TCN CP Questions

Which of these are common ethical principles? Select all that apply. a. Thriftiness b. Confidentiality c. Justice and fairness d. Autonomy

b. Confidentiality c. Justice and fairness d. Autonomy

The National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (the National CLAS Standards) are intended to: a. help eliminate health care disparities by providing a blueprint for individuals and health care organizations to implement culturally and linguistically appropriate services. b. advance health equity. c. improve quality. d. All of the above

d. All of the above

Which mode of maintenance supports the use of scientifically safe and sound cultural practices of different cultures? a. Cultural competence b. Cultural repatterning c. Cultural accommodation d. Health beliefs and practices

d. Health beliefs and practices

Which of these is not an organization that provided ethical recommendations, standards, and codes of conduct in the lesson? LNA ICN ANA AAN

LNA

Which of these options does not represent a category of cultural factors critical to taking an accurate patient history and physical assessment? a. Biology b. Baseline c. Administrative d. Details

c. Administrative

Which of the following outlines the proper relationship of the social determinants of health? a. Employment → Status → Housing → Education b. Housing → Employment → Education → Status c. Education → Employment → Housing → Status d. Status → Employment → Housing → Education

c. Education → Employment → Housing → Status

All Arab Americans are Muslim and therefore will refuse all pork-based products such as gelatin tablets made from pork bone marrow. FALSE TRUE

FALSE

An ethics committee is a last resort, and you should not bother them unless it is a life or death situation. FALSE TRUE

FALSE

In the dominant African American culture, the predominant worldview is shaped entirely by cultural heritage. FALSE TRUE

FALSE

In the dominant American Indian/Alaskan Native cultures, the predominant worldview is shaped by the power of the individual over his or her destiny. FALSE TRUE

FALSE

In the dominant Chinese American culture, the stress is openly acknowledged and treatment for depression is encouraged. FALSE TRUE

FALSE

Which of these are signs of better health care outcomes in patients who experienced culturally competent assessments? Select all that apply. a. Discontinuing care before reaching wellness b. Adherence to cooperatively designed care plans c. Communication of contraindicated practices d. Awareness of specific susceptibility to disease

b. Adherence to cooperatively designed care plans c. Communication of contraindicated practices d. Awareness of specific susceptibility to disease

Which cultural care issue is observable among the American Indian/Alaskan Native population? Select all that apply. a. Insufficient access to mental health care b. Alcohol abuse c. Physical abuse d. Suicide

b. Alcohol abuse c. Physical abuse d. Suicide

Which are beliefs or generic care practices you would likely find in patients highly influenced by the dominant Old Order Amish culture? Select all that apply. a. Eating a diet that corresponds to how ancient ancestors with your blood type ate will maximize how your body processes the food and keeps you healthy. b. All things—good and bad—come from God, including health and healing. c. Breast-feeding your baby will cause it to have a cleft palate. d. Technology is seen as a threat to families.

b. All things—good and bad—come from God, including health and healing. d. Technology is seen as a threat to families.

Health literacy is defined as: a. "an individual's ability to make health decisions that helps his or her well-being." b. "an individual's capacity to obtain appropriate health information." c. "an individual's capacity to obtain, process, and understand information and services needed to make appropriate health decisions." d. "an individual's capacity to understand and follow health care instructions."

c. "an individual's capacity to obtain, process, and understand information and services needed to make appropriate health decisions."

In the dominant Arab American culture, the predominant worldview is "present-focused" or atomistic, meaning that a person highly influenced by this culture will tend to focus on the present moment as its own disconnected event as opposed to the Western cause-and-effect point of view. FALSE TRUE

TRUE

In the dominant Chinese American culture, yin and yang are two of five states that must be balanced to ensure harmonious health. FALSE TRUE

TRUE

It's a good idea to mix and match assessment models, because there are many kinds of cultural factors and each model has a different focus. FALSE TRUE

TRUE

Healers in the Chinese culture are known to be proficient in which form of folk medicine? a. Dream reading b. Massage c. Acupuncture d. Voodoo

c. Acupuncture

What is the purpose of the objective data in the health history? a. To provide cultural support b. To identify values of the patient c. To form a diagnosis about the health status of a person d. To determine socioeconomic considerations

c. To form a diagnosis about the health status of a person

Which cultural practice is reflective of how Arab Americans are referred to by name? Select all that apply. a. A person is called formally by the first name and title. b. Both male and female children are given a first name. c. The father's first name is used as the child's middle name. d. The father's middle name is used as the family name.

a. A person is called formally by the first name and title. b. Both male and female children are given a first name. c. The father's first name is used as the child's middle name.

