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Test Bank on The Concepts for Nursing Practice 2nd Edition by Giddens Giddens: Concepts for Nursing |All Chapters Covered 2024/2025
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Test Bank on The Concepts for Nursing Practice 2nd Edition by Giddens Giddens: Concepts for Nursing |All Chapters Covered 2024 /2025 Health Disparities Concept 54: Health Disparities Giddens: Concepts for Nursing Practice, 2nd Edition MULTIPLE CHOICE 1. The nurse is caring for a Chinese patient diagnosed with cancer who is suffering from pain, yet refuses analgesia administratio n. What type of health disparities is this patient exhibiting? a. Avoidable and acceptable b. Avoidable and unacceptable c. Unavoidable and acceptable d. Unavoidable and unacceptable ANS: B Health disparities that are avoidable and unacceptable unfortunately occur in healthcare settings and these are the targets of interventions. For example, a disparity in cancer pain management exists between Asians and Whites. This difference is attributable to Asian cultural values and attitudes related to cancer pain and pain med ication distinguished from the cultural values of Whites. The disparity is avoidable if Asian cancer patients are adequately educated and instructed on cancer pain management strategies including pain medication and complementary and alternative medicine. Also, this disparity is unacceptable because this gives an unnecessary burden of pain to Asian cancer patients that could be easily managed by using existing strategies. REF: Page 504 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 2. An experienced nurse tells the student nurse, “I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers.” How should the student nurse best classify this statement? a. Stereotyping b. Prejudice c. Discrimination d. Misinformed ANS: A Stereotyping often leads to biased clinical decision -making. Stereotyping refers to the process by which people use social categories (e.g., gender or race/ethnicity) in acquiring, processing, and recalling information about others. Both implicit and explicit negative attitudes and stereotypes of healthcare providers significantly shape interactions with patients, influence how information is recalled, and guide expectations and inferences in systematic ways. Stereotyping often occurs subconsciously, u nlike prejudice or discrimination. Prejudice, which refers to unjustified negative attitudes based on a person’s group membership, is another source of biased clinical decision -making. Discrimination refers to the actual mistreatment of individuals based o n race, gender, ethnicity, etc. The nurse is not misinformed as the nurse has practiced for some time and made a statement based on observation and experience. REF: Page 506 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 3. Which type of health disparities are most frequently encountered by nurses in clinical and community settings? a. Avoidable and acceptable b. Avoidable and unacceptable c. Unavoidable and acceptable d. Unavoidable and unacceptable ANS: B Although there are many types of health disparities, the avoidable and unacceptable health disparities are the ones that healthcare providers, including nurses, frequently encounter in clinical and community settings. Furthermore, these are the health disparities that healthcare providers need to target to intervene. REF: Page 504 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 4. The nurse is caring for diverse population groups at a health clinic. Which of the following patients demonstrates a potential health disparity group? a. A 26-year-old woman who is receiving follow -up after a car accident. b. A 30-year-old immigrant who does not speak English . c. A 28-year-old man who needs a tetanus booster. d. A 12-month -old with an appointment for immunizations. ANS: B Increase interpreter availability Poor health literacy skills are an example of a health disparity that limits an individual’s ability to access or communicate about health care needs. Patients who are receiving needed care are not experiencing a gap between health need and actual care. REF: Page 506 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 5. Which is the best strategy the nurse manager should include when working to reduce health care disparities on a medical -surgical unit? a. Less diverse workforce b. c. Authorita rian leadership d. Annual staff training ANS: B Key elements are cultural competence that can reduce health disparities include: a diverse workforce; interpreter availability; finding common ground versus authoritarian leadership; frequent staff training and updating staff as needed throughout the year. REF: Page 506 |Page 507 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 6. A new nurse requires further teaching when failing to identify which practice as a health disparity? a. Annual mamm ogram b. Early prenatal care c. Blood pressure screening d. Frequent fast food meals ANS: D Preventive care, screening, and