Deck 19: Culture As a Variable in Practice

Question 1

The advanced practice nurse (APN) administers a health literacy assessment asking the middle-age patient to pronounce words in ascending order of difficulty. Which assessment is the APN administering? Select all that apply.

A) Rapid Estimate of Adult Literacy in Medicine (REALM)
B) Test of Functional Health Literacy in Adults (TOFHLA)
C) Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF)
D) Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
E) Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen)

Answer 1

Rapid Estimate of Adult Literacy in Medicine (REALM)
Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF)

Question 2

The advanced practice nurse (APN) administers a health literacy assessment asking the patient to replace missing words in paragraphs from multiple-choice options for each missing word. Which assessment is the APN administering?

A) Rapid Estimate of Adult Literacy in Medicine (REALM)
B) Test of Functional Health Literacy in Adults (TOFHLA)
C) Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
D) Newest Vital Sign (NVS)

Answer 2

Test of Functional Health Literacy in Adults (TOFHLA)

Question 3

Which assessment tool is appropriate for the advanced practice nurse (APN) to use when assessing the health literacy of a Spanish-speaking patient? Select all that apply.

A) Newest Vital Sign (NVS)
B) Rapid Estimate of Adult Literacy in Medicine (REALM)
C) Test of Functional Health Literacy in Adults (TOFHLA)
D) Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
E) Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen)

Answer 3

Newest Vital Sign (NVS)
Rapid Estimate of Adult Literacy in Medicine (REALM)
Test of Functional Health Literacy in Adults (TOFHLA)
Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)

Question 4

Which tool does the advanced practice nurse (APN) use when assessing both reading comprehension and numerical ability when conducting a health literacy assessment?

A) Newest Vital Sign (NVS)
B) Rapid Estimate of Adult Literacy in Medicine (REALM)
C) Test of Functional Health Literacy in Adults (TOFHLA)
D) Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)

Question 5

The advanced practice nurse (APN) is conducting an assessment for a patient of a different cultural background. Which question is appropriate for the APN to ask the patient to assess perceptions?

A) "How do you define health and illness?"
B) "Do you use folk medicine to treat your condition?"
C) "Who makes health-care decisions within your family?"
D) "How do your spiritual beliefs affect your health-care choices?

Question 6

The advanced practice nurse (APN) is conducting an assessment for a patient of a different cultural background. Which question is appropriate for the APN to ask the patient to assess interpersonal behavior?

A) "How do you define health and illness?"
B) "Do you use folk medicine to treat your condition?"
C) "Do you have any particular norms related to eye contact?"
D) "How do your spiritual beliefs affect your health-care choices?"

Question 7

The advanced practice nurse (APN) conducts an assessment for a patient from a different culture. Which question is appropriate for the APN to ask to elicit beliefs and treatment expectations for the patient who is seeking illness care? Select all that apply.

A) "What do you think caused your problem?"
B) "What kind of treatment should you receive?"
C) "What do you fear most about your sickness?"
D) "Who makes health-care decisions in your family?"
E) "What are your folk medicine beliefs and practices?"

Question 8

When working with a population within a community, which racial group does the advanced practice nurse (APN) identify as being at the greatest risk for health disparity related to poverty?

A) Blacks
B) Asians
C) Hispanics
D) Non-Hispanic whites

Question 9

A valuable tool for assessing the cultural and __________ competency of a health-care organization is conducting a Cultural Competence Self-Assessment.

Question 10

The advanced practice nurse (APN) uses the field guide to assess five domain areas identified by the __________ community.