,Leadership and Nursing Care Management 6th Edition Huber Test Bank
TEST BANK
LEADERSHIP
&
NURSING CARE
MANAGEMENT
6TH EDITION
,Leadership and Nursing Care Management 6th Edition Huber Test Bank
Chapterj 11:j Workplacej Diversity
Huber:j Leadershipj &j Nursingj Carej Management,j 6thj Editionj
MULTIPLEj CHOICE
1. Which!!of!!these!!statements are true about culture? F F F F
a. Culture remains consistent. F F
b. Individuals identify with one culture during their lifetime.
F F F F F F F
c. Culture is complex. F F
d. Culture excludes religion. F F F
ANS: C F
Culture is dynamic in nature, and individuals may identify with multiple cultures over the course of their
F F F F F F F F F F F F F F F F F
lifetimes. There is a complex nature to culture, which has been defined and studied across many
F F F F F F F F F F F F F F F F
disciplines.
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Physiological Integrity: Basic Care and Comfort
F F F F F F F F
2. A client of Vietnamese background is admitted to the unit after a hysterectomy. She has an
F F F F F F F F F F F F F F F F
order for clear liquids. When her tray is brought to her, she refuses the lime Jell-O. Which response by
F F F F F F F F F F F F F F F F F F F
the nurse is most appropriate?
F F F F
a. “I don’t blame you. I don’t like lime Jell-O either.”
F F F F F F F F F
b. “Tell me about your cultural beliefs to best help you.”
F F F F F F F F F
c. “Why don’t you want to Neat tRhe lIimeGJelBl-O.?C” M
F F F F F F F F
d. “It is important for you to eUat sSo thNat yTou willOheal.”
F F F F F F F F F F F
ANS: B F
,Leadership and Nursing Care Management 6th Edition Huber Test Bank
The first step toward multicultural competence is to recognize one’s own prejudices and learn about
F F F F F F F F F F F F F F F
other people’s differences. The problem is that many Americans are afraid to ask people about their
F F F F F F F F F F F F F F F F
culture because of the idea that “we don’t want to offend anyone.” The challenge with this thinking is that
F F F F F F F F F F F F F F F F F F F
if nurses do not ask about people’s differences, then the only option is to make assumptions.
F F F F F F F F F F F F F F F
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
3. Cultural diversity refers to the: F F F F
a. variety of cultural or ethnic groups within a society.
F F F F F F F F
b. belief that one’s own culture is similar to another’s culture.
F F F F F F F F F
c. realization that all people in a particular culture have the same beliefs.
F F F F F F F F F F F
d. view that individuals living in a country should speak the native language.
F F F F F F F F F F F F
ANS: A F
Cultural diversity is defined by the Oxford Dictionary (“Cultural diversity,” 2016) as “The existence of a
F F F F F F F F F F F F F F F F
variety of cultural or ethnic groups within a society.”
F F F F F F F F
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment
F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
4. Which of these is the fastest growing minority group in the United States?
F F F F F F F F F F F F
a. Asians
b. Caucasians
c. Blacks
d. Hispanics
F ANS: D F
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
The U.S. Census Bureau (2014) estimates that minorities (anyone who is not a single-race non-Hispanic
F F F F F F F F F F F F F F F
White) will be the majority in America by 2044 as a result of both immigration and growth rate. The
F F F F F F F F F F F F F F F F F F F
nation’s racial and ethnic minority groups, especially Hispanics, are growing more rapidly than the non-
F F F F F F F F F F F F F F F
Hispanic White population, fueled by both immigration and births.
F F F F F F F F
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
5. Which of the following ethnic populations has seen the fastest growth?
F F F F F F F F F F
a. African Americans F
b. Iranians
c. Hispanics
d. Vietnamese
F ANS: C F
Results from the 2010 census show that racial and ethnic minorities accounted for 91.7% of the nation’s
F F F F F F F F F F F F F F F F F
growth since 200N0. MRosIt ofGthatBi.ncCreasMe, from 2000 to 2010 (56%), was due to
F F F F F F F F F F F F
Hispanics.
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
6. Equity is the absence of avoidable differences among groups of people, whether those groups
F F F F F F F F F F F F F F
are defined socially, economically, demographically, or geographically. Which group formulated this
F F F F F F F F F F F
definition?
a. World Health Organization F F
b. Affordable Care Act F F
c. Centers for Disease Control F F F
d. Agency for Healthcare Research and Quality
F F F F F
ANS: A F
According to the World Health Organization (2016), “Equity is the absence of avoidable or remediable
F F F F F F F F F F F F F F F
differences among groups of people, whether those groups are defined socially, economically,
F F F F F F F F F F F
,Leadership and Nursing Care Management 6th Edition Huber Test Bank
demographically or geographically.” F F
DIF: Cognitive Level: Remember (Knowledge)
F F F F
7. Recognizing one’s own prejudices and learning about other people’s differences is the first step
F F F F F F F F F F F F F F
toward:
a. cultural diversity. F
b. multicultural competence. F
c. social change. F
d. valuing.
F ANS: B F
To reduce cross-cultural miscommunications and improve patient satisfaction, the multicultural
F F F F F F F F F F
competence of health care practitioners needs to be improved. The first step
F F F F F F F F F F F
toward multicultural competence is to recognize one’s own prejudices and learn about other people’s
F F F F F F F F F F F F F F
differences.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning MSC: Client Needs: Safe
F F F F F F F F F F F
and Effective Care Environment: Management of Care
F F F F F F
8. A nurse believes that she should provide optimal care to all clients, regardless of their cultural
F F F F F F F F F F F F F F F F
background. She is struggling with her emotions when caring for a client with a violent criminal
F F F F F F F F F F F F F F F F
background. What would be the best course of action for this nurse?
