups who are living in poverty in the hospital's local community. The nurse desires to get involved in attempting to address this problem. The most effective initial approach by the nurse is to: A. Contact the local council members and other legislators to state some of the problems these patients are experiencing B. Study a foreign language to reduce the language barrier that exists between the nurse and at least one ethnic cultural group C. Join a nursing organization and advocate for the groups through collective action D. Attempt to establish a trusting relationship with each individual patient to identify his or her specific healthcare needs.
D
According to research, the large majority of Americans are: A. Catholic B. Protestants C. Muslims D. Christians
D?
The nurse is teaching a community class about the incidence of disabilities in the United States. According to WHO, what factors account for the increasing number of persons with disabilities in the United States? A. Ageing B. The emergence of chronic diseases C. Injuries caused by road crashes D. HIV/AIDS E. All of these
E
It is important for the nurse to assist patients in maintaining their spiritual well-being because spirituality is believed to: A. Give patients a sense of purpose. B. Provide a means for coping with stress. C. Positively influence the nurse-patient relationship. D. Strengthen patients' religious beliefs.
A?
The culturally competent nurse questions patients to learn about the value they place on God and religion in their lives because: A. Attitudes about God and religion vary among individuals. B. Some patients will not require spiritual care. C. Most patients are religious. D. This is a sign of a patient's coping capacity.
A?
The culturally competent nurse recognizes that within each major religious group in the United States: A. There are significant differences in religious perspectives. B. Most groups are strongly traditional in their religious thinking. C. Most Protestants are conservative. D. Most Catholics are liberal.
A??
The literature suggests that nurses caring for terminally ill patients will need to find ways to avoid burnout. One strategy is to (select all that apply): A. Eat a healthy diet. B. Get adequate sleep. C. Limit conversations about death and dying with the patient. D. Exercise regularly.
ABD
Research indicates that nurses' attitudes toward obesity are: A. Like those of society B. More negative than those of physicians C. More positive than those of physicians D. More negative than those of society
A
To ensure effective communication when caring for patients who are severely obese, nurses should pay close attention to: A. Patients' nonverbal communication, including body language and silence B. The level of the patient's active participation in his or her care C. Gains and losses in the patient's weight during the hospitalization D. The patient's readiness for self-disclosure E. Their own use of language regarding obesity
A
The nurse is planning the discharge of a patient who is unemployed. The nurse realizes that it is important to include what strategies in the patient's discharge planning (select all that apply): A. Teach the patient preventive health measures. B. Identify community resources. C. Provide any medical information in the patient's own language. D. Determine the patient's ability to pay for prescriptions.
A,B,C,D
What statement(s) are true about the healthcare needs of immigrants in the United States? (Select all that apply) A. Some immigrants require healthcare as soon as they arrive in the country. B. Immigrants' health on arrival to the United States is usually better than their U.S. counterparts. C. Obesity and other illnesses among immigrants increase with time spent in the United States. D. Hypertension and heart disease are experienced more by U.S.-born adults than foreign-born.
A,B,C,D
During a cultural assessment, when asked about his religion, the patient tells the nurse that he is an agnostic. The nurse acknowledges that this term means: A. The patient believes in the oneness of the human family. B. The patient does not believe in God. C. The patient is uncertain about the existence of God. D. The patient believes that there are many deities.
C?
A patient explains to the nurse that she delayed coming to the ER after experiencing a severe burn because she did not have any money to pay for the visit. What statement by the culturally competent nurse is most appropriate? A. Patients who are unable to pay are guaranteed emergency services by the Civil Rights Act of 1963. B. Patients are provided services through the Patients' Bill of Rights. C. Patients are protected by the Equal Opportunities Amendment. D. Patients are guaranteed services by the Emergency Medical Treatment Act.
