Question 1

The nurse understands that the following organization believes that cultural competence in nursing is necessary?&#10;A) Nurse Practice Acts of state boards of nursing&#10;B) Code of Ethics of the American Nurses Association&#10;C) Accreditation standards of the National League of Nursing&#10;D) Accreditation standards of The Joint Commission (TJC)

Accepted Answer

The American Nurses Association indicates in its Code of Ethics the necessity of the nurse to be sensitive to individual needs.State boards of nursing are involved in the regulation and licensure of nursing practices.The National League of Nursing is involved with accreditation of nursing programs.TJC is involved with hospital accreditation.

Question 2

A nurse is attending a lecture on health disparities.The education has been effective when the nurse states:&#10;A) &#34;Inequalities in income and education are the root of many health disparities.&#34;&#10;B) &#34;Today,there are no longer inequalities preventing access to health care.&#34;&#10;C) &#34;Low education and low income levels are related to lower rates of health disparities.&#34;&#10;D) &#34;Higher income is associated with more health disparities then lower income.&#34;

Accepted Answer

Inequalities in income and education are the root of many health disparities.Individuals with low education and low income levels often have higher rates of health disparities,and higher income is associated with less health disparities.

Question 3

Using a spiritual assessment tool helps the nurse gain more understanding of the patient.What would be the best question to assess a patient's inner strengths?&#10;A) What gives your life meaning?&#10;B) Are you motivated to get well?&#10;C) What do you do to show love for yourself?&#10;D) What brings you joy and peace in your life?

Accepted Answer

Asking what brings joy and peace to a person's life is an example of a reflective question to help increase the awareness of the inner strengths of a patient's spiritual process.Such a question assesses a person's ability to manifest joy.Asking about what gives meaning could address family and career and not necessarily a patient's inner strength.Asking about motivation and what a person does to show love for themself does not encourage reflection on inner strengths but asks a question that could be briefly answered.

Question 4

A nurse is caring for a diabetic patient who frequently uses alternative medicine to manager ailments.The feels nauseous and requests ginger tea.What should the nurse be aware of before giving the patient ginger tea?

A) Nothing; natural remedies do not cause unwanted side effects.
B) Ginger can cause blood glucose levels to decrease.
C) Ginger causes blood glucose levels to rise.
D) Ginger can cause a diabetic patient to become more nauseous.

Accepted Answer

Nurses should be aware of natural remedies and their interactions because more patients turn to these remedies as opposed to medication for management of ailments.In this scenario,the nurse should be aware of the fact that ginger can cause blood glucose levels to decrease,possibly causing harm to the diabetic patient.

Question 5

In what culture is it very important for females to be evaluated by female health care providers?&#10;A) Asian&#10;B) Muslim&#10;C) Hispanic&#10;D) Native American

Accepted Answer

Muslims have a respect for modesty and avoid nakedness.Having a same-gender health care provider will help meet their spiritual needs.Native American,Asian,and Hispanic culture individuals do not have specific issues related to nakedness and modesty.

Question 6

A nurse is caring for a patient experiencing spiritual distress.What nursing intervention would be appropriate for this patient?&#10;A) Asking the patient to reserve prayer for the hospital chaplain&#10;B) Placing the patient by the nurses' station because it is busy and will keep the patient entertained&#10;C) Developing a trusting relationship with the patient&#10;D) Allowing the patient's roommate to have visitors late into the night

Accepted Answer

It is important that the nurse develop a trusting relationship with the patient,as well as being supportive of the patient's needs.The nurse should allow the patient a quiet environment that allows time for prayer and meditation.

Question 7

Which of the following actions cause health care disparities?&#10;A) Refusal of treatment&#10;B) Provider-patient relationships&#10;C) Trust in the health care system&#10;D) Provider bias and discrimination

Accepted Answer

Disparities in health care can include both provider and patient variables.Patient variables are mistrust of the health care system and refusal of treatment.

Question 8

Based on assessment data,the nursing diagnosis for a patient is spiritual distress related to loneliness or social alienation.What would be included in spiritual nursing interventions?&#10;A) Participate in active listening.&#10;B) Identify level of functioning.&#10;C) Assist with activities of daily living.&#10;D) Evaluate ability to understand events.

