Deck 14: Diversity in Health and Illness

Question 1

A faculty member explains that four states and Washington,DC are known as "majority-minority" areas,meaning

A)areas where the minority population is expected to become the majority.
B)non-white,non-Hispanic individuals make up the population majority.
C)places where the majority group alternates between white and nonwhite.
D)regions where there is no dominant population group to make a majority.

Answer 1

non-white,non-Hispanic individuals make up the population majority.

Question 2

A nurse explains to a student that ethnicity may be more relevant to cultural diversity than race,because an ethnic group

A)contains people who are easily classified as group members.
B)has a common culture and history and a collective identity.
C)has members who are all from the same countries of origin.
D)may be easier to identify than race when physical traits differ.

Answer 2

has a common culture and history and a collective identity.

Question 3

A nurse is working with a third-generation Iraqi American and is frustrated that the patient continues to rely on folk healing practices and neglects to take prescribed medication.Another nurse explains that this most likely reflects

A)a lack of understanding on the patient's part about treatment.
B)mistrust of the health system by members of this community.
C)poor language skills despite the patient's third-generation status.
D)the effect of transgenerational transmission of cultural beliefs.

Answer 3

the effect of transgenerational transmission of cultural beliefs.

Question 4

The nurse studying diversity learns that the biggest problem with defining groups of people by racial labels is that

A)not everyone self-identifies as a member of a certain race.
B)races have been arbitrarily determined and are imprecise.
C)some people may see themselves as being multiracial.
D)the government cannot decide on permanent racial groups.

Question 5

A nursing researcher explains to a class of nursing students that access to health care

A)among racial groups exhibits few,if any,lasting effects of discrimination.
B)differs significantly between minorities and white patients,even those with insurance.
C)differs tremendously within various regions and economic conditions.
D)is determined primarily by availability of quality health care insurance.

Question 6

When working with Campinha-Bacote's model of cultural competence,the nurse is aware that the most important concept inherent in the model is cultural

A)awareness.
B)desire.
C)encounters.
D)skill.

Question 7

A health care organization serves many patients from different racial and ethnic groups.One group in particular does not take advantage of specific programs offered.The nurse manager could infer that

A)members of this cultural group need further education on the program's benefits.
B)the cultural group shares an experience that creates barriers to using the service.
C)the program simply is not equally beneficial to all cultural and racial groups.
D)these programs should be mainly marketed to groups that actually use them.

Question 8

A nurse is caring for a patient whose culture emphasizes family commitment and involvement.The patient needs to learn and incorporate extensive lifestyle changes for heart-healthy living.Which action by the nurse would most likely lead to a successful outcome?

A)Ask family members if they would like to help the patient make the changes.
B)Choose a family spokesperson and involve that person in the patient's teaching.
C)Encourage the family to check in on the patient to assess for his or her compliance.
D)Remind the patient that following the changes will lead to a longer life with his or her family.

Question 9

A nursing dean wants the admissions department to begin recruiting more heavily in culturally diverse communities and has applied for a grant to make this possible.Which statement by the dean best illustrates a compelling reason for this project? "Increased diversity

A)improves patient safety by reducing errors and misunderstandings."
B)increases the chances that minority patients will trust and turn to us."
C)provides more opportunities for nurses to improve their competence."
D)will make health care more representative of the general population."

Question 10

A nurse is working with a patient whose ethnic background emphasizes collective family decision making.The nurse needs to teach this patient self-care of diabetes,including how to take blood glucose readings and adjust insulin doses.The best action for the nurse to take in this situation is to

A)confirm the patient's beliefs in this cultural value.
B)discuss the family's wishes to be involved in care.
C)plan to include both patient and family in teaching.
D)wait for family to come before teaching the patient.

Question 11

A patient has a serious illness but does not seem to be responding as the nurse expects.Which action by the nurse would most likely lead to a better understanding of this situation?

A)Ask the patient to describe what is wrong with him or her.
B)Determine whether any factors are interfering with learning.
C)Find out why the patient thinks the illness is not serious.
D)Inquire about cultural beliefs regarding health and illness.

Question 12

A female patient from an unfamiliar culture is in the emergency department and needs an emergency operation.She wishes to wait for a tribal elder to arrive before making a decision about the operation.The best action by the nurse is to

A)ask the patient's husband if he is willing to consent for the operation.
B)explain that only the patient may make health care decisions for herself.
C)prepare the patient for surgery under the doctrine of implied consent.
D)wait for the tribal elder to arrive and then obtain informed consent.

