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Adult Health Theory Exam 1 Practice
Questions and Answers (Module 1-3)
A nurse is explaining differences in the incidence, prevalence, mortality rate, and burden of
diseases among specific population groups to community volunteers. The nurse is describing
what concept?
a. Stereotyping
b. Ethnocentrism
c. Health disparities
d. Cultural competence
c. Health disparities
The nurse is performing an assessment of a Chinese American patient wearing a jade bracelet
on her left wrist. The nurse asks the patient about the significance of the bracelet and whether
it can be removed before the scheduled diagnostic procedure. What behavior has the nurse
demonstrated?
Diversity
Stereotyping
Ethnocentrism
Cultural competence
Cultural competence
A nurse, while preparing to interview for employment in a rural hospital, identifies which
chronic illnesses as more prevalent in rural areas than in urban areas of the United States?
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Cancer and heart disease
Sexually transmitted infections
Alzheimer's disease and dementia
Chronic obstructive pulmonary disease
Cancer and heart disease
- Chronic illnesses that are more prevalent in rural areas of the United States include cancer,
heart disease, diabetes, depression, injury-related deaths, obesity, and substance abuse.
-Obesity and chronic illness rates for diabetes, hypertension, chronic obstructive pulmonary
diseases, cancer, and stroke are higher among minority people.
An older adult from Nigeria is visiting an adult child. The child tries to encourage the patient to
have the testing and treatment for a chronic productive cough. What behavior has occurred
since the child now believes in American medical treatment?
Acculturation
Ethnocentrism
Race awareness
Cultural imposition
Acculturation
The adult children of a patient who is Hindu have requested a vegetarian diet for the patient.
What is the nurse's most appropriate response?
Order a vegetarian diet for the patient.
Assess the family's rationale for choosing this particular diet.
Teach the family about the relationship between protein intake and wound healing.
Explore the benefits of a low-meat, high-protein diet with the family and the dietitian.
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Order a vegetarian diet for the patient.
A Muslim patient is hospitalized during the period of Ramadan and refuses his morning oral
medications. What is the priority action by the nurse?
Place the medication in food.
Offer the medication to the patient after sundown.
Tell the patient that if he does not take the medication now, he will not get better.
Inform the patient that if he does not take his medication, he will have to leave the hospital.
Offer the medication to the patient after sundown.
The nurse is interested in developing her cultural competence. What behaviors can be adopted
to do so?
Develop an understanding of all ethnic groups.
Identify the one culture about which she is interested in being competent.
Have extended contact with a cultural group to enhance understanding of its values and beliefs.
Understand the specific information about the patient's culture so the understanding can be
applied to caring for the patient.
Have extended contact with a cultural group to enhance understanding of its values and beliefs.
The nurse is caring for a Spanish-speaking patient that speaks no English. What action should
the nurse take when using an interpreter for communication with this patient?
Ask a family member to interpret.
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Maintain eye contact with the patient.
Ask fewer questions to prevent fatigue.
Use as many medical terms as possible.
Maintain eye contact with the patient.
The nurse is caring for a Hispanic man who wishes to have a "traditional healer" come to the
hospital to give care. After informing the primary care provider, the nurse should obtain the
services of which individual?
A hougan
A shaman
A parteras
A curandero
A curandero
The nurse is developing a community outreach program for patients with limited health care
access. Which patient would be most likely to benefit from this program?
A 65-yr-old upper class Hispanic man living in the city
A 78-yr-old Native American man living on a reservation
A 72-yr-old black retired attorney living in a condominium
A 50-yr-old middle-class white woman living in a rural area
A 78-yr-old Native American man living on a reservation
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