,Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Contin
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
uum
MULTIPLE CHOICE n7
1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
on n7 by the nurse would best indicate progress toward this goal?
n7 n7 n7 n7 n7 n7 n7 n7 n7
A. Demonstrate good knowledge of different cultural health beliefs
n7 n7 n7 n7 n7 n7 n7
B. Effectively respond to the needs of people of different cultures
n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Interact respectfully with patients who have differing health beliefs
n7 n7 n7 n7 n7 n7 n7 n7
D. Recognize that they will never be the expert in other cultures
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ANS: C n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uum
n7
Objective: #. Pag n7 n7
e: 13
n7
Heading: Cultural Practices Integrat
n7 n7 n7
ed Processes: Caring
n7 n7
Client Need: Psychosocial Integrity Cogniti
n7 n7 n7 n7
ve Level: Analysis [Analyzing] Concept: Di
n7 n7 n7 n7 n7
versity; Critical Thinking Difficulty: Difficu
n7 n7 n7 n7
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
tures and requires a certain level of knowledge about those cultures.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
B. Cultural competence is the ability to interact effectively with people of different cul
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
tures and requires a certain level of knowledge about those cultures.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
t from one’s own. A nurse with this characteristic is respectful of and open to othe
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
rs.
D. Cultural humility is the recognition that one will never master all information about
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
another culture.
n7 n7
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
demonstrates this characteristic? n7 n7
A. Attends workshops on cultural diversity and health practices
n7 n7 n7 n7 n7 n7 n7
B. Participates in community health events with minority populations
n7 n7 n7 n7 n7 n7 n7
C. Plans care with the family members within their cultural beliefs
n7 n7 n7 n7 n7 n7 n7 n7 n7
D. Uses family members as interpreters to make them feel important
n7 n7 n7 n7 n7 n7 n7 n7 n7
, ANS: C n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uum
n7
Objective: #. Pag n7 n7
e: 16
n7
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ntegrated Processes: Caring
n7 n7
Client Need: Psychosocial Integrity Cogniti
n7 n7 n7 n7
ve Level: Evaluation [Evaluating] Concept:
n7 n7 n7 n7 n7
Diversity; Critical Thinking Difficulty: Diff
n7 n7 n7 n7
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is
too limited in scope to demonstrate cultural competence.
n7 n7 n7 n7 n7 n7 n7
B. Participating in community events with diverse populations can increase cultural kn
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
owledge, but this action is too limited in scope to demonstrate cultural
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
uals and families from different cultures. This nurse plans interventions with a sol
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
id knowledge of the values and practices of the members of the culture. Being o
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
pen, listening to the family, and involving them in care demonstrates respect, uni
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
fies the nurse– n7 n7
patient relationship, and will motivate the patient (and family) to make positive h
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ealth changes. n7
D. Nurses should use professional interpreters when needed.
n7 n7 n7 n7 n7 n7
3. A patient wishes to use complementary therapy when managing a chronic health conditio
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n. Which action by the nurse is most appropriate?
n7 n7 n7 n7 n7 n7 n7 n7
A. Advise the patient that stopping medical treatment may cause it to worsen.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
B. Inform the patient that there are no complementary therapies for this condition.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Investigate herbs that can be substituted for prescription drugs.
n7 n7 n7 n7 n7 n7 n7 n7
D. Suggest the patient add massage therapy to the medical regimen.
n7 n7 n7 n7 n7 n7 n7 n7 n7
ANS: D n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uum
n7
Objective: #. Pag n7 n7
e: 18
n7
Heading: Complementary and Alternative Therapies I
n7 n7 n7 n7 n7
ntegrated Processes: Teaching and Learning
n7 n7 n7 n7
Client Need: Health Promotion and Maintenance Cog
n7 n7 n7 n7 n7 n7
nitive Level: Analysis [Analyzing]
n7 n7 n7
, Concept: Promoting Health Difficult
n7 n7 n7
y: Moderate
n7
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
warn them of the effects of stopping treatment.