F F F F F F F F F F F
a. Avoiding the client as much as possible but providing care
F F F F F F F F F
b. Identifying her biases but providing care F F F F F
c. Requesting another patient assignment F F F
d. Taking sick days while the patient is hospitalized
F F F F F F F
ANS: B F
The first step toward multicultural competence is to recognize one’s own prejudices and learn about
F F F F F F F F F F F F F F F
other people’s differences. The problem is that many Americans are afraid to ask people about their
F F F F F F F F F F F F F F F F
culture because oNf tUheRiSdeIaNthGatT“Bw.e CdoOnM’t want to offend anyone.” The challenge
F F F F F F F F F F
with this thinking is that if nurses do not ask about people’s differences, then the only option is
F F F F F F F F F F F F F F F F F F
,Leadership and Nursing Care Management 6th Edition Huber Test Bank
to make assumptions.
F F
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
9. Which of the following supports successful workplace diversity?
F F F F F F F
a. Being a “devil’s advocate” F F F
b. Holding tight to one’s cultural values F F F F F
c. Respect for differences F F
d. Withholding judgment of others F F F F
ANS: C F
To reduce cross-cultural miscommunications and improve patient satisfaction, the multicultural
F F F F F F F F F F
competence of health care practitioners needs to be improved. The first step
F F F F F F F F F F F
toward multicultural competence is to recognize one’s own prejudices and learn about other people’s
F F F F F F F F F F F F F F
differences.
DIF: Cognitive Level: Apply (Application) F F F
10. According to the National Healthcare Quality and Disparities Report, which group has worse
F F F F F F F F F F F F F
access to health care in America, compared with Whites?
F F F F F F F F
a. Hispanics
b. Asians
c. Blacks
d. American Indians F F
ANS: A F
According to the 2014 National Healthcare Quality and Disparities Report (Agency for
F F F F F F F F F F F
Healthcare Research and Quality *AHRQ+, 2015), “Historically, Americans have experienced variable
F F F F F F F F F F F
access to care based on race, ethnicity, socioeconomic status, age, sex, disability status, sexual
F F F F F F F F F F F F F F
orientation, and residence location.” This study found that Blacks had worse access to health care than
F F F F F F F F F F F F F F F F
Whites for about half of measures of access, Hispanics had worse access to care than Whites for two-
F F F F F F F F F F F F F F F F F F
thirds of access measures, and Asians and American Indians and Alaska Natives had worse access to care
F F F F F F F F F F F F F F F F F
,Leadership and Nursing Care Management 6th Edition Huber Test Bank
than Whites for about one-third of access measures.
F F F F F F F
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
11. The variation among groups of people with respect to habits, values, preferences, beliefs,
F F F F F F F F F F F F F
taboos, and rules for behavior determined to be appropriate for individual and societal interaction is
F F F F F F F F F F F F F F F
known as: F
a. bias.
b. diversity.
c. culture
d. stereotyping. F
ANS: B F
NURSINGTB.COM
Culture refers to the variation among groups of people with respect to habits, values, preferences, beliefs,
F F F F F F F F F F F F F F F F
taboos, and rules for behavior determined to be appropriate for individual and societal interaction.
F F F F F F F F F F F F F
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
12. What is the most modifiable factor in the provision of equitable health care?
F F F F F F F F F F F F
a. Availability of services F F
b. Socioeconomic status F
c. Care that is responsive to cultural needs
F F F F F F
d. Education level F F
ANS: C F
,Leadership and Nursing Care Management 6th Edition Huber Test Bank
Health inequities are directly related to the existence of historical and current discrimination and social
F F F F F F F F F F F F F F F
injustice, and one of the most modifiable factors is the lack of culturally and linguistically appropriate services,
F F F F F F F F F F F F F F F F F
broadly defined as care and services that are respectful of and responsive to the cultural and linguistic needs
F F F F F F F F F F F F F F F F F F
of all individuals.
F F
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment
F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
13. When nurses portray an attitude that their cultural group is superior to another, it is known as
F F F F F F F F F F F F F F F F F
practicing the concept of cultural:
F F F F
a. diversity.
b. egocentrism.
c. ethnocentrism.
d. prejudice.
ANS: C F
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
Ethnocentrism is characterized or based on an attitude that one’s own cultural group is superior to
F F F F F F F F F F F F F F F F
another.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment
F F F F F F F F
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F F F F F F F F F F
14. A White nurse from the United States is assigned to care for a Vietnamese woman who speaks
F F F F F F F F F F F F F F F F F
little English, had a baby 2 months ago, and is 1 day postoperative after fibroid removal. The nurse
F F F F F F F F F F F F F F F F F F
knows that traditional Vietnamese women will avoid drinking or eating “sour” foods such as lime Jell-O or
F F F F F F F F F F F F F F F F F
other citrus types of liquids after surgery. She confirms her patient’s values and beliefs. The nurse is
F F F F F F F F F F F F F F F F F
exhibiting characteristics of:F F
a. cultural competence. F
b. ethnic sensitivity. F
c. stereotyping.
d. nonjudgmental behavior. F
ANS: A F
NURSINGTB.COM
To reduce cross-cultural miscommunications and improve patient satisfaction, the multicultural
F F F F F F F F F F
competence of health care practitioners needs to be improved. The first step
F F F F F F F F F F F
toward multicultural competence is to recognize one’s own prejudices and learn about other people’s
F F F F F F F F F F F F F F
differences.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning MSC: Client Needs:
F F F F F F F F F F
Physiological Integrity: Basic Care and Comfort
F F F F F