UWM Nurs 101

You have an African American client who may be eligible for a clinical trial of a new medication. In light of what happened with the Tuskegee Syphilis Study how should you proceed.

Offer the information to your client. In particular spell out the safeguards that in place to protect the rights of participants.

What are the two formal aspects of the BNP nursing program described in the article about marginality?

Pacific nurses were trained in a separate cirriculum with their own staff and their program affirmed Pacific identity

The best person to have interpret if there is a language barrier is:

Professional Interpreter

The best person to have interpret if there is a language barrier is:

Professional interpreter

What does Coates define as the "full acceptance of our collective biography and its consequences"

Reparations

The research into historical trauma as public narrative concluded which of the following?

Research into historical trauma must focus on present day factors

What resources are available for nurses to achieve cultural competency? Check all that apply.

Self assessment tools and cultural competency courses

According to Lim et al. what is closely tied to healthcare disparities among LGBT people?

Sexual and social stigma

The three recommended approaches to cross-cultural education are: Cultural or linguistic barriers and healthcare system fragmentation are examples of

Skills, attitudes and knowledge

___ encompasses the broad institutional influences on multiple casual factors in health disparities

Structural racism

_________________ encompasses the broad institutional influences on multiple causal factors in health disparities.

Structural racism

What are the targeted outcomes for the healthy people 2020 goals of using health communication strategies and health information technology. Select all that apply

-improve population health outcomes -improve healthcare quality -achieve health equity

An assumption about impact of culture on health beliefs and behaviors is that there is little to no relationship between strong cultural identities and health beliefs and practices.

False

Cultural diversity issues in health care are limited to those dealing with racial and ethnic groups

False

Good intentions and good science are enough from a public health perspective to improve the health of all Americans

False

Once you learn about how members of a particular religious group may accept or refuse particular medical practices you can assume all members of that group will act the same way

False

While it is important to be familiar with health care issues released to persons who are LGBT there are no resources to help you be a more inclusive provider

False

You as an individual can do little to reduce health care disparities and improve the health care experiences for ethnically and racially diverse patients because change can only be effective on a system or policy level.

False

The Indian Boarding Schools are an example of what according to Kaegi?

Forced assimilation

What is the main point made by Jones relative to health disparities?

Health disparities are a moral wrong and must be addressed

_________________ means social justice in health. Health disparities are the metrics that we use to measure progress toward achieving ______________

Health equity

What is the largest and fastest growing racial/ethnic group in the United States

Hispanic

What has been defined as "a person of Cuban, Mexican, Puerto Ricardo, South or Central American or other Spanish culture or origin regardless of race"

Hispanic or Latino

Problems in access to quality healthcare are caused by a combination of _______________

Historic and contempentcy forces

What do Mohatt et al. call a "complex and collective trauma experienced over time and across generations by a group of people who share and identity, affiliation or circumstance"

Historical trauma

What do Chapman et al. say may contribute to health care disparities by shaping physician behavior and producing differences in medical treatment along the lines of race, ethnicity, gender or other characteristics.

Implicit bias

According to the readings in health care color blindness would be considered to be:

In general can be negative because you may fail to recognize the important differences among your patients.

Canales also describes another form of othering which she defines as "a process that attempts to utilize power within relationships for transformation and coalition building. The consequences ... for this form of Othering are consciousness raising, sense of community, shared power, and inclusion". Which form of Othering is she describing?

Inclusionary othering

Laws and Chilton discuss a number of factors affecting health care delivery now and in the future. These conclude diversification's of the US population and health care workforce. What type of training do they suggest for addressing the potential issues and to provide patient centered care to all patients?

Interdisciplinary bioethics training

If a nurse is engaging in culturally congruent practice she/he is providing care that is in agreement with what? Select all that apply

-A patients beliefs -A patients practiced -A patients worldview -A patients preferred values

What point does Benjamin make about access and equity? Check all that apply

-Access is misconstructed as equity, providing access to services does not guarantee receiving equitable services -Medicare is an example of how access does not always lead to equity

What point does Benjamin make about access and equity?

-Access is misconstructed as equity, providing access to services does not guarantee receiving equitable services. -Medicare is an example of how access does not always lead to equity

What are five areas of palliative care that Chakraborty et al. covered in their systematic review of literature?

