Module 4 Quiz: Individual Influences

A nurse in a community clinic is assessing a client who is from a different culture than the nurse and reports having painful urination and a fever for 7 days. Which of the following comments should the nurse make when caring for the client? (Select all that apply.) - "Why did you wait so long to come to the clinic?" - "How can I help you today?" - "In the future, you need to come in sooner when you get sick." - "What seems to make your symptoms better?" - "What have you done about your problem?"

- "How can I help you today?" - "What seems to make your symptoms better?" - "What have you done about your problem?"

A community health nurse is preparing an in-service about transcultural nursing for a group of staff nurses. The nurse should identify which of the following phases as part of Leninger's Sunrise Model? (Select all that apply.) - Culture care maintenance/preservation - Culture care impact/effects -Culture care negotiation/accommodation - Culture care influences - Culture care restructuring/repatterning - Culture care sensitivity

- Culture care maintenance/preservation - Culture care negotiation/accommodation - Culture care restructuring/repatterning

In a rural community setting, a health care organization is attempting to create an institutional framework in their approach to eliminate health disparities. Which of the following policies should the facility institute to reduce health disparities? (Select all that apply.) - Demonstrate culturally competent practices and protocols. - Maintain a diverse workforce. - Cultivate cross-cultural communication and awareness. - Encourage holistic care that includes all cultures. - Develop rules and policies that are congruent with the community.

- Demonstrate culturally competent practices and protocols. - Maintain a diverse workforce. - Cultivate cross-cultural communication and awareness.

A nurse manager of a public clinic is evaluating health disparities among diverse groups in the community. The nurse should identify that which of the following factors has an impact on health disparities? (Select all that apply.) - Race - Gender - Ethnicity - Residential location - Income

- Race - Ethnicity - Residential location - Income

A nurse manager in a community health clinic is teaching about the practice of cultural humility among staff members. Which of the following principles of cultural humility should the nurse include in the teaching? (Select all that apply.) - Bias - Reinforcement - Self-awareness - Openness - Ego

- Self-awareness - Openness

A nurse is preparing a cultural assessment for a client who is from a different racial and ethnic background than the nurse. In completing the cultural assessment, which of the following pieces of data should the nurse collect about the client's cultural practices? (Select all that apply.) - Values - Beliefs - Lifestyle behaviors - Housing preference - Language

- Values - Beliefs - Lifestyle behaviors - Language

A nurse is discussing transcultural nursing with a newly licensed nurse. Which of the following statements should the nurse make when discussing the Religious and Philosophical dimension of Leininger's Sunrise Model? a. "This dimension includes spiritual practices and beliefs." b. "This dimension includes language and facial expressions." c. "This dimension includes social participation in the community." d. "This dimension includes literacy level and access to education."

a. "This dimension includes spiritual practices and beliefs."

A charge nurse is teaching a group of newly licensed nurses about ways to increase quality of care for diverse populations based on the AACN's Core Competencies of Cultural Competence. Which of the following actions should the nurse include in the teaching? a. Advocate for social justice on behalf of vulnerable populations. b. Move to an ethnically diverse neighborhood. c. Develop friendships with people from other countries. d. Attend religious services of other cultural groups.

a. Advocate for social justice on behalf of vulnerable populations.

A case management nurse is using the Purnell Model for Cultural Competence as an assessment tool to evaluate variations of cultural practices. Which of the following cultural domains should the nurse include from this model? a. Family roles and organization b. Birth rituals c. Low-risk behaviors d. Socioeconomic status

a. Family roles and organization

A nurse is discussing the AACN's five Core Competencies of Cultural Competence with a newly licensed nurse. Which of the following should the nurse identify as one of these competencies? a. Promote achievement of safe and quality outcomes. b. Participate in a variety of diverse activities. c. Acquire knowledge and skills about different cultures. d. Collect relevant cultural data.

a. Promote achievement of safe and quality outcomes.

A community health nurse is teaching a group of newly licensed nurses about the concept of culture. Which of the following statements should the nurse use to define culture? a. "A culture is a group of people that consists of the same age, race, ethnicity, and language." b. "A culture is the beliefs, values, traditions, and customs that are shared by a group of people." c. "A culture is the marital status, religion, and spiritual preferences of a group." d. "A culture is the socioeconomic status, age, sexual orientation, and occupation of a group."

b. "A culture is the beliefs, values, traditions, and customs that are shared by a group of people."

