Test bank for latest canadian nursing leadership and management 1st edition by gaudine

Client need per NCLEX: safe and effective care environment, psychological integrity Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation Objective: 1

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Test Bank for Latest Canadian Nursing Leadership and Management

1st Edition by Gaudine

Chapter 12

Multiple Choice Questions

1) Organizational dimensions of cultural diversity include

1 management status, union membership, and seniority

2 management status, union membership, and education level

3 work experience, union membership, and seniority

4 work experience, union membership, and education level

Answer: a

Rationale for correct answer:

1 Correct: The four layers of diversity, as identified by Gardenswartz and Rowe (1998), and their accompanying dimensions, are as follows: personality

dimension (individual differences); internal dimensions (e.g., race, gender, sexual orientation, and physical ability); external dimensions (e.g., income, education level, religion, work experience); and organizational dimensions (e.g., management status, union membership, seniority)

2 Incorrect: The organizational dimensions of cultural diversity include

management status, union membership, and seniority Education level is an external dimension of cultural diversity, not an organizational dimension

3 Incorrect: The organizational dimensions of cultural diversity include

management status, union membership, and seniority Work experience is an external dimension of cultural diversity, not an organizational dimension

4 Incorrect: The organizational dimensions of cultural diversity include

management status, union membership, and seniority Work experience and education level are external dimensions of cultural diversity, not

organizational dimensions

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 1—Discuss cultural diversity and the ways in which the people you work

with may differ from you and from each other

2) Age, physical ability, and gender are examples of which layer of diversity?

1 personality

2 internal dimensions

3 external dimensions

4 organizational dimensions

Answer: b

Rationale for correct answer:

1 Incorrect: The personality dimension includes individual differences Age, physical ability and gender are internal dimensions of cultural diversity

2 Correct: The four layers of diversity, as identified by Gardenswartz and Rowe (1998), and their accompanying dimensions, are as follows: personality

dimension (individual differences); internal dimensions (e.g., race, gender, sexual orientation, and physical ability); external dimensions (e.g., income, education level, religion, work experience); and organizational dimensions (e.g., management status, union membership, seniority)

3 Incorrect: External dimensions of cultural diversity include income, education level, religion, and work experience Age, physical ability, and gender are internal dimensions of cultural diversity

4 Incorrect: Organizational dimensions of cultural diversity include

management status, union membership, and seniority Age, physical ability and gender are internal dimensions of cultural diversity

Client need per NCLEX: safe and effective care environment, psychological

integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 1—Discuss cultural diversity and the ways in which the people you work

with may differ from you and from each other

3) The recent accreditation report for a health care organization commented that

“decisions appear to include a wide range of perspectives and include an exceptional level of cultural competence.” This organization has shown that their diversity in employees has provided a

1 diversity challenge

2 diversity competence

3 diversity advantage

4 diversity awareness

Answer: c

Rationale for correct answer:

1 Incorrect: Organizational diversity in employees provides a diversity

advantage, not a diversity challenge

2 Incorrect: Organizational diversity in employees provides a diversity

advantage, not a diversity competence

3 Correct: The growing reality of global diversity has brought about an

emphasis on the “business case” for increasing ethnic and gender diversity Business organizations, in particular, make the case that there is a diversity advantage for an organization in that diversity in employees brings about better decisions due to a wider range of perspectives, and the fact that a

diverse workforce better understands a diverse customer base

4 Incorrect: Organizational diversity in employees provides a diversity

advantage, not diversity awareness

Client need per NCLEX: safe and effective care environment, psychological

integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 2—Discuss the implications of diversity in health care organizations for

nursing staff members, clients/patients, visitors and family members, and nurse leaders

4) Misunderstandings, misperceptions, and conflict can result from

1 diversity competence

2 cultural competence

3 diversity

4 moral distress

Answer: c

Rationale for correct answer:

1 Incorrect: Misunderstandings, misperceptions, and conflict can result from mismanaged diversity in the workplace, not from diversity competence

2 Incorrect: Misunderstandings, misperceptions, and conflict can result from mismanaged diversity in the workplace, not from cultural competence

