Quiz 4

When a child from a remote part of Africa dies as a result of a chronic illness, the nurse notes that while the parents appear saddened, they do not express the degree of grief typically expressed by American parents. Which question asked by the nurse best demonstrates an understanding of this particular cultural response? A. Do children often die in your native country? B. Would you prefer to be left alone with your child? C. How does your culture deal with the death of a child? D. Do you need any specific help from me?

A. Do children often die in your native country?

Which intervention is directed toward minimizing cause of children's deaths worldwide? A. Educating parents on the importance of vaccinations and immunizations B. Organizing a 5-km walk with proceeds going to the world food relief services C. Advocating for relaxation of international adoption regulations D. Instructing third world refugees on the immigration process required of Canada and the US

A. Educating parents on the importance of vaccinations and immunizations

The reaction to the research conducted in Sierra Leone by their government demonstrates the need to respond appropriately to achieve the desired results. Which was a major fault of this study? A. Failed to adequately respond to the major problem B. Anticipation of lack of transportation C. Provided resources to enable women to travel to the medical centers D. Failed to properly interpret the findings

A. Failed to adequately respond to the major problem

A group of nurses are trying to establish a small medical clinic in an impoverished, rural community. The nurses realize this project will require the input and participation from the others to help making it successful and enable them to provide quality health care. To whom should the nurses look to for possible partnership in this venture to help make it successful? A. Local churches B. The local government C. The national government D. The local schools E. The local radio stations

A. Local churches B. The local government C. The national government D. The local schools E. The local radio stations

Because of the influence of various religions upon individuals, what one group may deem as appropriate; another group will absolutely forbid it. Which may be considered ethical and permitted by one cultural group while another group would consider it unacceptable? A. Organ donation B. Access to medical care C. Autonomy in decision making D.After-death customs E. Encouraging the use of new techniques

A. Organ donation C. Autonomy in decision making

Preparing for a career in global public health nursing requires more than just learning the basic nursing skills. Which can the nurse also do to prepare for a career in global public health and international nursing? A. Studying the history of the area traveling to B. Understanding community development theory C. Locating a mentor from the area where the nurse will be relocating to D. Understanding re-patterning E. Becoming certified in the country where the nurse will be working

A. Studying the history of the area traveling to B. Understanding community development theory D. Understanding re-patterning

When conducting a client's spiritual assessment, the nurse should observe the actions of the client as well as note the client's answers. which would be an indication of the client's possible spiritual and religious beliefs? A. The client's visitors who are not family members B. The type of reading material the client brought to the unit C. The practice of any specific rituals used throughout the day when possible D. The client is quiet and reserved and has no visitors E. The client always wears her hair in braids

A. The client's visitors who are not family members B. The type of reading material the client brought to the unit C. The practice of any specific rituals used throughout the day when possible D. The client is quiet and reserved and has no visitors

The nurse needs to be aware of how the nurse's cultural beliefs may dictate that a certain action is wrong but the culture of the client may believe that particular actions are acceptable, When these disagreements present an ethical dilemma, the nurse must make a decision as to how to proceed. Which must the nurse keep in mind when making the decision of how to proceed? A. The nurse has certain standards to maintain B. the nurse needs to remember to always follow the client's instructions C. There is always a way yo compromise on any situation D. The nurse should consult the ethical committee of the organization to solve any disagreements

A. The nurse has certain standards to maintain

A nurse is preparing to travel to Southeast Asia to work at a local health care clinic in a small town. As the nurse prepares to go, which will be important for the nurse to remember while working in this other culture? A. The nurse will be collaborating with peers B. The nurse will be bringing expert advice to assist the local community C. The nurse will need to spend the first year learning the culture D. The nurse should not expect to learn any new treatment techniques

A. The nurse will be collaborating with peers

Social justice related to healthcare is best demonstrated when: A. a client reporting chest pain is seen immediately by an emergency room physician B. A children's clinic is added to the services provided by the local hospital C. A local OB practice reserves two evenings a week for routine prenatal appointments D. There is a rescheduling fee assessed for giving less than 24 hrs for cancelleld appointments

A. a client reporting chest pain is seen immediately by an emergency room physician

The success of any public health intervention depends on various characteristics to be successful. Which are some of those necessary characteristics? A. Accountability B. Acceptability C. Accessibility D. Availability E. Affordability

