Deck 42: Cultural Competency in Maternity and Pediatric Care
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Deck 42: Cultural Competency in Maternity and Pediatric Care
1
Which action by the nurse is appropriate when researching information related to a patient's culture?
A) Using Google to locate information
B) Posting a Facebook status that asks friends and family members to provide information
C) Asking coworkers on LinkedIn to provide information
D) Accessing articles about the culture via PubMed
A) Using Google to locate information
B) Posting a Facebook status that asks friends and family members to provide information
C) Asking coworkers on LinkedIn to provide information
D) Accessing articles about the culture via PubMed
Accessing articles about the culture via PubMed
2
Which nursing action is inappropriate when providing safe and effective nursing care?
A) Stereotyping a patient on the basis of ethnicity
B) Using a medical interpreter for a patient who does not speak English
C) Asking the patient how culture impacts his or her medical decisions
D) Monitoring drug effectiveness on the basis of race and gender
A) Stereotyping a patient on the basis of ethnicity
B) Using a medical interpreter for a patient who does not speak English
C) Asking the patient how culture impacts his or her medical decisions
D) Monitoring drug effectiveness on the basis of race and gender
Stereotyping a patient on the basis of ethnicity
3
For which patient population noted to have problems accessing care for one-third of the core measures of health should the nurse focus health promotion activities within the community?
A) African Americans
B) Caucasian Americans
C) Alaskan Natives
D) American Indians
A) African Americans
B) Caucasian Americans
C) Alaskan Natives
D) American Indians
African Americans
4
Which question should the nurse ask to assess economic factors that may impact a patient's health status or function?
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
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5
Which resources may be recommended to maternal-newborn patients to facilitate continuity of care after hospital discharge? (Select all that apply.)
A) Women,Infants,and Children (WIC)
B) Low-cost transportation
C) Community health fairs
D) Mass media
E) Technology
A) Women,Infants,and Children (WIC)
B) Low-cost transportation
C) Community health fairs
D) Mass media
E) Technology
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6
Which question should the nurse ask to assess political factors that may impact a patient's health status or function?
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
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7
Which is a noted issue for minorities who receive care from nurses?
A) Lack of empathy
B) Poor communication
C) Stereotypical treatment
D) Inappropriate teaching strategies
A) Lack of empathy
B) Poor communication
C) Stereotypical treatment
D) Inappropriate teaching strategies
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8
Which action accounts for a patient's cultural background when providing safe and effective nursing care in the maternal-newborn environment?
A) Assuming parents of a newborn male will want a circumcision on the basis of religious preference
B) Engaging the services of a medical interpreter for patients who speak little English
C) Deciding not to teach a pregnant patient methods to decrease risk for hypertension because of ethnicity
D) Telling a patient the scheduled appointment time is 30 minutes earlier because of listed ethnicity
A) Assuming parents of a newborn male will want a circumcision on the basis of religious preference
B) Engaging the services of a medical interpreter for patients who speak little English
C) Deciding not to teach a pregnant patient methods to decrease risk for hypertension because of ethnicity
D) Telling a patient the scheduled appointment time is 30 minutes earlier because of listed ethnicity
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9
Which is the priority nursing action when providing care to a patient who would like to use a home remedy as part of the prescribed treatment?
A) Telling the patient that the remedy cannot be used until the provider approves it
B) Asking the patient's family to discourage the use of the remedy
C) Imploring the patient to share information about the remedy,such as the ingredients
D) Stating the hospital policy related to the use of home remedies
A) Telling the patient that the remedy cannot be used until the provider approves it
B) Asking the patient's family to discourage the use of the remedy
C) Imploring the patient to share information about the remedy,such as the ingredients
D) Stating the hospital policy related to the use of home remedies
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10
Which term should the nurse use to describe developing cultural sensitivity?