D
During a family interaction on a pediatric inpatient unit, a nurse recognizes that the parents of the sick child speak Spanish in the home. When should a professional medical interpreter be consulted? A. After trying to have a sibling provide interpretation B. During physician rounds only C. If the Spanish speaking housekeeping staff are unavailable D. Immediately and at any time essential health information is being communicated during the hospitalization
D
Factors that influence nurses' ability to provide culturally competent care to patients who are obese include: A. Nurses' attitudes toward obesity B. The ability of the nurse to control bias and discrimination C. The number and nature of nurses' encounters with morbidly obese patients D. All the above
D
Patients who are experiencing morbid obesity are often challenged by: A. Anxiety, low self-esteem, and stigmatization B. Gastric reflux, limited mobility, and sleep apnea C. Difficulty performing activities of daily livings, frustration, and depression D. All of the above
D
Researchers generally believe that the cause of obesity is most likely: A. Genetic B. Overeating C. Psychosocial D. Multifactorial
D
Which of these activities strengthen the nurses' ability to provide culturally competent care to morbidly obese patients? A. Providing workshops and staff development activities that highlight the etiology, complications, and treatment of obesity B. Performing a self-assessment of one's attitudes and biases about obesity C. Collaborating with other healthcare professionals when care planning D. All of the above
D
Which of these statements describes common psychosocial consequences of stigma in morbid obesity? A. Anxiety, depression, and social isolation B. Anorexia and excessive weight loss C. Increased overeating and weight gain D. A and C
D
A culturally competent nurse recognizes that cultural group members who have a collectivist perspective value: A. The needs of the group or team over that of the individual B. The needs of the individual C. Needs based on the circumstances D. The demands of the team leader
A
A new graduate nurse relocates to California in search of employment and is to begin working in a busy medical-surgical unit in San Diego. What statement by the nurse indicates a good understanding of the diversity of patient populations in California? A. According to the 2010 Census, California had the largest immigrant population in the United States. B. California is second only to Texas in having the largest numbers of immigrants. C. Largely Asian immigrants migrate to California. D. There is limited cultural and ethnic diversity in California.
A
A terminally ill patient states that she believes the pain associated with her illnesses is God's way of purifying her of her sins before death; consequently, she is refusing pain medication. What statement by the nurse caring for a patient who is terminally ill suggests a need for further staff development? A. "That statement makes no sense; I believe we should add pain meds to her food." B. "The patient has a right to decide the care they receive as long as they are cognitively sound." C. "Let's continue to offer the medication just in case she changes her mind." D. "Perhaps we can offer some magazines or music therapy to divert her attention from her pain."
A
According to the CDC, HIV remains a leading cause of death among which of the following age groups? A. 25 to 44 B. 30 to 45 C. 45 to 55 D. 50 to 60
A
According to the stages of intercultural competence, a person who believes that their way of doing something is the only way may be viewed as being at what stage of competence? A. Unconscious incompetence B. Conscious incompetence C. Conscious competence D. Unconscious competence
A
The culturally competent nurse uses Kleinman's Explanatory Model during a cultural assessment. This model was selected because the nurse wants the patient to focus on A. The patient's perceptions about his illness B. The patient's allegiance to his family C. The patient's concerns about his spiritual beliefs D. The patient's concerns about the hospital staff
A
The first action by nurses who are seeking to provide culturally sensitive care to patients who are LGBTQIA is to: A. Gain an understanding of their own beliefs and attitudes about members of this group. B. Seek information about the health risks in this population. C. Attempt to learn about what it means to be LGBTQIA. D. Involve themselves in advocacy groups to assist members of the group.
A
The greatest barrier to healthcare access for new and older immigrants is: A. Problems in communication due to language issues B. Religious and value differences C. Gender and family roles variations D. Gaining access to hospitals due to transportation problems
A
The incidence of adverse drug reactions is higher in workers with H-2A guest worker visas because: A. Migrant workers are likely to be taking medications available without prescription that were obtained outside the United States. B. Migrant workers are less likely to be able to access health resources. C. Farmworkers demonstrate immunity to most infectious agents due to cumulative exposure. D. Migrant workers have access to a network of informal health providers recommending herbal remedies.
A
The interpreter arrives on the unit to see Mr. Nam, a Vietnamese patient. The nurse's initial action before beginning the interpreting session is to: A. Discuss the clinical situation and goals of the interview with the interpreter. B. Introduce the patient and interpreter. C. Provide a list of questions to ask the patient. D. Allow the interpreter an opportunity to determine how the interview should be conducted.
A
The nurse caring for persons with disabilities recognizes that the concept of "people first" refers to the belief that: A. All persons with disabilities have strengths, abilities, and inherent value, and are equal in the law. B. Persons with disabilities should be given first priority in clinical settings. C. Persons with disabilities must first overcome them before actively participating in society. D. Persons with disabilities should be first to receive healthcare benefits.
