1520 Exam 3 Study Guide of 100
Questions with Correct Answers,.
A nurse is working at a health fair screening people for liver cancer. Which population
group should the nurse monitor most closely for liver cancer?
a.
Hispanic
b.
Asian Americans
c.
Non-Hispanic Caucasians
d.
Non-Hispanic African-Americans - Correct answerb.
Asian Americans
While Asian Americans generally have lower cancer rates than the non-Hispanic
Caucasian population, they also have the highest incidence rates of liver cancer for both
sexes compared with Hispanic, non-Hispanic Caucasians, or non-Hispanic African-
Americans.
A nurse is caring for an immigrant with low income. Which information should the nurse
consider when planning care for this patient?
a.
There is a decreased frequency of morbidity.
b.
There is an increased incidence of disease.
c.
There is an increased level of health.
d.
There is a decreased mortality rate. - Correct answerb.
There is an increased incidence of disease.
Populations with health disparities (immigrant with low income) have a significantly
increased incidence of disease or increased morbidity and mortality when compared
with the general population. Although Americans' health overall has improved during the
past few decades, the health of members of marginalized groups has actually declined.
A nurse is assessing the health care disparities among population groups. Which area
is the nurse monitoring?
a.
Accessibility of health care services
b.
Outcomes of health conditions
,c.
Prevalence of complications
d.
Incidence of diseases - Correct answera.
Accessibility of health care services
While health disparities are the differences among populations in the incidence,
prevalence, and outcomes of health conditions, diseases and related complications,
health care disparities are differences among populations in the availability,
accessibility, and quality of health care services (e.g. screening, diagnostic, treatment,
management, and rehabilitation) aimed at prevention, treatment, and management of
diseases and their complications.
A nurse is providing care to a patient from a different culture. Which action by the nurse
indicates cultural competence?
a.
Communicates effectively in a multicultural context
b.
Functions effectively in a multicultural context
c.
Visits a foreign country
d.
Speaks a different language - Correct answerb.
Functions effectively in a multicultural context
Cultural competence refers to a developmental process that evolves over time that
impacts ability to effectively function in the multicultural context. Communicates
effectively and speaking a different language indicates linguistic competence. Visiting a
foreign country does not indicate cultural competence.
The nurse learns about cultural issues involved in the patient's health care belief system
and enables patients and families to achieve meaningful and supportive care. Which
concept is the nurse demonstrating?
a.
Marginalized groups
b.
Health care disparity
c.
Transcultural nursing
d.
Culturally congruent care - Correct answerd.
Culturally congruent care
The nurse is demonstrating culturally congruent care. Culturally congruent care, or care
that fits a person's life patterns, values, and system of meaning, provides meaningful
,and beneficial nursing care. Marginalized groups are populations left out or excluded.
Health care disparities are differences among populations in the availability,
accessibility, and quality of health care services (e.g. screening, diagnostic, treatment,
management, and rehabilitation) aimed at prevention, treatment, and management of
diseases and their complications. Transcultural nursing is a comparative study of
cultures in order to understand their similarities (culture that is universal) and the
differences among them (culture that is specific to particular groups).
A nurse is beginning to use patient-centered care and cultural competence to improve
nursing care. Which step should the nurse take first?
a.
Assessing own biases and attitude
b.
Learning about the world view of others
c.
Understanding organizational forces
d.
Developing cultural skills - Correct answera.
Assessing own biases and attitude
Becoming more aware of your biases and attitudes about human behavior is the first
step in providing patient-centered care, leading to culturally competent care. It is helpful
to think about cultural competence as a lifelong process of learning about others and
also about yourself. Learning about the world view, developing cultural skills, and
understanding organizational forces are not the first steps.
A nurse is performing a cultural assessment using the ETHNIC mnemonic for
communication. Which area will the nurse assess for the "H"?
a.
Health
b.
Healers
c.
History
d.
Homeland - Correct answerb. Healers
The "H" in ETHNIC stands for healers: Has the patient sought advice from alternative
health practitioners? While health, history, and homeland are important, they are not
components of "H."
The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse
is working with an interpreter. Which action should the nurse take?
a.
Use long sentences when talking.
, b.
Look at the patient when talking.
c.
Use breaks in sentences when talking.
d.
Look at only nonverbal behaviors when talking. - Correct answerb.
Look at the patient when talking.
Direct your questions to the patient. Look at the patient, instead of looking at the
interpreter. Pace your speech by using short sentences, but do not break your
sentences. Observe the patient's nonverbal and verbal behaviors.
Which action indicates the nurse is meeting a primary goal of cultural competent care
for patients?
a.
Provides care to transgender patients
b.
Provides care to restore relationships
c.
Provides care to patients that is individualized
d.
Provides care to surgical patients - Correct answera.
Provides care to transgender patients
Although cultural competence and patient-centered care both aim to improve health
care quality, their focus is slightly different. The primary aim of cultural competence care
is to reduce health disparities and increase health equity and fairness by concentrating
on people of color and other marginalized groups, like transgender patients. Patient-
centered care, rather than cultural competence care, provides individualized care and
restores an emphasis on personal relationships; it aims to elevate quality for all patients.
The nurse is caring for a Chinese patient using the Teach-Back technique. Which action
by the nurse indicates successful implementation of this technique?
a.
Asks, "Does this make sense?"
b.
Asks, "Do you think you can do this at home?"
c.
Asks, "What will you tell your spouse about changing the dressing?"
d.
Asks, "Would you tell me if you don't understand something so we can go over it?" -
Correct answerc.
Asks, "What will you tell your spouse about changing the dressing?"
