Deck 1: Building Cultural and Linguistic Competence

Question 1

On which criterion would the Human Resources manager focus when identifying interpreters to support the care of patients with limited English proficiency?
1)Proficient in health language terminology
2)Availability of family members
3)Be of the same ethnic background of the patients
4)Be on 24-hour call

Answer 1

1

Question 2

When a healthcare provider takes the time to learn the underlying background of a patient to provide the best possible healthcare,which type of cultural care is being provided?
1)Competent
2)Sensitive
3)Designated
4)Appropriate

Answer 2

4

Question 3

The staff nurse is identifying ways to communicate care needs for a patient from a non-English-speaking culture.How will the nurse use the tool within the Joint Commission monograph roadmap for hospitals to help with this need? Select all that apply:
1)Access a checklist to use during the admission process.
2)Follow the steps in the assessment checklist.
3)Review the points during the phases of treatment.
4)Identify all of the steps needed for discharge.
5)Recognize ways to adapt to the patient's culture.

Answer 3

1,2,3,4

Question 4

Which behavior of a health care provider exemplifies culturally competent care?
1)Delivering care that demonstrates understanding and application to the patient's situation
2)Speaking the patient's language
3)Understanding some health traditions of the patient
4)Knowledgeable of the patient's cultural background

Question 5

A healthcare organization is planning continuing education for all staff on culturally and linguistically appropriate service delivery.Which category of culturally and linguistically appropriate services in healthcare will this action support? Select all that apply:
1)Fundamentals of culturally competent care
2)Speaking of culturally competent care
3)Structuring culturally competent care
4)Manage the dynamics of difference
5)Focus on health equity

Question 6

During an assessment,the nurse asks the patient to describe her current health status.How will the patient most likely explain her health?
1)Personal experience
2)Impact on family
3)Cost
4)Diagnosis

Question 7

The health care organization has made a conscious effort to provide linguistically appropriate services to its predominantly Hispanic population,incorporating within its staff members from different Spanish-speaking countries of Latin America.Which cultural care concept is this organization implementing?
1)Language proficiency
2)Cultural competence
3)Cultural sensitivity
4)Cultural appropriateness

Question 8

The nurse is planning the care for a patient from a non-English-speaking culture.Which terms would the nurse use that reflect cultural care? Select all that apply:
1)Literacy
2)Refugee
3)Silence
4)Sacred times
5)Surgery

Question 9

A health care organization provides care to patients that are of Hispanic,Asian,and Eastern European heritage.What will the organization do to ensure the staff represents the demographics of the service area? Select all that apply:
1)Hire nurses that speak Spanish.
2)Promote a staff member from Asian and Hispanic backgrounds.
3)Provide language assistance services.
4)Post signage in the languages of the different groups.
5)Incorporate internal audits for culturally appropriate services.

Question 10

The Department of Nursing with a healthcare organization is planning steps that reflect the Joint Commission's recommendations for cultural competence.What will the nursing department include in these steps? Select all that apply:
1)Value diversity.
2)Assess themselves.
3)Manage differences.
4)Acquire cultural knowledge.
5)Hire staff from different cultures.

Question 11

The nurse is planning care for a group of patients from different cultural backgrounds.What aspects of the nurse will impact how the patients access and respond to healthcare services? Select all that apply:
1)Cultural background
2)Heritage
3)Language
4)Role
5)Age

Question 12

The staff development instructor is planning a seminar that focuses on the understanding of cultural competency.What will the instructor include in this content? Select all that apply:
1)Knowledge relative to the concept must be learned,applied and evaluated on an ongoing manner
2)The process can be accomplished in a single class session
3)Differences in expression and interpretation will help enhance learning opportunities
4)Acknowledgement of verbal and non-verbal encounters should be included
5)Presented information on cultural diversity is sufficient.

Question 13

The nurse is reviewing the steps needed to develop cultural competency.In which order will the nurse complete the steps of this process?
1)Personal heritage
2)Heritage of others
3)Health and health beliefs and practices
4)Health care culture and system
5)Traditional health care systems

Question 14

Why does a health care organization maintain a current demographic,cultural,and epidemiological profile of the patients receiving care in the hospital?
1)Ensure grievances are resolved.
2)Plan and implement culturally and linguistically appropriate services.
3)Plan for culturally appropriate continuing education for the staff.
4)Develop partnerships with community members.

