Test Bank for Concepts for Nursing Practice 4th
Edition by Giddens
.
Women who are given the job of caretaker for aging relatives are subject to caregiver
strain due to
a. feminine attributes.
b. unequal gender.
c. fixed gender roles.
d. female inequality.
ANS: C
In cultures with more fixed gender roles, women are usually given the role of caretaker
for aging relatives and may suffer the stresses of caregiver strain. Feminine attributes
refers to harmonious relationships, modesty, and taking care of others. Unequal gender
refers to roles of males and females being unevenly distributed. Female inequality
refers to female gender and roles being less than or unequal to male roles.
A 60-year-old Italian immigrant presents for an annual physical. He is counseled about
diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and
pneumococcal vaccination. His reply is "If it ain't broke, don't try to fix it." When
developing a plan of care, the nurse should consider which cultural orientation for this
patient?
a. Short term
b. Long term
c. Leisurely term
d. Noncommittal
ANS: A
Short-term cultural orientation focuses on the present or past and emphasizes quick
results. Long-term cultural orientation focuses the future and long-term rewards. Long-
term-oriented cultures favor thrift, perseverance, and adopting to changing
circumstances. Leisurely term and noncommittal are undefined in cultural orientation.
The emphasis on understanding cultural influence on health care is important because
of
a. disability entitlements.
b. HIPAA requirements.
c. increasing global diversity.
d. litigious society.
ANS: C
Culture is an essential aspect of health care because of increasing diversity. Disability
entitlements refer to defined benefits for eligible mental or physically disabled
beneficiaries in relation to housing, employment, and health care. HIPAA requirements
refers to the HIPAA Privacy Rule, which protects the privacy of individually identifiable
,health information; the HIPAA Security Rule, which sets national standards for the
security of electronic protected health information; and the confidentiality provisions of
the Patient Safety Rule, which protect identifiable information being used to analyze
patient safety events and improve patient safety.
Litigious society refers to excessively ready to go to law or initiate a lawsuit.
What interrelated constructs facilitate a nurse to become culturally competent?
a. Cultural diversity, self-awareness, cultural skill, and cultural knowledge
b. Cultural desire, self-awareness, cultural knowledge, and cultural identity
c. Cultural desire, self-awareness, cultural knowledge, and cultural diversity
d. Cultural desire, self-awareness, cultural knowledge, and cultural skill
ANS: D
The process of cultural competence consists of four interrelated constructs: cultural
desire, self-awareness, cultural knowledge, and cultural skill. Cultural diversity in the
context of health care refers to achieving the highest level of health care for all people
by addressing societal inequalities and historical and contemporary injustices. Cultural
identity is the norms, values, beliefs, and behaviors of a culture learned through families
and group members.
The nurse is caring for an older Chinese adult male who is grimacing and appears
restless after abdominal surgery. What is the nurse's best action?
a. Ask the patient if he is anxious about his hospital stay.
b. Ask a translator to conduct a FACES pain scale assessment.
c. Ask the patient about pain and assess vital signs.
d. Ask the patient about any history of depression or anxiety.
ANS: C
In the Chinese culture, elderly Chinese people believe that they must be stoic about
pain and there is a stigma about talking about any mental health problems. The nurse
should ask the patient about pain and also assess vital signs for physiological signs of
pain, since the patient may not admit to any pain. Assuming the patient is depressed or
anxious is not the best action when considering individual cultural differences and the
risk of pain after major surgery. The registered nurse should never delegate
assessment to any unlicensed member of the healthcare team such as a translator. The
translator may assist with communication, but the nurse is responsible for the pain
assessment.
Understanding cultural differences in health care is important because it will help the
nurse to understand the manner in which people decide on obtaining treatments and
medical care. In independent cultures an individual will
a. put himself first.
b. consult family members for advice.
c. ask for a second opinion.
d. travel great distances to receive the best care.
ANS: A
In independent cultures, an individual will put himself first in the case of a life-
threatening illness, whereas even in dire circumstances, members of collectivist cultures
, may still consult other family members for the best course of action. In independent
cultures, an individual will not consult with other family members, ask for a second
opinion, or travel great distances to receive the best care.