B. Acceptability C. Accessibility D. Availability

The use of midwives has played a significant part in helping to improve infant and maternal complications and death, especially in countries where there is a high rate of both complications. Which us a recognized role of a midwife in helping to improve the healthcare services around the world? A. Training family members on how to assist with the childbirth B. Advocating that proper maternity care is available to all populations C. Arranging for safe transportation to the birthing center of the mother D. Understanding the local culture method to be prepared for any potential complication

B. Advocating that proper maternity care is available to all populations

An example of distributive justice related to health care includes: A. Implementing a sliding rate for well-baby visits ar the local family clinic B. Assessing an insurance cohort a $5 copay for generic medication prescriptions C. Requiring a physical exam prior to activation of health insurance coverage D. Providing unlimited access to health promotion services to all possessing insurance coverage

B. Assessing an insurance cohort a $5 copay for generic medication prescriptions

When a culturally diverse client dies, the nurse best demonstrates cultural sensitivity when managing the care of the body by: A. Providing the family with private time with their loved one, prior to the arrival of the mortician B. Assessing the family's expectations regarding how their loved one's body will be handled C. Reading a variety of resources to gain information of cultural death rituals D. Immediately notify the family's religious leader of the client's death

B. Assessing the family's expectations regarding how their loved one's body will be handled

The nurse is aware that the foundations of making a culturally competent ethical decision s which? A. Cultural competence B. Compassion C. Advocady D. Collaboration

B. Compassion

Which intervention is an example of health promotion with a focus on social justice? A. Administering flu vacine at an adult daycare center B. Educating a Hispanic client to the social service programs he or she is qualified for C. Monitoring an elderly clinet who lives alone for possible nutritional deficiencies D. Voluneering to monitor blood pressure at a local food pantry

B. Educating a Hispanic client to the social service programs he or she is qualified for

Which statement, made by a nurse caring for a client diagnosed with dementia and a history of falls, best demonstrates the principle of beneficence? A. I need to be sure that this client isnt being oversedated and therefore at risk for falls B. Current research refutes the use of restraints to keep my client safe from falls C. I'd feel great responsibility if this client was hurt because of a fall D. Institution policies are clear about assuring client safety especially from falls

B. Current research refutes the use of restraints to keep my client safe from falls

What is the initial step in preparing for a career in international nursing with Asian populations? A. Learning the most common Asian dialects B. Gaining practical experience with the culture through volunteer work among Asian emigrants C. Becoming familiar with the various religions represented among the Asian population D. Traveling to Asia to personally experience the culture

B. Gaining practical experience with the culture through volunteer work among Asian emigrants

Which characteristic is the basis for success in effectively functioning as a nurse in an international setting? A. Demonstrating a deep respect for the culture and people of the host nation B. Having strong communication skills that relate to the establishment of an effective nurse-client relationship C. Identifying with the local population's beliefs and avlues regarding all aspects of like but especially health and healthcare D. Possessing extensive knowledge relted to the host nation and its population

B. Having strong communication skills that relate to the establishment of an effective nurse-client relationship

Which MDG is the basis for advocating for the use of condoms in the third world countries? A. Reducing the world's birth rate B. Minimizing the spread of HIV C. Affecting the incidence of shphillis-induced dementia D. Reducing infant deaths resulting from sexually transmitted diseases

B. Minimizing the spread of HIV

Which statement, made by a nurse caring for a culturally diverse population, regarding spiritual assessments, demonstrates the need for future education? A. I find the beliefs associated with Judaism to be similar to Christianity B. Religion is a private matter and difficult to assess C. I generally have to ask clarifying questions when assessing a client about his or her religion D. An individual can be spiritual but not religious.

B. Religion is a private matter and difficult to assess

The nurse approaches the subject of organ donation with a terminally ill Buddhist client based on the understanding that: A. The decision is one that will be discussed at length with family to secure their approval B. The body holds not a specific value to the Buddhist after death C. The decision will be deferred to the client's oldest son D. The body will be allowed to naturally decompose before being buried

B. The body holds not a specific value to the Buddhist after death

Research has been used to show where changes needed to be made and how to better meet the needs of various cultures within the health care realm. For cultures where family ties are extremely close and very important for social events, how has moving to the United States affected some of the traditions of Pakistani women? A. Financial restrictions leading to a decline having children B. Unable to feed "Ghutti" to the newborn at the hospital C. Unable to perform the ceremonial washing in the medical clinic D. Requiring the men to become more involved

B. Unable to feed "Ghutti" to the newborn at the hospital

The nurse is conducting a spiritual needs assessment with a newly admitted client to the unit. Which question would be the appropriate approach to determine this client's culture? A. Which church do you go to? B. When you need strength or hope, who or what do you turn to? C. What did your parents teach you about spirituality? D. Which hospital chaplain would you like to visit you?

