Chapter 02: Health Equity and Culturally
Competent Care
Test Bank for Lewis Medical Surgical Nursing 11th Edition by
Harding
MULTIPLE CHOICE
1. What information should the nurse collect when assessing the health status of a
community?
a. Air pollution levels
b. Number of health food stores
c. Most common causes of death
d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life
expectancy, access to care, and morbidity and mortality rates related to disease
and injury. Although air pollution, access to health food stores, and education
level are factors that affect a communitys health status, they are not health
measures.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which
strategy, if implemented by the nurse, would decrease health care disparities for the
Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D
Health care disparities are due to stereotyping, biases, and prejudice of health care
providers. The nurse can decrease these through staff education. The other
strategies also may be addressed by the nurse but will not directly impact health
disparities.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
3. The nurse is obtaining a health history from a new patient. Which data will be the
, focus of patient teaching?
a. Age and gender
b. Saturated fat intake
c. Hispanic/Latino ethnicity
d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patients
saturated fat intake is a behavior that the patient can change. The other
information will be useful as the nurse develops an individualized plan for
improving the patients health, but will not be the focus of patient teaching.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
4. The nurse is caring for a Native American patient who has traditional beliefs about
health and illness. Which action by nurse is most appropriate?
a. Avoid asking questions unless the patient initiates the conversation.
b. Ask the patient whether it is important that cultural healers are contacted.
c. Explain the usual hospital routines for meal times, care, and family visits.
d. Obtain further information about the patients cultural beliefs from a family
member.
ANS: B
Because the patient has traditional health care beliefs, it is appropriate for the
nurse to ask whether the patient would like a visit by a shaman or other cultural
healer. There is no cultural reason for the nurse to avoid asking the patient
questions because they are necessary to obtain health information. The patient
(rather than the family) should be consulted about personal cultural beliefs. The
hospital routines for meals, care, and visits should be adapted to the patients
preferences rather than expecting the patient to adapt to the hospital schedule.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. The nurse is caring for an Asian patient who is being admitted to the hospital.
Which action would be most appropriate for the nurse to take when interviewing this
patient?
a. Avoid eye contact with the patient.
b. Observe the patients use of eye contact.
c. Look directly at the patient when interacting.
d. Ask a family member about the patients cultural beliefs.
ANS: B
Observation of the patients use of eye contact will be most useful in determining
the best way to communicate effectively with the patient. Looking directly at the
Competent Care
Test Bank for Lewis Medical Surgical Nursing 11th Edition by
Harding
MULTIPLE CHOICE
1. What information should the nurse collect when assessing the health status of a
community?
a. Air pollution levels
b. Number of health food stores
c. Most common causes of death
d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life
expectancy, access to care, and morbidity and mortality rates related to disease
and injury. Although air pollution, access to health food stores, and education
level are factors that affect a communitys health status, they are not health
measures.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which
strategy, if implemented by the nurse, would decrease health care disparities for the
Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D
Health care disparities are due to stereotyping, biases, and prejudice of health care
providers. The nurse can decrease these through staff education. The other
strategies also may be addressed by the nurse but will not directly impact health
disparities.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
3. The nurse is obtaining a health history from a new patient. Which data will be the
, focus of patient teaching?
a. Age and gender
b. Saturated fat intake
c. Hispanic/Latino ethnicity
d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patients
saturated fat intake is a behavior that the patient can change. The other
information will be useful as the nurse develops an individualized plan for
improving the patients health, but will not be the focus of patient teaching.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
4. The nurse is caring for a Native American patient who has traditional beliefs about
health and illness. Which action by nurse is most appropriate?
a. Avoid asking questions unless the patient initiates the conversation.
b. Ask the patient whether it is important that cultural healers are contacted.
c. Explain the usual hospital routines for meal times, care, and family visits.
d. Obtain further information about the patients cultural beliefs from a family
member.
ANS: B
Because the patient has traditional health care beliefs, it is appropriate for the
nurse to ask whether the patient would like a visit by a shaman or other cultural
healer. There is no cultural reason for the nurse to avoid asking the patient
questions because they are necessary to obtain health information. The patient
(rather than the family) should be consulted about personal cultural beliefs. The
hospital routines for meals, care, and visits should be adapted to the patients
preferences rather than expecting the patient to adapt to the hospital schedule.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. The nurse is caring for an Asian patient who is being admitted to the hospital.
Which action would be most appropriate for the nurse to take when interviewing this
patient?
a. Avoid eye contact with the patient.
b. Observe the patients use of eye contact.
c. Look directly at the patient when interacting.
d. Ask a family member about the patients cultural beliefs.
ANS: B
Observation of the patients use of eye contact will be most useful in determining
the best way to communicate effectively with the patient. Looking directly at the