n7 n7 n7 n7 n7 n7 n7
B. There are always complementary therapies that can be added to a medical regimen.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Substituting herbs for prescription medication is an example of alternative therapy.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
D. Complementary therapy is nontraditional medical treatment used together with conn7 n7 n7 n7 n7 n7 n7 n7 n7
ventional medical treatment. Adding massage to the medical regimen is an ex-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ample of using complementary therapy.
n7 n7 n7 n7 n7
4. A nurse is working with a family that uses multiple complementary and alternative medici
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ne (CAM) modalities. What action by the nurse is best?
n7 n7 n7 n7 n7 n7 n7 n7 n7
A. Allow the family to continue these practices as desired.
n7 n7 n7 n7 n7 n7 n7 n7
B. Assess how these practices reflect religious beliefs.
n7 n7 n7 n7 n7 n7
C. Inform the family that most of these practices do not work.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
D. Provide evidence-based information about the therapies.
n7 n7 n7 n7 n7
ANS: D n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uumn7
Objective: #. Pag n7 n7
e: 18
n7
Heading: Complementary and Alternative Therapies I
n7 n7 n7 n7 n7
ntegrated Processes: Teaching and Learning
n7 n7 n7 n7
Client Need: Health Promotion and Maintenanc
n7 n7 n7 n7 n7
e Cognitive Level: Application [Applying] Con
n7 n7 n7 n7 n7
cept: Family; Promoting Health
n7 n7 n7
Difficulty: Moderate n7
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
up the opportunity to provide and discuss information about CAM.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ct health-
n7
care practices, but the nurse needs to advocate for the patient/family by
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
providing solid information. n7 n7
C. Many CAM practices have demonstrated benefit, so telling the family they don’t
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
work is false information.n7 n7 n7
D. The nurse working with individuals or families who use CAM practices should res
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
pect the beliefs, values, and desires of the patient. The nurse should encourage
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
families to make decisions regarding CAM practices based on evidence and resea
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
rch into their effects. The nurse can best assist in this by providing and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
discussing information. n7
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
uum
MULTIPLE CHOICE n7
1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
on n7 by the nurse would best indicate progress toward this goal?
n7 n7 n7 n7 n7 n7 n7 n7 n7
A. Demonstrate good knowledge of different cultural health beliefs
n7 n7 n7 n7 n7 n7 n7
B. Effectively respond to the needs of people of different cultures
n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Interact respectfully with patients who have differing health beliefs
n7 n7 n7 n7 n7 n7 n7 n7
D. Recognize that they will never be the expert in other cultures
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ANS: C n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uum
n7
Objective: #. Pag n7 n7
e: 13
n7
Heading: Cultural Practices Integrat
n7 n7 n7
ed Processes: Caring
n7 n7
Client Need: Psychosocial Integrity Cogniti
n7 n7 n7 n7
ve Level: Analysis [Analyzing] Concept: Di
n7 n7 n7 n7 n7
versity; Critical Thinking Difficulty: Difficu
n7 n7 n7 n7
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
tures and requires a certain level of knowledge about those cultures.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
B. Cultural competence is the ability to interact effectively with people of different cul
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
tures and requires a certain level of knowledge about those cultures.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
t from one’s own. A nurse with this characteristic is respectful of and open to othe
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
rs.
D. Cultural humility is the recognition that one will never master all information about
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
another culture.
n7 n7
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
demonstrates this characteristic? n7 n7
A. Attends workshops on cultural diversity and health practices
n7 n7 n7 n7 n7 n7 n7
B. Participates in community health events with minority populations
n7 n7 n7 n7 n7 n7 n7
C. Plans care with the family members within their cultural beliefs
n7 n7 n7 n7 n7 n7 n7 n7 n7
D. Uses family members as interpreters to make them feel important
n7 n7 n7 n7 n7 n7 n7 n7 n7
, ANS: C n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uum
n7
Objective: #. Pag n7 n7
e: 16
n7
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ntegrated Processes: Caring
n7 n7
Client Need: Psychosocial Integrity Cogniti
n7 n7 n7 n7
ve Level: Evaluation [Evaluating] Concept:
n7 n7 n7 n7 n7
Diversity; Critical Thinking Difficulty: Diff
n7 n7 n7 n7
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is
too limited in scope to demonstrate cultural competence.
