Deck 5: Cultural Influences on Population Health

Question 1

The population health nurse notes that the African American population of the United States has a higher incidence of cardiovascular disease and diabetes. What aspect of this population's diet should the nurse relate to these health problems?

A) High in fat and sugars.
B) Low in processed foods and fat.
C) Low in fiber-rich foods and exercise.
D) High in starchy vegetables and sugars.

Answer 1

High in fat and sugars.

Question 2

A patient sees a physician for health needs as well as a practitioner of Chinese medicine. Which standards should the nurse identify are being met by the practitioner of Chinese medicine to ensure for the patient's safety? (Select all that apply.)

A) Causing no additional stress on the patient.
B) Nationwide certification in Chinese medicine.
C) USDA standards in the herbal preparations used.
D) Safety, efficacy, and quality in the Chinese medicine practice.
E) No adverse interactions between herbal preparations used and any prescription medications the patient might be on.

Answer 2

Causing no additional stress on the patient.
Safety, efficacy, and quality in the Chinese medicine practice.
No adverse interactions between herbal preparations used and any prescription medications the patient might be on.

Question 3

The health clinic staff is working on becoming culturally competent. Which strategies should the staff use when developing this competence? (Select all that apply.)

A) Increasing the diversity of the staff providing care.
B) Soliciting input from various cultural organizations.
C) Holding cultural training sessions for its staff members.
D) Developing a competence in the languages spoken by the patient population.
E) Concluding that their current method of care delivery needs little modification.

Answer 3

Increasing the diversity of the staff providing care.
Soliciting input from various cultural organizations.
Holding cultural training sessions for its staff members.
Developing a competence in the languages spoken by the patient population.

Question 4

During a home visit the nurse notes that a patient originally from Mexico seems passive during health teaching and follow-up questions about the home treatment plan. What should the nurse conclude about this patient's behavior?

A) The patient probably does not understand English.
B) The patient is not interested in what the nurse is doing.
C) There may be cultural factors that explain the patient's behavior.
D) The patient may be uncomfortable with having the nurse in the home.

Question 5

Nursing students from various backgrounds enroll in a university's nursing curriculum. The process by which they become nurses includes aspects of:

A) Culture.
B) Ethnicity.
C) Worldview.
D) Acculturation.

Question 6

A patient comes into the community clinic speaking a language in which there are no interpreters available. Which action should the population health nurse take to demonstrate cultural competence within the healthcare system?

A) Ask the patient to seek medical care in the community hospital.
B) Ask a staff member if they could attempt to communicate with the patient.
C) Communicate to the patient that an interpreter is not available and ask them to return tomorrow.
D) Contact a neighboring community health center to find out if their interpreter for this patient's language can be borrowed for a short time.

Question 7

The local clinic employs a Hispanic receptionist, who is also used as an interpreter for the many non-English-speaking Latino patients who utilize the clinic. Members of the staff believe the patients should learn English, and they have refused offers from the receptionist to learn some basic phrases. Which behavior is the staff demonstrating about culturally competent care?

A) Cultural blindness.
B) Cultural incapacity.
C) Cultural destructiveness.
D) Cultural precompetence.

Question 8

The nurse desires to improve cultural competence when providing patient care. What action should the nurse take first to develop this competency?

A) Understand the culture of the patient.
B) Identify the goals for culturally competent care.
C) Gain proficiency in another language beyond English.
D) Understand and recognize the nurse's own cultural background.

Question 9

A local hospital has established outreach clinics in the community to provide health care. Several staff members within the clinic component refuse to go to some of the outreach clinics claiming that the clinics are in a bad section of the community and the residents there are not interested in health promotion. Which behavior is the staff demonstrating?

A) Cultural blindness.
B) Cultural incapacity.
C) Cultural destructiveness.
D) Cultural precompetence.

Question 10

The nurse is taking a class to become more culturally competent when providing care. In this class the nurse learns that the American work ethic is considered to be one that is hardworking and individualistic. The nurse should categorize the work ethic as being a part of:

A) Culture.
B) Ethnicity.
C) Nationality.
D) Acculturation.

Question 11

The nurse is preparing to complete a cultural assessment of a group. Which components should the nurse include in this assessment? (Select all that apply.)

A) Ask personal questions about the group.
B) Look for similarities in one's own group.
C) Talk and interview members of the group.
D) Come prepared with prior research done on the group.
E) Acknowledge the group's reliance on alternative therapies.

Question 12

A community has had an influx of immigrant workers due to new construction of businesses in the community. The staff of the local public health clinic know the level of their care meets and exceeds standards set and do not see a need to change. Which behavior is this staff displaying?

A) Cultural blindness.
B) Cultural proficiency.
C) Cultural competence.
D) Cultural destructiveness.

Question 13

While providing health teaching to an older patient of Asian descent the nurse notes that the patient agrees to all questions the nurse asks. What method should the nurse use to determine that the patient understands health teaching?

A) Use simple language that the person can understand.
B) Have another member of the person's family do the teaching.
C) Ensure that there is an interpreter nearby while doing the health teaching.
D) Ask the person to give an explanation, in their own words, of the health teaching.

Question 14

The population health nurse is participating on a committee established to aid a multi-facility health center achieve cultural congruence. Which components should the nurse explain as being needed before the health center achieves this goal? (Select all that apply.)

A) Cultural diversity.
B) Cultural sensitivity.
C) Cultural awareness.
D) Cultural imposition.
E) Cultural competence.

Question 15

A hospital in an urban area has been identified as delivering culturally competent care. What characteristic will be obvious when entering this organization?

A) Being aware of personal perspectives.
B) Treating all who utilize its services in the same manner.
C) Having conscious adaptation of care to the cultural context.
D) Providing services that are accepting and respectful of diverse populations.

Question 16

The population health nurse is planning to develop cultural competence within a community. Which actions should the nurse take? (Select all that apply.)

A) Ensuring that all patients are treated in the same manner.
B) Recognizing subgroup differences within cultural groups.
C) Ensuring that health clinics employ minority staff to deliver care.
D) Engaging in community partnerships to help design culturally relevant services.
E) Maintaining an up-to-date demographic, cultural, and epidemiologic community profile.

Question 17

During a health history a patient states he is Asian American. What should the nurse realize this patient is describing?

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