A) Cultural awareness
B) Cultural competence
C) Diversity
D) Worldview
A) Cultural awareness
B) Cultural competence
C) Diversity
D) Worldview
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11
The nurse is providing discharge teaching to a patient who does not speak English.Which action by the nurse is appropriate when providing reference materials to the patient?
A) Having the interpreter write the information in a notebook for the patient to take home
B) Asking the patient's family to take notes during the teaching session
C) Accessing brochures and pamphlets that are written in the patient's native language
D) Telling the patient to Google the information after discharge
A) Having the interpreter write the information in a notebook for the patient to take home
B) Asking the patient's family to take notes during the teaching session
C) Accessing brochures and pamphlets that are written in the patient's native language
D) Telling the patient to Google the information after discharge
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12
Which resources should the nurse use to locate information related to best practices when providing care to patients who are from a different culture? (Select all that apply.)
A) The Joanna Briggs Institute
B) Cochrane Collection
C) Cumulative Index to Nursing and Allied Health Literature
D) Medscape
E) PubMed
A) The Joanna Briggs Institute
B) Cochrane Collection
C) Cumulative Index to Nursing and Allied Health Literature
D) Medscape
E) PubMed
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13
Which skills should the nurse possess in order to conduct an effective cultural assessment? (Select all that apply.)
A) Wound
B) Communication
C) Interview
D) Observation
E) IV
A) Wound
B) Communication
C) Interview
D) Observation
E) IV
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14
Which nursing action enhances respectful and culturally sensitive communication?
A) Directing questions at the interpreter during the assessment process
B) Researching the cultures that the health-care organization is likely to serve
C) Telling the patient that the suggested home remedy will not be included in the plan of care
D) Asking the patient's child to act as an interpreter during the discharge teaching process
A) Directing questions at the interpreter during the assessment process
B) Researching the cultures that the health-care organization is likely to serve
C) Telling the patient that the suggested home remedy will not be included in the plan of care
D) Asking the patient's child to act as an interpreter during the discharge teaching process
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15
Which question should the nurse ask to assess social factors that may impact a patient's health status or function?
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
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16
Which term should the nurse use to describe the display of culturally appropriate behaviors?
A) Cultural awareness
B) Cultural sensitivity
C) Diversity
D) Worldview
A) Cultural awareness
B) Cultural sensitivity
C) Diversity
D) Worldview
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17
Which action by the nurse is appropriate when conducting a cultural assessment using an approved tool?
A) Allowing a family member to translate the tool if the patient does not speak English
B) Using the tool as a guide when asking the patient questions during the health history
C) Telling the patient that the tool must be implemented or care cannot be provided
D) Refusing to use the tool before appropriate training for patient implementation is received
A) Allowing a family member to translate the tool if the patient does not speak English
B) Using the tool as a guide when asking the patient questions during the health history
C) Telling the patient that the tool must be implemented or care cannot be provided
D) Refusing to use the tool before appropriate training for patient implementation is received
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18
Which factors should the nurse consider when conducting a cultural assessment? (Select all that apply.)
A) Social
B) Economic
C) Physical
D) Environmental
E) Psychological
A) Social
B) Economic
C) Physical
D) Environmental
E) Psychological
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19
Which question should the nurse ask to assess environmental factors that may impact a patient's health status or function?
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
A) "What is the air quality?"
B) "Is health care available and affordable?"
C) "Was there exposure to disease or illness?"
D) "Is care provided or partially paid for by legislative processes?"
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20
The nurse is providing care to a family with an unfamiliar cultural background.The family does not speak English,and the nurse is awaiting the arrival of a medical translator to assist with the admission assessment.Which action by the nurse is appropriate in this situation?
A) Removing the children from the room
B) Asking the charge nurse to reassign the family
C) Researching the family's culture and common practices
D) Using nonverbal communication strategies to ask the family to be quiet
A) Removing the children from the room
B) Asking the charge nurse to reassign the family
C) Researching the family's culture and common practices
D) Using nonverbal communication strategies to ask the family to be quiet
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