Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
TestgBankgforgNursinggDelegationgandgManagementgofgPatientgCa
re,g2ndgEditiongBygMotacki
MULTIPLEg CHOICE
1. Culturalg diversityg refersg tog the:
a. varietyg ofg culturalg org ethnicg groupsg withing ag society.
b. beliefg thatg one’sg owng cultureg isg similarg tog another’sg culture.
c. realizationg thatg allg peopleg ing ag particularg cultureg haveg theg sameg beliefs.
d. viewg thatg individualsg livingg ing ag countryg shouldg speakg theg nativeg language.
ANS:g A
Culturalg diversityg isg definedg byg theg Oxfordg Dictionaryg (“Culturalg diversity,”g 2016)g asg “Theg existe
nceg ofg ag varietyg ofg culturalg org ethnicg groupsg withing ag society.”
DIF:gCognitivegLevel:gUnderstandg(Comprehension)g TO
P:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
2. Whichg ofg theseg isg theg fastestg growingg minorityg groupg ing theg Unitedg States?g a.g Asians
b. Caucasians
c. Blacks
d. Hispanics
ANS:g D
Theg U.S.g Censusg Bureaug (2014)g estimatesg thatg minoritiesg (anyoneg whog isg notg ag single-
raceg non-
Hispanicg White)g willg beg theg majorityg ing Americag byg 2044g asg ag resultg ofg bothg immigrationg an
dg growthg rate.g Theg nation’sg racialg andg ethnicg minorityg groups,g especiallyg Hispanics,g areg gro
wingg moreg rapidlyg thang theg non-
Hispanicg Whiteg population,g fueledg byg bothg immigrationg andg births.
DIF:gCognitivegLevel:gRememberg(Knowledge)
TOP:g Nursingg Process:g Assessment
g
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
3. Whichg ofg theg followingg ethnicg populationsg hasg seeng theg fastestg growth?
a. Africang Americans
b. Iranians
c. Hispanics
d. Vietnamese
NURSINGTB.COM
, Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
ANS:g C
Resultsg fromg theg 2010g censusg showg thatg racialg andg ethnicg minoritiesg accountedg forg 91.7%g of
g theg nation’sg growthg sinceg 2000.g Mostg ofg thatg increase,g fromg 2000g tog 2010g (56%),g wasg dueg t
o
NURSINGTB.COMgHispanics.
DIF:gCognitivegLevel:gRememberg(Knowledge)
TOP:g Nursingg Process:g Assessment
g
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
4. Whichg ofg theseg statementsg areg trueg aboutg culture?
a. Cultureg remainsg consistent.
b. Individualsg identifyg withg oneg cultureg duringg theirg lifetime.
c. Cultureg isg complex.
d. Cultureg excludesg religion.
ANS:g C
Cultureg isg dynamicg ing nature,g andg individualsg mayg identifyg withg multipleg culturesg overg th
eg courseg ofg theirg lifetimes.g Thereg isg ag complexg natureg tog culture,g whichg hasg beeng definedg
andg studiedg acrossg manyg disciplines.
DIF:gCognitivegLevel:gRememberg(Knowledge)
g TOP:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Physiologicalg Integrity:g Basicg Careg andg Comfort
5. Ag clientg ofg Vietnameseg backgroundg isg admittedg tog theg unitg afterg ag hysterectomy.g Sheg hasg a
ng orderg forg clearg liquids.g Wheng herg trayg isg broughtg tog her,g sheg refusesg theg limeg Jell-
O.g Whichg responseg byg theg nurseg isg mostg appropriate?
a. “Ig don’tg blameg you.g Ig don’tg likeg limeg Jell-Og either.”
b. “Tellg meg aboutg yourg culturalg beliefsg tog bestg helpg you.”
c. “Whygdon’tg youg wantg tog eatg theg limeg Jell-O?”
d. “Itg isg importantg forg youg tog eatg sog thatg youg willg heal.”NURSINGTB.COM
ANS:g B
Theg firstg stepg towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg andg lear
ng aboutg otherg people’sg differences.g Theg problemg isg thatg manyg Americansg areg afraidg tog askg peo
pleg aboutg theirg cultureg becauseg ofg theg ideag thatg “weg don’tg wantg tog offendg anyone.”g Theg challe
ngeg withg thisg thinkingg isg thatg ifg nursesg dog notg askg aboutg people’sg differences,g theng theg onlyg o
ptiong isg tog makeg assumptions.