A
The nurse is caring for a person who uses a wheelchair who questions why able-bodied people are sometimes so insensitive to the needs of persons with disabilities. The nurse explains that according to some researchers: A. Most able-bodied persons have had little prior exposure to persons with disabilities and are unaware of the problems they face in society. B. Persons who are insensitive are those who usually lack social skills or compassion. C. Most able-bodied persons try hard to demonstrate compassion when meeting persons with disabilities. D. Persons who have disabilities are often given considerations that able-bodied persons are denied.
A
The nurse who expresses the belief that being gay is a choice made by individuals who are deviating from the normal or appropriate sexual behavior pattern is exemplifying what characteristic? A. Heterosexism B. Ethnocentrism C. Homophobia D. Centrism
A
The nurses on a medical-surgical unit are offered an opportunity to take a night course in Spanish for healthcare personnel. One nurse refuses to take the course because she believes that this action by the nurses would discourage Spanish-speaking patients from appreciating the importance of learning and speaking English. This way of thinking is based on: A. Myths about language diversity B. Evidence-based practice C. Cultural sensitivity D. Linguistic diversity
A
What situation describes the problem of disability disparities among persons with disabilities? A. Low-income, working-age adults with physical disabilities experience problems with transportation accessibility and privacy barriers. B. A person is born with a learning disability. C. Children who have cerebral palsy experience problems with mobility. D. There is a high percentage of physically disabled among the young.
A
What statement is true about the impact of attitudinal barriers on individuals who are LGBTQIA? A. The impact of stereotyping and discrimination is evident throughout the life span of persons who are LGBTQIA. B. Only teenagers and young adults who are LGBTQIA and sexually active are affected by discrimination. C. The impact of discrimination against LGBTQIA is most notable in midlife. D. Senior citizens who are LGBTQIA are no longer impacted by discrimination toward persons who are LGBTQIA.
A
When a patient asks to have someone other than a culturally diverse coworker care for them, culturally competent nurses can respond by: A. Speaking supportively about the professional competence of the nurse B. Agreeing to take the assignment on behalf of the nurse C. Insisting that the patient will have to accept the hospital's policy on nondiscrimination D. Refusing to care for the patient
A
When delivering cross-linguistic nursing (CLN), to ensure evidence-based practice, the nurse reviews the literature on cultural competency and finds which of the following statements is accurate about language differences between nurses and their patients? Language differences between patients and nurses often: A. Perpetuate discrimination and compromise care B. Impact doctors and nurses equally C. Impact doctors more than nurses D. Enhance nurse-patient interactions
A
When planning care for persons with disabilities, the nurse recognizes that according to the ADA, a disability is defined as: A. A person's physical, mental, or emotional functioning problems that alter an individual's ability to participate and be integrated into the social world B. A physical limitation or bodily impairment that disallows freedom of mobility C. An emotional or psychological illness that interferes with learning D. A psychological impairment that hinders a person's normal development
A
When using Purnell's 12 domains to perform a cultural assessment, the culturally competent nurse understands that the term biocultural ecology refers to A.Physical, biological, and physiological variations, such as skin color B.Differences in geographic location C.Attitudes toward preserving the environment D.One's country of origin
A
Which statement best illustrates what the nurse should consider when reflecting upon the patient's context? A.Social political, historical, and structural situations impacting the patient B.Folk and traditional health beliefs and attitudes C.Preferences for Western versus Eastern traditions D.Employment and economic status of the patient
A
The nurse discovers that a newly admitted patient is unable to speak or understand English. In taking a patient-centered approach to care, what is an appropriate goal of care? Please *select all that apply.* A. The patient will understand the diagnosis and treatment plan in his own language. B. The patient will learn some English to communicate with the staff. C. The patient's family will be included in the care planning as the patient desires. D. The patient's children will be utilized to translate to minimize the need for a medical translator.