B. When you need strength or hope, who or what do you turn to?

A hospice nurse recognizes that the client is closer to death and prepares to follow through on the care plan that was already developed. As this has already been discussed with the family, the nurse is prepared to take the appropriate steps to support the family during this difficult time. What is that most appropriate question for the nurse to ask? A. Is it okay if I move this string of beads to the table so it's not in the way? B. Who would you like me to call when it appears death is imminent? C. Would you like me to explain the proper way to clean the body after death? D. Would you like me to tell you if any new method becomes available to help your loved one live longer?

B. Who would you like me to call when it appears death is imminent?

Various laws and legislation that is part of the american culture will not be acceptable to other cultures. What concept is demonstrated by the Patient Self-Determination Act of 1991? A. Client's right to health care B. Client's cooperation C. Client's autonomy D. Respinsibilities of the client's family during times of illness

C. Client's autonomy

On which maternal-child healthcare issue would the world health organization's (WHO) nursing and midwifery team be most useful as a resource? A. Sending midwives to staff a rural Hispanic birthing center B. Providing educational recourse to students studying OB nursing in Chile C. Creating breastfeeding policies to be adopted by a third world health care system D. Monitoring infant mortality and morbidity statistics from an urban hospital in a third world country

C. Creating breastfeeding policies to be adopted by a third world health care system

Which principle concerning death rituals is the primary basis for the nurse's role in the death and grieving process? A. Each individual faces death alone B. An individual death affects many individuals C. Death rituals are critical to an individual's grief process D. Individual death rituals vary very little

C. Death rituals are critical to an individual's grief process

Recent world events are a good reminder that nurses everywhere should be aware of what is going on in other areas of the world due to which reason? A. They are ready to go where the are needed to help with a crisis B. They can institute preventative measures in their community C. Disease can spread quickly today with all the world traveling D. They will be ready when the outbreak reaches their community

C. Disease can spread quickly today with all the world traveling

As the international nursing community grows, there are specific goals in mind to be accomplished by the nurses as they travel to different regions to assist with healthcare, especially in areas where healthcare is not as readily available as it is in other areas. Which is considered a goal to be achieved by the Global Health team? A. Establishing training programs B. Determining affordability to the local community C. Maintaining sustainability D. Developing modern testing facilities

C. Maintaining sustainability

Which intervention demonstrates that a nurse requires additional education regarding the support of a client's spiritual health? A. Scheduling home visits to avoid interfering with the client's daily prayer times. B. Following up on the client's request to be visited by the hospital's Chaplin. C. Offering to add the client to the nurse's prayer list. D. Asking the Catholic client whether he or she wants breakfast delivered after his or her visit from the priest

C. Offering to add the client to the nurse's prayer list

When a Navajo Indian client dies, it is important for the nurse to recognize that the family will be: A. Insistent that the body be wrapped in a new blanket. B. Bringing burial clothing, which the body will be dressed in. C. Reluctant to touch the body because of a belief in evil spirits. D. Adore the body with expensive jewelry and coins

C. Reluctant to touch the body because of a belief in evil spirits

Which is an example of multilateral healthcare aid? A. Donations of clothing provided by American schoolchildren are sent to Asian schoolchildren B. Transporting children in need of faster care across state lines to facilitate appropriate placements C. Sending the hospital ship HOPE to japan to provide post earthquake health care D. Dispatching the NationalGuard to dispense food and water to survivors of a major flood

C. Sending the hospital ship HOPE to japan to provide post earthquake health care

Which intervention is in accordance with the program priorities of the international committee of the Red Cross (ICRC)? A. Educating subsistent farmers in the newest agricultural techniques B. Providing HIV educational materials C. Supporting refugee camps in countries experiencing civil war D. Opening daycare centers for children of single parent households

