WEEK 5: HEALTH POLICY
A nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that "alternative medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate?
"Nontraditional approaches to health care can be beneficial."
An African-American woman is diagnosed with primary hypertension. She asks, "Is hypertension a disease of African-American people?" What is the nurse's best response?
"The higher-risk population is composed of African-American men and women."
Which statement of the nurse is true regarding disasters?
An internal disaster creates a need for evacuation or relocation.
How should nurses provide effective nursing care to clients from different cultural backgrounds?
By providing care that fits the clients' cultural beliefs
When caring for a transgender client, which would the nurse use to decide how to address the client?
Client's preference
A mother brings her 9-month-old infant to the clinic. The nurse is familiar with the mother's culture and knows that belly binding to prevent extrusion of the umbilicus is a common practice. The nurse accepts the mother's cultural beliefs but is concerned for the infant's safety. What variation of belly binding does the nurse discourage?
Coin in the umbilicus
The nurse leader states, "The people in rural America dress and act differently from those in urban centers." What concept describes this statement?
Cultural marginality
After determining that the nurses on the psychiatric unit are uncomfortable caring for clients who are from different cultures than their own, the nurse manager establishes a unit goal that by the next annual review the unit will have achieved what?
Increased cultural competence
Which internal variable influences health beliefs and practices?
Intellectual background
Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?
Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?
A nurse understands that when a client is a member of a different ethnic community it is important to do what?
Offer a therapeutic regimen compatible with the lifestyle of the family.
A chronically ill, older client tells the home care nurse that the daughter with whom the client lives seems run-down and disinterested in her own health, as well as the health of her children, who are 5, 7, and 12 years old. The client tells the nurse that the daughter coughs a good deal and sleeps a lot. Why is it important that the nurse pursue the daughter's condition for potential case findings?
Older adults with chronic illness are more susceptible to tuberculosis.
A nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. How should the nurse manager address this situation?
Plan a workshop that offers opportunities to learn about the cultures they might encounter while at work.
According to the most recent Diagnostic and Statistical Manual of Mental Disorders, which statement is correct?
Prevalence of gender dysphoria ranges from five to 14 in 1,000 natal males.
Which point is included in the World Professional Association for Transgender Health (WPATH) document regarding core principles of care for transgender clients?
Seeking informed consent before providing treatment
What points should a nurse keep in mind when caring for a client who belongs to a different culture? Select all that apply.
The nurse should be aware of his or her own cultural values and behavior patterns. The nurse should focus on understanding the client's traditions, values, and beliefs. The nurse should understand that unique cultural perceptions exist regarding health practices.
What is the goal of Healthy People 2020?
To eliminate health disparities related to race, ethnicity, and socioeconomic status
Which terms might the nurse use to describe a client who was born a man but lives as a woman? Select all that apply.
Transgender Transwoman
Which organization's 2010 publication did not include a call to improve health care for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients?
U.S. Department of Health and Human Services
Which organization has a publication that includes the objective, "Aiming to develop a system to clients who are lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)?"
U.S. Department of Health and Human Services (USDHHS)
The nurse is overseeing a nursing student who is conducting an assessment of a client who does not speak English. No interpreter is available. Which action requires further teaching
Using medical terminology
When compared with their non-Hispanic white counterparts, which factors contribute to the health disparities Hispanic older adults face? Select all that apply.
Value differences Language barrier Lack of health care facility Inadequate health insurance
The waiting area of a health care facility displays a pink triangle. What does this signify?
the health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients.
