IS 3203 Chapter Reviews

Which action would address demographic disparity in healthcare for the Hispanic population? A. Increase the number of Hispanics entering the healthcare professions. B. Require all healthcare providers to learn Spanish. C. Decrease the numbers of current students in healthcare education programs to increase the numbers for Hispanic students. D. Provide Hispanic health care workers for Hispanic clients.

A. Increase the number of Hispanics entering the healthcare professions

Why would a patient from the American Indian heritage be prone to developing diseases of the poor, such as tuberculosis and malnutrition? A. Living in abject poverty B. Living in areas not accessible to the general population C. Genetic predisposition to these illnesses and conditions D. Health practices are conducive to these conditions

A. Living in abject poverty

In 2013, a total of 990,553 people became Legal Permanent Residents of the United States. Among them immigrants from which country had the highest percentage? A. Mexico B. India C. China D. Philippines

A. Mexico

Which action would the provider take to improve CULTURALCARE? 1. Confront biases and stereotypes. 2. Expect everyone to embrace the process. 3. Learn a foreign language. 4. Study different cultures

1. Confront biases and stereotypes

What would be a reason for the lack of various cultural groups being represented within the healthcare professions? 1. Early education deficits 2. Lack of interest 3. Family structure 4. Transportation barriers

1. Early education dificits

A Jewish patient with a progressive neurological disease wants to visit a shrine in the United States to offer prayers for HEALING. Which shrine would be available for the patient to visit? Select all that apply. 1. Shrine of Our Lady of San Juan 2. The Tomb of Menachem Mendel Schneerson 3. Shrine of our Lord of Esquipulas 4. The National Shrine of Our Lady of the Snows

2 & 3 only

A patient from the Mexican heritage tells the nurse that an illness has been caused by mal ojo or "bad eye." How did this health problem occur? 1. Having a spell caused by black magic 2. Excessive admiration from someone else 3. Being touched improperly by a health care provider 4. Eating an excessive amount of food one has eaten

2. Excessive admiration from someone else

The healthcare administrator is identifying ways to improve communication with nonEnglish-speaking patients. Which language would the administrator target as being spoken by hospital employees? Select all that apply: 1. Chinese 2. Italian 3. Russian 4. Japanese

2. Italian

The healthcare worker is experiencing "collisions" when attempting to become CULTURALLYCOMPETENT. What types of collisions is he experiencing? 1. Not meeting cultural barriers 2. Well planned efforts 3. Experiencing slips and blunders 4. Observing harmony with cultures

3. Experiencing slips and blunders

How would the use of CULTURALLYCOMPETENT patient advocates bridge the gap of inadequate numbers of healthcare providers representing culturally diverse population groups? Select all that apply: 1. Speak to patients in their native language. 2. Coordinate services to meet the patients' needs. 3. Resolve problems. 4. All of the Above

4. All of the Above

What action would the nurse take to improve sensitivity to others' HEALTH—ILLNESS attitudes and behaviors? Select all that apply: 1. Studying individual HEALTH—ILLNESS beliefs and practices 2. Talking with patients from different heritages about their HEALTH beliefs and practices 3. Attending several seminars on cultural diversity 4. All of the above

4. All of the above

What action would a health care provider not take to learn more about the different cultures represented in the community? Select all that apply: 1. Walk through the community. 2. Prepare a guide sheet with a list of herbs. 3. Recognize hot—cold imbalances. 4. Recognize traditional diseases.

4. Recognize traditional diseases

In which ways does the current United States healthcare system not create a barrier to individuals from different cultures? 1. Expectation to select a physician from a list 2. Cost of treatments and tests 3. Violation of cultural beliefs and practices 4. Well represented cultural minority groups within health care professions

4. Well represented cultural minority groups within health care professions

The nurse is developing the ability to "hear" when caring for a patient from a different culture. What is this nurse doing? Select all that apply: 1. Understanding the patient and the patient's culture 2. Listening to the patient talk in the native language 3. Observing patient-family interactions 4. Identifying cultural inconsistencies 5. All of the above

5. All of the above

What do health care providers assess as demographic and social disparities among the poor and non-White minorities in the United States? Select all that apply: 1. Uneven distribution of health care services 2. Housing 3. Employment 4. Education 5. Diet 6. All of the above 7. None of the above

6. All of the above

5. Describe the five stages of the illness experience developed by Edward A. Suchman.

A. *The symptom experience stage*. The person is physically and cognitively aware that something is wrong and responds emotionally. B. *The assumption of the sick role stage*. The person seeks help and shares the problem with family and friends. After moving through the lay referral system, seeking advice, reassurance, and validation, the person is temporarily excused from such responsibilities as work, school, and other activities of daily living as the condition dictates. C. *The medical care contact stage*. The person that seeks out the "scientific" rather than the "lay" diagnosis, wanting to know the following: Am I really sick? What is wrong with me? What does it mean? At this point, the sick person needs some knowledge of the healthcare system, what the system offers, and how it functions. This knowledge helps the person select resources and interpret the information received. D. *The dependent-patient role stage*. The patient is now under the control of the healthcare providers and is expected to accept and comply with the prescribed treatments. The person may be quite ambivalent about this role, and certain factors may create barriers that eventually will interfere with treatment and the willingness to comply. E. *The recovery or rehabilitation stage*. The role of the patient is given up at the recovery stage, and the person resumes - as much as possible - his or her former roles.