As an African American enters into the older adult stage of life and develops health issues and difficulties with self-care, what would be the expected response from family members? a. The family is likely to be uninvolved or unable to provide the care the patient requires. b. The patient will accept minimal assistance from immediate family members. c. The patient's needs will be met by caretakers arranged for by the family. d. Family members will be available to provide for the patient's care.

d. Family members will be available to provide for the patient's care.

It is not possible to integrate transcultural nursing assessment models into routine patient history interviews. The nurse must use the whole transcultural nursing (TCN) model to engage in culturally competent practice. FALSE TRUE

FALSE

Racism is an acknowledged threat to the cardiovascular health of the minorities experiencing the bias. FALSE TRUE

TRUE

The Global Health Workforce Alliance (GHWA) was created in response to a shortage of 7.2 million health care providers, which caused a crisis in 83 countries. FALSE TRUE

TRUE

The International Council of Nurses (ICN) is located in Geneva, Switzerland. TRUE FALSE

TRUE

When we consider transcultural nursing at a global scale, it simply means thinking about the world in the largest sense of "community" and providing culturally congruent care for all people in that community. FALSE TRUE

TRUE

You have the same duties to yourself as to others, to preserve integrity and safety, maintain competence, and continue personal and professional growth. FALSE TRUE

TRUE

Which beliefs or generic care practices practice would a nurse likely find in patients highly influenced by the dominant Hispanic cultures? Select all that apply. a. All things—good and bad—come from God, including health and healing. b. There is no need for prenatal care because pregnancy is a natural process. c. Eating a diet that corresponds to how ancient ancestors with your blood type ate will maximize how your body processes the food and keeps you healthy. d. Susto is anxiety, trembling, or phobias from sudden fright.

a. All things—good and bad—come from God, including health and healing. b. There is no need for prenatal care because pregnancy is a natural process. d. Susto is anxiety, trembling, or phobias from sudden fright.

Which organizations promote and apply transcultural nursing principles and practices? Select all that apply. a. Doctors Without Borders b. The Global Health Workforce Alliance c. International Council of Nurses d. Patients Without Borders

a. Doctors Without Borders b. The Global Health Workforce Alliance c. International Council of Nurses

Vanessa is a 23-year-old young professional woman who presented with intense abdominal pain. She allowed the nurse to take her medical history. Even though she maintained her own medical insurance and had lived apart from her parents for many years, she asked the nurse to wait to ask any more questions until her father arrived. After he arrived, the father—a first-generation Mexican American—told the nurse that Vanessa has had empacho since she was little and that food just sticks to her intestines and doesn't go all the way through. a. Reliance on her the father for protection and decision-making b. Distrust of the professional medical system c. High individualism d. The genetic predisposition for intestinal disease in the Hispanic population

a. Reliance on her the father for protection and decision-making

What is the primary purpose of the health history? a. To gather subjective data b. To gather objective data c. To provide cultural support d. To determine socioeconomic considerations

a. To gather subjective data

Which cultural practice is not in accordance with the Arab American's Islamic faith? a. Women remove their head coverings only when attending religious rituals b. Engaging in prayer five times each day c. Abstaining from food and drink from dawn until dusk during the month of Ramadan d. Cleansing the body prior to prayer

