Transcultural Nursing CLAS Test Questions

Culturally competent organizations should ensure that patients receive which of the following types of care? A. Effective, understandable, and respectful care B. Low-cost primary care for patients with limited English proficiency C. Wellness interventions for conditions under which health disparities exist D. Care from nurses who share the patient's language and culture

A. Effective, understandable, and respectful care

Campinha-Bacote's model of culturally competent care encourages health care providers to A. Seek cultural encounters, obtain cultural knowledge, develop skills to conduct culturally sensitive assessments, and develop self-awareness B. Define circumstances that affect a person's cultural worldview C. Use a culturally holistic perspective to provide culturally congruent care D. None of the above

A. Seek cultural encounters, obtain cultural knowledge, develop skills to conduct culturally sensitive assessments, and develop self-awareness

When a person believes that other groups have "natural" cultural characteristics and there are no variations within a specific culture, this person displays which of the following? A. Ethnocentrism B. Essentialism C. Power differentials D. None of the above

B. Essentialism

Which of the following is not a requirement for a qualified translator? A. Previous education, experience, and training in translation B. Membership in the cultural group for which the translation is being done C. Command of both English and the language into which the material will be translated D. Familiarity with medical terminology

B. Membership in the cultural group for which the translation is being done

The SMOG formula determines: A. The patient's literacy level B. The readability level of written materials C. The patient's language needs D. The nature of language assistance services

B. The readability level of written materials

Which of the following is the preferred role of medical interpreters? A. Advocate B. Clarifier C. Conduit D. Culture broker

C. Conduit

The BATHE model helps nurses to A. Determine the patient's level of literacy B. Define circumstances that affect the patient's cultural worldview C. Elicit the psycho-social context of the patient's experience with illness D. Experiment with communication tools

C. Elicit the psycho-social context of the patient's experience with illness

Which of the following is not a transcultural communication technique? A. Explaining to patients that they can and need to speak freely about their symptoms and fears B. Providing the patient with a quiet setting C. Examining your stereotypes and biases D. Listening to what your patients are trying to tell you about their symptoms

C. Examining your stereotypes and biases

Which of the following four statements best describes the relationship between the knowledge-centered and skill-centered approaches to delivering culturally and linguistically competent care? A. The knowledge-centered approach should be given preference, because specific knowledge about culture or ethnic groups helps nurses define their patients who come from these groups. B. The skill-centered approach should be given preference, because no nurse can remember all of the facts relating to multiple cultures. C. Knowledge-centered and skill-centered approaches should be balanced. D. The knowledge-centered approach presents patients as cultural stereotypes and should not be used.

C. Knowledge-centered and skill-centered approaches should be balanced.

"Triadic" refers to which of the following relationships in a nursing interview setting? A. Nurse, patient, family member B. Nurse, doctor, patient C. Nurse, interpreter, patient D. Patient, interpreter, family member

C. Nurse, interpreter, patient

Which of the following, if any, encompasses the definition of patient-centered care? A. The nurse provides as many services as possible directly to the patient, without relying on other health care providers .B. The health care team meets with the patient and his or her family to develop a treatment plan for the patient C. The nurse is aware of the role of cultural health beliefs and practices in the person's health-seeking behavior and is able to negotiate treatment options appropriately and in a culturally sensitive way. D. None of the above.

C. The nurse is aware of the role of cultural health beliefs and practices in the person's health-seeking behavior and is able to negotiate treatment options appropriately and in a culturally sensitive way.

Which of the following, if any, is the definition of "illness"? A. Physiological and psychological processes that affect a person's health B. Diseases of the human body C. The psycho-social meaning and experience of the perceived disease for the individual, the family, and those associated with the individual D. None of the above

C. The psycho-social meaning and experience of the perceived disease for the individual, the family, and those associated with the individual

Collecting data helps a health care organization do which of the following? A. Monitor quality of care and outcome patterns B. Assess needs for language services and health literacy assistance C. Build an epidemiological profile of the community D. All of the above

D. All of the above

The continuous improvement cycle includes which of the following steps? A. Assessment B. Planning C. Evaluation D. All of the above

D. All of the above

To advocate effectively for cultural competency, nurses need the following skills: A. Willingness to serve as a change agent B. Commitment to diversity and provision of quality of care to all, regardless of personal characteristics C. Ability to work collaboratively to promote change D. All of the above

D. All of the above

Which of the following is a factor that contributes to successful partnerships? A. Mutual trust, respect, and commitment B. Identified strengths and assets C. Clear and accessible communication D. All of the above

D. All of the above

Which of the following is the most effective way to identify patients with limited literacy skills? A. Assess their physical appearance B. Determine their educational level C. Ask if they can read D. None of the above

D. None of the above

Which of the following is not a critical domain for measuring organizational cultural competency? A. Values and attitudes B. Community involvement C. Training and staff development D. Number of bilingual staff

D. Number of bilingual staff

Children and family members should be encouraged to serve as interpreters. T F

F

Community members should not be involved in reviewing translated materials because they do not have the requisite medical knowledge to appropriately judge the translations. T F

F

Cultural competency within an organization results from a linear process of systemically working through checklists. T F

F

Developing cultural and linguistic competency is a specific achievement. T F

F

It is important for nurses and patients to communicate in the same language because a common language ensures cultural understanding. T F

F

National CLAS Standards 1-3 provide recommendations on implementing language assistance services. T F

F

Only nursing encounters with racial/ethnic minority patients are considered "cross-cultural" encounters. T F

F

Partnerships with minority communities should mainly involve soliciting input. T F

F

The explanatory model is the belief system that reveals the patient's perspective on the interaction with health care providers. T F

F

Unless he or she is a supervisor, a nurse's only role in supporting organizational cultural and linguistic competency is advocacy. T F

F

Cultural and linguistic competency is a set of congruent behaviors, attitudes, and policies that come together in a system, in an agency, or among professionals T F

T

Developing cultural competency and providing culturally and linguistically appropriate services should be included as an integral objective in health care organizations' strategic plans. T F

T