A and C
When admitting a 73-year-old patient with dementia to his unit, what approach by the nurse is most appropriate? A. Calling the patient by her first name to establish an informal and relaxed rapport with her B. Asking the patient by which name she wishes to be called C. Stating her own name but referring to the patient as "sweetie" D. Avoiding the use of names in relating to the patient
B
When performing a cultural assessment, the nurse utilizes Giger and Davidhizar's Transcultural Assessment Model. When assessing the construct of space, the nurse considers the patient's A.Visual depth perception B.The patient's comfort level regarding social distance C.The adequacy of the patient's prior reception D.The patient's sense of physiologic balance
B
When using any of the cultural assessment tools, the culturally competent nurse employs a particular type of listening technique that requires the nurse to A. Question the patient's comments B. Restate and clarify C. Discuss the situation from the nurse's point of view D. Offer advice based on the nurse's medical knowledge
B
Having knowledge about Kim's cultural background is useful because (select all that apply): A. It enables the nurses to get to know Kim's cultural values and beliefs. B. It provides cultural information as a resource for the nurses' future encounters with patients who share Kim's ethnicity. C. It assists in overcoming the language barrier. D. It helps prevent problems in miscommunication.
A,B,D
The culturally competent nurse recognizes that the consequences of misunderstandings between the nurse and linguistically diverse patients are most likely to result in (select all that apply): A. Misdiagnosis B. Suboptimal pain management C. Reduction in the cost of care D. Poor patient satisfaction E. Enhanced treatment of chronic care
A,B,D
According to some researchers, minority group members can establish better relationships with members of the dominant group by (select all that apply): A. Building trust through honest dialogue B. Being vigilant in watching for any signs of prejudice or bias toward them C. Being willing to give others the benefit of the doubt D. Demanding equitable treatment for themselves and others E. Striving to understand how their behaviors are perceived
A,C,E
A female patient who is unable to speak English is discovered by the nurse crying alone in her room. What initial action by the nurse is most appropriate? A. The nurse goes to contact the family before entering the room. B. The nurse approaches the patient smiling and offers the patient tissues. C. The nurse contacts an interpreter. D. The nurse speaks in English and tells the patient that everything will be all right.
B
The staff development nurse conducts a workshop on caring for terminally ill patients. What statement by the nurse is accurate about culturally diverse groups and terminal illness? A. Members of the same cultural, racial, or ethnic groups generally share the same attitudes about death and dying. B. The nurse can assume there are variations among culturally diverse groups regarding death and dying beliefs and practices. C. Members of the same religious group share beliefs about postmortem procedures. D. To avoid confusion, it is best to care for all patients in the same way.
B
A nurse is assigned to care for a newly admitted patient who sustained multiple injuries in a car crash and requires complete care. The patient self-identifies as a lesbian and is accompanied by her partner of 10 years. What action by the nurse suggests a need for further staff development in the care of patients who are LGBTQIA? A. The nurse asks the patient's partner if she has any questions and allows her to assist the nurses by feeding the patient. B. The nurse reminds the patient's partner that visiting hours are not until 2 p.m., but only close members of the family will be permitted in to see the patient at that time. C. The nurse includes the patient's partner in the discussion during the interview when collecting information about the patient's medical history. D. The nurse documents the patient's partner's contact information on the chart.
B
According to a report by the NIH and the CDC, health disparities are a result of A.Genetic predispositions B.Wide variations in healthcare access C.Cultural diversity among various groups D.Racial and ethnic characteristics
B
Active listening is a strategy used by culturally competent nurses. This means that during communication, the culturally competent nurse: A. Allows the speaker to speak without ever interrupting B. Seeks clarification to ensure accuracy C. Uses nonverbal communication for emphasis D. Actively engages the speaker by sharing stories
B
During Ramadan, the Muslim patient is most likely to express the need to: A. Sleep longer through the night. B. Fast during daylight hours. C. Request more frequent visitors. D. Read the Qur'an.
B
During a cultural assessment, the nurse learns that a patient is a member of the Cherokee Nation. What initial action by the nurse is most appropriate? A. The nurse plans care for the patient based on personal knowledge about Cherokee Indians. B. The nurse performs a cultural assessment to learn about the individual care needs of the patient. C. The nurse plans to get an interpreter to speak with the patient. D. The nurse will review a cultural competency textbook to learn more about the Cherokee Nation.