Accepted Answer

Active listening is an example of a spiritual nursing intervention.Other interventions include the following: prayer,presence,scripture reading,peaceful environment,meditation,music,pastoral care,inspiring hope,validation of the patient's thoughts and feelings,values' clarification,sensitive responses to patient beliefs,and developing a trusting relationship.Identifying level of functioning and ADLs address basic human needs.Evaluating the ability to understand events is addressing cognitive function.

Question 9

A nurse is gathering data on a patient of a different culture.Which action can the nurse take to enhance communication while gathering cultural data?&#10;A) Ignore the patient's culture and focus on the reason for hospital admission.&#10;B) Use hand gestures to get points across to a patient with poor English.&#10;C) Use close-ended questions to gather information.&#10;D) Determine the patient's level of fluency in English.

Accepted Answer

The nurse should determine the patient's level of fluency in English to enhance communication.The nurse should not avoid the patient's culture during the assessment.Hand gestures should not be used because they could be offensive to the patient.The nurse should use open-ended questions or questions phrased in different ways as a method to gather data.

Question 10

By asking,&#34;How has being sick affected your spiritual practices?&#34; the nurse is trying to determine the need in what spiritual dimension?&#10;A) Sources of hope and strength&#10;B) Spirit-enhancing practices or rituals&#10;C) Involvement in spiritual community&#10;D) Experience of God or transcendence

Accepted Answer

According to Taylor in Spiritual Care: Nursing Theory,Research,and Practice (2002),asking the following assessment question helps determine the patient's spirit-enhancing practices or rituals: "How has being sick affected your spiritual practices?" As a testing strategy,note that the answer has the spiritual practices and so does the question.Other questions would assess sources of hope and strength,involvement in the spiritual community,and their experience of God or transcendence.

Question 11

The nurse knows that in this culture the older adult is respected and makes the decisions.&#10;A) Asian&#10;B) Hindu&#10;C) Native American&#10;D) African American

Accepted Answer

The answer of The nurse knows that in this culture...

Question 12

Which of the following actions would have little to no impact in helping resolve health care disparities?&#10;A) Research on life stressors&#10;B) Access to basic health care&#10;C) Increasing diversity of health care workers&#10;D) Health promotion and wellness programs

Accepted Answer

The answer of Which of the following actions would have...

Question 13

A manager is educating a group of nurses on the importance of cultural competence.The manager knows that the teaching has been effective when one of the nurse's states:&#10;A) &#34;Cultural competence does not impact patient care.&#34;&#10;B) &#34;Cultural competence is not important in health care.&#34;&#10;C) &#34;Lack of cultural competence leads to suboptimal patient outcomes.&#34;&#10;D) &#34;Lack of cultural competence does not cause active harm to the patient.&#34;

Accepted Answer

The answer of A manager is educating a group of...

Question 14

A nurse has an adequate understanding of the barriers to cultural competence when making which of the following statements?&#10;A) &#34;Barriers to cultural competence no longer exist in today's society.&#34;&#10;B) &#34;The barriers to cultural competence cannot be broken down.&#34;&#10;C) &#34;Provider barriers include having knowledge about a custom's culture regarding health care.&#34;&#10;D) &#34;Systems barriers exist when an agency's structure and policies are not designed to support cultural diversity.&#34;

Accepted Answer

The answer of A nurse has an adequate understanding of...

Question 15

What is an example of a system barrier to cultural competence?&#10;A) No kosher diet options on menu&#10;B) No sinks in every patient room&#10;C) No privacy curtains in exam rooms&#10;D) A strict and enforced policy against more than one visitor in the ICU

Accepted Answer

The answer of What is an example of a system...

Question 16

What action by the nurse would indicate cultural competence?&#10;A) Displays no favoritism&#10;B) Tries to treat all patients the same&#10;C) Prioritizes care based on cultural needs&#10;D) Wants to learn more about other ethnic groups

Accepted Answer

The answer of What action by the nurse would indicate...

Question 17

Determine which of the following situations would be a provider barrier to the nurse developing cultural competence?&#10;A) A nurse who is unaware of personal biases to other ethnic groups&#10;B) No family rooms to accommodate a critically ill patient's family&#10;C) A nurse who seeks encounters with individuals from other cultures&#10;D) A health care provider who incorporates alternative therapies in health care

Accepted Answer

The answer of Determine which of the following situations would...

