NUR104 Fundamentals of Nursing
Exam 3
1. When communicating with a client who speaks a different
language, which best practice should the nurse implement?
1. Speak loudly and slowly.
2. Arrange for an interpreter to translate.
3. Speak to the client and family together.
4. Stand close to the client and speak loudly.: Answer: 2.
Rationale: Arranging for an interpreter would be the best practice
when communi- cating with a client who speaks a different
language.
2. positive acculturation example: A non-English speaking
patient has migrated to the U.S. and starts taking English classes.
3. negative acculturation example: A non-English speaking
patient moved to the
U.S. 5 years ago and refuses to learn English.
4. Cultural Desparity: having inadequate resources due to lack
of access to lan- guage services, culturally competent health care.
,ex. Someone new to the country may have limited access to
healthcare if they cannot speak the language of the healthcare
provider
5. Despite significant improvements in the overall health
status of the U.S. population over the past few decades,
disparities among ethnic and racial minorities have
a. Decreased as education levels equal those of non-Hispanic
whites. b. Disappeared in relation to non-Hispanic white
populations.
c. Remained a serious challenge locally and nationally. d.
Decreased faster than anticipated.: ANS: C
Despite significant improvements in the overall health status of
the U.S. population over the past few decades, the persistence of
disparities in health status among ethnic and racial minorities
continues to be a serious local and national challenge. Hispanics,
African Americans, and some Asian subgroups are less likely
than
non-Hispanic whites to have a high school education and often
experience poorer access to care and lower quality of preventive,
primary, and specialty care.
, 6. Eliminating disparities in the health status of people from
diverse racial, ethnic, and cultural backgrounds has become
one of the two most important priorities of Healthy People
2020 because populations with health disparities have a.
Increased incidence of disease. b. Lower levels of morbidity.
c. Lower mortality rates.
d. Decreased incidence of disease.: ANS: A
Populations with health disparities have a significantly increased
incidence of dis- ease or increased morbidity and mortality when
compared with the general popula- tion
7. The care that includes the nurse learning about cultural
issues involved in the patient's health care belief system and
enables patients and families to achieve meaningful and
supportive care is known as
a. Ethnocentrism.
b. Culturally competent care. c. Cultural imposition.
d. Culturally congruent care.: ANS: B
The goal of transcultural nursing is culturally congruent care, or
care that fits the person's valued life patterns and set of meanings.
Culturally competent care reflects the ability of a nurse to bridge
Exam 3
1. When communicating with a client who speaks a different
language, which best practice should the nurse implement?
1. Speak loudly and slowly.
2. Arrange for an interpreter to translate.
3. Speak to the client and family together.
4. Stand close to the client and speak loudly.: Answer: 2.
Rationale: Arranging for an interpreter would be the best practice
when communi- cating with a client who speaks a different
language.
2. positive acculturation example: A non-English speaking
patient has migrated to the U.S. and starts taking English classes.
3. negative acculturation example: A non-English speaking
patient moved to the
U.S. 5 years ago and refuses to learn English.
4. Cultural Desparity: having inadequate resources due to lack
of access to lan- guage services, culturally competent health care.
,ex. Someone new to the country may have limited access to
healthcare if they cannot speak the language of the healthcare
provider
5. Despite significant improvements in the overall health
status of the U.S. population over the past few decades,
disparities among ethnic and racial minorities have
a. Decreased as education levels equal those of non-Hispanic
whites. b. Disappeared in relation to non-Hispanic white
populations.
c. Remained a serious challenge locally and nationally. d.
Decreased faster than anticipated.: ANS: C
Despite significant improvements in the overall health status of
the U.S. population over the past few decades, the persistence of
disparities in health status among ethnic and racial minorities
continues to be a serious local and national challenge. Hispanics,
African Americans, and some Asian subgroups are less likely
than
non-Hispanic whites to have a high school education and often
experience poorer access to care and lower quality of preventive,
primary, and specialty care.
, 6. Eliminating disparities in the health status of people from
diverse racial, ethnic, and cultural backgrounds has become
one of the two most important priorities of Healthy People
2020 because populations with health disparities have a.
Increased incidence of disease. b. Lower levels of morbidity.
c. Lower mortality rates.
d. Decreased incidence of disease.: ANS: A
Populations with health disparities have a significantly increased
incidence of dis- ease or increased morbidity and mortality when
compared with the general popula- tion
7. The care that includes the nurse learning about cultural
issues involved in the patient's health care belief system and
enables patients and families to achieve meaningful and
supportive care is known as
a. Ethnocentrism.
b. Culturally competent care. c. Cultural imposition.
d. Culturally congruent care.: ANS: B
The goal of transcultural nursing is culturally congruent care, or
care that fits the person's valued life patterns and set of meanings.
Culturally competent care reflects the ability of a nurse to bridge