DIF:g Cognitiveg Level:g Applyg (Application)
NURSINGTB.COM
, Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
TOP:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
6. Equityg isg theg absenceg ofg avoidableg differencesg amongg groupsg ofg people,g whetherg thoseg group
sg areg definedg socially,g economically,g demographically,g org geographically.g Whichg groupg for
mulatedg thisg definition?
a. Worldg Healthg Organization
b. Affordableg Careg Act
c. Centersg forg Diseaseg Control
d. Agencyg forg Healthcareg Researchg andg Quality
ANS:g A
Accordingg tog theg Worldg Healthg Organizationg (2016),g “Equityg isg theg absenceg ofg avoidableg
org remediableg differencesg amongg groupsg ofg people,g whetherg thoseg groupsg areg definedg soci
ally,g economically,g demographicallyg org geographically.”
DIF:gCognitivegLevel:gRememberg(Knowledge)
gTOP:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
7. Recognizingg one’sg owng prejudicesg andg learningg aboutg otherg people’sg differencesg isg theg firstg ste
pg toward:
a. culturalg diversity.
b. multiculturalg competence.
c. socialg change.
d. valuing.
ANS:g B
Tog reduceg cross-
culturalg miscommunicationsg andg improveg patientg satisfaction,g theg multiculturalg competenceg
ofg healthg careg practitionersg needsg tog beg improved.g Theg firstg step
towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg andg learng aboutg otherg peop
le’sg differences.
DIF:g Cognitiveg Level:g Applyg (Application)
TOP:gNursinggProcess:gPlannin
gg MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
8. Ag nurseg believesg thatg sheg shouldg provideg optimalg careg tog allg clients,g regardlessg ofg theirg cultural
g background.g Sheg isg strugglingg withg herg emotionsg wheng caringg forg ag clientg withg ag violentg crimin
alg background.g Whatg wouldg beg theg bestg courseg ofg actiong forg thisg nurse?g a.g Avoidingg theg clientg
asg muchg asg possibleg butg providingg care
b. Identifyingg herg biasesg butg providingg care
c. Requestingg anotherg patientg assignment
d. Takingg sickg daysg whileg theg patientg isg hospitalized
NURSINGTB.COM
, Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
ANS:g Bg Theg firstg stepg towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg
andg learng aboutg otherg people’sg differences.g Theg problemg isg thatg manyg Americansg areg afraidg t
og askg peopleg aboutg theirg cultureg becauseg ofg theg ideag thatg “weg don’tg wantg tog offendg anyone.”g
Theg challengeg NURSINGTB.COM gwithg thisg thinkingg isg thatg ifg nursesg dog notg askg aboutg
people’sg differences,g theng theg onlyg optiong isg tog makeg assumptions.
DIF:gCognitivegLevel:gApplyg(Application)g TO
P:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
9. Whichg ofg theg followingg supportsg successfulg workplaceg diversity?
a. Beingg ag “devil’sg advocate”
b. Holdingg tightg tog one’sg culturalg values
c. Respectg forg differences
d. Withholdingg judgmentg ofg others
ANS:g C
Tog reduceg cross-
culturalg miscommunicationsg andg improveg patientg satisfaction,g theg multiculturalg competenceg
ofg healthg careg practitionersg needsg tog beg improved.g Theg firstg step
towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg andg learng aboutg otherg peop
le’sg differences.
DIF:gCognitivegLevel:gApplyg(Application)g TO
P:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
10. Accordingg tog theg Nationalg Healthcareg Qualitygandg Disparitiesg Report,g whichg groupg hasg wors
eg accessg tog healthg careg ing America,g comparedg withg Whites?g a.g Hispanics
b. Asians
c. Blacks
d. Americang Indians
ANS:g A
Accordingg tog theg 2014g Nationalg Healthcareg Qualityg andg Disparitiesg Reportg (Agencyg for
Healthcareg Researchg andg Qualityg [AHRQ],g 2015),g “Historically,g Americansg haveg experience
dg variableg accessg tog careg basedg ong race,g ethnicity,g socioeconomicg status,g age,g sex,g disabilityg s
tatus,g sexualg orientation,g andg residenceg location.”g Thisg studyg foundg thatg Blacksg hadg worseg ac
cessg tog healthg careg thang Whitesg forg aboutg halfg ofg measuresg ofg access,g Hispanicsg hadg worseg ac
cessg tog careg thang Whitesg forg two-
thirdsg ofg accessg measures,g andg Asiansg andg Americang Indiansg andg Alaskag Nativesg hadg worseg a
ccessg tog careg thang Whitesg forg aboutg one-thirdg ofg accessg measures.