Questions with Correct Answers,.
A nurse is working at a health fair screening people for liver cancer. Which population
group should the nurse monitor most closely for liver cancer?
a.
Hispanic
b.
Asian Americans
c.
Non-Hispanic Caucasians
d.
Non-Hispanic African-Americans - Correct answerb.
Asian Americans
While Asian Americans generally have lower cancer rates than the non-Hispanic
Caucasian population, they also have the highest incidence rates of liver cancer for both
sexes compared with Hispanic, non-Hispanic Caucasians, or non-Hispanic African-
Americans.
A nurse is caring for an immigrant with low income. Which information should the nurse
consider when planning care for this patient?
a.
There is a decreased frequency of morbidity.
b.
There is an increased incidence of disease.
c.
There is an increased level of health.
d.
There is a decreased mortality rate. - Correct answerb.
There is an increased incidence of disease.
Populations with health disparities (immigrant with low income) have a significantly
increased incidence of disease or increased morbidity and mortality when compared
with the general population. Although Americans' health overall has improved during the
past few decades, the health of members of marginalized groups has actually declined.
A nurse is assessing the health care disparities among population groups. Which area
is the nurse monitoring?
a.
Accessibility of health care services
b.
Outcomes of health conditions
,c.
Prevalence of complications
d.
Incidence of diseases - Correct answera.
Accessibility of health care services
While health disparities are the differences among populations in the incidence,
prevalence, and outcomes of health conditions, diseases and related complications,
health care disparities are differences among populations in the availability,
accessibility, and quality of health care services (e.g. screening, diagnostic, treatment,
management, and rehabilitation) aimed at prevention, treatment, and management of
diseases and their complications.
A nurse is providing care to a patient from a different culture. Which action by the nurse
indicates cultural competence?
a.
Communicates effectively in a multicultural context
b.
Functions effectively in a multicultural context
c.
Visits a foreign country
d.
Speaks a different language - Correct answerb.
Functions effectively in a multicultural context
Cultural competence refers to a developmental process that evolves over time that
impacts ability to effectively function in the multicultural context. Communicates
effectively and speaking a different language indicates linguistic competence. Visiting a
foreign country does not indicate cultural competence.
The nurse learns about cultural issues involved in the patient's health care belief system
and enables patients and families to achieve meaningful and supportive care. Which
concept is the nurse demonstrating?
a.
Marginalized groups
b.
Health care disparity
c.
Transcultural nursing
d.
Culturally congruent care - Correct answerd.
Culturally congruent care
The nurse is demonstrating culturally congruent care. Culturally congruent care, or care
that fits a person's life patterns, values, and system of meaning, provides meaningful
,and beneficial nursing care. Marginalized groups are populations left out or excluded.
Health care disparities are differences among populations in the availability,
accessibility, and quality of health care services (e.g. screening, diagnostic, treatment,
management, and rehabilitation) aimed at prevention, treatment, and management of
diseases and their complications. Transcultural nursing is a comparative study of
cultures in order to understand their similarities (culture that is universal) and the
differences among them (culture that is specific to particular groups).
A nurse is beginning to use patient-centered care and cultural competence to improve
nursing care. Which step should the nurse take first?
a.
Assessing own biases and attitude
b.
Learning about the world view of others
c.
Understanding organizational forces
d.
Developing cultural skills - Correct answera.
Assessing own biases and attitude
Becoming more aware of your biases and attitudes about human behavior is the first
step in providing patient-centered care, leading to culturally competent care. It is helpful
to think about cultural competence as a lifelong process of learning about others and
also about yourself. Learning about the world view, developing cultural skills, and
understanding organizational forces are not the first steps.
A nurse is performing a cultural assessment using the ETHNIC mnemonic for
communication. Which area will the nurse assess for the "H"?
a.
Health
b.
Healers
c.
History
d.
Homeland - Correct answerb. Healers
The "H" in ETHNIC stands for healers: Has the patient sought advice from alternative
health practitioners? While health, history, and homeland are important, they are not
components of "H."
The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse
is working with an interpreter. Which action should the nurse take?
a.
Use long sentences when talking.
, b.
Look at the patient when talking.
c.
Use breaks in sentences when talking.
d.
Look at only nonverbal behaviors when talking. - Correct answerb.
Look at the patient when talking.
Direct your questions to the patient. Look at the patient, instead of looking at the
interpreter. Pace your speech by using short sentences, but do not break your
sentences. Observe the patient's nonverbal and verbal behaviors.
Which action indicates the nurse is meeting a primary goal of cultural competent care
for patients?
a.
Provides care to transgender patients
b.
Provides care to restore relationships
c.
Provides care to patients that is individualized
d.
Provides care to surgical patients - Correct answera.
Provides care to transgender patients
Although cultural competence and patient-centered care both aim to improve health
care quality, their focus is slightly different. The primary aim of cultural competence care
is to reduce health disparities and increase health equity and fairness by concentrating
on people of color and other marginalized groups, like transgender patients. Patient-
centered care, rather than cultural competence care, provides individualized care and
restores an emphasis on personal relationships; it aims to elevate quality for all patients.
The nurse is caring for a Chinese patient using the Teach-Back technique. Which action
by the nurse indicates successful implementation of this technique?
a.
Asks, "Does this make sense?"
b.
Asks, "Do you think you can do this at home?"
c.
Asks, "What will you tell your spouse about changing the dressing?"
d.
Asks, "Would you tell me if you don't understand something so we can go over it?" -
Correct answerc.
Asks, "What will you tell your spouse about changing the dressing?"