a. Women remove their head coverings only when attending religious rituals

Which statements about cultural or social structure are true for someone highly influenced by the dominant African American culture. Select all that apply. Tameka awakens at 3 a.m. with shooting pains in her upper abdomen. The pain radiates to her back and is excruciating. She calls her grandmother, who tells Tameka that she saw her in pain "in her prayers" and thinks that Tameka's pain is related to her recent job relocation that took her far away from her family. Her grandmother tells Tameka to drink some celery juice, which will calm her down, and tells Tameka that she will pray for her. Tameka's pain eventually subsides, and she experiences no pain for a few weeks. After a particularly heavy dinner, however, the pain returns and is worse than before. She tries a number of other remedies recommended by her grandmother, but the pain intensifies. She prays about what she should do and finally asks a neighbor to take her to the hospital. a. There is distrust of the professional medical system. b. Prayer and spirituality may play an important role in decision-making. c. Female elders often play an important role in decision-making. d. Economic factors prevent many people from seeking professional care.

b. Prayer and spirituality may play an important role in decision-making. c. Female elders often play an important role in decision-making.

Which of the following is not a generic care practice of the Old World Amish culture? a. Illness is a time of crisis and requires community support. b. Science and technology will one day conquer illness. c. Hospital expenses are shared among the community. d. Worship is considered a daily responsibility.

b. Science and technology will one day conquer illness.

Which of these cultural and social structure influences would you be likely to find in someone highly influenced by the dominant Arab American culture? a. Open and honest communication about end end-of of-life issues in the presence of the patient b. There is a disdain for charitable donations because it is seen as enabling the weaknesses of the individual. c. Elderly are highly regarded, and it is required that children, especially sons, care for aging parents, usually in the home. d. A high degree of individualism, valuing the betterment of the individual above family or the community.

c. Elderly are highly regarded, and it is required that children, especially sons, care for aging parents, usually in the home.

Which cultural care value associated with healers is characteristic of the Chinese culture? a. Witchcraft is used to as the primary form of healing. b. The healing role is passed from parent to child. c. The use of herbal remedies is common among Chinese healers. d. Coining is often used to heal childhood illness.

c. The use of herbal remedies is common among Chinese healers.

The World Health Organization (WHO) is a specialized agency under the United Nations family with the goal of promoting: a. health for the elderly. b. health for poor people. c. health by all people. d. health for people with disabilities.

c. health by all people.

In the dominant Hispanic cultures, the predominant worldview is shaped by the power of the individual over his or her destiny. FALSE TRUE

FALSE

The transcultural nurse can influence health care decisions by: a. All of the above b. lobbying for antipoverty measures. c. lobbying for equality. d. promoting harm-reduction programs.

a. All of the above

Which of the following is not a true statement concerning the biologic tendencies observed in the dominant African American culture? a. The culture has a high incidence of lactose intolerance. b. Sickle cell anemia is more common among African Americans. c. African Americans are subject to lactase deficiencies. d. The culture has a lower prevalence of hypertension than other cultures.

d. The culture has a lower prevalence of hypertension than other cultures.

Which beliefs or generic care practices would a nurse likely find in a patient highly influenced by the dominant Chinese American culture? Select all that apply. a. Going to the zoo while pregnant may cause the baby to resemble one of the animals. b. Washing one's hair is often limited to once a week to prevent catching cold and to speed recovery from illness. c. "Cold" states—such as childbirth—are often balanced by consuming warming foods. d. Qi, the body's life force and energy, is believed to travel through the body, improve blood circulation, and enhance immune function.

c. "Cold" states—such as childbirth—are often balanced by consuming warming foods. d. Qi, the body's life force and energy, is believed to travel through the body, improve blood circulation, and enhance immune function.

Which of these cultural and social structure influences would you be likely to find in someone highly influenced by the dominant Chinese American culture? Select all that apply. a. A strong desire to refuse the inclusion of medical technology in their treatment b. A matriarchal family structure c. A high regard for privacy d. A stoic attitude toward pain

c. A high regard for privacy d. A stoic attitude toward pain

Which statement accurately describes the phenomenon of "health literacy"? a. A person's ability to complete health care insurance forms b. A person's ability to read medical literature c. A person's capacity to obtain, process, and understand information and services needed to make appropriate health decisions d. A person's ability to read and understand medical research

c. A person's capacity to obtain, process, and understand information and services needed to make appropriate health decisions

Which of the following is not an international organization whose purpose is to achieve global goals for care? a. Médicins Sans Frontières (MSF) b. The Global Health Workforce Alliance (GHWA) c. American Nurses Association (ANA) d. The International Council of Nurses (ICN)

c. American Nurses Association (ANA)

Which behavior is characteristic of the Old World Amish culture? a. The core family focuses on the male child. b. Families have limited social interaction. c. There is cooperation and support among the extended family members. d. Older children are responsible for the rearing of the younger children.

c. There is cooperation and support among the extended family members.