NURSINGTB.COM
k
TestgBankgforgNursinggDelegationgandgManagementgofgPatientgCa
re,g2ndgEditiongBygMotacki
MULTIPLEg CHOICE
1. Culturalg diversityg refersg tog the:
a. varietyg ofg culturalg org ethnicg groupsg withing ag society.
b. beliefg thatg one’sg owng cultureg isg similarg tog another’sg culture.
c. realizationg thatg allg peopleg ing ag particularg cultureg haveg theg sameg beliefs.
d. viewg thatg individualsg livingg ing ag countryg shouldg speakg theg nativeg language.
ANS:g A
Culturalg diversityg isg definedg byg theg Oxfordg Dictionaryg (“Culturalg diversity,”g 2016)g asg “Theg existe
nceg ofg ag varietyg ofg culturalg org ethnicg groupsg withing ag society.”
DIF:gCognitivegLevel:gUnderstandg(Comprehension)g TO
P:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
2. Whichg ofg theseg isg theg fastestg growingg minorityg groupg ing theg Unitedg States?g a.g Asians
b. Caucasians
c. Blacks
d. Hispanics
ANS:g D
Theg U.S.g Censusg Bureaug (2014)g estimatesg thatg minoritiesg (anyoneg whog isg notg ag single-
raceg non-
Hispanicg White)g willg beg theg majorityg ing Americag byg 2044g asg ag resultg ofg bothg immigrationg an
dg growthg rate.g Theg nation’sg racialg andg ethnicg minorityg groups,g especiallyg Hispanics,g areg gro
wingg moreg rapidlyg thang theg non-
Hispanicg Whiteg population,g fueledg byg bothg immigrationg andg births.
DIF:gCognitivegLevel:gRememberg(Knowledge)
TOP:g Nursingg Process:g Assessment
g
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
3. Whichg ofg theg followingg ethnicg populationsg hasg seeng theg fastestg growth?
a. Africang Americans
b. Iranians
c. Hispanics
d. Vietnamese
NURSINGTB.COM
, Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
ANS:g C
Resultsg fromg theg 2010g censusg showg thatg racialg andg ethnicg minoritiesg accountedg forg 91.7%g of
g theg nation’sg growthg sinceg 2000.g Mostg ofg thatg increase,g fromg 2000g tog 2010g (56%),g wasg dueg t
o
NURSINGTB.COMgHispanics.
DIF:gCognitivegLevel:gRememberg(Knowledge)
TOP:g Nursingg Process:g Assessment
g
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
4. Whichg ofg theseg statementsg areg trueg aboutg culture?
a. Cultureg remainsg consistent.
b. Individualsg identifyg withg oneg cultureg duringg theirg lifetime.
c. Cultureg isg complex.
d. Cultureg excludesg religion.
ANS:g C
Cultureg isg dynamicg ing nature,g andg individualsg mayg identifyg withg multipleg culturesg overg th
eg courseg ofg theirg lifetimes.g Thereg isg ag complexg natureg tog culture,g whichg hasg beeng definedg
andg studiedg acrossg manyg disciplines.
DIF:gCognitivegLevel:gRememberg(Knowledge)
g TOP:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Physiologicalg Integrity:g Basicg Careg andg Comfort
5. Ag clientg ofg Vietnameseg backgroundg isg admittedg tog theg unitg afterg ag hysterectomy.g Sheg hasg a
ng orderg forg clearg liquids.g Wheng herg trayg isg broughtg tog her,g sheg refusesg theg limeg Jell-
O.g Whichg responseg byg theg nurseg isg mostg appropriate?
a. “Ig don’tg blameg you.g Ig don’tg likeg limeg Jell-Og either.”
b. “Tellg meg aboutg yourg culturalg beliefsg tog bestg helpg you.”
c. “Whygdon’tg youg wantg tog eatg theg limeg Jell-O?”
d. “Itg isg importantg forg youg tog eatg sog thatg youg willg heal.”NURSINGTB.COM
ANS:g B
Theg firstg stepg towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg andg lear
ng aboutg otherg people’sg differences.g Theg problemg isg thatg manyg Americansg areg afraidg tog askg peo
pleg aboutg theirg cultureg becauseg ofg theg ideag thatg “weg don’tg wantg tog offendg anyone.”g Theg challe
ngeg withg thisg thinkingg isg thatg ifg nursesg dog notg askg aboutg people’sg differences,g theng theg onlyg o
ptiong isg tog makeg assumptions.
DIF:g Cognitiveg Level:g Applyg (Application)
NURSINGTB.COM
, Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
TOP:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
6. Equityg isg theg absenceg ofg avoidableg differencesg amongg groupsg ofg people,g whetherg thoseg group
sg areg definedg socially,g economically,g demographically,g org geographically.g Whichg groupg for
mulatedg thisg definition?
a. Worldg Healthg Organization
b. Affordableg Careg Act
c. Centersg forg Diseaseg Control
d. Agencyg forg Healthcareg Researchg andg Quality
ANS:g A
Accordingg tog theg Worldg Healthg Organizationg (2016),g “Equityg isg theg absenceg ofg avoidableg
org remediableg differencesg amongg groupsg ofg people,g whetherg thoseg groupsg areg definedg soci
ally,g economically,g demographicallyg org geographically.”
