Deck 23: Culture and Public Health Nursing

Question 1

A nurse is looking to educate women in the community about women's health issues. After performing a community assessment, the nurse decides to target young women aged 20 to 30 by holding informal and fun seminars for small groups. Where should the nurse consider holding these seminars?

A)The local library
B)Nail and hair salons
C)The town community center
D)Local parks

Answer 1

Nail and hair salons

Question 2

A nurse in a hospital is assigned a new patient who only speaks Italian. The nurse knows that language is a big part of a person's identity, but it also contributes to their:

A)Culture.
B)Ethnicity.
C)All of the above.
D)None of the above.

Answer 2

All of the above.

Question 3

A nurse is caring for a Buddhist patient who has mentioned that his daily periods of meditation are very important to him. How should the nurse respond?

A)Get more information from him about what this means: When does he meditate and for how long, and does he need anything specific to facilitate his practice?
B)Tell him you'll need to speak with the physician to see if the hospital would be able to accommodate his meditation time.
C)Smile and tell him that's fine.
D)Apologize that the medical staff needs to be able to have access to him at all times and that you couldn't guarantee private time to meditate.

Answer 3

Get more information from him about what this means: When does he meditate and for how long, and does he need anything specific to facilitate his practice?

Question 4

A PHN is presenting a guest lecture to an undergraduate ethics class. The PHN is describing the ethical question of whether providing culturally inappropriate care violates the principle that nurses should only act in his or her patient's best interests. This is also known as:

A)Autonomy.
B)Justice.
C)Beneficence.
D)Maleficence.

Question 5

A nurse is speaking with a new group of student nurses about the importance of developing cultural humility, not just cultural competence. How does the nurse suggest that the students begin to develop cultural humility?

A)Study as much as they can about other cultures.
B)Nothing-it will become second nature as they progress in their career.
C)Perform cultural self-assessments regularly.
D)Complete cultural assessments on every patient.

Question 6

A nurse is creating a questionnaire to help students begin their cultural self-assessment. What questions should be included in the questionnaire? Select all that apply.

A)What are my religious beliefs?
B)What are my personal beliefs and values?
C)Where did I grow up and how did that affect my values?
D)Who in my life do I consider to be most influential in helping me establish my belief system?
E)What does good health mean to me? What does bad health mean to me?
F)None of above

Question 7

A nurse is performing a community assessment in a small town several hundred miles away. The nurse only has a few days in town before heading back to analyze the assessment. What should she be sure to do to help better understand the community?

A)Perform demographic research from public records.
B)Drive around town and observe local residents.
C)Interview key stakeholders in the community about life in town.
D)Attend a city council meeting to observe local policy makers.

Question 8

A nurse manager is developing new policies in the unit related to cultural competence and sensitivity. The nurse decides to apply the National Quality Forum's National Standard on Culturally and Linguistically Appropriate Services (CLAS) first guiding principle of measuring and reporting cultural competency. It is in part based on:

A)Being responsive to cultural health beliefs, language, and health literacy.
B)Identifying the role that social determinants of health play in health care.
C)Recognizing the importance of diversity in health care.
D)Understanding factors contributing to diversity.

Question 9

A female nurse is talking with a colleague about an IV solution she has been ordered to administer. The nurse is confused by the calculations for the drip rate. Another co-worker jokingly tells the nurse to ask a third colleague, who happens to be Korean, saying, "Aren't all Asians good at math?" This is an example of what type of behavior?

A)Racism
B)Ethnocentrism
C)Positive stereotyping
D)Negative stereotyping

Question 10

A public health nurse (PHN) is moving from his or her hometown in the Northeastern United States to a new position in Southern California. When beginning the local community assessments, what might the PHN notice about how the environment affects regional culture?

A)People living in the colder Northeast climate are more likely to socialize around outdoor experiences.
B)Clothing styles are very similar.
C)Food choices often include Mexican style recipes.
D)None of the above

Question 11

A nurse manager is reviewing terms associated with appropriate cultural care with the staff. The nurse is discussing the goal of creating an environment where patients feel respected for their cultural differences. What is this called?

A)Cultural safety
B)Cultural competence
C)Cultural humility
D)Cultural conflict

Question 12

A nurse is teaching a class about government policies and their effect on health care. Which of the following programs made it a central goal to eliminate health disparities?

A)Supplemental Nutrition Assistance Program (SNAP)
B)Social Security Insurance
C)Healthy People 2020
D)None of the above

Question 13

A nurse is preparing to do his or her first community cultural assessment on a nearby town. What should the nurse include in the assessment? Select all that apply.

A)Average level of education
B)Religion
C)Socioeconomic breakdown
D)Language
E)Health beliefs, practices, and traditions

Question 14

A nurse is performing the very beginning of a community assessment. The nurse is evaluating the community's language and family structure and traditions. This is known as:

A)Race.
B)Ethnicity.
C)Culture.
D)Ethnocentrism.

Question 15

A nurse has been called to visit a community that has a large population of older adults (aged 55 and over). There has been a dramatic rise in gonorrhea infections almost exclusively in this population. The public health department has already conducted an outbreak investigation and initiated prophylactic treatment for contacts of those infected. They would now like the nurse to develop an intervention. What is the first step?

A)Establish a display in the community center with educational materials about safe sex and free condoms specifically designed for the cultural norms of the community.
B)Review the incidence rates and create an epidemiological curve.
C)Organize a community-wide meeting to discuss why safe sex practices are important even though pregnancy is no longer a concern.
D)Perform a problem-based assessment with a focus on those in the community who are 55+ that includes a cultural assessment to see what interventions might be needed in the community.

Question 16

A nurse is discussing changing population patterns and diversity with a class. The nurse mentions that the percentage of Caucasians within the American population is decreasing in comparison with other minority populations. The nurse asks the class why, despite the increase in diversity, the Caucasian population is still considered to be the majority group. How can students in the class respond? Select all that apply.

A)Caucasians still remain the largest percentage of the population.
B)Other ethnicities tend to experience a pattern of inequality and disadvantage.
C)Minority groups are more self-conscious about their role in society.
D)America is historically a Caucasian country.
E)Caucasians tend to have more social power and influence.

Question 17

A PHN working in the local public health department has completed a community assessment as part of a community team concerned about the rising levels of obesity and hypertension in the community which included a cultural assessment. The team is now ready to develop an intervention. What is the best next step?

A)Identify additional key stakeholders and include a cultural mediator.
B)Hold a town hall meeting for everyone in the community to discuss the findings.
C)Hold a community fair so residents can start to get more information about healthy eating and exercise habits.
D)Host a focus group to clarify information learned during the assessment.

Question 18

A nurse is meeting with community stakeholders to review a cultural community assessment. The nurse has been sent to this town to address rising tobacco use and to help the community find ways to encourage quitting. The community is a very small town without primary caregivers and other support systems in place. Which of the following is the best intervention for this town?

A)Provide free bussing into the nearest town so community members can attend tobacco cessation support groups.
B)Train local community members about running smoking cessation support groups and individual support services.
C)Host a community fair to disseminate information about the dangers of smoking.
D)Pass a law forbidding smoking in public places.

Question 19

A nurse wants to gain greater clarity about the cultural aspects of the priority health issue that has arisen in her assessment and get a sense of what the next steps should be. What method used in community assessments is most likely to help her do this?

A)Reading information gained during an Internet research
B)Reading back issues of the town newspapers and community magazines
C)Conduct a mailed survey to members of the community
D)Conduct a series of focus group with members of the community