B
For nurses caring for persons who have disabilities, it is important to remember that issues of sexuality: A. Have little or no significance after diagnosis of a physical disability B. Are of great concern to persons with disabilities but are often ignored by nurses C. Are meaningless when learning or cognitive disabilities exist D. Affect only persons who are able bodied
B
Ideally, the nurse selects a spiritual advisor for the patient based on: A. The nurse's knowledge of the patient's religion B. The patient's expressed desire C. The availability of a spiritual advisor within the healthcare system D. The family's wishes
B
The ER nurse interviews a 32-year-old patient who has come to the ER alone complaining of severe headache. Her blood pressure is 160/110 and she is being admitted until her hypertension is stabilized. During the interview, the nurse asks if the patient is married or single. The patient hesitates and then responds, "I'm married." What statement by the nurse reflects an effort to be culturally sensitive in this situation? A. "What is your husband's name and cell phone number?" B. "Is there a significant person or family member you would like me to contact?" C. "Who is your next of kin? Are there children I might get in touch with?" D. "Are you sure? You seem hesitant."
B
The migrant worker is at increased risk for negative health outcomes as a result of (choose all that apply): A. Overcrowded living conditions B. Delay in seeking care C. Lack of social support D. Mistrust of healthcare providers
B
The nurse admits Mr. Smith, a member of the Cherokee Tribe, to the unit. When preparing to conduct the initial nursing interview and assessment, the nurse considers that Mr. Smith's cultural heritage suggests that his language is most likely to be: A. Low context B. High context C. Nonverbal D. Midcontext
B
The nurse begins planning care for a patient newly diagnosed with pancreatic cancer. The patient has not yet been told of the diagnosis. The initial action by the nurse is to: A. Conduct a cultural assessment to determine the needs of the patient. B. Reflect on personal beliefs and attitudes regarding terminal illness. C. Offer the patient spiritual reading material. D. Disregard the diagnosis and treat the patient like any other patient.
B
The nurse complains to his charge nurse that one of his patients is threatening and intimidating because of his loud and forceful tone of voice. The culturally competent charge nurse recognizes that this behavior most likely reflects this patient's: A. Cultural beliefs B. Linguistic style C. Language context D. Cultural language
B
The nurse is caring for a patient who is paralyzed from the waist down due to a gunshot wound to the spine. In an effort to encourage the patient's participation in his care, the nurse offers the patient a basin with hot soapy water. On the nurse's return a half hour later, the patient is still washing himself. The best initial response by the nurse is to: A. Take over for the patient and complete the bath. B. Ask if he needs any assistance or wants the nurse to return later. C. Take the wash basin away, as this is taking too long. D. Ask a nursing assistant to work with the patient to complete his bath. 14When admitting a 73-year-old patient with dementia to his unit, what approach by the nurse is most appropriate? A. Calling the patient by her first name to establish an informal and relaxed rapport with her B. Asking the patient by which name she wishes to be called C. Stating her own name but referring to the patient as "sweetie" D. Avoiding the use of names in relating to the patient
B
The nurse is interviewing a patient with a disability who has a problem speaking clearly. The patient is struggling to explain a situation. The best initial action by the nurse is to: A. Correct the patient's mispronunciations and unclear statements. B. Listen patiently without interrupting, then question to clarify. C. Speak directly instead to a family member who is able to interpret the patient's meaning. D. Pretend to follow the conversation to minimize the patient's embarrassment.
B
The nurse reads the chart of a newly admitted recent immigrant to the United States. The patient's chart reads that the patient was admitted to the country due to a fear of returning to her country of origin because of the danger of political persecution. Based on this information, the patient is best described as: A. An alien B. An asylee C. An LPR D. An illegal
B
A nurse is working on a pediatric unit where a 15-year-old male patient has confided to the nurse that he is uncomfortable sharing with his parents that he believes he is probably gay. On reflecting on this situation, the nurse considers that the young man has expressed a concern about his (select all that apply): A. Gender identity B. Sexual orientation C. Attraction to members of the same sex D. View of himself as a female
B,C
The nurse considers the care needs of a person who uses a wheelchair. When planning care, the nurse recognizes that the best approach is to (select all that apply): A. Plan activities that will maintain the patient's immobility and limit the patient's safety risks. B. Encourage the patient to move freely and to have the most autonomy that the clinical situation allows. C. Encourage activities that force the patient to develop stronger motor skills. D. Sit facing the patient to maintain eye-to-eye contact.