C. Supporting refugee camps in countries experiencing civil war

Which statement, made by a nurse caring for a client diagnosis with an aggressive form of cancer, best demonstrates the principle of veracity? A. Kowing the truth will help the client decide on the right form of treatment for this cancer B. It may be hard, but the client deserves hearing the truth about cancer C. The client is aware of the risks of taking the experimental chemotherapy medication D. Cancer is scary disease that many dont want to know much about

C. The client is aware of the risks of taking the experimental chemotherapy medication

Which is the primary outcome of the indiscriminate use of the emergency department by the uninsured members of the community? A. The resources of the emergency medicine unit will be prematurely used up B. Those individuals will experience long waits for neeeded treatment C. The ill postpone treatment that results in the lack of early treatment interventions D. Emergency department personel are forced to address nonemergency health issues

C. The ill postpone treatment that results in the lack of early treatment interventions

The nurse is conducting a spiritual needs assessment in an effort to create a nursing care plan for a client. The nurse recognizes that which questions will assist the nurse in understanding this client's religion? A. How will this illness affect your life goals? B. Why do you think you are here on earth? C. What do you believe your punishment will be if you do something wrong? D. Do you think your life has any value?

C. What do you believe your punishment will be if you do something wrong?

When striving for social justice, which intervention demonstrates an understanding of nursing responsibility? A. Providing parenting classes to teenage, single mothers B. Teaching CPR classes to senior citizen groups C. Presenting info on organ donation to a women's exercise group D. Advocating for a free clinic for unemployed African emigrants

D. Advocating for a free clinic for unemployed African emigrants

which intervention demonstrates that the nurse understands the cultural implication of the parents' belief that their child has been hexed? A. Observing the parents for symptoms similar to those of the child's B. Monitoring the child for hallucinations and possible delusional thinking C. Preparing the family to initiate elaborate religious rituals D. Asking the parents to describe the types of symptoms they expect to see in the child

D. Asking the parents to describe the types of symptoms they expect to see in the child

Which intervention demonstrates an attempt to meet a goal related to the health issues in Africa identified by the Millennium Development project? A. Improving TB screeing efforts directed toward young adults b. Educating parents about the importance of minimizing exposure to UV rays C. Advocating for voting rights for all females D. Establishing a series of rural prenatal clinics

D. Establishing a series of rural prenatal clinics

When addressing the issue of organ donation, which culture belief is the basis for the Amish family's traditional viewpoint? A. The body is but a physical container for the soul and has no useful purpose after death B. Organ donation is supported by the belief that it is one's responsibility to help others C. Entrance into heaven is dependent upon an undamaged physical body D. It is preferable that an intact body be buried

D. It is preferable that an intact body be buried

A common factor among many of the major denominations in the united states and Canada is their willingness to be involved with providing healthcare, especially to those who need it the most. What denomination is recognized for being one of the major contributors to healthcare? A. Seventh-Day Adventist B. Protestant C. Buddhism D. Roman Catholic

D. Roman Catholic

Which notion best demonstrates that the nurse is respectful of a client's spiritual and religious beliefs? A. The family will be in the chapel awaiting the client's return from surgery B. The client requested a visit from the hospital chaplain C. The schedule of the hospital's religious services was provided to the client as requested D. Rosary beads were sent to the diagnostic lab attached to the client's hospital gown

D. Rosary beads were sent to the diagnostic lab attached to the client's hospital gown

A nurse who seeks to work as an international nurse can apply for positions with the World Health Organization (WHO). Which position is the nurse most likely to fill with WHO? A. Clinical staff B. Establish clinics C. Clinical supervisor D. Technical advisor

D. Technical advisor

A group of nurses are working with a group of refugees who have recently relocated to the area. The nurses are concerned by some of the unsafe and unhealthy cultural practices and are trying to create an educational program that will help teach the young mothers a safer way to care for their children. Which will be important for the nurses to remember as they create this program? A. Ensuring the refugees complete assimilate into the new environment B. Preparing a reward program for the women as they complete new skills and make changes C. Requesting assistance from the elders of the group to give their approval for the changes D. Working to maintain the core values and beliefs while finding ways to Incorporated new methods that will be safer and healthier for the refugees

D. Working to maintain the core values and beliefs while finding ways to Incorporated new methods that will be safer and healthier for the refugees