Spector Cultural Diversity in Health and Illness, 8/E
Chapter 1
Question 1
Type: MCSA
Which action would a hospital administrator take to meet the cultural and linguistic needs
of Spanish-speaking community members?
1.
2. Ensure that all health care workers speak Spanish.
3. Ensure that all signage is posted in Spanish as well as English.
4. Ensure health services are in varying locations.
Correct Answer: 1
Rationale 1: Hiring professional staff from different Spanish-speaking countries would
create a foundation for the variations in the language and culture of the different countries
and aid in providing cultural and linguistic competence to meet the health needs of this
population.
Rationale 2: Ensuring that all health care workers speak Spanish would benefit this
population, but does not necessarily guarantee that cultural and linguistic competence
would result.
Rationale 3: Spanish signage would aid with client understanding, but this action also
assumes that all of the client population is literate.
Rationale 4: Ensuring that health services are in varying locations meets the needs of
many populations but is not necessarily a component of linguistic and cultural
competence.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
,Question 2
Type: MCSA
On which criterion would the Human Resources manager focus when identifying
interpreters to support the care of patients with limited English proficiency?
1. Proficient in health language terminology
2. Availability of family members
3. Be of the same ethnic background of the patients
4. Be on 24-hour call
Correct Answer: 1
Rationale 1: Interpreters providing language assistance must be proficient in health
language terminology in order to provide accurate information to a patient in their own
language.
Rationale 2: Family members are not to be used for language assistance or interpretation
unless absolutely necessary or on request by the patient, as they may not be able to
provide objective impartial information.
Rationale 3: While it is helpful to have the same ethnic background of the patients for
whom language assistance is provided, it is not necessary.
Rationale 4: An interpreter may not be able to be on 24-hour call, but back-up
mechanisms should be in place to provide language assistance when a designated
interpreter is not available.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
Question 3
Type: MCMA
A health care organization is incorporating culturally and linguistically appropriate
services into the strategic plan. In which areas of the plan will these services be reflected?
,Standard Text: Select all that apply.
1. Goals
2. Policies
3. Operational plans
4. Management accountability
5. Internal audits
Correct Answer: 1,2,3,4
Rationale 1: To support cultural and linguistically appropriate services, a health care
organization needs to outline clear goals in the strategic plan.
Rationale 2: To support cultural and linguistically appropriate services, a health care
organization needs to outline policies within the strategic plan.
Rationale 3: A health care organization needs to outline operational plans to support
cultural and linguistically appropriate services within the strategic plan.
Rationale 4: A health care organization needs to identify management accountability for
cultural and linguistically appropriate services within the strategic plan.
Rationale 5: Internal audits are used to evaluate culturally and linguistically appropriate
services within a health care organization.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
Question 4
Type: MCSA
Why does a health care organization maintain a current demographic, cultural, and
epidemiological profile of the patients receiving care in the hospital?
1. Plan and implement culturally and linguistically appropriate services
, 2. Ensure grievances are resolved
3. Plan for culturally appropriate continuing education for the staff
4. Develop partnerships with community members
Correct Answer: 1
Rationale 1: Health care organizations should maintain a current demographic, cultural,
and epidemiological profile of the community to accurately plan for and implement
services that respond to the cultural and linguistic characteristics of the service area.
Rationale 2: Maintaining a current demographic, cultural, and epidemiological profile of
the patients receiving care in the hospital does not ensure that grievances are resolved.
The health care organization must ensure that the grievance process is culturally and
linguistically sensitive and capable of resolving cross-cultural conflicts.
Rationale 3: Maintaining a current demographic, cultural, and epidemiological profile of
the patients receiving care in the hospital is not done to plan for culturally appropriate
continuing education for staff. Planning for ongoing education and training in culturally
and linguistically appropriate services would be based on the patient demographic but not
on the epidemiological profile of the community.
Rationale 4: Maintaining a current demographic, cultural, and epidemiological profile of
the patients receiving care in the hospital is not done to develop partnerships with
community members. Partnerships with communities are used to facilitate community
and patient involvement when designing and implementing culturally and linguistically
appropriate service-related activities.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
Question 5
Type: MCSA
Which behavior of a health care provider exemplifies culturally competent care?