DIF:gCognitivegLevel:gRememberg(Knowledge)
gTOP:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
7. Recognizingg one’sg owng prejudicesg andg learningg aboutg otherg people’sg differencesg isg theg firstg ste
pg toward:
a. culturalg diversity.
b. multiculturalg competence.
c. socialg change.
d. valuing.
ANS:g B
Tog reduceg cross-
culturalg miscommunicationsg andg improveg patientg satisfaction,g theg multiculturalg competenceg
ofg healthg careg practitionersg needsg tog beg improved.g Theg firstg step
towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg andg learng aboutg otherg peop
le’sg differences.
DIF:g Cognitiveg Level:g Applyg (Application)
TOP:gNursinggProcess:gPlannin
gg MSC:g Clientg Needs:g Safeg andg Effectiveg Careg Environment:g Managementg ofg Care
8. Ag nurseg believesg thatg sheg shouldg provideg optimalg careg tog allg clients,g regardlessg ofg theirg cultural
g background.g Sheg isg strugglingg withg herg emotionsg wheng caringg forg ag clientg withg ag violentg crimin
alg background.g Whatg wouldg beg theg bestg courseg ofg actiong forg thisg nurse?g a.g Avoidingg theg clientg
asg muchg asg possibleg butg providingg care
b. Identifyingg herg biasesg butg providingg care
c. Requestingg anotherg patientg assignment
d. Takingg sickg daysg whileg theg patientg isg hospitalized
NURSINGTB.COM
, Leadershipg andg Nursingg Careg Managementg 6thg Editiong Huberg Testg Ban
k
ANS:g Bg Theg firstg stepg towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg
andg learng aboutg otherg people’sg differences.g Theg problemg isg thatg manyg Americansg areg afraidg t
og askg peopleg aboutg theirg cultureg becauseg ofg theg ideag thatg “weg don’tg wantg tog offendg anyone.”g
Theg challengeg NURSINGTB.COM gwithg thisg thinkingg isg thatg ifg nursesg dog notg askg aboutg
people’sg differences,g theng theg onlyg optiong isg tog makeg assumptions.
DIF:gCognitivegLevel:gApplyg(Application)g TO
P:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
9. Whichg ofg theg followingg supportsg successfulg workplaceg diversity?
a. Beingg ag “devil’sg advocate”
b. Holdingg tightg tog one’sg culturalg values
c. Respectg forg differences
d. Withholdingg judgmentg ofg others
ANS:g C
Tog reduceg cross-
culturalg miscommunicationsg andg improveg patientg satisfaction,g theg multiculturalg competenceg
ofg healthg careg practitionersg needsg tog beg improved.g Theg firstg step
towardg multiculturalg competenceg isg tog recognizeg one’sg owng prejudicesg andg learng aboutg otherg peop
le’sg differences.
DIF:gCognitivegLevel:gApplyg(Application)g TO
P:g Nursingg Process:g Assessment
MSC:g Clientg Needs:g Safeg andg Effectiveg CaregEnvironment:g Managementg ofg Care
10. Accordingg tog theg Nationalg Healthcareg Qualitygandg Disparitiesg Report,g whichg groupg hasg wors
eg accessg tog healthg careg ing America,g comparedg withg Whites?g a.g Hispanics
b. Asians
c. Blacks
d. Americang Indians
ANS:g A
Accordingg tog theg 2014g Nationalg Healthcareg Qualityg andg Disparitiesg Reportg (Agencyg for
Healthcareg Researchg andg Qualityg [AHRQ],g 2015),g “Historically,g Americansg haveg experience
dg variableg accessg tog careg basedg ong race,g ethnicity,g socioeconomicg status,g age,g sex,g disabilityg s
tatus,g sexualg orientation,g andg residenceg location.”g Thisg studyg foundg thatg Blacksg hadg worseg ac
cessg tog healthg careg thang Whitesg forg aboutg halfg ofg measuresg ofg access,g Hispanicsg hadg worseg ac
cessg tog careg thang Whitesg forg two-
thirdsg ofg accessg measures,g andg Asiansg andg Americang Indiansg andg Alaskag Nativesg hadg worseg a
ccessg tog careg thang Whitesg forg aboutg one-thirdg ofg accessg measures.
NURSINGTB.COM
