Question 1

The nurse is aware that cultural competence means having the skills to put cultural knowledge to use in all of the following except:

Accepted Answer

A)  Assessment 
B)  Communication 
C)  Intervention 
D)  Collaboration 
A)  Assessment 
B)  Communication 
C)  Intervention 
D)  Collaboration A

Question 2

The health care provider discusses the need for surgery with an older adult and her family.Which information about the older adult's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent?

Accepted Answer

A)  Attitudes about caregiving 
B)  Process of decision making 
C)  Rituals for death and dying 
D)  Experience with discomfort 
A)  Attitudes about caregiving 
B)  Process of decision making 
C)  Rituals for death and dying 
D)  Experience with discomfort B

Question 3

Which of the following is a true statement about differing health belief systems?

Accepted Answer

A)  Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles. 
B)  In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals. 
C)  Ayurvedic medicine is another name for traditional Chinese medicine. 
D)  The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system. 
A)  Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles. 
B)  In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals. 
C)  Ayurvedic medicine is another name for traditional Chinese medicine. 
D)  The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system. B

Question 4

The nurse prepares an older woman,who is Polish,for discharge through an interpreter and notes that she becomes tense during the instructions about elimination.Which intervention should the nurse implement?

Accepted Answer

A)  Move onto the discussion about medication. 
B)  Ask the older woman how she feels about this topic. 
C)  Instruct the interpreter to repeat the instructions. 
D)  Have the older woman repeat the instructions for clarity. 
A)  Move onto the discussion about medication. 
B)  Ask the older woman how she feels about this topic. 
C)  Instruct the interpreter to repeat the instructions. 
D)  Have the older woman repeat the instructions for clarity.

Question 5

Which of the following considerations is most likely to be true when working with an interpreter?

Accepted Answer

A)  An interpreter is never needed if the nurse speaks the same language as the patient. 
B)  When working with interpreters, the nurse can use technical terms or metaphors. 
C)  A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient. 
D)  The nurse should face the patient rather than the interpreter. 
A)  An interpreter is never needed if the nurse speaks the same language as the patient. 
B)  When working with interpreters, the nurse can use technical terms or metaphors. 
C)  A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient. 
D)  The nurse should face the patient rather than the interpreter.

Question 6

Which action should the nurse take when addressing older adults?

Accepted Answer

A)  Speak in an exaggerated pitch. 
B)  Use a lower quality of speech. 
C)  Use endearing terms such as "Honey." 
D)  Speak clearly. 
A)  Speak in an exaggerated pitch. 
B)  Use a lower quality of speech. 
C)  Use endearing terms such as "Honey." 
D)  Speak clearly.

Question 7

A resident in a nursing home insists that a priest hear his confession.The resident is very anxious,and the nursing home does not have a Roman Catholic chaplain.Which intervention should the nurse implement?

Accepted Answer

A)  An Episcopal priest is coming to visit the home this evening. Arrange an appointment with her for the resident. 
B)  Report the resident's change in behavior in detail so that the attending physician can appropriately prescribe medication. 
C)  Refer the resident to the staff psychologist to address the underlying cause of the patient's anxiety. 
D)  Look in the local telephone book for a Roman Catholic Church, and ask the priest to visit the resident. 
A)  An Episcopal priest is coming to visit the home this evening. Arrange an appointment with her for the resident. 
B)  Report the resident's change in behavior in detail so that the attending physician can appropriately prescribe medication. 
C)  Refer the resident to the staff psychologist to address the underlying cause of the patient's anxiety. 
D)  Look in the local telephone book for a Roman Catholic Church, and ask the priest to visit the resident.

Question 8

A nurse caring for older adults must be aware of which consequences of ageism in language?

Accepted Answer

A)  Reduced sense of self 
B)  Poor nutritional intake 
C)  Lowered self-esteem 
D)  Decreased memory performance 
A)  Reduced sense of self 
B)  Poor nutritional intake 
C)  Lowered self-esteem 
D)  Decreased memory performance

Question 9

An older individual from which culture is likely to receive more respect than a younger person in the same community?

Accepted Answer

A)  Canadian 
B)  Anglo-Saxon 
C)  German 
D)  African American 
A)  Canadian 
B)  Anglo-Saxon 
C)  German 
D)  African American

Question 10

The nurse plans care for an older African American adult who is from Jamaica and resides in New York City.Which should the nurse include in planning care?

Accepted Answer

A)  Attribute his illness to breaking a voodoo. 
B)  Help him improve social relationships. 
C)  Maintain blood pressure below 120/70 mm Hg. 
D)  Review the principles of the magicoreligious system. 
A)  Attribute his illness to breaking a voodoo. 
B)  Help him improve social relationships. 
C)  Maintain blood pressure below 120/70 mm Hg. 
D)  Review the principles of the magicoreligious system.

Question 11

Which cultural group is more likely to distrust the health care system than other cultural groups in the United States?

Accepted Answer

A)  African Americans 
B)  Chinese Americans 
C)  Mexican Americans 
D)  Lebanese Americans 
A)  African Americans 
B)  Chinese Americans 
C)  Mexican Americans 
D)  Lebanese Americans

Question 12

An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed.Which intervention should the nurse use to promote and maintain his health?