A nurse demonstrates an understanding of the sociologically focused safety risks for a pregnant woman when: Conducting a suicide assessment Identifying her cultural health belief system Evaluating her postpartum support system Assessing the level of violence in her neighborhood

Conducting a suicide assessment

In the dominant Old Order Amish culture, the predominant worldview is shaped by the power of the individual over his or her destiny. TRUE FALSE

FALSE

The most important aspect to remember when performing any assessment is to always assert your authority, so that the patient knows he or she can trust you. FALSE TRUE

FALSE

Transcultural nursing exists to assist nurses in providing culturally sensitive care at a local level; there is no place for TCN principles at a global level. TRUE FALSE

FALSE

Knowledge of a client's family and kinship structure helps nurses to: a. All of the above b. ascertain decision-making patterns of the client and family. c. ascertain the overall communication within the household. d. ascertain the values of the client and family.

a. All of the above

Which of the following is not a cultural care value of the dominant Hispanic culture? a. An older woman referred to as the "Old lady" is consulted about common ailments. b. The ability to treat illnesses is considered a "gift from God." c. The emphasis is on the use of medals and prayers to prevent illness. d. A yerbero is consulted about the use of curative herbs.

a. An older woman referred to as the "Old lady" is consulted about common ailments.

Which statement reflects a global transcultural strategy of mutual collaboration? Select all that apply. a. Collaborate with each level of society in creating care plans. b. Co-participate in creating a plan that is mutually acceptable to culturally diverse providers and clients. c. Start with best practices from the dominant culture and adapt them as necessary.

a. Collaborate with each level of society in creating care plans. b. Co-participate in creating a plan that is mutually acceptable to culturally diverse providers and clients.

"If you talk to a man in a language he understands, that goes to his head. If you talk to him in his language, that goes to his heart." Which of these statements is most accurate in describing the connection between this quote and culturally and linguistically appropriate services? a. Communication style is one of the many dimensions considered when assessing a person for culturally congruent care. Adapting to the person's communication style can greatly increase the quality of trust in the nurse-patient relationship. b. Communicating with compassion is necessary for the nurse, but it doesn't really come through unless it is communicated in the person's primary language. c. People don't really understand the care they are receiving and the options available to them unless it is explained to them in their own language.

a. Communication style is one of the many dimensions considered when assessing a person for culturally congruent care. Adapting to the person's communication style can greatly increase the quality of trust in the nurse-patient relationship.

Which characteristics are commonly observed cultural care values of the Old World Amish culture? Select all that apply. a. Family includes "non-blood relatives." b. Only female members stay with a child if hospitalization is necessary. c. Illness is experienced by all and is endured with patience and faith. d. The raising of children is attended to by the members of their large families.

a. Family includes "non-blood relatives." c. Illness is experienced by all and is endured with patience and faith. d. The raising of children is attended to by the members of their large families.

Which of these cultural and social structure influences would you be likely to find in someone highly influenced by the dominant African American culture? Select all that apply. a. Group members often use informal greetings among themselves and may refer to each other by titles such as aunt, cousin, sister, or brother. b. Family structure is highly patriarchal with the father as the sole decision-maker and disciplinarian. c. In greeting an African American person, it is usually preferred that you address the person by their first name to establish trust. d. Inner strength for many African Americans is drawn from their strong religious convictions; it is possible to encounter the belief that health and illness are influenced by God, and may, in fact, be a part of God's plan.

a. Group members often use informal greetings among themselves and may refer to each other by titles such as aunt, cousin, sister, or brother. d. Inner strength for many African Americans is drawn from their strong religious convictions; it is possible to encounter the belief that health and illness are influenced by God, and may, in fact, be a part of God's plan.

