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Exam (elaborations)

NSG 444 FINAL EXAM – Questions Answered By Expert

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NSG 444 FINAL EXAM – Questions Answered By Expert

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NSG 444 FINAL EXAM – Questions Answered By
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What is the leading determinant of a A
patient's health?
a. Behavior
b. Family history of disease
c. Home and work environment
d. Type and quality of medical care
received

,In identifying patients at the greatest B
risk for health disparities, the nurse
would note that:
a. patients who live in urban areas
have readily available access to
health care services.
b. cultural differences exist in patients'
ability to communicate with their
health care provider.
c. a patient receiving care from a
health care provider of a different
culture would have decreased quality
of care.
d. men are more likely than women to
have their cardiovascular disease
symptoms ignored by their health
care provider.


Forcing one's own cultural beliefs and D
practices on another person is an
example of:
a. stereotyping.
b. ethnocentrism.
c. cultural relativity.
d. cultural imposition.


Which statement most accurately A
describes cultural factors that may
affect health?
a. Diabetes and cancer rates differ by
cultural/ethnic groups.
b. Most patients find that religious
rituals help them during times of
illness.
c. There are limited ethnic variations
in physiologic responses to
medications.
d. Silence during a nurse-patient
interaction usually means that the
patient understands the instructions.

,When communicating with a patient B
who speaks a language that the nurse
does not understand, it is important
to first attempt to
a. have a family member translate.
b. use a trained medical interpreter.
c. use specific medical terminology
so there will be no mistakes.
d. focus on the translation rather than
nonverbal communication.


As part of the nursing process, B
cultural assessment is best
accomplished by
a. judging the patient's cultural values
based on observations.
b. using a cultural assessment guide
as part of the nursing process.
c. seeking guidance from a nurse
from the patient's cultural
background.
d. relying on the nurse's previous
experience with patients from that
cultural group.


Nurses play an important role in D
reducing health disparities. One
important mechanism to do this is to
a. discourage use of evidence-based
practice guidelines.
b. insist that patients adhere to the
Healthy People 2020 guidelines.
c. teach patients to use the Internet
to find resources related to their
health.
d. engage in active listening and
establish relationships with patients
and families.

, What is the first step in developing B
cultural competence?
a. Create opportunities to interact
with a variety of cultural groups.
b. Examine the nurse's own cultural
background, values, and beliefs
about health and health care.
c. Learn about a multitude of folk
medicines and herbal substances that
different cultures use for self-care.
d. Learn assessment skills for different
cultural groups, including cultural
beliefs and practices and physical
assessments.


Which individual is most likely to B
experience health care disparities?
A. A 65-year-old upper class Hispanic Being older, being a minority, living in a rural area,
male living in the city and being of male gender are risk factors for
B. A 78-year-old Native American experiencing health care disparities.
male living on a reservation
C. A 50-year-old middle-class white
female living in a rural area
D. A 72-year-old African American
retired attorney living in a condo


The nurse identifies a patient at high B, D, and E
risk for health care disparities. What
should be included as important Improving interpersonal skills, an important first step
nursing interventions to reduce health in reducing health care disparities, includes active
care disparities? (Select all that listening, relationship building, and communication
apply.) skills. Participating in cross-cultural education
A. Passive listening enhances cultural sensitivity and appropriate
B. Relationship building provision of health care. The use of standardized
C. Taking foreign language classes evidence-based care guidelines can reduce
D. Participating in cross-cultural disparities in diagnosis and treatments.
education
E. Using standardized evidence-
based guidelines

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