Accepted Answer

A)  Have the health care provider speak to him. 
B)  Use principles of the holistic health system. 
C)  Ask about his perceptions and treatment ideas. 
D)  Consult with a practitioner of Chinese medicine. 
A)  Have the health care provider speak to him. 
B)  Use principles of the holistic health system. 
C)  Ask about his perceptions and treatment ideas. 
D)  Consult with a practitioner of Chinese medicine.

Question 13

Which of the following is most likely to be true about caring for an older African-American patient?

Accepted Answer

A)  The patient can expect to find support from his church after discharge. 
B)  During a physical assessment, an examination of the interior of the patient's mouth with adequate light is important. 
C)  The patient may follow hot-cold beliefs. 
D)  African Americans may avoid eye contact when interacting with others. 
A)  The patient can expect to find support from his church after discharge. 
B)  During a physical assessment, an examination of the interior of the patient's mouth with adequate light is important. 
C)  The patient may follow hot-cold beliefs. 
D)  African Americans may avoid eye contact when interacting with others.

Question 14

The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment.Which question(s)should the nurse ask to follow this model?

Accepted Answer

A)  How can we negotiate to solve the problem? 
B)  What treatment can improve your condition? 
C)  Should we try my plan first to see if it helps? 
D)  Can we discuss differences in our plans now? 
E)  How long have you experienced the problem?
F)Who,other than me,can make you feel better? 
A)  How can we negotiate to solve the problem? 
B)  What treatment can improve your condition? 
C)  Should we try my plan first to see if it helps? 
D)  Can we discuss differences in our plans now? 
E)  How long have you experienced the problem?
F)Who,other than me,can make you feel better?

Question 15

Which factor(s)are associated with the provision of culturally competent care?

Accepted Answer

A)  Cultural awareness 
B)  Cultural knowledge 
C)  Cultural skills 
D)  Cultural connections 
A)  Cultural awareness 
B)  Cultural knowledge 
C)  Cultural skills 
D)  Cultural connections

Question 16

Which health belief system uses treatments to repair a body part?

Accepted Answer

A)  Holistic 
B)  Biomedical 
C)  Personalistic 
D)  Magicoreligious 
A)  Holistic 
B)  Biomedical 
C)  Personalistic 
D)  Magicoreligious

Question 17

Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds?

Accepted Answer

A)  The fact that a nurse is white has no bearing on the nurse's ability to care for minority patients or patients of color. 
B)  An encyclopedic accumulation of details of a particular culture is the best preparation for caring for persons from that culture. 
C)  A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as the nurse who works in California. 
D)  Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity. 
A)  The fact that a nurse is white has no bearing on the nurse's ability to care for minority patients or patients of color. 
B)  An encyclopedic accumulation of details of a particular culture is the best preparation for caring for persons from that culture. 
C)  A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as the nurse who works in California. 
D)  Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity.

Exam 4: Culture and Aging

The nurse is aware that cultural competence means having the skills to put cultural knowledge to use in all of the following except:

The health care provider discusses the need for surgery with an older adult and her family.Which information about the older adult's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent?

Which of the following is a true statement about differing health belief systems?

The nurse prepares an older woman,who is Polish,for discharge through an interpreter and notes that she becomes tense during the instructions about elimination.Which intervention should the nurse implement?

Which of the following considerations is most likely to be true when working with an interpreter?

Which action should the nurse take when addressing older adults?

A resident in a nursing home insists that a priest hear his confession.The resident is very anxious,and the nursing home does not have a Roman Catholic chaplain.Which intervention should the nurse implement?

A nurse caring for older adults must be aware of which consequences of ageism in language?

An older individual from which culture is likely to receive more respect than a younger person in the same community?

The nurse plans care for an older African American adult who is from Jamaica and resides in New York City.Which should the nurse include in planning care?

Which cultural group is more likely to distrust the health care system than other cultural groups in the United States?

An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed.Which intervention should the nurse use to promote and maintain his health?

Which of the following is most likely to be true about caring for an older African-American patient?

The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment.Which question(s)should the nurse ask to follow this model?

Which factor(s)are associated with the provision of culturally competent care?

Which health belief system uses treatments to repair a body part?

Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds?

Introduction to Healthy Aging

Gerontological Nursing History, Education, and Roles

Care Across the Continuum

Theories of Aging and Physical Changes

Social, Psychological, Spiritual, and Cognitive Aspects of Aging

Assessment and Documentation for Optimal Care

Safe Medication Use

Nutrition and Hydration

Elimination

Rest, Sleep, and Activity

Promoting Healthy Skin and Feet

Promoting Safety

Living With Chronic Illness

Pain and Comfort

Diseases Affecting Vision and Hearing

Metabolic Disorders

Bone and Joint Problems

Cardiovascular and Respiratory Disorders

Neurological Disorders

Cognitive Impairment

Mental Health

Economic and Legal Issues

Relationships, Roles, and Transitions

Loss, Death, and Palliative Care

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