Deck 3: Cultural Considerations

Question 1

In completing a community assessment, the nurse notes that educational outcomes vary in elementary schools, with better outcomes in neighborhoods with state-of-the-art classrooms and resources. These findings correlate best to which factor of health disparities?
1)Bias
2)Economics
3)Geography
4)Literacy

Answer 1

3

Question 2

The nurse determines which patient is at greatest risk for health disparities?
1)18-year-old college student living in a dormitory
2)29-year-old who dropped out of school at age 16 and lives with extended family
3)34-year-old who is unemployed and is homeless
4)49-year-old who works 20 hours/week and lives alone

Answer 2

3

Question 3

Which professional nursing organization has a specific standard outlining the professional expectation for all registered nurses to provide culturally competent care?
1)American Association of Critical Care Nurses (AACN)
2)American Nurses Association (ANA)
3)National Council of State Boards of Nursing (NCSBN)
4)National League for Nursing (NLN)

Answer 3

2

Question 4

Which of the following actions by the nurse reflects ethnocentric behavior?
1)Asking a patient their religious preferences
2)Giving a Bible to every patient in a long-term care facility
3)Treating every patient based on the patient's individual values
4)Learning about cultural preferences of patients and families

Question 5

The nurse is providing care to an infant who is experiencing colic. The infant's family immigrated to the United States 6 months ago. The mother explains that she believes that an herbal remedy, prepared by the village doctor, is the best way to treat the infant's colic. Which action by the nurse is most appropriate?
1)Ask the mother what ingredients are in the remedy.
2)Give the mother an alternate remedy for colic.
3)Explain how herbal ingredients may be harmful to the infant.
4)Tell the mother not to use the remedy because there is no way to know what the ingredients' scientific effect may be.

Question 6

The nurse is providing care to a Muslim patient who presents to the emergency department (ED) with abdominal pain and vaginal bleeding. The patient's spouse asks that only a female examines the patient. Which is the most culturally appropriate statement by the nurse in response to this request?
1)"Your spouse will be covered so it will not matter what the gender of the examiner is."
2)"The male and female providers here both respect privacy."
3)"Your request is unreasonable and cannot be honored at this time."
4)"Every attempt will be made to honor your request regarding the care of your spouse."

Question 7

In providing care to patients, the nurse who chooses not to impose their personal views and values on patients with potentially different views is demonstrating which behavior?
1)Cultural competence
2)Cultural awareness
3)Ethnocentrism
4)Xenophobia

Question 8

The novice nurse working in an inner-city hospital that serves a diverse patient population states, "I want to learn everything possible about all the patients." Which response by the more experienced nurse is appropriate?
1)"I will give you a great book that describes all of the critical factors."
2)"You should always be nonjudgmental."
3)"This will come with time as you get to know patients and their problems."
4)"It is best to first focus on understanding who you are."

Question 9

The nurse is working with a number of patients at a free clinic. Which population is at the highest risk for low levels of healthcare?
1)Immigrants
2)Adolescents
3)Older adults
4)Newborns

Question 10

The nurse correlates which behavior by a staff member as potentially indicative of xenophobia?
1)Avoiding interacting with family members from other countries
2)Avoiding interacting with transgender patients
3)Avoiding interacting with disabled individuals
4)Avoiding interacting with older adults

Question 11

When preparing an in-service for staff nurses regarding health disparity, which definition does the nurse include in the presentation?
1)Factors that help explain why some people experience poorer health outcomes than others
2)Describes the health of a person or community along with the many measures that contribute to this health
3)Achieved when every person has the opportunity to attain his or her health potential and no one is disadvantaged
4)Differences in health that are closely linked to social, economic, and environmental disadvantages

Question 12

Which acculturation behavior will the nurse observe in a patient who has emigrated from Mexico to the United States?
1)The patient buys all needed products from the local store owned by people from Mexico.
2)The patient lives in a neighborhood that is populated predominantly with people from Mexico.
3)The patient speaks Spanish only.
4)The patient attends a church service in the neighboring community to meet new people.

Question 13

Which of these does the nurse focus on to most effectively decrease health disparities among patients with limited English proficiency?
1)Translation services
2)Nutritional education
3)Pediatric immunizations
4)Hypertension prevention

Question 14

In completing an assessment of a male patient who identifies as a female, the nurse correlates this finding to which characteristic that impacts affects health equity?
1)Gender
2)Gender identity
3)Sexuality
4)Sexual preference

Question 15

In the United States, which organization is responsible for defining racial categories used for employment applications and official census data?
1)American Sociological Association
2)National Institute on Minority Health and Health Disparities
3)United States Census Bureau
4)United States Office of Management and Budget

Question 16

The nurse follows guidance from which organization that published Cultural Sensitivity for Health Care Professionals to support nurses in providing culturally sensitive care?
1)American Nurses Association
2)National League for Nursing
3)The Joint Commission (TJC)
4)U.S. Office of Management and Budget

Question 17

In addressing barriers to health equity, the nurse recognizes which as the first step?
1)Defining stereotypes
2)Eliminating bias
3)Learning cultural facts
4)Raising awareness

Question 18

A male nurse enters the room of a female patient to obtain the patient's vital signs. The patient's spouse appears uncomfortable with the nurse and moves closer to the patient. Which action by the nurse is most appropriate?
1)Ask a female staff member to obtain the patient's vital signs.
2)Ask the spouse to leave the patient's room to obtain the vital signs.
3)Perform the intervention without discussion with the patient or spouse.
4)Explain the procedure to both the patient and the spouse.

Question 19

Which action by the nurse demonstrates stereotyping?
1)Speaking loudly when interacting with an older adult patient
2)Asking a newly admitted patient about their religious preferences
3)Asking a patient recently relocating from another country whether an interpreter is needed
4)Requesting translational services for a patient with limited English proficiency

Question 20

The nurse is providing care to an adult patient from another country and notices that the patient consults with her mother on all healthcare decisions. Which action by the nurse is the most appropriate?
1)Ask the patient the reason for consulting with her parent for every decision.
2)Accept the behavior of the patient and family member.
3)Ask the patient's mother to leave the room to provide the patient with more privacy.
4)Request the patient's mother to state the importance of the patient making her own decisions.

Question 21

Which attributes are most closely associated with culturally sensitive nursing care? Select all that apply.
1)Clinical competence
2)Understanding
3)Kindness
4)Experience
5)Thoughtfulness

Question 22

The nurse recognizes which of the following as cultural specifics that influence healthcare? Select all that apply.
1)Age
2)Biological variations
3)Communication
4)Space
5)Time orientation

Question 23

The nurse recognizes which of the factors as social determinants of health (SDOHs)? Select all that apply.
1)Economic stability
2)Education
3)Health and healthcare
4)Neighborhood and built environment
5)Social and community context

Question 24

In addressing disparity, which of the following factors does the nurse recognize as elements of social determinants of health (SDOHs) according to Healthy People 2020? Select all that apply.
1)Age
2)Level of education
3)Employment
4)Healthcare access
5)Gender

Question 25

The nurse is aware that low health literacy increases the risk of which of the following complications? Select all that apply.
1)Higher hospitalization rates
2)Less knowledgeable about chronic disease
3)Greater use of managed care facilities
4)Decrease access to preventative care
5)Lower medication management capability

Question 26

In preparing an educational program regarding healthcare equity, which social factors does the nurse include? Select all that apply.
1)Age
2)Education
3)Limited English proficiency
4)Military service
5)Race