Question 1

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 nurses 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

Lack of cultural competence is extremely important in health care because it directly impacts patient care.Lack of cultural competence leads to suboptimal care and can cause active harm to the patient.

Question 2

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

A nurse who is unaware of personal biases to other ethnic groups represents a provider barrier."No family rooms" is an example of a system barrier.Nurses who seek encounters with individuals from other cultures and who incorporate alternative therapies into health care have a developed sense of cultural competence.

Question 3

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;System barriers exist when an agency's structure and policies are not designed to support cultural diversity.&#34;

Accepted Answer

Barriers to cultural competence exist in today's society and can be broken down with the help of health care providers.Provider barriers include having a lack of knowledge about a custom's culture regarding health care.System barriers exist when an agency's structure and policies are not designed to support cultural diversity.

Question 4

What is an example of a system barrier to cultural competence?&#10;A)Lack of knowledge regarding 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

System barriers are due to the agency's structure and policies that do not support cultural diversity.A strict and enforced ICU visitor policy,for example,will impact those cultures with a strong emphasis on the extended family.Provider barriers are those such as a nurse may have,including lack of information about a culture.A lack of knowledge about a culturally specific diet is an example.Facility issues such as sinks and privacy curtains are not specifically related to culture but are needed for every patient.

Question 5

A nurse is caring for a diabetic patient who frequently uses alternative medicine to manage ailments.The patient 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 6

Which of the following actions causes 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 7

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 Office of Minority Health and Disaster Preparedness launched an initiative in 2009 to help first responders better manage disaster and crises in diverse populations.The nurse can use this initiative by obtaining an interpreter and providing wound care instructions written in English.The nurse should not rely on gestures to get his point across or treat the patient without speaking to her.

Question 8

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 will be distracting&#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 9

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

Some solutions to help resolve health care disparities include the following: increasing the diversity of health care providers;ensuring that all people have access to affordable,basic health care;promoting wellness and a healthy lifestyle;strengthening provider-patient relationships;increasing cultural competency of health care providers;and conducting research to determine why certain diseases affect minorities so greatly and to discover effective intervention strategies.Research on life stressors does not have an impact on resolving health care disparities.

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 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 answer of The nurse understands that the following organization...

Question 12

A nurse wants to improve cultural competence.What action shows progress toward this goal?&#10;A)Uses an evidence-based cultural assessment tool&#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 A nurse wants to improve cultural competence.What...

Question 13

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

The answer of Using a spiritual assessment tool helps the...

Question 14

In what culture are older adults respected and unquestioned?&#10;A)Asian&#10;B)African American&#10;C)Hispanic&#10;D)Native American

Accepted Answer

The answer of In what culture are older adults respected...

Question 15

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 closed-ended questions to gather information.&#10;D)Determine the patient's level of fluency in English.

Accepted Answer

The answer of A nurse is gathering data on a...

Question 16

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 17

The nurse knows that in this culture mental illness can bring shame on the family.&#10;A)Chinese&#10;B)Hispanic&#10;C)Native American&#10;D)African American

Accepted Answer

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

Question 18

A nurse is attending a lecture on health disparities.The education has been effective when the nurse states which of the following?&#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 than lower income.&#34;

Accepted Answer

The answer of A nurse is attending a lecture on...

Question 19

A nurse is educating a patient's family on holistic nursing.Which statement by a family member leads the nurse to determine that more education is needed?&#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 the ailment.&#34;

Accepted Answer

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

Question 20

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

The answer of Based on assessment data,the nursing diagnosis for...

Question 21

The nurse is creating a plan of care for a patient.Which would be important for the nurse 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 22

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 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 who have 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

Which actions by the nurse show 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 actions by the nurse show cultural...

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."

Accepted Answer

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

Question 26

Which statements by the nurse show 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 once sought.&#34;&#10;E)&#34;Vietnamese are generally noncompliant with health care.&#34;

Accepted Answer

The answer of Which statements by the nurse show understanding...

Deck 21: Cultural and Spiritual Awareness