Deck 14: Diversity in Health and Illness

Question 1

When working with patients on changing health-related behaviors, the nurse understands that the first priority is to:

A) assess the patient's knowledge about the behavior.
B) determine how motivated the patient is to change.
C) establish a collaborative relationship with the patient.
D) plan interventions and set goals for behavior change.

Answer 1

establish a collaborative relationship with the patient.

Question 2

The nurse educator is presenting a lecture on diversity.How should diversity be explained?

A) Faith differences
B) Differences in nationality
C) Differences in social class
D) Ethnic differences

Answer 2

Ethnic differences

Question 3

A nurse is counseling a patient on disease prevention for a condition seen often in the patient's family history.Which instruction would the nurse be most likely to include in the patient's teaching?

A) "Fresh fruits and vegetables have healthy nutrients."
B) "Sleep deprivation has some very harmful effects."
C) "Stress can be reduced through many different methods."
D) "You should limit red meat to three servings a week."

Answer 3

"You should limit red meat to three servings a week."

Question 4

Which construct of the Campinha-Bacote Model of Competence is based solely on the nurses intrinsic need to acquire new knowledge?

A) Cultural knowledge
B) Cultural skill
C) Cultural awareness
D) Cultural desire

Question 5

A nurse assessing the needs of a patient.Which question demonstrates sensitivity to the client's culture?

A) "Are you able to meet your needs when you are sick?"
B) "Are there any special foods that you like?"
C) "How much stress do you have in your life right now?"
D) "When did the symptoms first become bothersome?"

Question 6

Which is a more viable mechanism than race for examining similarities and differences?

A) Religion
B) Ethnicity
C) Cultural
D) Social status

Question 7

Which action by the nurse demonstrates cultural awareness?

A) Stating Maslow's level of self-actualization
B) Becoming educated about a new culture
C) Examines own biases and stereotypes
D) Understanding the importance of health in their lives

Question 8

Much of what we believe, think, and act is attributed to:

A) diversity.
B) holism.
C) culture.
D) faith.

Question 9

The nursing professor understands that percentage of students from minority backgrounds in entry-level baccalaureate programs is:

A) 31.0.
B) 30.1.
C) 26.5.
D) 34.9.

Question 10

A nurse who is teaching a patient assesses the patient's goals in life.The nurse then explains to a student nurse that this practice is important because:

A) goals can be motivators for making health changes.
B) it helps the nurse become familiar with the patient.
C) social interactions relax the patient and increase trust.
D) this shows whether the person has self-agency or not.

Question 11

Which statement is true of overall trends regarding racial and ethnic minorities?

A) Life expectancy has decreased slightly.
B) Infant mortality has remained the same.
C) They are more likely to receive medical procedures.
D) They experience a lower quality of health services.

Question 12

A nurse is beginning discharge teaching when the patient states, "I just don't know if I can follow this diet at home.What difference will it make?" In further refining the discharge teaching plan, the nurse should:

A) ask the patient to help set nutritional goals.
B) give the patient clear written directions.
C) provide the patient with a list of websites.
D) tell the patient when to return to the clinic.

Question 13

The nursing faculty member explains that paternalism refers to:

A) the physician must understand new ethical and professional standards.
B) the patient is responsible for obtaining health care knowledge.
C) the government imposed strict regulations on patient consent.
D) the belief that physicians know more about the patient's needs than the patient does.

Question 14

A nurse wishes to encourage a patient to begin an exercise program.Which action should the nurse take in order to increase the likelihood of long-term compliance?

A) Create a list of possible long-term health benefits.
B) Gain insight into the patient's culture.
C) Encourage the patient to invest in expensive and durable fitness equipment.
D) Create a exercise routine for the patient to try.

Question 15

A nurse has worked to teach patients disease prevention strategies and is frustrated by the low level of compliance.This nurse would most likely conclude that:

A) it is hard to convince people that they can attain higher wellness levels.
B) most people have very low levels of motivation to make changes.
C) patients do not like being told that good health requires deprivation.
D) the information being given is too difficult for patients to follow.

Question 16

The nurse explains to a student that health promotion means :

A) encouraging people to avoid unhealthy habits.
B) maintaining a preventive health schedule.
C) preventing major diseases and injuries.
D) protecting health and improving wellness.

Question 17

A nurse explains to a nursing student that an advantage of a broad view of health is:

A) family, friends, culture, and environment are all resources the patient can use.
B) it leaves room for alternative, holistic views about health and health care practices.
C) patients are free to define health and illness according to their own philosophies.
D) the health care team will not inadvertently overlook important issues for the patient.

Question 18

A nurse is helping an obese patient alter dietary habits, but the patient does not seem to follow through with agreed-upon recommendations.Which action by the nurse would be most beneficial?

A) Ask the patient about foods that have special meanings.
B) Describe the health risks of not staying on the regimen.
C) Encourage the patient to keep a food log during the day.
D) Review dietary teaching to see what is not understood.

Question 19

Which action displays cultural knowledge?

A) Examining biases
B) Interviewing the patient
C) Creating a careplan for the patient
D) Educating oneself on different cultures

Question 20

A nurse is frustrated because a patient does not make any needed health changes despite ongoing and comprehensive education on the health-related topic.The best action by the nurse would be to:

A) ask the patient if he or she really wants to make changes.
B) assess for barriers to implementing the knowledge.
C) continue trying to education the patient on the topic.
D) find out whether the patient learns in a different way.

Question 21

Before providing written information or behavioral contracts to a patient, a nurse should ascertain that the patient:

A) can read and understand.
B) has resources for change.
C) is ready to make changes.
D) wants to make changes.

Question 22

Which groups has the highest burden of human immunodeficiency virus?

A) Asian Americans
B) Hispanics Latinos
C) African Americans
D) Pacific Islanders

Question 23

A grant-awarding organization is reviewing a nurse-led program promoting weight loss and healthy eating habits in a minority population.The program has a high success rate.The organization's members might conclude that:

A) members of the cultural group have specific health needs the program helps meet.
B) nurse-run programs have better outcomes than those led by other providers.
C) the nurse sought assistance from cultural leaders to develop the program.
D) this cultural group is well assimilated and uses Western medical practices.