Question 1

Which if the following is not one of the metaparadigm concepts in the Purnell Model for Cultural Competence?&#10;1) Family&#10;2) Global society&#10;3) Spirituality&#10;4) Person

Accepted Answer

3

Question 2

An enlightened perspective in individualistic cultures is&#10;1) Educational level of providers.&#10;2) Access to care.&#10;3) Affordability.&#10;4) Patient autonomy.

Accepted Answer

An enlightened perspective in individualistic cultures values patient autonomy, or the ability for individuals to make their own decisions about their healthcare. Educational level of providers, access to care, and affordability are important factors in healthcare, but they do not necessarily reflect an enlightened perspective in individualistic cultures.

Question 3

The nurse is using an interpreter to interview the parents of a 3-year-old with an earache.The nurse should direct questions to
1) The father.
2) The mother.
3) The interpreter.
4) Both parents.

4

Accepted Answer

It is important to direct questions to both parents as they both may have important information to share about their child's earache. By asking questions to both parents, the nurse can gather a more comprehensive understanding of the child's condition and provide appropriate care. The interpreter should only be used to facilitate communication between the nurse and the parents, not to answer questions directly.

Question 4

Categorically imperative concepts of timeliness (being on time for appointments)are not shared by all cultures.What should the health-care provider do to help ensure that the client is on time for appointments?
1) Ignore the issue; some people will never be timely.
2) Explain the importance of timeliness to treatments.
3) Inform them that they will not be seen if they are late.
4) Accept that they will be late and move on.

Accepted Answer

It is important for the health-care provider to explain the importance of being on time for appointments, as this is a cultural difference that may not be understood by the client. This can also help improve the client's overall understanding and compliance with treatments. Ignoring the issue or accepting that the client will be late is not a proactive approach to addressing the issue. Informing the client that they will not be seen if they are late may not be a viable option, as it could potentially harm the client's health if they miss important appointments.

Question 5

A taboo practice for pregnant women among many cultures is that they should not reach their hands over their head while pregnant.This practice is believed to
1) Cause a miscarriage.
2) Make the delivery more difficult.
3) Cause the cord to wrap around the baby's neck.
4) Decrease oxygenation to the fetus.

Accepted Answer

This practice is believed to cause the umbilical cord to wrap around the baby's neck, which could potentially lead to complications during delivery. However, there is no scientific evidence to support this belief.

Question 6

A taboo belief among many cultures is that a pregnant should not&#10;1) Exercise.&#10;2) Give in to cravings.&#10;3) Reach over her head.&#10;4) Engage in intercourse after the first trimester.

Accepted Answer

The belief that a pregnant woman should not reach over her head is a common taboo in many cultures. The reasoning behind this belief varies, but it is often thought that reaching overhead can cause the umbilical cord to wrap around the baby's neck or cause a miscarriage. However, there is no scientific evidence to support this belief. It is important for pregnant women to stay active and healthy, but they should always consult with their healthcare provider before starting any new exercise or physical activity routine. Cravings are also a normal part of pregnancy and should be indulged in moderation. Intercourse is generally considered safe during pregnancy, but it is important to discuss with a healthcare provider any potential risks or complications.

Question 7

Cultural,ethnic,and racial diseases and illnesses can be grouped into three categories,which include all of the following except
1) Environment.
2) Educational level of providers.
3) Genetics.
4) Lifestyle.

Accepted Answer

The three categories of cultural, ethnic, and racial diseases and illnesses are environment, genetics, and lifestyle. The educational level of providers may impact their ability to diagnose and treat these illnesses, but it is not a category of the illnesses themselves.

Question 8

The difference between a translation and an interpretation is
1) Interpretation is verbal.
2) Translation is verbal.
3) There are no differences between translation and interpretation.
4) Interpretation is a higher level than translation.
Chapter 2: The Purnell Model for Cultural Competence
Answer Section
MULTIPLE CHOICE

Accepted Answer

Interpretation involves orally conveying the message or meaning from one language to another, while translation involves converting written text from one language to another. Therefore, option A is the correct answer as it clearly differentiates between interpretation and translation.

Question 9

Some individuals,regardless of cultural heritage,prefer traditional practitioners over Western allopathic practitioners.The most likely explanation for this is
1) Traditional practitioners are usually known by the individual and more trusted.
2) Most individuals who prefer traditional practitioners cannot afford allopathic practitioners.
3) Traditional practitioners specialize in specific health conditions.
4) Traditional practitioners stress wellness and health promotion.

Accepted Answer

The familiarity and trust that individuals have with traditional practitioners could be a more important factor in their preference for them over allopathic practitioners, regardless of cultural heritage.

Question 10

A 4-year-old boy was brought to the emergency department by the paramedics.The nurse notices that he has a thin red cord tied around his wrist.The nurse should
1) Place it with the rest of his clothes.
2) Tape it in place.
3) Give it to the parents when they arrive.
4) Leave it in place or put it in the pocket of his pants.

Accepted Answer

The thin red cord may have cultural or religious significance, so taping it in place respects the family's beliefs while ensuring it stays secure during medical treatment.

Question 11

Discord occurs in the workforce in every culture.However,in a multicultural workforce discord can be intensified because of issues related to all of the following except
1) Country of origin.
2) Differences in assertiveness.
3) Language differences.
4) Homogeneity.

Accepted Answer

The answer of Discord occurs in the workforce in every...

Question 12

Techniques to determine oxygenation needs in dark-skinned people include
1) Examining the skin using indirect lighting.
2) Examining the palms of the hands.
3) Comparing darker and lighter parts of the body.
4) Pressing the skin and looking for blanching.

Accepted Answer

The answer of Techniques to determine oxygenation needs in dark-skinned...

Question 13

In the more developed countries,which one has the highest rates of obesity?&#10;1) United States&#10;2) Canada&#10;3) Sweden&#10;4) Saudi Arabia

Accepted Answer

The answer of In the more developed countries,which one has...

Question 14

In a low-context language&#10;1) Most of the message is implied.&#10;2) Many words are used to express a thought.&#10;3) Words are more important than nonverbal communication.&#10;4) Voice volume and tone are low.

Accepted Answer

The answer of In a low-context language&#10;1) Most of the...

Question 15

Of the following statements regarding lactose intolerance,which is true?
1) White-skinned people are more likely to have lactose intolerance.
2) Dark-skinned people are more likely to have lactose intolerance.
3) There is no difference in lactose intolerance between white- and dark-skinned people.
4) Only people of Asian and American Indian descent have lactose intolerance.

Accepted Answer

The answer of Of the following statements regarding lactose intolerance,which...

Deck 2: The Purnell Model for Cultural Competence