Which actions would be categorized as traditional mental HEALTH maintenance? A. Activities to concentrate and stimulate the mind B. Avoiding physically demanding hobbies C. Using medications to preserve chemical balance in the brain D. Wearing head covering in the cold to preserve head warmth

A. Activities to concentrate and stimulate the mind

A belief of Ayurvedic medicine is the concept of doshas. What is a characteristic of the dosha? A. Controls activities of the body B. Blends fire and water to balance mental capacities C. Combines space and air to control nutritional preferences D. Uses water and earth to regulate hormonal balance

A. Controls activities of the body

What is an assumption about socialization into the healthcare culture? A. Effective treatment can only be done by educated and licensed professionals. B. The more technological the intervention, the greater benefit it yields. C. Interventions for health events must follow a prescribed protocol. D. Alternative complementary treatments have validity

A. Effective treatment can only be done by educated and licensed professionals

Why would a patient of limited income find technology as a barrier to accessing health care? A. Inability to afford, desire, or utilize what technology offers as tests or treatments B. Difficulty understanding the results obtained as a result of technology C. Limited benefits due to age D. Lack of accessing the various diagnostic technological treatments

A. Inability to afford, desire, or utilize what technology offers as tests or treatments

A patient who is Buddhist is wearing white clothes. What does this color symbolize in this religion? A. Mourning the death of a relative B. Joy for the birth of an infant C. Recognition of a religious holiday D. Celebration of a marriage

A. Mourning the death of a relative

Who are the only people considered to be native to the land in the United States? A. Asian Americans B. American Indians C. Russians D. Europeans

B. American Indians

According to the 2015 Census Bureau estimates, what is the most commonly reported European country of ancestry for White people in the United States? A. Italy B. Germany C. Ireland D. England

B. Germany

5. Which is the philosophy of CULTURALCARE? A. Sufficient money, technology, and science are used to cure. B. Holistic care is predicated on cultural HEALTH traditions and needs. C. Premature death must be avoided. D. Disease and injury are avoided through health promotion and maintenance.

B. Holistic care is predicated on cultural HEALTH traditions and needs

When analyzing the phenomenon of environmental control, which characteristic of the White only population does not apply? Select all that apply: A. Primarily rely on Western health care delivery systems B. May not observe traditional HEALTH beliefs C. May practice traditional folk medicine D. May follow homeopathic medicine

B. May not observe traditional HEALTH beliefs

Which department undertook the development of national standards to provide a much needed alternative to the patchwork that had been undertaken in the field of cultural diversity? A. The Joint Commission B. Office of Minority C. Health and Human Services D. The National Center for Health Statistics

B. Office of Minority

Which action is a birth belief among Shintos? A. Never setting up a crib for an infant until after the birth B. Saving the umbilical cord as a lasting bond between mother and child C. Wearing white and blue bead charms on the wrist as a protection from evil D. Hoping that a newborn is not a female baby because it will decrease the mother's looks

B. Saving the umbilical cord as a lasting bond between mother and child

Culturalcare alters the perspective of healthcare delivery. It enables providers to: A. Discriminate against certain populations B. Understand heritage and life trajectory C. Treat all people the same way D. Discuss their own beliefs to sway populations into thinking the same way

B. Understand heritage and life trajectory

According to the 2013 statistics, what was the infant mortality rate in the United States? A. 3.5/1000 live birth B. 7/1,000 live births C. 5.96/1,000 live births D. 6.9/1,000 live births

C. 5.96/1,000 live births

According to a 2011 survey what percentage of the US population over the age of 5 speak English in their homes? A. 62.9% B. 85.4% C. 79.2% D. 9%

C. 79.2%

Which actions would a patient of Polish heritage take to treat a headache? Select all that apply: A. Apply a cloth with vinegar to the head. B. Inhale the steam from a boiling kettle. C. A and B D. Drink yarrow tea.

C. A and B

Health equity is defined as: A. Particular health differences B. Attainment of the lowest level of health for all individuals C. Attainment of the highest level of health for all individuals D. Focusing on eliminating health disparities

C. Attainment of the highest level of health for all individuals

A Xenophobe will: A. Welcome strangers to his/her home. B. Admire foreign customs. C. Be wary of alternative ideas. D. Join diverse groups.