-Advanced directives -Physical Requirements -Other end of life religious considerations -Euthanasia and non physician-assisted suicide -Autopsy practices

The society for Adolescent Health and Medicine support a number of positions relative to promoting the health and well being of LGBT Adolescents. Select all the positions they support

-All health care providers who care for adolescents must be trained to provide competence and non-judgmental care for LGBT youth -Providers should ask youth how they identify and match their language because sexual orientation and gender are dynamic constructs -Providers should be prepared to address the health care needs of sexually active LGBT teenagers

How did the Hmong participants in the study by aloe et al. classify illness?

-As spiritual or non spiritual -As visible or non visible manifestations

What tools are recommended to address the challenges in getting foundations to address issues of achieving racial equity.

-Create a container with intentional group norms -Explore accumulated racial advantages and disadvantages, -Caucus by racial identity - Reflect on white culture

What are some important aspects of the Conceptual Framework of Nursing in Native American Culture? Select all

-Creates healing place for working better -Guide for caring for Native American clients who exhibit signs and symptoms resulting from historical trauma -A holistic world view

ANA Standard 8-culturally congruent practice includes guidelines for implementing the standard in nursing practice. Which is the following is true about these guidelines? Select all that apply

-Culturally congruent communication is essential to culturally congruent practice -Self assessment is essential and begins with critical reflection -These guidelines should be adapted to each setting

According to Neville et al. what are the impractical of color-blind racial attitudes? Select all that apply

-Greater racial prejudice -Greater racial acceptance

What according to Chapman et al. what could help reduce the contribution of implicit bias to health care disparities.

-If all physicians acknowledged their suseptibility to bias -If physicians deliberately practiced perspective-taking -If all physicians deliberately practiced individuation -Increasing the number of Black/African American physicians

What are the targeted outcomes for the Healthy People 2020 goals of using health communication strategies and health information technology? Select all that apply

-Improve population health outcomes -Improve health care quality -Achieve health equity

What are some important aspects of providing health care to LGBT patients? Select all that apply

-It is important to know that LGBT youth and older adults are particularly vulnerable populations -It is important to recognize that health issues can be quite different across LGBT identities

What did Murray find to be the three defining attributes that are essential to experiencing the phenomenon of trust? Select all that apply

-Met expectations -Dependency -Willingness

What had been a big challenger to the acculturation of the Hmong to US culture? Select all

-Older Hmong has no written language as the Hmong language was only oral -There transition to the US was stunt and traumatic the Hmong has no experience with urban living

What are the steps needed according to Levine and Ambady to improve interracial doctor-patient communication? Select all

-Physicians changing their negative views about minority patients -Physicians allaying their fears about appearing prejudiced in their interactions with their patients

What are the steps needed according to Levine and Ambady to improve interracial doctor-patient communication? Select all that apply

-Physicians changing their negative views about minority patients -Physicians allaying their fears about appearing prejudiced in their interactions with their patients

What were three cultural themes that Regan suggests should be shifted to religious themes? Select three

-Religious ritual -Gods will -Religious ditty

What are the four kinds of trust that we're identified by Padela et al. in their focus groups with 102 American Muslims? Select all that apply

-Trust in God -Trust in self -Trust in person relationships -Trust in allopathic medicine

How did Leitner at al. measure racial bias. Select all that apply.

-Using data from Project Implicit -An Implicit Association Test

According to the Office of Minority Health, characteristics of care that is culturally competent include care that is

-effective compatible with the patient's culture -communicated in a language that the patient understands

What was the primary audience for the Tamale Lesson?

25-45 year old Latinas of Mexican orgin

Who was the primary audience for the Tamale Lesson?

25-45 year old Latinas of Mexican origin

According to Neville et al. what are the impacts of color-blind racial attitudes? Select all that apply.

A belief that society is just and fair

Cultural or linguistic barriers and healthcare system fragmentation are examples of

Barriers in cause healthcare disparities among minorities

The Mountain View neighborhood, the most diverse place in America, is in what city?

Anchorage, Alaska

How did Crawford et al. approach studying cultural diversity and it's impractical on nurse-patient communication?

By applying linguistic frameworks to nursing practice

How did Becker and Wieling study health communication?

By using a qualitative approach to look at how clinicians and interpreters experience cross-language mental health treatment

What do Neville et al. conceptualize as "a system-justifying ideology or a worldview that helps rationalize racial inequalities"

CBRI

What do Neville et al. conceptualize as "a system-justifying ideology or a worldview that helps to rationalize racial inequities".

CBRI

According to Cunningham and Scarlato what creates major barriers to reducing racial disparities?

Colorblindness

According to Cunningham and Scarlatti what creates major barriers to reducing racial disparities?

Colorblindness

What is defined as "A part of partnership approach to research that equitable involved community members, organizational representatives and researchers in all aspects of the research process"

Community Based Participatory Research CBPR

The easiest and quickest way to assess ____________ is to ask the patient to repeat back an explanation or instruction.

