Link download test bank for population and community health nursing 6th edition by clark

Nursing/Int.Conc: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Application Learning Outcome: 5-1 3 During a health history a patient states he is

Trang 1

Test bank for Population and Community Health Nursing 6th

Edition by Clark

Sample

Population and Community Health Nursing, 6e (Clark)

Chapter 5 Cultural Influences on Population Health

1) 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:

1 Culture

2 Ethnicity

3 Nationality

4 Acculturation

Answer: 1

Explanation: 1 Culture is a universal experience and can transcend ethnic lines

Ethnicity can be part of culture In culture, people act in prescribed behavior

patterns, though the patterns may have variations from group to group The

American work ethic is considered a cultural characteristic of its citizens

Nationality is the country of birth Ethnicity is an aggregate of cultural

practices and social influences that shape a community’s Acculturation is the process of becoming cultured into a group

Nursing/Int.Conc: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive Level: Analysis

Trang 2

Learning Outcome: 5-1

which they become nurses includes aspects of:

1 Culture

2 Ethnicity

3 Worldview

4 Acculturation

Answer: 4

Explanation: 4 Acculturation is cultural assimilation, where there is acquisition

of some beliefs, values, and behaviors of another culture, in this case,

nursing While the students ultimately become part of the nursing culture, they

have to be assimilated or undergo acculturation to become part of that culture Ethnicity is an aggregate of cultural practices, social influences, and racial

characteristics which is not a part of entering the nursing culture Worldview

refers to how a cultural group views the universe and their relationship to it

Nursing/Int.Conc: Nursing Process: Implementation

Cognitive Level: Application

3) During a health history a patient states he is Asian American What

should the nurse realize this patient is describing?

1 Race

2 Culture

3 Ethnicity

4 Nationality

Answer: 3

Trang 3

Explanation: 3 Referring to oneself by placing the cultural group before the

word American explains the patient’s ethnicity, which is a cultural practices, social

influences, and racial characteristics that shape a

distinct identity Many Americans of different national origins celebrate and practice customs that originated in their ancestors’ Nationality is the country of birth Race is an artificial categorization based on

genetic inheritance and appearance Culture is the sum of the ways of

thinking and acting within a group that defines the group Ethnicity can

be present in culture

4) 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 health problems?

1 High in fat and sugars

2 Low in processed foods and fat

3 Low in fiber-rich foods and exercise

4 High in starchy vegetables and sugars

Answer: 1

Explanation: 1 The traditional African American diet that relies on foods high

in fat and sugars is connected to the high rates of cardiovascular disease and

diabetes in the United States It also has historical roots in foods that were

affordable on very limited incomes, which tended to be the fattier meats and

foods with sugar A diet low in processed food and fats helps to eliminate

these risk factors Fiber rich foods in addition to exercise contribute to

cardiovascular and diabetes prevention While starchy vegetables and

sugars can contribute to diabetes, the fat content is a determinant in

cardiovascular disease

Nursing/Int.Conc: Nursing Process: Evaluation

Trang 4

Client Need: Health Promotion and Maintenance

5) 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?

1 Use simple language that the person can understand

2 Have another member of the person’s family do the

3 Ensure that there is an interpreter nearby while doing the

health teaching

4 Ask the person to give an explanation, in their own words, of the

health teaching

Answer: 4

Explanation: 4 There is a great respect for authority among older people of Asian

background As such, they tend to agree with what is being said or done rather than

question it, even if only for clarity of understanding It would be considered disrespectful

to question authority The nurse could elicit understanding of the person by asking them

to explain what was taught– essentially a “return demonstration.” There is no ind does not understand English, therefore an interpreter may not be necessary

A family member might wish to be present, but it is not necessary to the

success of the health teaching Using simple language is not the most

reliable method to determine if the person understands health teaching; it

would be best to elicit understanding of the person by asking them to explain

what was taught

Nursing/Int.Conc: Nursing Process: Evaluation

Trang 5

6) 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 a behavior?

1 The patient probably does not understand English

2 The patient is not interested in what the nurse is doing

3 There may be cultural factors that explain the pat

4 The patient may be uncomfortable with having the nurse in the home

Answer: 3

Explanation: 3 Cultural background may influence how the patient responds to

questions and teaching In Mexican culture, it is expected that the nurse, as

the authority figure, will take care of all the patie perceive this as disinterest The patient assumes a dependent position in

health care There is no indication that the patient is not fluent in English,

or that there is discomfort in having the nurse perform a home visit

7) The nurse desires to improve cultural competence when providing patient

care What action should the nurse take first to develop this competency?

1 Understand the culture of the patient

2 Identify the goals for culturally competent care

3 Gain proficiency in another language beyond English

4 Understand and recognize the nurse’s own cultural

Answer: 4

Explanation: 4 Until the nurse can understand and acknowledge the cultural

background from which the nurse operates, it will be very difficult to develop

cultural competence Gaining proficiency in another language and

Trang 6

competence as well as understanding the goals of culturally competent

care, but less important than the nurse understanding and recognizing his or her own cultural background

8) The population health nurse is planning to develop cultural

competence within a community Which actions should the nurse take?

