NR 222 Exam 2
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
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Exam
WEEK 4: CULTURAL COMPETENCE AND ATTRIBUTES
In this lesson, you will learn how culture influences health and illness and explain the
approaches used to deliver culturally competent care.
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NR-222 Exam 2
NR222 Exam 2
cultural competent care
-care based on an individual's cultural beliefs, practices, and values
-care must be culturally sensitive and culturally appropriate to meet the healthcare
needs of each client, family, and community
-goal of culturally competent care is to provide culturally specific care that is safe and
beneficial to the well-being of the client.
A healthcare professional is providing care for a culturally diverse population.
Which action indicates the professional is successful in the role of providing
culturally competent care?
Provides care that is based on meanings generated by predetermined criteria
Provides care that is the same as the value of the professional healthcare
system
Provides care that fits the client's valued life patterns and set of meanings
Provides care that makes the professional the leader in determining what is
needed
Provides care that fits the client’s valued life patterns and set of meanings
A healthcare professional is practicing cultural competence to improve care.
Which step should the professional take first?
Assess own biases and attitudes
Practice face-to-face interactions
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Learn about the world view of others
Develop cultural skills
-Assess own biases and attitudes
-Becoming more aware of one’s biases and attitudes about human behavior is the
first step in providing culturally competent care.
-It is helpful to think about cultural competence as a lifelong process of learning
about others and also about yourself. -Learning about the world view, developing
cultural skills, and practicing face-to-face interactions will come later.
A healthcare professional is using an interpreter to communicate with a client.
Which actions are appropriate when working with an interpreter? Select all
that apply.
Use short sentences and pause periodically for clarification.
Avoid medical terminology and jargon.
Talk directly to the interpreter when providing information.
After the encounter, thank the interpreter and client.
Interrupt the interpreter if you forget to add something important.
-Use short sentences and pause periodically for clarification.
-Avoid medical terminology and jargon.
-After the encounter, thank the interpreter and client.
using a medical interpreter
-When talking with a client through an interpreter, speak in the first person ("I"
statements) not the third person ("tell her," "he said") and speak directly to the client,
not the interpreter.
-Speak in short sentences and then wait for the interpreter to convey them.
-Do not use jargon, acronyms, or jokes.
-Ask the client for feedback and clarification at regular intervals.
-Be observant of the client's nonverbal and verbal behaviors.
-Have the interpreter sit next to the client.
-Afterwards, thank both the client and the interpreter.
According to the 2020 U.S. Census, approximately ____% of the population
belongs to a racial or ethnic minority group
40%
-By 2050, these percentages are expected to reach 15%, 22%, and 8% respectively.
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-In 2010, the percentage of non-Hispanic white Americans is expected to decline
from 60% to 50% in 2050 (CDC, n.d.).
cultural attributes
-characteristics that define a culture
-understanding cultural attributes can help
healthcare professionals develop cultural competence
stereotyping
an assumed belief regarding a particular group that we must be careful to avoid
Ex: For example, assuming that all people from a certain country are rude.
African Americans
Countries of Origin: largely descendants of Africans brought forcibly to America as
slaves
Communication: national languages often retained by immigrants; primary
language is English for those born in America; highly verbal and nonverbal
Space: close personal space; comfortable with touch
Social Organization: large, extended families; many female-headed households;
traditionally strong religious orientation, mostly Protestant; community social
organizations; cultural differences between African American natives and recent
immigrants
Time: present-time-oriented
Environmental Control: traditional healthcare delivery system; some individuals
prefer to use folk practitioners or home remedies
Biological Variations: health concerns include cardiovascular disease,
hypertension, sickle cell disease, diabetes mellitus, and lactose intolerance
American Indians and Alaska Natives
Countries of Origin: North America, Alaska, Aleutian Islands
Communication: 200 tribal languages recognized; comfortable with silence
Space: large, extended space important; uncomfortable with touch
Social Organization: families: nuclear and extended; children taught the importance
of tradition; social organizations: tribe and family most important
Time: present-time-oriented
Environmental Control: religion and health practices intertwined; a non-traditional
healer (shaman) uses folk practices to heal; a shaman may work with a modern
healthcare practitioner