3 Correct: While the positive side given for a diverse workforce is that it brings more perspectives to decisions and improves decision making, there is also a concern about a downside to diversity if it is not managed effectively Some concerns are that diversity in an organization may bring with it

miscommunication, conflict due to misunderstandings, and differing values and beliefs that affect team functioning

4 Incorrect: Misunderstandings, misperceptions and conflict can result from mismanaged diversity in the workplace, not from moral distress

Client need per NCLEX: safe and effective care environment, psychological

integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 2—Discuss the implications of diversity in health care organizations for

nursing staff members, clients/patients, visitors and family members, and nurse leaders

5) In order to develop communication skills that promote culturally diverse settings,

a nurse would _

1 teach others how to communicate using the accepted methods of

communication

2 seek out and participate in learning opportunities that include a focus on communication and diversity

3 ask yes/no questions when communication is not effective

4 identify colleagues who are best suited to working with clients who are

culturally diverse and suggest they care for that patient population

Answer: b

Rationale for correct answer:

1 Incorrect: Nurses should seek feedback from clients and colleagues, and

participate in communication validation exercises (e.g., role-playing

exercises; case studies)

2 Correct: According to the RNAO Best Practice Guidelines, one

recommendation for developing communication skills that promote culturally diverse settings is to seek and participate in learning opportunities that

include a focus on communication and diversity

3 Incorrect: Nurses should use a range of communication skills (not only

yes/no questions) to effectively communicate with clients and colleagues (including empathetic listening, reflecting, non-judgemental open-ended questioning)

4 Incorrect: All nurses should develop an awareness of different

communication styles and the influence of culture on communication

Client need per NCLEX: safe and effective care environment, psychological

integrity, health promotion and maintenance

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 3—Examine your attitudes and experiences in working with others who

differ in age, culture, gender, profession, experience, education, and hierarchical position

6) Acknowledging one’s own feelings and behaviours toward working with patients, families, and colleagues who have different cultural backgrounds, health behaviours, belief systems, and work practices is an example of

1 learning to embrace diversity in individuals

2 assessing an organization’s level of cultural competence

3 a workplace policy on diversity

4 institutional racism

Answer: a

Rationale for correct answer:

1 Correct: This is one of the aspects of self-awareness within the RNAO’s

individual recommendations for developing cultural competencies and

behaviours

2 Incorrect: Acknowledging one’s own feelings and behaviours toward working with patients, families, and colleagues who have different cultural

backgrounds, health behaviours, and belief systems is an individual

behaviour, and not part of assessing an organization’s level of cultural

competence

3 Incorrect: Acknowledging one’s own feelings and behaviours toward working with patients, families, and colleagues who have different cultural

backgrounds, health behaviours, and belief systems is an individual

behaviour, and not necessarily part of a workplace policy on diversity

4 Incorrect: Acknowledging one’s own feelings and behaviours toward working with patients, families, and colleagues who have different cultural

backgrounds, health behaviours, and belief systems is one of the aspects of self-awareness within the RNAO’s individual recommendations for

developing cultural competencies and behaviours It is not a definition of institutional racism

Client need per NCLEX: safe and effective care environment, psychological

integrity, health promotion and maintenance

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 3—Examine your attitudes and experiences in working with others who

differ in age, culture, gender, profession, experience, education, and hierarchical position

7) An organization that moves along the continuum towards becoming culturally competent works on which three aspects?

1 aptitude, policies, and practices

2 aptitude, procedures, and practices

3 attitudes, policies, and practices

4 attitudes, policies, and procedures

Answer: c

Rationale for correct answer:

1 Incorrect: The three aspects involved in attaining cultural competence are attitudes, policies, and practices

2 Incorrect: The three aspects involved in attaining cultural competence are attitudes, policies, and practices

3 Correct: Organizations that wish to move along the continuum to become culturally proficient must work on three aspects: attitudes, policies, and

practices There must be congruence between valuing differences, and the policies and practices that reflect such values

4 Incorrect: The three aspects involved in attaining cultural competence are attitudes, policies, and practices

Client need per NCLEX: safe and effective care environment, health promotion and

maintenance

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 4—Identify the continuum of cultural competence in an organization and

characteristics of organizations that embrace diversity in the workplace

8) A health care organization would be considered to have cultural blindness if it has which of the following characteristics?