When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the
patient nodding yes to everything that is being said. With a better understanding of
cultural interdependence in self-concept, a nurse should immediately
a. write everything down for the patient to refer to later.
b. prompt further to elicit additional questions or concerns.
c. call the recognized elder for this patient.
d. call the oldest male relative for help with decision making.
ANS: B
When a nurse provides nutritional education to a patient who is from a culture that
values greater power distance, it might appear that the patient is willing to accept all that
the nurse suggests, when further prompting would elicit additional questions or
concerns. The patient from a collectivist culture will usually consult family members for a
best course of action. It is not acceptable for nurses to take it upon themselves to call
the recognized elder or oldest male relative for help with decision making. While writing
everything down may be OK for some cultures, with Asian patients it may be best to
prompt further to elicit additional questions or concerns
The nurse is assessing a patient's functional ability. Which patient best demonstrates
the definition of functional ability?a.Considers self as a healthy individual; uses cane for
stabilityb.College educated; travels frequently; can balance a checkbookc.Works out
daily, reads well, cooks, and cleans house on the weekendsd.Healthy individual,
volunteers at church, works part time, takes care of family and house
D Functional ability refers to the individual's ability to perform the normal daily activities
required to meet basic needs; fulfill usual roles in the family, workplace, and community;
and maintain health and well-being. The other options are good; however, healthy
individual, church volunteer, part time worker, and the patient who takes care of the
family and house fully meets the criteria for functional ability.
The nurse is assessing a patient's functional performance. What assessment
parameters will be most important in this assessment?a.Continence assessment, gait
assessment, feeding assessment, dressing assessment, transfer assessmentb.Height,
weight, body mass index (BMI), vital signs assessmentc.Sleep assessment, energy
assessment, memory assessment, concentration assessmentd.Health and well-being,
amount of community volunteer time, working outside the home, and ability to care for
family and house
A Functional impairment, disability, or handicap refers to varying degrees of an
individual's inability to perform the tasks required to complete normal life activities
without assistance. Height, weight, BMI, and vital signs are part of a physical
assessment. Sleep, energy, memory, and concentration are part of a depression
screening. Healthy, volunteering, working, and caring for family and house are
functional abilities, not performance.
Brainpower
Read More
Edition by Giddens
.
Women who are given the job of caretaker for aging relatives are subject to caregiver
strain due to
a. feminine attributes.
b. unequal gender.
c. fixed gender roles.
d. female inequality.
ANS: C
In cultures with more fixed gender roles, women are usually given the role of caretaker
for aging relatives and may suffer the stresses of caregiver strain. Feminine attributes
refers to harmonious relationships, modesty, and taking care of others. Unequal gender
refers to roles of males and females being unevenly distributed. Female inequality
refers to female gender and roles being less than or unequal to male roles.
A 60-year-old Italian immigrant presents for an annual physical. He is counseled about
diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and
pneumococcal vaccination. His reply is "If it ain't broke, don't try to fix it." When
developing a plan of care, the nurse should consider which cultural orientation for this
patient?
a. Short term
b. Long term
c. Leisurely term
d. Noncommittal
ANS: A
Short-term cultural orientation focuses on the present or past and emphasizes quick
results. Long-term cultural orientation focuses the future and long-term rewards. Long-
term-oriented cultures favor thrift, perseverance, and adopting to changing
circumstances. Leisurely term and noncommittal are undefined in cultural orientation.
The emphasis on understanding cultural influence on health care is important because
of
a. disability entitlements.
b. HIPAA requirements.
c. increasing global diversity.
d. litigious society.
ANS: C
Culture is an essential aspect of health care because of increasing diversity. Disability
entitlements refer to defined benefits for eligible mental or physically disabled
beneficiaries in relation to housing, employment, and health care. HIPAA requirements
refers to the HIPAA Privacy Rule, which protects the privacy of individually identifiable
,health information; the HIPAA Security Rule, which sets national standards for the
security of electronic protected health information; and the confidentiality provisions of
the Patient Safety Rule, which protect identifiable information being used to analyze
patient safety events and improve patient safety.
Litigious society refers to excessively ready to go to law or initiate a lawsuit.
