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?

Accepted Answer

C

Question 2

The nurse determines which patient is at greatest risk for health disparities?

Accepted Answer

The 34-year-old who is unemployed and homeless is at the greatest risk for health disparities due to lack of stable housing, potential lack of access to healthcare, and other resources. Homelessness can exacerbate existing health issues and create barriers to accessing medical care, nutritious food, and other determinants of health.

Question 3

Which professional nursing organization has a specific standard outlining the professional expectation for all registered nurses to provide culturally competent care?

Accepted Answer

The American Nurses Association (ANA) has specific standards of practice that outline the professional expectations for registered nurses, including the provision of culturally competent care. This is part of their commitment to ensuring high-quality and inclusive patient care.

Question 4

Which of the following actions by the nurse reflects ethnocentric behavior?

Accepted Answer

Giving a Bible to every patient in a long-term care facility reflects ethnocentric behavior because it assumes that all patients share or should adhere to the same religious beliefs, specifically those of Christianity. This action disregards the diversity of religious beliefs and practices among patients, imposing one's own cultural norms onto others.

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?

Accepted Answer

Asking the mother about the ingredients in the remedy is the most culturally sensitive approach and allows the nurse to assess the safety and potential interactions of the remedy with any other treatments.

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?

Accepted Answer

Respecting cultural and religious beliefs is an important aspect of providing culturally competent care. The statement "Every attempt will be made to honor your request regarding the care of your spouse." acknowledges the patient's and their spouse's request and shows a willingness to accommodate their cultural and religious needs as much as possible within the healthcare setting.

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?

Accepted Answer

The answer of In providing care to patients, the nurse...

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?

Accepted Answer

Understanding oneself is crucial in developing cultural competence and providing effective care in a diverse environment. Self-awareness helps in recognizing personal biases and improving interactions with patients from various backgrounds.

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?

Accepted Answer

Immigrants often face barriers to accessing healthcare, including language barriers, lack of knowledge about the healthcare system, financial constraints, and sometimes legal status concerns, making them a population at high risk for low levels of healthcare.

Question 10

The nurse correlates which behavior by a staff member as potentially indicative of xenophobia?

Accepted Answer

Xenophobia is the fear or hatred of that which is perceived to be foreign or strange. Avoiding interacting with family members from other countries is indicative of xenophobia because it shows a reluctance or fear of engaging with individuals perceived as foreign.

Question 11

When preparing an in-service for staff nurses regarding health disparity, which definition does the nurse include in the presentation?

Accepted Answer

Health disparity refers to differences in health outcomes 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?

Accepted Answer

Attending a church service in the neighboring community to meet new people demonstrates acculturation, as the patient is engaging with the broader community and adapting to the new culture.

Question 13

Which of these does the nurse focus on to most effectively decrease health disparities among patients with limited English proficiency?

Accepted Answer

Translation services are crucial for patients with limited English proficiency to ensure they understand their health conditions, treatment plans, and how to navigate the healthcare system, thereby reducing health disparities.

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?

Accepted Answer

Gender identity impacts health equity by influencing access to healthcare services, the quality of healthcare received, and the overall health outcomes for individuals who do not identify with the sex assigned at birth. It is a key factor in understanding the specific health needs and barriers faced by transgender and gender non-conforming individuals.

Question 15

In the United States, which organization is responsible for defining racial categories used for employment applications and official census data?

Accepted Answer

The United States Office of Management and Budget (OMB) is responsible for defining racial categories used for federal purposes, including employment applications and official census data. This includes the standards for collecting and presenting data on race and ethnicity.

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?

Accepted Answer

The Joint Commission (TJC) publishes guidance on various healthcare quality and safety topics, including cultural sensitivity, to support healthcare professionals in providing care that respects the diverse backgrounds and needs of patients.

Question 17

In addressing barriers to health equity, the nurse recognizes which as the first step?

Accepted Answer

Raising awareness is the first step in addressing barriers to health equity because it involves recognizing the existence of disparities and understanding their impact on health outcomes. This foundational step is crucial for informing subsequent actions such as eliminating bias, learning cultural facts, and defining stereotypes.

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?

Accepted Answer

The nurse should explain the procedure to both the patient and the spouse to ensure understanding and comfort, addressing any concerns they may have.

Question 19

Which action by the nurse demonstrates stereotyping?

Accepted Answer

Speaking loudly when interacting with an older adult patient demonstrates stereotyping because it assumes that all older adults have hearing difficulties, which is not necessarily true for every individual. This action generalizes a characteristic (hearing impairment) based on age without individual assessment.

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?

Accepted Answer

Cultural sensitivity and respect for the patient's values and practices are crucial in healthcare. The nurse's acceptance of the patient's behavior acknowledges the importance of family in the patient's decision-making process, which is common in many cultures. This approach promotes a supportive and respectful environment, enhancing patient comfort and trust.

Quiz 3: Cultural Considerations