Deck 2: Emerging Populations and Health

Question 1

A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?

A) "You should have told me that the current treatments were helping your pain."
B) "Tell me more about your treatments from the acupuncturist."
C) "Tell me why you decided to not to continue with your treatment plan."
D) "You should not be seeing an acupuncturist while receiving professional care."

Answer 1

"Tell me more about your treatments from the acupuncturist."

Question 2

A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?

A) This ethnic culture tends to be future oriented.
B) Religion plays an important role in this culture.
C) Traditional cultural practices are infrequently used during a health crisis.
D) Members of this culture tend to have smaller families.

Answer 2

Religion plays an important role in this culture.

Question 3

The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman's decision to schedule this exam?

A) Race
B) Ethnicity
C) Cultural values
D) Value orientation

Answer 3

Cultural values

Question 4

The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by:

A) lack of access to preventive health care services
B) low numbers of minority health care providers
C) use of emergency rooms for care
D) increased infant mortality rates in African American populations

Question 5

A health care professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care?

A) Considering the cost of the purchasing medications
B) Determining the pharmacy where medications will be obtained
C) Obtaining insurance that will pay for the follow-up care
D) Finding supportive housing for the individual

Question 6

A family has recently become homeless. Which of the following factors most likely contributed to this situation?

A) Being from an ethnic minority background
B) Declining rates of poverty
C) Having multiple chronic illnesses
D) Being unable to find affordable housing

Question 7

Which of the following actions demonstrates a health care professional providing culturally competent care?

A) Encouraging the person to take medications as prescribed
B) Asking the person to describe his folk healing methods
C) Demonstrating the proper way to administer an insulin injection
D) Assisting the person with discussing his health problems with the family

Question 8

When providing an educational session about the Arab American population, which of the following information would be included?

A) The largest group of Arab Americans was refugees in the 1960s.
B) The largest groups of Arab Americans are from Palestine and Iraq.
C) Members of the Arab American population are most likely to live in rural communities.
D) Members of the Arab American population are more likely to have college degrees than Americans at large.

Question 9

A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?

A) Provide instructions to the child's father.
B) Encourage the parents to bring other siblings into the clinic for screening.
C) Schedule multiple educational sessions for the child and family.
D) Watch for nonverbal gestures by the adults to indicate understanding.

Question 10

A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional?

A) Homelessness should be addressed by improving financial assistance programs.
B) Homelessness should be of concern to everyone in the neighborhood.
C) Homelessness should be addressed by encouraging job growth in the area.
D) Homelessness should be of concern to the mental health providers in the area.

Question 11

Which of the following statements about ethnic minorities in the United States is accurate?

A) It is estimated that the percentage of ethnic minorities will decrease during the next 30 years.
B) It is estimated that ethnic minorities will increase to one in two by 2050.
C) The increasing population of refugees has been a significant contributor to the increase in ethnic minorities.
D) The increasing population of ethnic minorities has helped decrease the health disparities faced by this population.

Question 12

Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?

A) American Indian/Alaska Native Americans
B) Asian Americans
C) Latino/Hispanic Americans
D) Black/African Americans

Question 13

A health care professional is caring for an individual who is homeless. Which of the following considerations should be made?

A) The prevalence of substance abuse is much lower among the homeless population than the general population.
B) The prevalence of HIV/AIDS is much lower among the homeless population than the general population.
C) The percentage of the population who has health insurance is much lower among the homeless than the general population.
D) The percentage of the population who has limited access to medical care is much lower among the homeless than the general population.

Question 14

A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?

A) The church is the only place where prayer can be performed.
B) The church serves as a social support for its members.
C) The church is the place where the family meets on a weekly basis.
D) The church serves as a site for folk healing practices.

Question 15

An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?

A) The child will get a good education.
B) According to law, all children must go to school.
C) The child can get health care at school.
D) Exposure to different cultures in school will enhance socialization.

Question 16

A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative?

A) The National Institute on Minority Health and Health Disparities
B) The Centers for Disease Control and Prevention
C) The Office of Minority Health
D) The National Institutes of Health

Question 17

A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation?

A) Hispanic Americans value keeping balance and harmony with the earth.
B) The oldest male is the decision maker in African American families.
C) Native Americans are present oriented, taking one day at a time.
D) The hot and cold concept of disease is part of the Asian American culture.

Question 18

What is the main focus of the National Institutes of Health (NIH)?

A) Addressing and reducing health disparities
B) Outlining nationwide health promotion and disease prevention
C) Protecting minority populations through development of health policies
D) Supporting communities in addressing health disparities

Question 19

A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person?

A) Culture
B) Race
C) Ethnicity
D) Values

Question 20

Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?

A) Asian American
B) Arab American
C) Hispanic American
D) Native American

Question 21

A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement?

A) The client will have adverse complications from using this form of medicine.
B) The client may be using meditation, acupuncture, or another therapy.
C) The client will soon be returning to his or her native country for further treatment.
D) The client does not agree with the current professional care medication regimen.

Question 22

A health care professional is providing culturally competent care. Which of the following actions is being performed by the professional? (select all that apply)

A) Recognizing and accepting cultural diversity
B) Respecting the patient's values, beliefs, and expectations
C) Understanding the pathophysiology of disease processes
D) Providing health care services that are respectful of the individual's cultural beliefs

Question 23

A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?

A) Explore complementary and alternative medicine practices used by other cultures.
B) Discuss cultural differences with coworkers.
C) Provide care to diverse populations.
D) Participate in continuing education programs about cultural diversity.

Question 24

A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience?

A) Improved coping skills and social support
B) Increased understanding of religious differences
C) Decreased pain and improved healing
D) Decreased use of Western medicine

Question 25

Which of the following best demonstrates the practice of transcultural nursing?

A) Using previous knowledge about ethnic minority cultures to plan care
B) Adapting nursing care to meet the need of a person from an ethnic minority
C) Requesting an interpreter when caring for a person from an ethnic minority
D) Attending a presentation about cultural diversity

Question 26

A health care provider is discussing the importance of receiving routine preventive care with a Hispanic family who has recently immigrated to the United States. Which of the following would best describe why they may be disinterested in receiving professional care? (select all that apply)

A) Lack of folk remedies
B) Lack of interpreter services
C) Lack of health insurance
D) Lack of family support

Question 27

A nurse is developing a continuing education program about strategies to work with culturally diverse populations for health care professionals in the community. Which of the following organizations would provide information that could be included in this presentation? (select all that apply)

A) The American Nurses Association
B) Sigma Theta Tau International
C) The National League for Nursing
D) The American Association of Colleges of Nursing

Question 28

Which of the following individuals will most likely experience a disparity in health and health care? (select all that apply)

A) African American man
B) Unemployed woman
C) White middle-aged man
D) Single white woman