Question 13

A nurse works with a diverse population.This nurse can conclude that care planning has been successful when

A)all patients meet the objectives set forth.
B)high levels of compliance are demonstrated.
C)patient care plans are culturally relevant.
D)patients understand what is expected of them.

Question 14

A nurse is conducting a class for minority children who have juvenile diabetes.The class consists of teaching through game playing.The nurse is frustrated because the children do not seem engaged in the games,are hesitant to answer questions,and never want their prizes.The explanation by a colleague that would best clarify this situation is

A)"Diabetes is too complicated to teach by using games and prizes."
B)"The kids may need some time to get used to your teaching style."
C)"This culture might see group achievement as highly important."
D)"Your prizes may not be culturally relevant for these children."

Question 15

The nurse practicing in a diverse society can consider culture to be

A)a society or group that existed in a specific period of time.
B)a learned systems of beliefs,customs,language,and rituals.
C)practices or behaviors associated with specific racial groups.
D)transgenerational world views shared by diverse groups.

Question 16

A nurse is caring for a female patient from an unfamiliar culture.The nurse has planned extensive discharge teaching,but the patient seems uninterested,deferring all questions to an older adult male relative.The best action by the nurse is to

A)ask the male relative to assist with discharge teaching.
B)include the male relative and revise the teaching plan.
C)remind the patient that her condition is confidential.
D)try to do the teaching when the male relative is absent.

Question 17

The nursing dean knows that in regard to minority and male nursing student enrollment,

A)male faculty numbers are approaching numbers similar to the overall male population.
B)male and minority enrollments have been growing exponentially.
C)minorities are well represented in nursing and health care today.
D)minority numbers have increased but still underrepresent the population.

Question 18

A hospital nursing manager wishes to improve the cultural competence of the nurses working on the manager's unit.Which action by the manager would best accomplish this goal for this particular unit?

A)Collect information about the cultures seen most often.
B)Ensure that written material is available in other languages.
C)Provide incentives to complete training programs.
D)Write policies and procedures for using interpreters.

Question 19

A nurse is planning a community teaching event on women's health for members of an unfamiliar culture.To create an event that is successful,the best action by the nurse would be to

A)arrange the event at a location that is convenient to attend.
B)have activities for children who attend with their mothers.
C)plan to provide culturally appropriate food and beverages.
D)read about common health problems in this particular group.

Question 20

A task force is meeting to determine the causes of dissatisfaction between a health care organization and members of a cultural group that receives care from the organization.The task force finds the nurses to be motivated to provide culturally sensitive care.Using the U.S.Health Resources Service Administration's domains of cultural competence as a framework,what might the task force infer?

A)Nurses need more training to provide appropriate care to the group.
B)The organization presents barriers to culturally competent care.
C)There needs to be better communication between the two groups.
D)This cultural group is encountered infrequently by the organization.

Question 21

A nurse is frustrated working with a patient who is from another culture.The patient does not seem to be motivated to learn to provide self-care.A more experienced nurse helps interpret this behavior by stating,

A)"Everyone has motivators;you have to find your patient's."
B)"It's possible the patient doesn't understand what to do yet."
C)"The patient's culture may include a dependent sick role."
D)"Your patient is not ready to learn about self-care yet."

Question 22

A nurse is caring for a patient in the hospital who is from an unfamiliar culture.Which question by the nurse would provide the most beneficial information?

A)"How can I assist you to learn self-care?"
B)"What do you expect out of health care?"
C)"What role does your family play in illness?"
D)"Why do you think you have gotten sick?"

Question 23

The nursing student knows that Leininger's theory of cultural care includes cultural (Select all that apply. )

A)care accommodation/negotiation.
B)care repatterning/restructuring.
C)compromise/confrontation.
D)preservation/maintenance.
E)reeducation/recreating.

Question 24

An experienced nurse explains to a newly hired nurse that understanding other cultures' worldviews is important in helping individuals meet health care goals,because

A)culture is an important concept in health and illness.
B)every culture has its own related values and attitudes.
C)people may be afraid of others with differing views.
D)people's worldviews influence their perception of health care.

Question 25

The nurse working in a diverse community works to address discrepancies in health care,which include (Select all that apply. )

A)employer-provided insurance.
B)institutionalized racism.
C)resentment of lack of access.
D)social realities of different groups.
E)the drive to be "color blind."

Question 26

The nurse working with diverse populations understands that values of American culture that may be at odds with those from other cultures include (Select all that apply. )

A)androcentrism.
B)autonomy.
C)collective decision making.
D)individual achievement.
E)personal freedom.