Which statement reflects a cultural care value of the dominant African American culture? Select all that apply. a. Illnesses are classified as "natural" or "unnatural." b. Health is related to harmony in nature. c. Illness may be God's punishment. d. Keeping healthy is reliant upon fate. e. Good health comes from good luck.

a. Illnesses are classified as "natural" or "unnatural." b. Health is related to harmony in nature. c. Illness may be God's punishment. e. Good health comes from good luck.

Which is a belief or generic care practice that you would likely find in patients highly influenced by the dominant American Indian/Alaskan Native cultures? Select all that apply. a. Intentional dancing and singing may be used to enhance health. b. Breast-feeding your baby will cause it to have a cleft palate. c. All things—good and bad—come from God, including health and healing. d. Sweating, especially when combined with specific rituals, is cleansing for the body, mind, and spirit, and is conducive to health and healing. e. Smudging, or burning sage or other herbs, can clear the energy of a space and create an environment conducive to health and healing.

a. Intentional dancing and singing may be used to enhance health. d. Sweating, especially when combined with specific rituals, is cleansing for the body, mind, and spirit, and is conducive to health and healing. e. Smudging, or burning sage or other herbs, can clear the energy of a space and create an environment conducive to health and healing.

In the dominant American Indian/Alaskan Native cultures, which of these beliefs regarding health and disease might you encounter? Select all that apply. a. Intrusion by a spirit b. Breach of taboo c. Sorcery or supernatural causes d. Revenge by ancestors

a. Intrusion by a spirit b. Breach of taboo c. Sorcery or supernatural causes

Which statement is not true about the International Council of Nurses (ICN)? a. The ICN advocates diversity. b. The ICN provides service regardless of location. c. The ICN influences care, social, economic, and education policy. d. The ICN provides strategic leadership

b. The ICN provides service regardless of location.

Which of these cultural and social structure influences would you be likely to find in someone highly influenced by the dominant Old Order Amish culture? Select all that apply. a. It is an individual's responsibility to provide self-care before seeking care from health care providers. b. End-of-life care takes place in a field in accordance with the biblical scripture "By the sweat of your brow you will eat your food until you return to the ground, since from it you were taken; for dust you are and to dust you will return." c. Technology is seen as an interference with simple living but is accepted if required for medical purposes other than prolonging the life of a chronically ill person. d. Working with the family and learning a trade are often more valued than attending secondary school for a formal education.

a. It is an individual's responsibility to provide self-care before seeking care from health care providers. c. Technology is seen as an interference with simple living but is accepted if required for medical purposes other than prolonging the life of a chronically ill person. d. Working with the family and learning a trade are often more valued than attending secondary school for a formal education.

Which belief is characteristically observed among people of the Chinese culture? a. Life energy flows along specific pathways in the body. b. Voodoo is capable of curing some psychiatric illnesses. c. God is responsible for giving the power to heal. d. The "evil eye" is the cause of many illnesses.

a. Life energy flows along specific pathways in the body.

Which of these cultural and social structure influences would you be likely to find in someone highly influenced by the dominant Hispanic cultures? Select all that apply. a. Mental illness may be considered a punishment from God for living immorally. b. Some individuals may consult spiritual/folk healers simultaneously with biomedical professionals. c. The father is typically the authority figure, and the oldest male is the power figure of the family. d. After death, the body is never left unattended until burial as a sign of respect.

a. Mental illness may be considered a punishment from God for living immorally. b. Some individuals may consult spiritual/folk healers simultaneously with biomedical professionals. c. The father is typically the authority figure, and the oldest male is the power figure of the family.

What are the reasons for developing professional ethical standards? Select all that apply. a. Nurses are expected to be actively involved in improving health care access and quality to underserved populations. b. Nurses' decision-making participation has increased in terms of management of patient care. c. Nurses are expected to be advocates for fair health care systems and policies. d. Ethical standards serve as cornerstones for clinical decision making.

a. Nurses are expected to be actively involved in improving health care access and quality to underserved populations. b. Nurses' decision-making participation has increased in terms of management of patient care. c. Nurses are expected to be advocates for fair health care systems and policies. d. Ethical standards serve as cornerstones for clinical decision making.