Question 18

A nurse is educating a patient's family on holistic nursing.The nurse judges the teaching as effective when the family states all of the following except:&#10;A) &#34;Holistic nursing is an attitude.&#34;&#10;B) &#34;Holistic nursing is a way of being.&#34;&#10;C) &#34;Holistic nursing focuses on healing the person as a whole.&#34;&#10;D) &#34;Holistic nursing focuses on healing the system causing ailment.&#34;

Accepted Answer

The answer of A nurse is educating a patient's family...

Question 19

A nurse is working in a disaster area as a volunteer with the local ambulance agency.The nurse is providing care to a Spanish-speaking patient.What actions can be taken to properly care for this patient?

A) Use gestures to emphasize what he is saying.
B) Obtain an interpreter.
C) Provide wound care instructions written in English.
D) Treat the patient without speaking to her.

Accepted Answer

The answer of A nurse is working in a disaster...

Question 20

A nurse manager is looking for ways to improve the cultural competency of unit staff.Which action would help the manager accomplish this?&#10;A) Propose voluntary cultural competence training.&#10;B) Hire bicultural clinical and administrative staff.&#10;C) Hire staff from the same ethnic background.&#10;D) Avoid issues pertaining to cultural competence.

Accepted Answer

The answer of A nurse manager is looking for ways...

Question 21

Which action by the nurse shows cultural competence of Native American culture? (Select all that apply.)&#10;A) Refuse to allow rituals to be practiced at the bedside.&#10;B) Allow the family to bring in a medicine man for healing.&#10;C) Allow the family and patient time for prayer.&#10;D) Provide space for rituals.&#10;E) Work hard to gain trust.

Accepted Answer

The answer of Which action by the nurse shows cultural...

Question 22

The nurse is creating a plan of care for a patient.Which would be important for to consider before implementing the plan? (Select all that apply.)&#10;A) The patient's lifestyle&#10;B) The patient's insurance coverage&#10;C) The patient's value system&#10;D) The patient's religious beliefs&#10;E) The patient's ability to pay for services

Accepted Answer

The answer of The nurse is creating a plan of...

Question 23

A nurse is educating a student nurse on African American culture.The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)&#10;A) &#34;have extended family that has a great influence on the patient.&#34;&#10;B) &#34;honor and respect older family members.&#34;&#10;C) &#34;have the oldest woman as the decision maker.&#34;&#10;D) &#34;do not disagree with health care recommendations.&#34;&#10;E) &#34;don't always follow up with health care recommendations.&#34;

Accepted Answer

The answer of A nurse is educating a student nurse...

Question 24

The nurse has an adequate understanding of Japanese culture when stating which of the following? (Select all that apply.)&#10;A) &#34;The Japanese believe that contact with blood,skin diseases,and corpses causes illness.&#34;&#10;B) &#34;The Japanese believe in healers and herbalists.&#34;&#10;C) &#34;The Japanese have high regard for physicians.&#34;&#10;D) &#34;The Japanese tend to not question the care of the physician.&#34;&#10;E) &#34;The Japanese verbally express pain.&#34;

Accepted Answer

The answer of The nurse has an adequate understanding of...

Question 25

A nurse manager is educating unit staff on cultural competence.The manager knows that the teaching has been effective when one of the staff members states that cultural competence is (Select all that apply.)

A) "not important in health care."
B) "accepting and respecting cultural differences."
C) "demonstrating knowledge of the patient's culture."
D) "demonstrating an understanding of the patient's culture."
E) "adapting care to be congruent with the patient's culture."

Unlock Deck

Unlock for access to all 26 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The answer of A nurse manager is educating unit staff...

Question 26

Which statement by the nurse shows understanding of the Vietnamese culture? (Select all that apply.)&#10;A) &#34;Vietnamese are slow to trust authority figures.&#34;&#10;B) &#34;Vietnamese have a very patriarchal society.&#34;&#10;C) &#34;Vietnamese will try home remedies before seeking Western medicine.&#34;&#10;D) &#34;Vietnamese are often compliant with Western treatment one sought.&#34;&#10;E) &#34;Vietnamese are generally noncompliant with health care.&#34;

Accepted Answer

The answer of Which statement by the nurse shows understanding...

Deck 21: Cultural and Spiritual Awareness