Chapter 11: Workplace Diversity
a a a
Huber: Leadership & Nursing Care Management, 6th Edition
a a a a a a a
MULTIPLEaCHOICE
1. Whichaofatheseastatementsaareatrueaaboutaculture?
a. Culturearemainsaconsistent.
b. Individualsaidentifyawithaoneacultureaduringatheiralifetime.
c. Cultureaisacomplex.
d. Cultureaexcludesareligion.
ANS:aa C
Cultureaisadynamicainanature,aandaindividualsamayaidentifyawithamultipleaculturesaoverathea c
ourseaofatheiralifetimes.aThereaisaaacomplexanatureatoaculture,awhichahasabeenadefinedaanda st
udiedaacrossamanyadisciplines.
DIF:
CognitiveaLevel:aRemembera(Knowledge)
TOP:aa NursingaProcess:aAssessment
a
MSC:a ClientaNeeds:aPhysiologicalaIntegrity:aBasicaCareaandaComfort
2. AaclientaofaVietnameseabackgroundaisaadmittedatoatheaunitaafteraaahysterectomy.aSheahasaana o
rderaforaclearaliquids.aWhenaheratrayaisabroughtatoaher,ashearefusesathealimeaJell-
O.aWhicha responseabyatheanurseaisamostaappropriate?
a. “Iadon’tablameayou.aIadon’talikealimeaJell-Oaeither.”
b. “Tellameaaboutayouraculturalabeliefsatoabestahelpayou.”
c. “Whyadon’tayouawantatoaeatathealimeaJell-O?”
d. “ItaisaimportantaforayouatoNeU
atRsS
oaI
thNatGyT
ouBw
.iCll OheMal.”
ANS:aa B
Theafirstastepatowardamulticulturalacompetenceaisatoarecognizeaone’saownaprejudicesaandalearna a
boutaotherapeople’sadifferences.aTheaproblemaisathatamanyaAmericansaareaafraidatoaaskapeoplea ab
outatheiracultureabecauseaofatheaideaathata“weadon’tawantatoaoffendaanyone.”aTheachallengea withat
hisathinkingaisathataifanursesadoanotaaskaaboutapeople’sadifferences,athenatheaonlyaoption
isatoamakeaassumptions.
DIF:
CognitiveaLevel:aApplya(Application)
TOP:aa NursingaProcess:aAssessment
a
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
3. Culturaladiversityarefersatoathe:
a. varietyaofaculturalaoraethnicagroupsawithinaaasociety.
b. beliefathataone’saownacultureaisasimilaratoaanother’saculture.
c. realizationathataallapeopleainaaaparticularacultureahaveatheasameabeliefs.
d. viewathataindividualsalivingainaaacountryashouldaspeakatheanativealanguage.
ANS:aa A
CulturaladiversityaisadefinedabyatheaOxfordaDictionarya(“Culturaladiversity,”a2016)aasa“Thea e
xistenceaofaaavarietyaofaculturalaoraethnicagroupsawithinaaasociety.”
DIF:
CognitiveaLevel:aUnderstanda(Comprehension)
a TOP:aa NursingaProcess:aAssessment
NURSINGTB.COM
, LeadershipaandaNursingaCareaManagementa6thaEditionaHuberaTestaBank
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
4. WhichaofatheseaisatheafastestagrowingaminorityagroupainatheaUnitedaStates?
a. Asians
b. Caucasians
c. Blacks
d. Hispanics
ANS:aa D
TheaU.S.aCensusaBureaua(2014)aestimatesathataminoritiesa(anyoneawhoaisanotaaasingle-racea non-
HispanicaWhite)awillabeatheamajorityainaAmericaabya2044aasaaaresultaofabothaimmigrationa andagr
owtharate.aTheanation’saracialaandaethnicaminorityagroups,aespeciallyaHispanics,aarea growingam
orearapidlyathanatheanon-HispanicaWhiteapopulation,afueledabyabothaimmigrationa andabirths.