Which statement most accurately describes the purpose of the Culturally and Linguistically Appropriate Services (CLAS) standards? a. Provide a framework for people at all levels of an organization to deliver the best quality of care possible—care that is congruent with the patient's cultural context. b. Provide standards for nurses to follow in order to deliver the best quality of care possible—care that is congruent with the patient's cultural context. c. Provide standards for nurses to follow to satisfy the requirement of the Affordable Care Act to close the gap regarding minorities gaining access to and receiving high quality health care. d. Provide standards for interpreters to provide medically accurate and morally correct translations for patients about their condition and their care options.

a. Provide a framework for people at all levels of an organization to deliver the best quality of care possible—care that is congruent with the patient's cultural context.

Which of these options are effective ways to ensure that patients fully understand their options for care and the care they are accepting? Select all that apply. a. Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area. b. Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters should be avoided. c. Offer language assistance to individuals who have limited English proficiency and/or other communication needs, at no cost to them, to facilitate timely access to all health care and services. d. Clearly inform all individuals of the availability of language assistance services in their preferred language, verbally and in writing.

a. Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area. b. Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters should be avoided. c. Offer language assistance to individuals who have limited English proficiency and/or other communication needs, at no cost to them, to facilitate timely access to all health care and services. d. Clearly inform all individuals of the availability of language assistance services in their preferred language, verbally and in writing.

Which characteristic is represented in the health care practices of the Hispanic culture? Select all that apply. a. Spiritualists are consulted about the meaning of health-related dreams. b. Emphasis is placed on the treatment of Yin/Yang disorders. c. A sabador is consulted regarding musculoskeletal-related problems. d. A family member may be consulted regarding mild, common illnesses.

a. Spiritualists are consulted about the meaning of health-related dreams. c. A sabador is consulted regarding musculoskeletal-related problems. d. A family member may be consulted regarding mild, common illnesses.

Which of the following statements is not correct? a. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the nurses and their patients. b. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. c. The profession of nursing is responsible for articulating nursing values, for maintaining the integrity of the profession and its practices, and for shaping social policy. d. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.

a. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the nurses and their patients.

Thomas Proudfoot is an elderly American Indian man recently diagnosed with type 2 diabetes. He arrives for his appointment 2 days after it was scheduled. The assistant at the front desk asked Mr. Proudfoot about the best way to contact him because they had left multiple appointment reminders at the number he had provided. He responded that the number is to his niece's cellphone because he does not have access to a phone himself. He is confused when the assistant tells him that they may not have any appointments, and he may need to come back another time for his check-up. a. There can be limited access to technology. b. There is distrust of the professional medical system. c. Showing emotions in public is discouraged. d. There is a strong work ethic. e. There is a sense of fluidity about time. f. There is anxiety about technology.

a. There can be limited access to technology. e. There is a sense of fluidity about time.

Rebekah is a 15-year-old girl raised in an Old Order Amish community. She works as a baker for an Amish restaurant and sustained third-degree burns on her right hand 5 days ago. She treated the burn herself using vinegars infused with herbs, baking soda, and some homemade salves. Although she rates her pain at a "10" on a scale from 0 to 10, her face and voice do not reflect any pain. She said she did not tell her mother that she was seeking professional medical care and asked to call her at the restaurant. She was also concerned that the injured hand was her dominant hand, asking several times when she would be able to have full use of the hand so she could work at full capacity. a. There is a strong work ethic. b. There is high comfort with technology. c. There is a tradition of using folk remedies before seeking professional care. d. There is distrust of the professional medical system. e. There is a high degree of secrecy and dishonesty. f. Showing emotions in public is discouraged.

a. There is a strong work ethic. c. There is a tradition of using folk remedies before seeking professional care. f. Showing emotions in public is discouraged.

