RATIONALES
1. A nurse is caring for patients of diverse cultures in a D. People
may be mem-
community health clinic. Which concepts will the nurse bers of
multiple cultural
incorporate to guide the plan of care? Select all groups at one time., E.
that apply. Culture guides what is
A. The United States has become less ac- ceptable behavior
inclusive of same-sex couples. for peo- ple in a
B. Cultural diversity is limited to people of specific group.,
varying cul- tures and races. F. Cultural practices
C. Cultural diversity is separate and distinct may evolve over time but
from health and illness. mainly remain
D.People may be members of multiple constant.
cultural groups at one time.
E. Culture guides what is acceptable behavior
for peo- ple in a specific group.
F.Cultural practices may evolve over time but
mainly remain constant.
2. At the last staff meeting, the nurse manager discussed A. A statt nurse
tells the
the organizational initiative to improve AP that patients should
provision of culturally competent care. not be given a choice,
During rounds, which be- but
haviors inconsistent with this goal require the manag- should
shower or bathe
er to intervene? Select all that apply. daily., D. A Catholic nurse
A. A staff nurse tells the AP that patients should not be insists that a
patient diag-
given a choice, but should shower or bathe C. A nurse
daily. tells another
B. A nurse asks the family of a patient who has nurse that
died if they would like to wash their loved Jewish
one's body. dietary re-
, ECPI 164 EXAM 2 LATEST UPDATES WITH CORRECT
RATIONALES
strictions are just a way for them to get special nosed with terminal
foods. blad- der cancer see
D. A Catholic nurse insists that a patient the chap- lain in
diagnosed with terminal bladder cancer see residence.
the chaplain in res- idence.
E. A nurse obtains a translator to speak to the
patient
, ECPI 164 EXAM 2 LATEST UPDATES WITH CORRECT
RATIONALES
in their native language.
F.A nurse refuses to care for a married gay
patient who is HIV positive because the nurse is
against same-sex marriage.
3. An ambulatory care nurse serving a large, B. African American
culturally diverse population is planning a peo- ple, C. Alaska
free blood pressure screening clinic. Based Native peo- ple, E.
on the nurse's understanding of racial White people
differences in health and illness, which groups
will the nurse target for screening? Select all
that ap- ply.
A. Native American people
B. African American people
C. Alaska Native people
D. Asian people
E. White people
F.Hispanic people
4. A nurse is using the Explanatory Model of
Health and Illness (ESFT) model to assess how a B. How does having
patient from an- other culture views their COPD attect your
diagnosis of chronic obstruc- tive pulmonary lifestyle?
disease (COPD). What interview ques- tion is
most appropriate to assess the E aspect of
this model?
A. How do you get your medications?
B. How does having COPD affect your lifestyle?
C. Are you concerned about the side effects
of your medications?
D. Can you describe how you will take your
medica- tions?
5. A. Cultural assimilation
, ECPI 164 EXAM 2 LATEST UPDATES WITH CORRECT
RATIONALES
A nurse tells a patient, "tonight's menu
selection is pork. I understand many people in
your culture do not eat pork; may I order
something else for you?" When the patient
states they no longer observe this dietary
practice, the nurse understands that the
patient has experienced what transition?
A. Cultural assimilation
B. Cultural imposition
C. Culture shock
D. Ethnocentrism
D. "Grouping all older
6. The charge nurse overhears a nurse state,
"That pa-
tient is 78 years old—too old to learn how to change a adults as
having trou-
dressing." How should the charge nurse C. Explain
respond? why care
A. "Please don't impose your view of the cannot be
patient's cul- ture on them." provided
B. "I wish you would try to demonstrate more D. Provide
cultural sensitivity." instruction
s in
C."Try to be open to your patient's culture, to
writing
make the biggest impact."
D."Grouping all older adults as having trouble
learning is a form of stereotyping."
7. A young Hispanic mother comes to the local
clinic be- cause her baby is sick. She speaks
only Spanish, and the nurse speaks only
English. Which action should the nurse take
next?
A. Use short words and speak loudly
B. Obtain a medical interpreter