B,D
When caring for the patient who is Muslim, which statement indicates an important cultural nursing consideration? (Select all that apply.) A. The nurse assists the patient with ambulation after surgery. B. The nurse frequently offers clean water to ensure patient's cleanliness. C. The nurse reheats the patient's food to ensure that it stays warm. D. The nurse provides quiet and private time for meditation and prayer.
B,D
A culturally competent nurse leads a staff development workshop for nurses on the care of patients who are LGBTQIA. What statement by the nurse conveys the most accurate information about the acronym LGBTQIA? A. It is a term that describes an organization in support of gay people. B. It is an umbrella term for individuals who are antigay. C. It is an umbrella term that reflects both gender identity and sexual orientation identities. D. It is a term that refers only to males who are gay.
C
A nurse states to one of her colleagues that she believes that any patient who self-identifies as being a member of the LGBTQIA population is experiencing some type of psychological problem. What statement by the nurse colleague offers the most appropriate response? A. "Psychological problems are found among members of every cultural group." B. "Some gay and lesbian patients have psychological problems, some do not." C. "Everyone has attitudes based on their own beliefs; however, the American Psychiatric Association removed homosexuality from the Diagnostic and Statistical Manual of Mental Disorders in the early 1970s." D. "This is probably true, but nurses should not judge anyone."
C
According to the Department of Health and Human Services, what percent of the U.S. population has some basic movement, sensory, cognitive, or emotional difficulties? A. 10% B. 15% C. 30% D. 40%
C
Agricultural workers that are patients in clinics and ERs may most often receive negative feedback from nursing and healthcare staff because of: A. Frequent infectious diseases B. Bias toward workers C. Limited language skills D. Workers' inability to pay for services
C
The ETHNIC Model affords the nurse an opportunity to learn about the patient's A. Genetic predispositions to diseases B. Socioeconomic problems C. Health beliefs, practices, preferences, and expectations D. Racial background
C
The culturally competent nurse is working with a colleague who adopts a traditional interpersonal style. The nurse recognizes that persons practicing this style are more likely to: A. Be willing to abandon their cultural values B. Find it difficult to relinquish their beliefs and attitudes C. Fail to recognize or acknowledge their cultural identity D. Take pride in their own culture while being comfortable interacting with members of another
C
The culturally competent nurse recognizes that the most appropriate time for performing a cultural assessment is A. When obtaining a health history B. After the nurse has met with the patient and the family C. During each patient-nurse encounter D. During the physical examination
C
The culturally competent nurse recognizes that the use of certain language can be demoralizing to persons with disabilities. Which of these statements suggest that the nurse is using culturally appropriate language when caring for clients with disabilities? A. The nurse giving a report at change of shift mentions that the patient is afflicted with mobility problems and has recently been stricken with MS. B. The emergency room triage nurse explains that, "since you are handicapped, I'll place you in a larger cubicle for your assessment." C. The nurse explains to the doctor, "I believe this young lady may have a hearing impairment." D. A nurse exclaims, "I was just assigned to a mentally retarded patient."
C
The key to effective outreach efforts to migrant farmworkers traveling the stream is: A. Availability of educational materials written in a variety of languages B. Scheduling camp visits to coincide with hours when workers are not in the fields C. Developing collaborative relationships with growers and crew leaders D. Targeting female workers and enlisting their help in circulating information
C
The model that allows the nurse to express an understanding of how the patient feels without necessarily conveying agreement is called A. The Sunrise model B. PEARLS C. Validation* D. THe ESFT ModeC
C
The newly admitted patient explains to the nurse that he recently immigrated to the United States and holds a green card. The nurse understands that this means: A. The patient must at some point return to his native land. B. The patient has citizenship. C. The patient has a legal right to reside permanently in the United States. D. The patient is a foreign national.
C
The percentage of Americans in 2014 who considered themselves agnostics or nonbelievers is: A. 2% B. 5% C. 15.5% D. 22.8%
C
The primary cross-cultural barrier in this case scenario is a problem due to: A. Kim's lack of experience in the United States B. Kim's educational preparation in nursing C. Challenges in communication D. Differences in worldview
C
What statement best describes the role of the culturally competent nurse in providing care to patients who are LGBTQIA? Culturally competent nurses: A. Abandon their own values and beliefs and adopt those of the patients for whom they are caring. B. Recognize their personal discomfort level and refer patients to other resources when they are personally unable to assist them. C. Seek training, professional workshops, and journals to explore information about topics related to patients who are LGBTQIA. D. Advocate for patients and coworkers as the first step on the staircase of cultural competency.