n7 n7 n7 n7 n7 n7 n7
B. Participating in community events with diverse populations can increase cultural kn
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
owledge, but this action is too limited in scope to demonstrate cultural
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
uals and families from different cultures. This nurse plans interventions with a sol
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
id knowledge of the values and practices of the members of the culture. Being o
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
pen, listening to the family, and involving them in care demonstrates respect, uni
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
fies the nurse– n7 n7
patient relationship, and will motivate the patient (and family) to make positive h
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ealth changes. n7
D. Nurses should use professional interpreters when needed.
n7 n7 n7 n7 n7 n7
3. A patient wishes to use complementary therapy when managing a chronic health conditio
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n. Which action by the nurse is most appropriate?
n7 n7 n7 n7 n7 n7 n7 n7
A. Advise the patient that stopping medical treatment may cause it to worsen.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
B. Inform the patient that there are no complementary therapies for this condition.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Investigate herbs that can be substituted for prescription drugs.
n7 n7 n7 n7 n7 n7 n7 n7
D. Suggest the patient add massage therapy to the medical regimen.
n7 n7 n7 n7 n7 n7 n7 n7 n7
ANS: D n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uum
n7
Objective: #. Pag n7 n7
e: 18
n7
Heading: Complementary and Alternative Therapies I
n7 n7 n7 n7 n7
ntegrated Processes: Teaching and Learning
n7 n7 n7 n7
Client Need: Health Promotion and Maintenance Cog
n7 n7 n7 n7 n7 n7
nitive Level: Analysis [Analyzing]
n7 n7 n7
, Concept: Promoting Health Difficult
n7 n7 n7
y: Moderate
n7
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
warn them of the effects of stopping treatment.
n7 n7 n7 n7 n7 n7 n7
B. There are always complementary therapies that can be added to a medical regimen.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
C. Substituting herbs for prescription medication is an example of alternative therapy.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
D. Complementary therapy is nontraditional medical treatment used together with conn7 n7 n7 n7 n7 n7 n7 n7 n7
ventional medical treatment. Adding massage to the medical regimen is an ex-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ample of using complementary therapy.
n7 n7 n7 n7 n7
4. A nurse is working with a family that uses multiple complementary and alternative medici
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ne (CAM) modalities. What action by the nurse is best?
n7 n7 n7 n7 n7 n7 n7 n7 n7
A. Allow the family to continue these practices as desired.
n7 n7 n7 n7 n7 n7 n7 n7
B. Assess how these practices reflect religious beliefs.
n7 n7 n7 n7 n7 n7
C. Inform the family that most of these practices do not work.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
D. Provide evidence-based information about the therapies.
n7 n7 n7 n7 n7
ANS: D n7
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n- uumn7
Objective: #. Pag n7 n7
e: 18
n7
Heading: Complementary and Alternative Therapies I
n7 n7 n7 n7 n7
ntegrated Processes: Teaching and Learning
n7 n7 n7 n7
Client Need: Health Promotion and Maintenanc
n7 n7 n7 n7 n7
e Cognitive Level: Application [Applying] Con
n7 n7 n7 n7 n7
cept: Family; Promoting Health
n7 n7 n7
Difficulty: Moderate n7
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
up the opportunity to provide and discuss information about CAM.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ct health-
n7
care practices, but the nurse needs to advocate for the patient/family by
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
providing solid information. n7 n7
C. Many CAM practices have demonstrated benefit, so telling the family they don’t
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
work is false information.n7 n7 n7
D. The nurse working with individuals or families who use CAM practices should res
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
pect the beliefs, values, and desires of the patient. The nurse should encourage
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
families to make decisions regarding CAM practices based on evidence and resea
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
rch into their effects. The nurse can best assist in this by providing and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
discussing information. n7