Question 15

Why would a healthcare organization maintain a current demographic,cultural,and epidemiological profile of the community?
1)Plan for services.
2)Correlate with health records.
3)Facilitate community involvement.
4)Advertise services.

Question 16

The nurse desires to become more culturally competent when providing care to patients from non-English- speaking cultures.Which action would the nurse take to achieve this self-expectation?
1)Commit to a time-consuming journey.
2)Find a seminar on cultural competence.
3)Talk to people from different cultures.
4)Attend several festivals from different cultures.

Question 17

A health care organization is incorporating culturally and linguistically appropriate services into the organization's planning and operations.Which aspects should be included in this process? Select all that apply:
1)Integrating services into organizational planning
2)Make sure that collection of data is up to date as it relates to demographic variables
3)Initiate and implement a policy without ongoing assessment
4)Maintain a partnership with the community
5)Limit communication to the internal organization

Question 18

The staff development educator is analyzing ways to incorporate cultural competency concepts in continuing education programs.How will the educator explain the concept of CULTURALCOMPETENCY to staff?
1)Philosophy
2)Condition
3)Theory
4)Fad

Question 19

Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members?
1)Hire professional staff from different Spanish-speaking countries.
2)Ensure that all health care workers speak Spanish.
3)Ensure that all signage is posted in Spanish as well as English.
4)Ensure health services are in varying locations.

Question 20

The nurse practitioner is ensuring an adequate amount of educational materials are printed in languages that reflect the patient population.What are the reasons for this healthcare provider treating a more diverse patient population? Select all that apply:
1)Demographic changes
2)Participation in insurance programs
3)Reflects the nurse practitioner's cultural background
4)The nurse practitioner is from a minority group.
5)The educational materials will teach the patient how to be healthy or ill.

Question 21

The nurse is disappointed with not being able to provide educational materials in a non-English-speaking patient's primary language.What can the nurse do to serve as an advocate when providing culturally competent care?
1)Find or create materials to meet the patients' needs.
2)Teach the patient in English.
3)Provide educational materials written in English.
4)Ask the physician to talk with the patient.

Question 22

In a non-English-speaking patient's medical records,it is indicated that he has no family.However,several people arrived in the critical care unit and stated that they are the patient's family.What impact does this miscommunication have on the patient's care?
1)Poor decision-making
2)Increase the cost
3)Improve the outcomes
4)Enhance therapeutic communication

Question 23

A patient from a non-English-speaking background comes into the health clinic seeking care.The nurse is unable to determine the patient's primary language.What should the nurse do?
1)Ask for help to determine the patient's primary language.
2)Encourage the patient to seek care elsewhere.
3)Notify Security.
4)Contact a homeless shelter.

Question 24

Unlicensed assistive personnel (UAP)ask the nurse to explain the difference between CULTURALCARE and other types of care.What would the nurse say in response to the UAP?
1)It is holistic.
2)It is a fad.
3)It focuses on scientific theory.
4)It is a belief system.

Question 25

The nurse working in a Joint Commission-accredited organization is admitting a patient from a non-English-speaking background.Which action supports the Joint Commission principle of effective communication?
1)Assess communication needs
2)Value diversity
3)Manage the dynamics of difference
4)Adapt to diversity

Question 26

The nurse is unable to locate an interpreter to support a patient from a non-English-speaking background.The patient asks a family member to interpret for the staff.What would the nurse do to ensure culturally and linguistically appropriate services for this patient?
1)Use the family member as an interpreter until a non-family member can be located.
2)Write the questions down for the patient to answer.
3)Do nothing until an interpreter can be located.
4)Use sign language.

Question 27

The nurse is completing a survey that includes questions about different aspects of cultural competence.What is the purpose of this survey?
1)Assessment of cultural competence
2)Manage the dynamics of difference
3)Value diversity
4)Institutionalize cultural knowledge

Question 28

The nurse is planning care to address health care needs for a non-English-speaking patient and family.What would the nurse use as a guide for this care?
1)Checklist
2)Standardized care plan
3)Nursing textbook
4)Care map