A nurse is discussing cultural competence theories with another nurse. Which of the following models should the nurse identify as having a five-step process? a. Purnell's Model b. Campinha-Bucote's Model c. Giger and Davidhizar's Model d. Madeline Leininger's Sunrise Model

b. Campinha-Bucote's Model

A charge nurse changes nursing assignments to accommodate the request for a female nurse from a Muslim client who is female. Which of the following qualities does this action by the charge nurse demonstrate? a. Cultural humility b. Cultural awareness c. Cultural diversity d. Cultural safety

b. Cultural awareness

A nurse is discussing cultural competence with a group of newly licensed nurses. Which of the following can occur when there is a lack of cultural understanding? a. Adherence to interventions b. Ineffective communication c. Decreased health care costs d. Improved outcomes

b. Ineffective communication

A nurse manager at a public health clinic is working to expand the diversity of the clinic's nursing staff. Which of the following factors should the nurse identify as a barrier to creating a diverse workforce? a. Distrust of the health care system b. Nurses of color making up less than 28% of the national workforce c. Male nurses making up approximately 40% of the national workforce d. Decrease in diverse populations

b. Nurses of color making up less than 28% of the national workforce

A nurse is working in a community health clinic that serves a culturally diverse population. The nurse should recognize that which of the following cultures is most likely to have a distrust of the health care system based on past abuses? a. Muslim b. Non-Hispanic White c. Black American d. Jewish

c. Black American

A nurse in a community health clinic is reviewing statistics of recent population growth in the United States. Which of the racial and ethnic populations should the nurse identify as having the largest recent growth rate? a. Black b. Non-Hispanic White c. Hispanic and Latino d. Asian

c. Hispanic and Latino

A nurse executive is incorporating the National Standards for Culturally and Linguistically Appropriate Services (CLAS) to achieve better outcomes for clients of the facility. The nurse executive should identify that which of the following is a function of CLAS? a. Teaching leadership skills to promote culturally diverse nursing care b. Providing memberships to nursing associations that promote cultural competence c. Increasing awareness of diverse cultural identities d. Offering linguistic services to improve outcomes

c. Increasing awareness of diverse cultural identities

A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities? a. Provide cultural competence education to clients that use the clinic. b. Consider the provider's personal values when planning care. c. Provide access to language services to clients. d. Promote the creation of physical environments that support good health.

c. Provide access to language services to clients.

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural diversity? a. Knowledge of one's own thoughts and feelings about diversity b. Knowledge that allows one to appreciate other cultures c. Recognition of differences in race, color, ethnicity, or nationality that exist among individuals d. Self-reflection and critique of power imbalances that allow health inequities

c. Recognition of differences in race, color, ethnicity, or nationality that exist among individuals

A nurse manager is preparing a presentation on components of cultural competence. Which of following definitions should the manager provide for the concept of cultural safety? a. awareness of one's own thoughts and feelings about diversity b. knowledge that allows one to appreciate other cultures c. recognition of differences in race, color, ethnicity, or nationality that exist among individuals d. self-reflection and critique of power imbalances that allow health inequities

d. self-reflection and critique of power imbalances that allow health inequities

A nurse is discussing cultural competency with a newly licensed nurse. The nurse should include that nurses should have the ability to communicate with clients across which of the following sociocultural barriers to be culturally competent? a. Different sexual orientations b. Different social statuses c. Different professional roles d. Different religious beliefs

a. Different sexual orientations

A nurse is documenting a cultural assessment of a client. Which of the following information should the nurse include? a. Allergies b. Home medications c. Family history d. Primary language

d. Primary language

A nurse is assigned to debrief a group of nursing students after a clinical rotation at a community center. One of the students asks how racism impacts public health. Which of the following responses should the nurse make? a. Racism leads to decreases in health disparities among underrepresented populations. b. Racism is the result of health illiteracy which negatively impacts health outcomes. c. Racism's impact on health is limited to areas that have a lack of access to healthy foods and safe housing. d. Racism can negatively impact the mental and physical health of communities.

d. Racism can negatively impact the mental and physical health of communities.

A nurse manager of a home health agency overhears an employee referring to some the facility's clients by saying, "You know how all those people are, so noncompliant in their health care." The manager should identify the employee is exhibiting which of the following concepts of cultural competence? a. Implicit bias b. Color discrimination c. Cultural humility d. Stereotyping

d. Stereotyping