1 It seeks cultural assimilation of clients and employees

2 It adopts policies that destroy cultural links

3 It supports staff in expressing differing perspectives and beliefs

4 It seeks consultation from cultural groups

Answer: b

Rationale for correct answer:

1 Incorrect: This is a policy that would promote cultural competence, not

cultural blindness

2 Correct: A culturally blind organization would adopt policies that

inadvertently destroy cultural links

3 Incorrect: This is a policy that would promote cultural competence, not

cultural blindness

4 Incorrect: This is a policy that would promote cultural competence, not

cultural blindness

Client need per NCLEX: safe and effective care environment, health promotion and

maintenance

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 4—Identify the continuum of cultural competence in an organization and

characteristics of organizations that embrace diversity in the workplace

9) When preparing for a performance appraisal, a nurse is asked to reflect upon how

he has demonstrated respect for cultural diversity in his practice Which statement reflects a good understanding of cultural competence in his practice?

1 He says he is respectful of his colleagues and does not identify when they are discriminatory, as this is up to them to determine

2 He says he is respectful of patients when they are not of the same cultural background as he is, but refuses to care for the patient

3 He says he has participated in a learning session on communication skills and cultural norms

4 He says he has read about learning sessions on communication skills and cultural norms

Answer: c

Rationale for correct answer:

1 Incorrect: This is not one of the aspects of self-awareness identified in the RNAO’s individual recommendations for developing cultural competencies and behaviours

2 Incorrect: This is not one of the aspects of self-awareness identified in the RNAO’s individual recommendations for developing cultural competencies and behaviours

3 Correct: Participating in learning opportunities that include a focus on

communication and diversity is one of the aspects of self-awareness within the RNAO’s individual recommendations for developing cultural

competencies and behaviours

4 Incorrect: This is not one of the aspects of self-awareness identified in the RNAO’s individual recommendations for developing cultural competencies and behaviours

Client need per NCLEX: safe and effective care environment, psychological

integrity, health promotion and maintenance

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 5—Describe the role of individual team members in a health care

workplace with respect to cultural diversity

10) An organization that is said to be stagnant in their movement toward becoming

a culturally safe environment might

1 dedicate funding in the budget to implement and evaluate strategies to strengthen diversity in the workplace

2 not recognize that there have been any issues with cultural diversity in the past and, as such, may not include cultural diversity in their strategic plan

3 develop policies, guidelines, and processes to address change and conflict in the workplace

4 develop educational strategies to address the diversity of preferred learning styles and behaviours within employee groups

Answer: b

Rationale for correct answer:

1 Incorrect: This is a policy that would move the organization forward in

becoming culturally safe; it is not an example of stagnation in this process

2 Correct: In order to move forward in an environment of cultural safety,

organizations must articulate, implement, and evaluate the effectiveness of their mission statement, values, and corporate strategic plans that emphasize the value of cultural diversity and competence

3 Incorrect: This is a policy that would move the organization forward in

becoming culturally safe; it is not an example of stagnation in this process

4 Incorrect: This is a policy that would move the organization forward in

becoming culturally safe; it is not an example of stagnation in this process

Client need per NCLEX: safe and effective care environment, psychological

integrity, health promotion and maintenance

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation,

Evaluation

Objective: 5—Describe the role of individual team members in a health care

workplace with respect to cultural diversity

11) The key categories of cultural competence of an organization include

1 organizational norms, boards of directors, and ethics committees

2 asset identification, translation services, and boards of directors

3 boards of directors, human resources, and community consultation

4 human resources, community consultation, and organizational norms

Answer: d

Rationale for correct answer:

1 Incorrect: Olavarria et al (2009) identified five key categories for

consideration of standards of cultural competence in organizations: 1)

organizational norms, principles, and policies; 2) asset and need

identification; 3) human resources and management; 4) services and service delivery; and 5) community consultation, partnership, and information

exchange

2 Incorrect: Olavarria et al (2009) identified five key categories for

consideration of standards of cultural competence in organizations: 1)