C. Be wary of alternative ideas

When talking about health/HEALTH care practices, what would be the cause of cognitive dissonance? Select all that apply: A. Conflict in healthcare attitudes B. Using different names for a health care practice C. Both A and B D. None of the above

C. Both A and B

Which is a preparation used in the spring of each year by African American people to protect HEALTH? Select all that apply: A. Using a sulfur and molasses preparation B. Wearing asafetida around the neck C. Both of the above D. None of the above

C. Both of the above

What state has the largest Hispanic population? A. Texas B. Nevada C. California D. Arizona

C. California

What does Chinese medicine teach about HEALTH? A. It is the prevention of ILLNESS. B. It is based in Confucian philosophy. C. It is a state of spiritual and physical harmony with nature. D. It is the way to ultimate reality.

C. It is a state of spiritual and physical harmony with nature

Which government program provides the largest amount of money to people with low incomes? A. Supplemental Nutrition Assistance Program (SNAP) B. Supplemental Security Income (SSI) C. Medicaid D. Earned Income Tax Credit

C. Medicaid

A Black American patient recalls stories about a HEALER who was consulted for HEALTH problems. What are characteristics of the traditional Black HEALER? Select all that apply: A. Usually female B. Used herbs and roots to treat ILLNESS C. Practiced voodoo if followed folk medicine approaches D. All of the above

D. All of the above

An African American patient tells the nurse about family members in Louisiana who practice voodoo and prepare gris-gris. What are examples of good gris-gris? Select all that apply: A. Love powder B. Love oil C. Luck water D. All of the above

D. All of the above

Cultural competence implies that professional healthcare must be developed to be: A. Culturally sensitive B. Culturally appropriate C. Culturally competent D. All the above

D. All of the above

Which actions might a pregnant patient of Italian heritage practice? Select all that apply: A. Eating foods that are smelled B. Avoid bending C. Avoiding reaching D. All of the above

D. All of the above

A patient from the Mexican heritage relates using a curandero for healthcare needs. What are the characteristics of this type of HEALER? Select all that apply: A. Curanderos are considered to be religious figures. B. A curandero was born as a HEALER. C. Curanderos are taught the ways of HEALING through herbs. D. All of the above

D. All the above

A patient is unable to access healthcare. What are the reasons for this barrier to healthcare? A. Lack of money B. No health insurance C. Lack of transportation D. All of the above

D. All the above

A patient states that an ILLNESS was caused by the evil eye. What are common beliefs about this cause of ILLNESS? A. Power comes from the eye and strikes a victim. B. The onset of illness is sudden. C. The person who cast the evil eye may not be aware of the power. D. All of the above

D. All the above

A patient with a severe illness is reading the Bible. Which section of the Bible would help the patient with HEALING illnesses and suffering? A. New Testament B. Old Testament. C. Exodus D. All of the above

D. All the above

Asian Americans are identified as being the third-largest minority group in the United States. In which states do more than half of the people reside? Select all that apply: A. Hawaii B. California C. Washington D. All of the above

D. All the above

. T/F: It is possible to isolate the aspects of culture, religion, and ethnicity that shape a person's worldview.

False

T/F The white population has a higher risk of developing cancer than other populations?

True

True or False: Is it important for all health care providers to be culturally competent?

True

Why did members of the Chinese population originally immigrate to the United States? A. Need for cheap labor to build railroads in the nineteenth century B. Favorable immigration status for the Chinese C. High unemployment rates in China D. Demand for menial service jobs.

A. Need for cheap labor to build railroads in the nineteenth century

What was believed to be the benefit of geophagy? A. Red clay is rich in iron. B. Pica is an accepted cultural practice. C. Dirt is high in calcium. D. Starch is sweet and dry.

A. Red clay is rich in iron

Which action do most people take when experiencing a mild illness? A. Rely on self-treatment or do nothing. B. Ingest herbs specific to how they are feeling. C. Consult a local faith HEALER. D. Immediately seek medical attention.

A. Rely on self-treatment or do nothing

Which health restoration practice for a cold would the nurse assess in a patient of English heritage? A. Rubbing the chest with Vicks B. Drinking honey and vinegar C. Gargling with water and vinegar D. Drinking brandy with warm milk

A. Rubbing the chest with Vicks

What is a traditional Black belief regarding HEALTH? A. The mind, body, and spirit are not separated. B. Health represents energy forces. C. Health represents a process rather than a state. D. Health is believed to be influenced by ancestors.

