Chapter 9-EAQ

A patient is diagnosed with a diabetic ulcer with gangrene to his foot. The health care provider advises surgery, but the patient refuses because removal of a body part is not permitted according to his or her religion. Which concept justifies this scenario? 1.Marginalization 2.Iceberg analogy 3.Intersectionality 4.Health disparity

2.Iceberg analogy

What does the nurse teach the student nurse about quality health care to prevent health disparities? 1."Quality health care should be variable." 2."Quality health care should be effective." 3."Quality health care should be slow and thorough." 4."Quality health care should be health care organization-centered."

2."Quality health care should be effective."

What is the similarity between patient-centered care and cultural competence? 1.Both involve individualized care. 2.Both improve health care quality. 3.Both emphasize personal relationships. 4.Both concentrate on the qualities of disadvantaged groups.

2.Both improve health care quality.

While assessing a patient of a different culture, the nurse wants to know the patient's perception of the etiology of the disease. Which is the most appropriate question asked by the nurse using a patient's explanatory model? 1."What do you call your problem?" 2."Why do you think it started when it did?" 3. "What do you think your sickness does to you?" 4."What are the chief problems your sickness has caused you?"

1."What do you call your problem?"

When the nurse has a prejudice against a particular culture, which type of behavior is likely to result? 1.Discrimination 2.Culturally congruent care 3.Effective intercultural communication 4.Sufficient knowledge of diverse groups

1.Discrimination

Which concept of intersectionality refers to limited access to certain facets of society? 1.Marginalization 2.Under inclusion 3.Social inequality 4.Matrix of domination

1.Marginalization

What factor is the nurse least likely to associate with health disparities among marginalized groups? 1.Self-care 2.Quality of health care 3.Public and health policy 4.Complex interaction among individual genetics

1.Self-care

What is the goal of culturally congruent care? 1.To provide care to fit a patient's own values, beliefs, and traditions 2.To help recognize biases, prejudices, and assumptions about other people 3.To assess social, cultural, and biophysical factors that influence patient treatment and care 4.To motivate the nurse to learn from others, accept the role as a learner, and be open to and accepting of cultural differences

1.To provide care to fit a patient's own values, beliefs, and traditions

What is the definition of cultural awareness in Campinha-Bacote's model of cultural competency? 1.It is the ability to assess social, cultural, and biophysical factors that influence patient treatment and care. 2.It is the in-depth self-examination of one's own background, recognizing biases, prejudices, and assumptions about other people. 3.It is the cross-cultural interaction that provides opportunities to learn about other cultures and develop effective intercultural communication. 4.It is the sufficient comparative knowledge of diverse groups, including the values, health beliefs, care practices, world views, and bicultural ecologies commonly found within each group.

2.It is the in-depth self-examination of one's own background, recognizing biases, prejudices, and assumptions about other people.

Which statement is true regarding the goal of core measures? 1 1.They help recognize prejudices and assumptions about other people. 2.They help reduce mortality, complications, and inpatient readmissions. 3.They help provide care that fits with the patient's own values, beliefs, and traditions. 4.They help assess social, cultural, and biophysical factors that influence patient treatment and care.

2.They help reduce mortality, complications, and inpatient readmissions.

How is cultural competence different from patient-centered care? Select all that apply. One, some, or all responses may be correct. 1.Cultural competence involves individualized care. 2.Cultural competence improves health care quality. 3.Cultural competence aims to increase health equity. 4.Cultural competence emphasizes reducing disparities. 5.Cultural competence concentrates on disadvantaged groups

3,4,5

Which question does the nurse ask a patient to assess the beliefs and practices of the patient? 1."What caused your problem?" 2."What is your main source of income?" 3."What do you do to keep yourself well?" 4. "How should we address you or what should we call you?"

3. "What do you do to keep yourself well?"

Which type of cultural competency recognizes biases, prejudices, and assumptions about other people? 1.Cultural skills 2.Cultural desire 3.Cultural awareness 4.Cultural knowledge

3.Cultural awareness

What concept of intersectionality addresses the fact that some groups have limited access to certain facets of society such as the labor market? 1.Overinclusion 2.Social location 3.Marginalization 4.Social inequality

3.Marginalization

The senior nurse observes that a newly appointed nurse is having trouble relating to a patient from a different culture. What advice can the senior nurse give this nurse to enhance cultural competency? 1 1.Obtain in-depth knowledge about medical concepts and nursing care. 2.Learn at least three foreign languages. 3.Obtain sufficient knowledge about a patient's cultures and beliefs. 4.Learn about various dialects prevalent in the country.

3.Obtain sufficient knowledge about a patient's cultures and beliefs.

Which concept of intersectionality involves unequal access to resources and services? 1.Overinclusion 2.Marginalization 3.Social inequality 4.Matrix of domination

3.Social inequality

What is the primary goal of patient-centered care? 1.To provide care that fits a patient's own values, beliefs, and traditions 2.To help recognize biases, prejudices, and assumptions about other people 3.To provide individualized care and restore an emphasis on personal relationships 4.To assess social, cultural, and biophysical factors that influence patient treatment and care

3.To provide individualized care and restore an emphasis on personal relationships

The nurse is performing a cultural assessment of a patient. Which question by the nurse reflects a focused question? 1."Who lives with you?" 2."What do you do to keep yourself well?" 3."What do you think caused your illness?" 4."Is there someone with whom you want us to talk about your care?"

4."Is there someone with whom you want us to talk about your care?"

The nurse is using an interpreter to communicate with a patient who does not speak English. Which action by the nurse may hamper the communication between the nurse and the patient? 1.Introducing the interpreter to the patient 2.Determining the interpreter's qualifications 3.Looking at the patient instead of the interpreter 4.Asking the patient's family members to serve as interpreters

4.Asking the patient's family members to serve as interpreters

Which is least appropriate when communicating with a non-English-speaking patient who has complete hearing loss? 1.Ensuring that interpreters are competent in medical terminology 2.Providing the patient with auxiliary aids, services, and written materials 3.Notifying the patient about the right to receive language assistance services 4.Informing the patient that language assistance services are provided at a low cost

4.Informing the patient that language assistance services are provided at a low cost

How many interrelated components are present in Campinha-Bacote's model of cultural competency?

5