(Select all that apply.)

1 Ensuring that all patients are treated in the same manner

2 Recognizing subgroup differences within cultural groups

3 Ensuring that health clinics employ minority staff to deliver care

4 Engaging in community partnerships to help design culturally

relevant services

5 Maintaining an up-to-date demographic, cultural, and

epidemiologic community profile

Answer: 2, 4, 5

Explanation: 2 Maintaining an up-to-date community demographic profile and engaging in partnerships to help design relevant services are two measures to help develop culturally competent care Employing minority staff and treating all patients the same way does not indicate cultural competence and could actually be offensive to the patients It is important to recognize that

differences within subgroups of a particular culture may exist

4 Maintaining an up-to-date community demographic profile and

engaging in partnerships to help design relevant services are two

measures to help develop culturally competent care Employing minority staff and treating all patients the same way does not indicate cultural competence and could actually be offensive to the patients It is

important to recognize that differences within subgroups of a particular culture may exist

Trang 7

5 Maintaining an up-to-date community demographic profile and

engaging in partnerships to help design relevant services are two

measures to help develop culturally competent care Employing minority staff and treating all patients the same way does not indicate cultural competence and could actually be offensive to the patients It is

important to recognize that differences within subgroups of a particular culture may exist

9) 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?

1 Cultural blindness

2 Cultural proficiency

3 Cultural competence

4 Cultural destructiveness

Answer: 1

Explanation: 1 Treating everyone alike and ignoring cultural differences such

as this example, with an influx of an immigrant population, is cultural

blindness Cultural destructiveness happens when the dominant culture in the organization believes other cultures are inferior Cultural proficiency occurs when the organization is proactive with diversity and seeks to incorporate it Cultural competence is the result of the products of developing culturally

sensitive care

Trang 8

10) 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?

2 Cultural incapacity

4 Cultural precompetence

Answer: 2

Explanation: 2 A token minority staff is employed to aid patients who cannot speak English and the staff feels no need to change This is cultural

incapacity Cultural destructiveness occurs when organization members believe others are inferior to the dominant culture and no attempt is made to promote cultural diversity in the workforce Cultural blindness fails to

recognize the differences among cultures and the influence of culture on health and health care Cultural precompetence has the organization

planning to be culturally competent but displays complacence based on minimal effort toward that goal

11) 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?

Trang 9

2 Cultural incapacity

4 Cultural precompetence

Answer: 3

Explanation: 3 Cultural destructiveness occurs when members of the

organization lack cultural knowledge Linking an area of a community with a

preconceived idea of its residents contributes to cultural destructiveness

Cultural incapacity occurs when there is token minority representation with

no attempt to engage in any cross-cultural training Cultural blindness is

where the organization treats everyone the same way Cultural

precompetence is where the organization makes plans for cultural

competence but is complacent about its efforts toward it

12) 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.)

1 Ask personal questions about the group

2 Look for similarities in one’s own group

3 Talk and interview members of the group

4 Come prepared with prior research done on the group

5 Acknowledge the group’s reliance on alternative th

Answer: 2, 3

Explanation: 2 Talking with members of the group can provide insights into

the group’s culture Looking for similarities in the can help the nurse understand the group culture While doing prior research

on a group is acceptable, it could also cause the nurse to have preconceived

ideas Asking personal questions may be resented by group members, so

this should be ascertained before asking such questions Acknowledging the

Trang 10

group’s reliance on alternative therapies implies ste not part of a cultural assessment

process

3 Talking with members of the group can provide insi culture Looking for similarities

in the group with one’s own gr help the nurse understand the group culture While doing prior research

on a group is acceptable, it could also cause the nurse to have preconceived ideas Asking personal questions may be resented by group members, so this should be ascertained before asking such questions Acknowledging the group’s reliance on a implies stereotyping a group and is not part of a cultural assessment

process

13) 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 p

(Select all that apply.)

1 Causing no additional stress on the patient

2 Nationwide certification in Chinese medicine

3 USDA standards in the herbal preparations used

4 Safety, efficacy, and quality in the Chinese medicine practice

5 No adverse interactions between herbal preparations used and

any prescription medications the patient might be on

Answer: 1, 4, 5

Explanation: 1 The patient is utilizing complementary alternative therapy (CAT)

with the combination of Western and Chinese medicine The World Health

Organization (WHO) has identified safety, efficacy, and quality as a

consideration for CAT CAT should put no additional stress on the patient, nor

should the Chinese herbal preparations used have any adverse interaction with

any prescribed medication While the USDA has some regulatory control

Định dạng
Số trang	16
Dung lượng	177,71 KB