A. The mind, body, and spirit are not seperated

What might a patient from the American Indian heritage use to prevent disease? A. Wear certain objects or charms as a preventive measure. B. Perform specific daily rituals against disease. C. Deny that disease or ILLNESS can harm a person. D. Accept that disease is a part of life.

A. Wear certain objects or charms as a preventive measure

A female patient recalls being told about various childhood health/HEALTH practices by her mother. Why is heritage exploration often done through women? A. Women are the guardians of the family's health/HEALTH and nurturance. B. Women live longer than men and can remember events better. C. Women have a better recall of events within a family context. D. Women are the authority figures within families.

A. Women are the guardians of the family's health/HEALTH and nurturance.

A patient tells the nurse about visiting a number of shrines over the years and has found the experiences valuable for HEALTH. What are the common characteristics of shrines? 1. Feeling of peacefulness and serenity to the visitor 2. Calm, soothing atmosphere 3. Place where petitions are left for HEALING 4. All of the above

All the above

What role did a physician play in ancient Chinese medicine? A. Had to wait for patients to become ill before treating them B. Consulted Taoist writings for diagnosis and prescription C. Received payment only if the patient stayed HEALTHY D. Paid the patient's family if the patient died

C. Received payment only if the patient stayed HEALTHY

The family member of a patient with bipolar disorder is sitting quietly in the waiting room praying. To which saint would the family member most likely be praying for help with mental illness? A. St. Lucy B. St. Odilia C. St. Dymphna D. St. Peregrine

C. St. Dymphna

In the traditional Mexican health care system, what is the scope of practice of the partera? A. The partera does not participate in labor and delivery. B. The partera only provides physical care. C. The care given is provided to the pregnant woman and newborn. D. The partera acts alone without doing other consultations or referrals.

C. The care given is provided to the pregnant woman and newborn

What is the difference between the modern physician and the medicine man when determining the cause of an illness? A. The medicine man studies the patient's past medical history to determine the cause of the illness. B. The medicine man looks for the physical cause of the problem. C. The medicine man looks for the spiritual cause of the problem. D. The medicine man studies the dietary practices of the person being seen.

C. The medicine man looks for the spiritual cause of the problem

Which component is not a part of heritage consistency? A. Socialization B. Ethnicity C. Religion D. Acculturation

D. Acculturation

As of 2014, which demographic group has the highest poverty rate? A. Hispanics B. Children under 18 C. Adults over 65 D. African Americans

D. African Americans

While trying to determine if a treatment that a patient has been taking for an illness is considered a homeopathic remedy. Which are criteria of homeopathy? Select all that apply: A. The person, and not the disease, is being treated. B. Does not conform to scientific standards C. A substance used would cause symptoms in a healthy person. D. All of the above

D. All the above

A factor that may indicate "Heritage Inconsistency" is: A. One's knowledge about his/her culture and customs. B. Regular contact with one's extended family. C. Residence in a neighborhood predominantly of one's ethnic group. D. An admitted change of last name

D. An admitted change of last name

Which generation tends not to actively participate in voting and to work hard if work does not interfere with good times? A. The Silent Generation B. The Boomer Generation C. Generation Z D. Generation X

D. Generation X

What would a patient from Norway use to colds? Select all that apply. A. Hot milk sprinkled with ginger B. Shot of whiskey C. Glass of warm wine D. Hot peppermint tea

D. Hot peppermint tea

In some cultures, spitting is a health protection activity done after giving someone else a compliment. What is the purpose of this action? A. Makes the air better to take in the compliment B. Avoids direct speech afterwards with the person who receives the compliment C. Prevents the recipient of the compliment from being too flattered D. Prevents the recipient of the compliment from receiving an evil spell

D. Prevents the recipient of the compliment from receiving an evil spell

Even though the Indian Health Service (IHS) provides care to a wide area of the population, what is an issue with this health service? A. There is a redundancy of services in all its facilities. B. Health services can only be provided through IHS facilities. C. Any American Indian or Alaska Native can demand care from the IHS. D. Services are predominantly given in the western part of the United States.

D. Services are predominantly given in the western part of the United States

Which of the following is not a component of the sick role? A. The sick person is exempted from the performance of certain of his/her normal social obligations B. Being sick, except in the mildest of cases, is being in need of help. C. The legitimization of the sick role is, however, only partial. D. The sick person is also not exempt from a certain

D. The sick person is also not exempt from a certain

In traditional American Indian beliefs, what controls the body's spiritual energy? Select all that apply. A. Positive energy pole B. Negative energy pole C. Purpose and identity D. Communion with nature E. All of the above

E. All the above

What are three aspects of poverty?

Physical, Mental, and Spiritual Poverty

Name three domains of health beliefs.

Susceptibility, Perceived Seriousness, Perceived Benefits: Taking Action

4. T/F Illness refers to a specific status and role within a given society.

True