Comprehension

Accultration

Cultural change that results in change in contact between autonomous cultural groups

Kellett et al. make several recommendations about how to better support transmissibility and gender diversity in nursing practice and education. What framework do they use to support their recommendations?

Cultural safety

_________ is socially acquired and transmitted and Influenced by history, ethnicity, religion and socioeconomic situation

Culture

According to the ANA reading on cultural diversity there are the three cultural systems that interact during a nurse-patient encounter. Select the three correct answers below

Culture of the nurse, setting and patient

What was the focus of the research study conducted by the Havasupai tribe that the authors compared to the Tuskegee Syphillis study?

Diabetes

When addressing a patients religious beliefs particularly when they conflict with the Western Biomedical Model what would be the best approach?

Discuss their beliefs with them to gain a better understanding of how they may conflict and work together on a plan of collaboration

You have a patient who has been recently diagnosed with early stage breast cancer and has been referred to oncologist for care. She expresses that is is Gods will that she has cancer and that only God can heal her. Which component of the Geiger and Davidhizar

Environmental control

What is defined as "a shared culture and way of life.....reflected in language, folkways, religious and other institutional forms"

Ethnicity

You find yourself frustrated by clients who arrive late for their appointments. You feel that this frustration may be affecting the care you are giving. What is the first thing that you should do as you work to overcome your frustration?

Examine your own culturally based values, beliefs, attitudes and practices about time and timeliness.

Canales, in her article "Othering: Toward an Understanding of Difference" describes a process of othering which she defines as using "the power within relationships for domination and subordination...the consequences ... of this form of othering are often alienation, marginalization, decreased opportunities and exclusion". Which form of othering is she describing?

Exclusionary othering

Determining the patient's _________ ________ should be a routine part of taking a patient's history.

Explanatory model

Determining the patients ___ ___ should be a routine part in taking a patients hustory

Explanatory model

What do Glazer, Tobias and Mentzel say about improving the diversity of the healthcare workforce?

It is a strategy for reducing racial and ethnic health disparities

What is a major contributed to fears and hesitation among nurses and nursing students when it comes to providing care to LGBT patients?

Lack of exposure and experience and limited coverage in the nursing curricula

The 1999 study by the IOM sponsored by Congress examined disparities in healthcare services as provided to _____

Minorities and nonminorities

What kind of intervention was used to promote cervical cancer screening among Mexican-American women?

Narrative Health Communication

What kind of intervention was used to promoters cervical cancer screening among Mexican-American women?

Narrative Health Communication

Predjudice

Negative and preconceived notions about others

What was the main focus of Levine and Ambady research on racial disparities in health care?

Non-verbal behavior

What was the main focus of Levine and Ambadys research on racial disparities in health care?

Non-verbal behavior

Members of the LGBT population sometimes avoid seeking medical care because:

Of insensitivity and discrimination among some health care workers

The Conceptual Framework of Nursing in Native American Culture has seven dimensions and is based on what?

The Medicine Wheel

What does Vischer explore in his article?

The interplay of law and religion in the health care context

What are the determinants of health main contribution to an understanding of health care delivery?

There are multiple factors that impact health status so health care delivery must address individual as well as population health interventions

An important stance of the Society for Adolescent Health and Medicine is the rejection of the mistaken notion that LGBT orientations are mental disorders

True

Homophobia in healthcare is an issue but health care providers can take more positive steps by improving access to care for LGBT persons

True

The conditions in which people live have an impact on health

True

According to Levine and Ambady racial minorities report more dissatisfaction with their health care plan than White patients. What is a particular concern?

Trust

According to Levine and Ambady racial minorities report more dissatisfaction with their health care white patients. What is a particular concern?

Trust

What concept does Murray analyze relative to African Americans and Healthcare Experiences?

Trust

From the Racher and Annis article match the following intercultural strategies with the correct country.

US-Melting pot Canada-Mosaic

What is defined as "the dominant, unquestioned standards of behavior and ways of functioning embodied by the vast majority of institutions in the United States.

White culture

What is defined as a special right, advantage, or immunity granted or available only to a particular person or group of people.

White privilege

How did Crawford et al. approach to studying cultural diversity and its impact on nurse patient communication?

by applying linguistic frameworks to nursing practice

How did Benchley and Wieling study health communication?

by using qualitative approach to look at how clinicians and interpreters experience cross language mental health treatment

Ethnocentrism

tendency to see reality through ones own culture