C
When completing physical assessments of Hispanic/Latino clients, it is important for the nurse to recognize that the client will be: A. Unable to give a comprehensive health history B. Opposed to having a staff member as an interpreter C. More comfortable with a health provider of the same gender D. Mistrustful of clinic staff
C
When culturally competent nurses administer spiritual care to diverse patients, they recognize that it is important to focus their attention on the spiritual well-being of: A. The patient only B. The patient and his family C. The patient and the nurse D. The nurse only
C
When giving the change of shift report to the other nurses on her unit, a young female nurse explains that a middle-aged male patient on the unit "appears to be gay." She further states that as a result she is uncomfortable caring for the patient until she is certain about his HIV status. The culturally competent nurse receiving the report appreciates that the nurse's comments probably reflect the younger nurse's: A. Ageism B. Heterosexism C. Homophobia D. Transphobia
C
When language diversity is first suspected, the initial response by the nurse should be to: A. Provide an interpreter. B. Notify the physician of this concern. C. Determine the patient's primary language and his or her ability to speak and read it. D. Conduct a full cultural assessment.
C
When nurses are caring for new immigrants, one of their most important roles is: A. Learning a foreign language B. Teaching foreign patients to speak English C. Learning illness prevention and health promotion D. Providing acute care for those who arrive in an illness state
C
When the nurse plans cross-linguistic care for her newly admitted patient, she is most concerned by patient behaviors that suggest differences in: A. Linguistic style B. Language context C. Literacy D. Cultural attitudes
C
Which statement below best describes a culturally competent nurses? A.Having the motivation to provide quality care to assigned patients B.Having the desire to partner or collaborate with the patient C.Having the attitude, knowledge, and skills necessary to provide quality care to culturally diverse patients and groups D.Having the knowledge of multiple languages to address various patients' needs
C
Which of the following statements is accurate about the difference between spirituality and religion? (Select all that apply.) A. Religion is internal and spirituality is external and exclusive. B. Spirituality relies on doctrines and rules. C. Religion is focused on specific values, beliefs, and a framework for ethical behavior. D. Spirituality is internal and inclusive.
C,D??
From a legal perspective, responsibility for educating agricultural workers about pesticide risks rest with: A. Crew leaders B. Immigration officers C. Migrant health clinic staff D. Growers
D
In Leininger's Sunrise Model, "generic or folk systems" refers to A.Western medicine B.Systems of medicine that are antiquated and no longer useful C.Health practices of the elderly D.Traditional healthcare practices and belief systems used as alternatives to Western medicine
D
In a culturally competent work setting, the responsibility for Kim's success as a new nurse on the unit lies with: A. Human resources B. Kim C. The staff D. Kim, human resources, and the nursing staff
D
The culturally competent nurse recognizes that the majority of new immigrants come to the United States from what regions around the world: A. Oceania and Europe B. Africa and Asia C. Asia and Oceania D. Latin America and Asia
D
The hospice nurse comes to visit a terminally ill patient who has just been placed in her care. The nurse asks the patient whether he wishes to enter a hospice care facility or receive care at home. The nurse recalls that current research reveals most terminally ill patients prefer: A. Staying in the hospital where they feel safe B. Being discharged from nursing care, because they cannot expect a cure for their illness C. Going to a long-term care or rehabilitation facility D. Going home to die in the presence of their loved ones
D
The primary role of the nurse in caring for patients who have terminal illnesses is to ensure that: A. The patient has a happy death. B. Pain is minimized and controlled. C. The patient is protected from unnecessary stress. D. The patient's goals and wishes related to death and dying are addressed.
D
The staff development nurse conducts a workshop on the care of new immigrants. The nurse states that according to the U.S. Census, 36 million people or 12.4% of the population are: A. Citizens B. Residing in the country illegally C. Lawful permanent residents (LPR) D. Foreign born
D
Which statement best describes Cross's concept of cultural blindness? A. Attitudes that are destructive of cultures B. Attitudes that involve bias and discrimination C. Levels of awareness and an effective response to diverse populations D. A belief in treating all groups the same without regard for differences
D