What interrelated constructs facilitate a nurse to become culturally competent?
a. Cultural diversity, self-awareness, cultural skill, and cultural knowledge
b. Cultural desire, self-awareness, cultural knowledge, and cultural identity
c. Cultural desire, self-awareness, cultural knowledge, and cultural diversity
d. Cultural desire, self-awareness, cultural knowledge, and cultural skill
ANS: D
The process of cultural competence consists of four interrelated constructs: cultural
desire, self-awareness, cultural knowledge, and cultural skill. Cultural diversity in the
context of health care refers to achieving the highest level of health care for all people
by addressing societal inequalities and historical and contemporary injustices. Cultural
identity is the norms, values, beliefs, and behaviors of a culture learned through families
and group members.
The nurse is caring for an older Chinese adult male who is grimacing and appears
restless after abdominal surgery. What is the nurse's best action?
a. Ask the patient if he is anxious about his hospital stay.
b. Ask a translator to conduct a FACES pain scale assessment.
c. Ask the patient about pain and assess vital signs.
d. Ask the patient about any history of depression or anxiety.
ANS: C
In the Chinese culture, elderly Chinese people believe that they must be stoic about
pain and there is a stigma about talking about any mental health problems. The nurse
should ask the patient about pain and also assess vital signs for physiological signs of
pain, since the patient may not admit to any pain. Assuming the patient is depressed or
anxious is not the best action when considering individual cultural differences and the
risk of pain after major surgery. The registered nurse should never delegate
assessment to any unlicensed member of the healthcare team such as a translator. The
translator may assist with communication, but the nurse is responsible for the pain
assessment.
Understanding cultural differences in health care is important because it will help the
nurse to understand the manner in which people decide on obtaining treatments and
medical care. In independent cultures an individual will
a. put himself first.
b. consult family members for advice.
c. ask for a second opinion.
d. travel great distances to receive the best care.
ANS: A
In independent cultures, an individual will put himself first in the case of a life-
threatening illness, whereas even in dire circumstances, members of collectivist cultures
, may still consult other family members for the best course of action. In independent
cultures, an individual will not consult with other family members, ask for a second
opinion, or travel great distances to receive the best care.
When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the
patient nodding yes to everything that is being said. With a better understanding of
cultural interdependence in self-concept, a nurse should immediately
a. write everything down for the patient to refer to later.
b. prompt further to elicit additional questions or concerns.
c. call the recognized elder for this patient.
d. call the oldest male relative for help with decision making.
ANS: B
When a nurse provides nutritional education to a patient who is from a culture that
values greater power distance, it might appear that the patient is willing to accept all that
the nurse suggests, when further prompting would elicit additional questions or
concerns. The patient from a collectivist culture will usually consult family members for a
best course of action. It is not acceptable for nurses to take it upon themselves to call
the recognized elder or oldest male relative for help with decision making. While writing
everything down may be OK for some cultures, with Asian patients it may be best to
prompt further to elicit additional questions or concerns
The nurse is assessing a patient's functional ability. Which patient best demonstrates
the definition of functional ability?a.Considers self as a healthy individual; uses cane for
stabilityb.College educated; travels frequently; can balance a checkbookc.Works out
daily, reads well, cooks, and cleans house on the weekendsd.Healthy individual,
volunteers at church, works part time, takes care of family and house
D Functional ability refers to the individual's ability to perform the normal daily activities
required to meet basic needs; fulfill usual roles in the family, workplace, and community;
and maintain health and well-being. The other options are good; however, healthy
individual, church volunteer, part time worker, and the patient who takes care of the
family and house fully meets the criteria for functional ability.
The nurse is assessing a patient's functional performance. What assessment
parameters will be most important in this assessment?a.Continence assessment, gait
assessment, feeding assessment, dressing assessment, transfer assessmentb.Height,
weight, body mass index (BMI), vital signs assessmentc.Sleep assessment, energy
assessment, memory assessment, concentration assessmentd.Health and well-being,
amount of community volunteer time, working outside the home, and ability to care for
family and house
A Functional impairment, disability, or handicap refers to varying degrees of an
individual's inability to perform the tasks required to complete normal life activities
without assistance. Height, weight, BMI, and vital signs are part of a physical
assessment. Sleep, energy, memory, and concentration are part of a depression
screening. Healthy, volunteering, working, and caring for family and house are
functional abilities, not performance.
Brainpower
Read More