1. Delivering care that demonstrates understanding and application to the patient's
situation
Chapter 1
Question 1
Type: MCSA
Which action would a hospital administrator take to meet the cultural and linguistic needs
of Spanish-speaking community members?
1.
2. Ensure that all health care workers speak Spanish.
3. Ensure that all signage is posted in Spanish as well as English.
4. Ensure health services are in varying locations.
Correct Answer: 1
Rationale 1: Hiring professional staff from different Spanish-speaking countries would
create a foundation for the variations in the language and culture of the different countries
and aid in providing cultural and linguistic competence to meet the health needs of this
population.
Rationale 2: Ensuring that all health care workers speak Spanish would benefit this
population, but does not necessarily guarantee that cultural and linguistic competence
would result.
Rationale 3: Spanish signage would aid with client understanding, but this action also
assumes that all of the client population is literate.
Rationale 4: Ensuring that health services are in varying locations meets the needs of
many populations but is not necessarily a component of linguistic and cultural
competence.
Global Rationale:
Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
,Question 2
Type: MCSA
On which criterion would the Human Resources manager focus when identifying
interpreters to support the care of patients with limited English proficiency?
1. Proficient in health language terminology
2. Availability of family members
3. Be of the same ethnic background of the patients
4. Be on 24-hour call
Correct Answer: 1
Rationale 1: Interpreters providing language assistance must be proficient in health
language terminology in order to provide accurate information to a patient in their own
language.
Rationale 2: Family members are not to be used for language assistance or interpretation
unless absolutely necessary or on request by the patient, as they may not be able to
provide objective impartial information.
Rationale 3: While it is helpful to have the same ethnic background of the patients for
whom language assistance is provided, it is not necessary.
Rationale 4: An interpreter may not be able to be on 24-hour call, but back-up
mechanisms should be in place to provide language assistance when a designated
interpreter is not available.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
Question 3
Type: MCMA
A health care organization is incorporating culturally and linguistically appropriate
services into the strategic plan. In which areas of the plan will these services be reflected?
,Standard Text: Select all that apply.
1. Goals
2. Policies
3. Operational plans
4. Management accountability
5. Internal audits
Correct Answer: 1,2,3,4
Rationale 1: To support cultural and linguistically appropriate services, a health care
organization needs to outline clear goals in the strategic plan.
Rationale 2: To support cultural and linguistically appropriate services, a health care
organization needs to outline policies within the strategic plan.
Rationale 3: A health care organization needs to outline operational plans to support
cultural and linguistically appropriate services within the strategic plan.
Rationale 4: A health care organization needs to identify management accountability for
cultural and linguistically appropriate services within the strategic plan.
Rationale 5: Internal audits are used to evaluate culturally and linguistically appropriate
services within a health care organization.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
Question 4
Type: MCSA
Why does a health care organization maintain a current demographic, cultural, and
epidemiological profile of the patients receiving care in the hospital?
1. Plan and implement culturally and linguistically appropriate services
, 2. Ensure grievances are resolved
3. Plan for culturally appropriate continuing education for the staff
4. Develop partnerships with community members
Correct Answer: 1
Rationale 1: Health care organizations should maintain a current demographic, cultural,
and epidemiological profile of the community to accurately plan for and implement
services that respond to the cultural and linguistic characteristics of the service area.
Rationale 2: Maintaining a current demographic, cultural, and epidemiological profile of
the patients receiving care in the hospital does not ensure that grievances are resolved.
The health care organization must ensure that the grievance process is culturally and
linguistically sensitive and capable of resolving cross-cultural conflicts.
Rationale 3: Maintaining a current demographic, cultural, and epidemiological profile of
the patients receiving care in the hospital is not done to plan for culturally appropriate
continuing education for staff. Planning for ongoing education and training in culturally
and linguistically appropriate services would be based on the patient demographic but not
on the epidemiological profile of the community.
Rationale 4: Maintaining a current demographic, cultural, and epidemiological profile of
the patients receiving care in the hospital is not done to develop partnerships with
community members. Partnerships with communities are used to facilitate community
and patient involvement when designing and implementing culturally and linguistically
appropriate service-related activities.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 - Describe the National Standards for Culturally and
Linguistically Appropriate Services in Health Care.
Question 5
Type: MCSA
Which behavior of a health care provider exemplifies culturally competent care?
1. Delivering care that demonstrates understanding and application to the patient's
situation