DIF:
CognitiveaLevel:aRemembera(Knowledge)
TOP:aa NursingaProcess:aAssessment
a
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
5. Whichaofatheafollowingaethnicapopulationsahasaseenatheafastestagrowth?
a. AfricanaAmericans
b. Iranians
c. Hispanics
d. Vietnamese
ANS:aa C
Resultsafromathea2010acensusashowathataracialaandaethnicaminoritiesaaccountedafora91.7%aofa the
N0.aM
anation’sagrowthasincea200 Ros
UI
taofG
thatBi.
aSaNaT
ncC
reasMe,afroma2000atoa2010a(56%),awasadueato
O
Hispanics.
DIF:
CognitiveaLevel:aRemembera(Knowledge)
a TOP:aa NursingaProcess:aAssessment
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
6. Equityaisatheaabsenceaofaavoidableadifferencesaamongagroupsaofapeople,awhetherathoseagroupsa a
readefinedasocially,aeconomically,ademographically,aorageographically.aWhichagroupa formulat
edathisadefinition?
a. WorldaHealthaOrganization
b. AffordableaCareaAct
c. CentersaforaDiseaseaControl
d. AgencyaforaHealthcareaResearchaandaQuality
ANS:aa A
AccordingatoatheaWorldaHealthaOrganizationa(2016),a“Equityaisatheaabsenceaofaavoidableaora r
emediableadifferencesaamongagroupsaofapeople,awhetherathoseagroupsaareadefinedasocially,a e
conomically,ademographicallyaorageographically.”
DIF:
CognitiveaLevel:aRemembera(Knowledge)a
TOP:aa NursingaProcess:aAssessment
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
NURSINGTB.COM
, LeadershipaandaNursingaCareaManagementa6thaEditionaHuberaTestaBank
7. Recognizingaone’saownaprejudicesaandalearningaaboutaotherapeople’sadifferencesaisatheafirsta s
tepatoward:
a. culturaladiversity.
b. multiculturalacompetence.
c. socialachange.
d. valuing.
ANS:aa B
Toareduceacross-
culturalamiscommunicationsaandaimproveapatientasatisfaction,athea multiculturalacompetenceao
fahealthacareapractitionersaneedsatoabeaimproved.aTheafirstastepa towardamulticulturalacompeten
ceaisatoarecognizeaone’saownaprejudicesaandalearnaaboutaothera people’sadifferences.
DIF: CognitiveaLevel:aApplya(Application)
TOP:aa NursingaProcess:aPlanninga MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:a
ManagementaofaCare
8. Aanurseabelievesathatasheashouldaprovideaoptimalacareatoaallaclients,aregardlessaofatheiraculturala b
ackground.aSheaisastrugglingawithaheraemotionsawhenacaringaforaaaclientawithaaaviolenta criminala
background.aWhatawouldabeatheabestacourseaofaactionaforathisanurse?
a. Avoidingatheaclientaasamuchaasapossibleabutaprovidingacare
b. Identifyingaherabiasesabutaprovidingacare
c. Requestingaanotherapatientaassignment
d. Takingasickadaysawhileatheapatientaisahospitalized
ANS:aa B
Theafirstastepatowardamulticulturalacompetenceaisatoarecognizeaone’saownaprejudicesaandalearna a
boutaotherapeople’sadifferences.aTheaproblemaisathatamanyaAmericansaareaafraidatoaaskapeoplea ab
outatheiracultureabecauseaoN heRiS
fatU deIaN
thG
atT“B
w.eaC
doOnM
’tawantatoaoffendaanyone.”aTheachallenge
withathisathinkingaisathataifanursesadoanotaaskaaboutapeople’sadifferences,athenatheaonlyaoption
isatoamakeaassumptions.
