WGU D450 ACTUAL TEST PAPER
COMPLETE QUESTIONS AND SOLUTIONS
TESTED ANSWERS
◉ A nurse who speaks only English has just gotten a new client for
an intake interview. The client is a refugee who has very limited
English proficiency (LEP). The nurse should:
a. get an interpreter.
b. see whether another nurse, more comfortable with refugees, will
work with the client.
c. see what helpful information is on the Internet.
d. try to communicate with hand gestures.
Answer: a. get an interpreter.
In selecting an interpreter, nurses should consider the clients'
cultural needs and respect their right to privacy.
◉ A Public Health Service nurse working for the Indian Health
Service is working with a client diagnosed with cancer. The client
uses sweat lodges to "cure the disease." The nurse understands that
within the culture, disease is often perceived as disharmony with
other forces, and clients may look to hot or cold treatments to
,resolve or cure a cancerous condition. The nurse is integrating her
knowledge of the cultural organizing factor of:
a. biological variations.
b. communication.
c. environmental control.
d. space.
Answer: c. environmental control.
Environmental control refers to the relationships between humans
and nature. Cultures that view a human harmony with nature may
perceive illness as a disharmony with other forces and believe that
medicine can only relieve the symptoms rather than cure the
disease.
◉ A nurse in community health is visiting with an older adult Asian
woman for the first time. The nurse has not encountered many
clients from this culture. An effective way to ensure client-centered
care is performed is to:
a. explain to the client how the nurse intends to fix the problem.
b. focus on the differences between the two cultures.
c. tell the client how Western medicine will fix her problem.
d. listen to the client's perceptions of the problems.
,Answer: d. listen to the client's perceptions of the problems.
Skills such as listening, explaining, acknowledging, recommending,
understanding, and negotiating help the nurse be nonjudgmental. It
is vital that nurses listen to clients' perceptions of their problems
and, in turn, that nurses explain to clients the nurses' perceptions of
the problems.
◉ It is important that nurses understand the nontraditional healing
practices of their clients because:
a. folk practices are usually ineffective.
b. nurses can refer clients to the appropriate local folk healers.
c. safe, effective nontraditional healing methods can be blended with
Western medicine.
d. the nurse must understand them to help the client give them up.
Answer: c. safe, effective nontraditional healing methods can be
blended with Western medicine.
Nurses need to understand the nontraditional healing practices that
their clients use. Many of these treatments have proven effective and
can be blended with traditional Western medicine.
, ◉ Nurses in community health who understand the basis of their
own behaviors and how those behaviors help or hinder the delivery
of competent care to persons from cultures other than their own are
demonstrating the cultural competence development process
construct of:
a. cultural awareness.
b. cultural desire.
c. cultural encounter.
d. cultural skill.
Answer: a. cultural awareness.
The five constructs that explain the process of developing cultural
competence are cultural awareness, cultural knowledge, cultural
skill, cultural encounter, and cultural desire. Cultural awareness is
self-examination and in-depth exploration of one's own beliefs and
values as they influence behavior.
◉ A nurse overhears the doctor saying, "Do not give him milk; he is
from Africa." The nurse reflects on the comment and determines that
the:
Select all that apply.
a. doctor is culturally competent.
COMPLETE QUESTIONS AND SOLUTIONS
TESTED ANSWERS
◉ A nurse who speaks only English has just gotten a new client for
an intake interview. The client is a refugee who has very limited
English proficiency (LEP). The nurse should:
a. get an interpreter.
b. see whether another nurse, more comfortable with refugees, will
work with the client.
c. see what helpful information is on the Internet.
d. try to communicate with hand gestures.
Answer: a. get an interpreter.
In selecting an interpreter, nurses should consider the clients'
cultural needs and respect their right to privacy.
◉ A Public Health Service nurse working for the Indian Health
Service is working with a client diagnosed with cancer. The client
uses sweat lodges to "cure the disease." The nurse understands that
within the culture, disease is often perceived as disharmony with
other forces, and clients may look to hot or cold treatments to
,resolve or cure a cancerous condition. The nurse is integrating her
knowledge of the cultural organizing factor of:
a. biological variations.
b. communication.
c. environmental control.
d. space.
Answer: c. environmental control.
Environmental control refers to the relationships between humans
and nature. Cultures that view a human harmony with nature may
perceive illness as a disharmony with other forces and believe that
medicine can only relieve the symptoms rather than cure the
disease.
◉ A nurse in community health is visiting with an older adult Asian
woman for the first time. The nurse has not encountered many
clients from this culture. An effective way to ensure client-centered
care is performed is to:
a. explain to the client how the nurse intends to fix the problem.
b. focus on the differences between the two cultures.
c. tell the client how Western medicine will fix her problem.
d. listen to the client's perceptions of the problems.
,Answer: d. listen to the client's perceptions of the problems.
Skills such as listening, explaining, acknowledging, recommending,
understanding, and negotiating help the nurse be nonjudgmental. It
is vital that nurses listen to clients' perceptions of their problems
and, in turn, that nurses explain to clients the nurses' perceptions of
the problems.
◉ It is important that nurses understand the nontraditional healing
practices of their clients because:
a. folk practices are usually ineffective.
b. nurses can refer clients to the appropriate local folk healers.
c. safe, effective nontraditional healing methods can be blended with
Western medicine.
d. the nurse must understand them to help the client give them up.
Answer: c. safe, effective nontraditional healing methods can be
blended with Western medicine.
Nurses need to understand the nontraditional healing practices that
their clients use. Many of these treatments have proven effective and
can be blended with traditional Western medicine.
, ◉ Nurses in community health who understand the basis of their
own behaviors and how those behaviors help or hinder the delivery
of competent care to persons from cultures other than their own are
demonstrating the cultural competence development process
construct of:
a. cultural awareness.
b. cultural desire.
c. cultural encounter.
d. cultural skill.
Answer: a. cultural awareness.
The five constructs that explain the process of developing cultural
competence are cultural awareness, cultural knowledge, cultural
skill, cultural encounter, and cultural desire. Cultural awareness is
self-examination and in-depth exploration of one's own beliefs and
values as they influence behavior.
◉ A nurse overhears the doctor saying, "Do not give him milk; he is
from Africa." The nurse reflects on the comment and determines that
the:
Select all that apply.
a. doctor is culturally competent.