health promotion activities are not considered health disparities. Examples include mammograms, prenatal care, and blood pressure checks . Frequent fast food meals, containing high fat content, is considered a health disparity due to possible lack of money or access to healthy meals. REF: Page 504 |Page 505 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 7. Before beginning work on a culturally diverse hospital unit, the nurse should perform which action first? a. b. Attend an anti-discrimination rally or march c. Build rapport and trust with the patients d. Take a foreign language class ANS: A Before working with cu lturally diverse groups, the nurse should first identify own biases and assumptions in order to objectively and competently care for patients. Attending a rally or march may not raise awareness of various biases. The nurse should establish rapport and trust when working with patients, after self-awareness is appreciated. Taking a foreign language may be helpful; however the first step is self-awareness. REF: Page 506 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 8. The nurse who has been hired to work on an oncology unit identifies which group of women as being at highest risk of developing breast cancer? a. African b. Caucasian c. Asian d. Hispanic ANS: C Breast cancer is the most common cancer in Asian women in the U.S., but Asian women ha ve relatively lower rates of breast cancer screening than African American and white women in the U.S. Furthermore, disparities in breast cancer screening reportedly result from: low income, lack of a local mammography center, lack of transportation to a mammography center, lack of a usual healthcare provider, lack of a recommendation from a healthcare provider to get mammography screening, lack of awareness of breast cancer risks and screening methods, and cultural and language differences. REF: Page 506 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment Improve self-awareness of one’s own biases MULTIPLE RESPONSE 1. A healthcare provider whose native country is India is explaining the treatment plan to a patient. The patient tells the nurse she is having trouble understanding th e provider but is embarrassed about asking to repeat the information over and over. The nurse should assess for which results due to this disparity in provider -patient communication? (Select all that apply.) a. Patient dissatisfaction b. Optimal health outcome c. Poor adherence d. Increased patient confidence e. Improved communication ANS: A, C When sociocultural differences between healthcare providers and patients are not appreciated or communicated effectively in clinical encounters, patient dissatisfaction, poor adherence, poorer health outcomes, and racial/ethnic disparities in healthcare easily happen. REF: Page 507 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment 2. The nurse in the immunization clinic should place emphasis on educating and reaching which groups about the disease preventing effects of immunizations? (Select all that apply.) a. Caucasian b. African American c. Low income d. Middle income e. High income ANS: B, C, D The 2013 National Healthcare Disparities Report documented that African A merican children or children from poor, low - income, and middle -income households were less likely to receive all the recommended vaccinations compared with white children or children from high -income households in 2011. REF: Page 507 OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment Chapter 14: Delegation in the Clinical Setting Zerwekh: Evolve Resources for Nursing Today, 9th Edition MULTIPLE CHOICE 1. Which task could a staff nurse delegate to a certified nursing assistant (CNA)? a. Evaluating a patient’s response to pain b. Making rounds with a physician c. Feeding a stroke patient who has minimal dysphagia d. Assessing a patient’s central venous line site ANS: C Feeding a stroke patient who has minimal dysphagia is an appropriate delegation o f a nursing intervention to a CNA. The nurse cannot delegate the task of assessing the patient or making rounds with the physician to the CNA. Nursing interventions such as assessment and evaluation of pain, management of central line sites, or performing tracheotomy or colostomy care are within the scope of professional nursing, as is making rounds with a physician. PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 306 |p. 308 OBJ: Delegate tasks successfully based on outcomes. TOP: Delegation in the clinical setting MSC: NCLEX®: Safe and effective care environment —management of care 2. The nurse has just given a patient an opioid medication for pain relief. Because the nurse must leave the unit for lunch and a 1 -hour meeting, the task of evaluating the patient’s response to the pain medication must be delegated. To whom should the nurse delegate this responsibility? a. Nursing assistant b. Student nurse c. Licensed practical nurse d. Nurse managerThe benefits of buying summaries with Stuvia:
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