DIF:
CognitiveaLevel:aApplya(Application)
TOP:aa NursingaProcess:aAssessment
a
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
9. Whichaofatheafollowingasupportsasuccessfulaworkplaceadiversity?
a. Beingaaa“devil’saadvocate”
b. Holdingatightatoaone’saculturalavalues
c. Respectaforadifferences
d. Withholdingajudgmentaofaothers
ANS:aa C
Toareduceacross-
culturalamiscommunicationsaandaimproveapatientasatisfaction,athea multiculturalacompetenceao
fahealthacareapractitionersaneedsatoabeaimproved.aTheafirstastepa towardamulticulturalacompeten
ceaisatoarecognizeaone’saownaprejudicesaandalearnaaboutaothera people’sadifferences.
DIF:
CognitiveaLevel:aApplya(Application)
a TOP:aa NursingaProcess:aAssessment
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
NURSINGTB.COM
, LeadershipaandaNursingaCareaManagementa6thaEditionaHuberaTestaBank
10. AccordingatoatheaNationalaHealthcareaQualityaandaDisparitiesaReport,awhichagroupahasaworsea a
ccessatoahealthacareainaAmerica,acomparedawithaWhites?
a. Hispanics
b. Asians
c. Blacks
d. AmericanaIndians
ANS:aa A
Accordingatoathea2014aNationalaHealthcareaQualityaandaDisparitiesaReporta(Agencyafora Healthc
areaResearchaandaQualitya[AHRQ],a2015),a“Historically,aAmericansahaveaexperienceda variablea
accessatoacareabasedaonarace,aethnicity,asocioeconomicastatus,aage,asex,adisabilitya status,asexualao
rientation,aandaresidencealocation.”aThisastudyafoundathataBlacksahadaworsea accessatoahealthacare
athanaWhitesaforaaboutahalfaofameasuresaofaaccess,aHispanicsahadaworsea accessatoacareathanaWhit
esaforatwo-
thirdsaofaaccessameasures,aandaAsiansaandaAmericana IndiansaandaAlaskaaNativesahadaworseaacce
ssatoacareathanaWhitesaforaaboutaone-thirdaofaaccessa measures.
DIF:
CognitiveaLevel:aRemembera(Knowledge)
TOP:aa NursingaProcess:aAssessment
a
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
11. Theavariationaamongagroupsaofapeopleawitharespectatoahabits,avalues,apreferences,abeliefs,a t
aboos,aandarulesaforabehavioradeterminedatoabeaappropriateaforaindividualaandasocietala inter
actionaisaknownaas:
a. bias.
b. diversity.
c. culture
d. stereotyping. NURSINGTB.COM
ANS:aa B
Culturearefersatoatheavariationaamongagroupsaofapeopleawitharespectatoahabits,avalues,a preference
s,abeliefs,ataboos,aandarulesaforabehavioradeterminedatoabeaappropriateaforaindividuala andasocieta
lainteraction.
DIF:
CognitiveaLevel:aApplya(Application)
a TOP:aa NursingaProcess:aAssessment
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment:aManagementaofaCare
12. Whataisatheamostamodifiableafactorainatheaprovisionaofaequitableahealthacare?
a. Availabilityaofaservices
b. Socioeconomicastatus
c. Careathataisaresponsiveatoaculturalaneeds
d. Educationalevel
ANS:aa C
Healthainequitiesaareadirectlyarelatedatoatheaexistenceaofahistoricalaandacurrentadiscriminationa a
ndasocialainjustice,aandaoneaofatheamostamodifiableafactorsaisathealackaofaculturallyaanda linguisti
callyaappropriateaservices,abroadlyadefinedaasacareaandaservicesathataarearespectfulaofa andarespo
nsiveatoatheaculturalaandalinguisticaneedsaofaallaindividuals.
DIF:
CognitiveaLevel:aApplya(Application)
a TOP:aa NursingaProcess:aAssessment
NURSINGTB.COM