Which of these activities might a nurse be asked to perform when joining Doctors Without Borders/Médicins Sans Frontières (MSF)? Select all that apply. a. Triage an influx of displaced people and service refugee camps. b. Operate a political polling center to ensure adequate access to voting. c. Organize a mass vaccination. d. Operate a feeding center.

a. Triage an influx of displaced people and service refugee camps. c. Organize a mass vaccination. d. Operate a feeding center.

Globalization helps nurses to: a. engage in culturally competent practices. b. understand the political approaches to care. c. become multilingual. d. understand the economic challenges in providing care.

a. engage in culturally competent practices.

Transcultural health care in the global community aims to: a. improve the health of the world by practicing cultural sensitivity and evaluating needs for all nations. b. improve the health of the world by providing culturally sensitivity care. c. improve the health of the world by providing and evaluating transcultural clinical practices. d. improve the health of the world by caring for multicultural populations.

a. improve the health of the world by practicing cultural sensitivity and evaluating needs for all nations.

From the options below, which belief or generic care practice would a nurse likely find in patients highly influenced by the dominant African American culture? Select all that apply. a. Securing a coin over the umbilicus ensures that your the child is prosperous. b. Eating clay or dirt if it is craved during pregnancy will reduce nausea and facilitate an easier birth. c. Not eating a food craved during pregnancy may cause stillbirth or birthmarks. d. Certain foods craved during pregnancy are symbolic of the child's future. For example, a pregnant woman craving clams may have a child who lives near the sea.

b. Eating clay or dirt if it is craved during pregnancy will reduce nausea and facilitate an easier birth. c. Not eating a food craved during pregnancy may cause stillbirth or birthmarks.

Which cultural beliefs associated with pregnancy are characteristics of the Hispanic culture? Select all that apply. a. The baby's name is never spoken before the naming ceremony. b. Exposure to moonlight may cause the fetus to be born with a deformity. c. A pregnant woman avoids reaching over her head in order to prevent the umbilical cord from wrapping around the fetus's neck. d. Pregnant women are encouraged to sleep lying on their backs.

b. Exposure to moonlight may cause the fetus to be born with a deformity. c. A pregnant woman avoids reaching over her head in order to prevent the umbilical cord from wrapping around the fetus's neck. d. Pregnant women are encouraged to sleep lying on their backs.

Which beliefs or generic care practices would the nurse likely find in patients highly influenced by the dominant Arab American culture? Select all that apply. a. After giving birth, new mothers are encouraged to resume their normal duties as quickly as possible. b. Illness may be viewed as an imbalance in the body by some, and remedies focus on restoring balance. For example, an illness is considered a hot disease and will be balanced with a cold treatment. c. Warm drinks are avoided during illness. d. Washing one's hair is often limited to once a week to prevent catching cold and to speed recovery from illness.

b. Illness may be viewed as an imbalance in the body by some, and remedies focus on restoring balance. For example, an illness is considered a hot disease and will be balanced with a cold treatment. d. Washing one's hair is often limited to once a week to prevent catching cold and to speed recovery from illness.

Among Islamic Arab American women, what is the expected response to male health care providers? a. Interaction with the male provider would occur only in the presence of a husband or other male family member b. Interaction with the male provider would be accepted only when unavoidable and then kept to a minimum c. Another Arab American woman would be present during all interactions with the male provider d. Restrictions on interactions with males are suspended in cases where physical health is at issue

b. Interaction with the male provider would be accepted only when unavoidable and then kept to a minimum

Which of the following is not a characteristic of the spiritual beliefs held by the American Indian/Alaskan Native culture? a. Integrated faith is a concept accepted by the Native American culture. b. Native Americans rely on the traditional religions for their spiritual needs. c. Historical unresolved grief has played a role in the expression of spirituality of the Native Americans. d. Major historical traumas have contributed to destructive coping mechanisms among the Native American population.

b. Native Americans rely on the traditional religions for their spiritual needs.

Which care practice is characteristic of the American Indian/Alaskan Native culture? a. Mind and body are addressed as two separate human components. b. Wellness focuses on spiritual retreats. c. Care practices are universally accepted by all native cultures. d. Spirituality is a secondary component of Native American health care beliefs.

b. Wellness focuses on spiritual retreats.