,Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum
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MULTIPLE CHOICE Xi
1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
on Xiby the nurse would best indicate progress toward this goal?
Xi Xi Xi Xi Xi Xi Xi Xi Xi
A. Demonstrate good knowledge of different cultural health beliefs
Xi Xi Xi Xi Xi Xi Xi
B. Effectively respond to the needs of people of different cultures
Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Interact respectfully with patients who have differing health beliefs
Xi Xi Xi Xi Xi Xi Xi Xi
D. Recognize that they will never be the expert in other cultures
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ANS: C Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uum
Xi
Objective: #. Pag Xi Xi
e: 13
Xi
Heading: Cultural Practices Integrat
Xi Xi Xi
ed Processes: Caring
Xi Xi
Client Need: Psychosocial Integrity Cogniti
Xi Xi Xi Xi
ve Level: Analysis [Analyzing] Concept: Di
Xi Xi Xi Xi Xi
versity; Critical Thinking Difficulty: Difficu
Xi Xi Xi Xi
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
tures and requires a certain level of knowledge about those cultures.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
B. Cultural competence is the ability to interact effectively with people of different cul
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
tures and requires a certain level of knowledge about those cultures.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
t from one‘s own. A nurse with this characteristic is respectful of and open to othe
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
rs.
D. Cultural humility is the recognition that one will never master all information about
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
another culture.
Xi Xi
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
demonstrates this characteristic? Xi Xi
A. Attends workshops on cultural diversity and health practices
Xi Xi Xi Xi Xi Xi Xi
B. Participates in community health events with minority populations
Xi Xi Xi Xi Xi Xi Xi
C. Plans care with the family members within their cultural beliefs
Xi Xi Xi Xi Xi Xi Xi Xi Xi
D. Uses family members as interpreters to make them feel important
Xi Xi Xi Xi Xi Xi Xi Xi Xi
, ANS: C Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uum
Xi
Objective: #. Pag Xi Xi
e: 16
Xi
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ntegrated Processes: Caring
Xi Xi
Client Need: Psychosocial Integrity Cogniti
Xi Xi Xi Xi
ve Level: Evaluation [Evaluating] Concept:
Xi Xi Xi Xi Xi
Diversity; Critical Thinking Difficulty: Diff
Xi Xi Xi Xi
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
is
too limited in scope to demonstrate cultural competence.
Xi Xi Xi Xi Xi Xi Xi
B. Participating in community events with diverse populations can increase cultural kn
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
owledge, but this action is too limited in scope to demonstrate cultural
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
uals and families from different cultures. This nurse plans interventions with a sol
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
id knowledge of the values and practices of the members of the culture. Being o
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
pen, listening to the family, and involving them in care demonstrates respect, uni
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
fies the nurse– Xi Xi
patient relationship, and will motivate the patient (and family) to make positive h
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ealth changes. Xi
D. Nurses should use professional interpreters when needed.
Xi Xi Xi Xi Xi Xi
3. A patient wishes to use complementary therapy when managing a chronic health conditio
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n. Which action by the nurse is most appropriate?
Xi Xi Xi Xi Xi Xi Xi Xi
A. Advise the patient that stopping medical treatment may cause it to worsen.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
B. Inform the patient that there are no complementary therapies for this condition.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Investigate herbs that can be substituted for prescription drugs.
Xi Xi Xi Xi Xi Xi Xi Xi
D. Suggest the patient add massage therapy to the medical regimen.
Xi Xi Xi Xi Xi Xi Xi Xi Xi
ANS: D Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uum
Xi
Objective: #. Pag Xi Xi
e: 18
Xi
Heading: Complementary and Alternative Therapies I
Xi Xi Xi Xi Xi
ntegrated Processes: Teaching and Learning
Xi Xi Xi Xi
Client Need: Health Promotion and Maintenance Cog
Xi Xi Xi Xi Xi Xi
nitive Level: Analysis [Analyzing]
Xi Xi Xi
, Concept: Promoting Health Difficult
Xi Xi Xi
y: Moderate
Xi
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
warn them of the effects of stopping treatment.
Xi Xi Xi Xi Xi Xi Xi
B. There are always complementary therapies that can be added to a medical regimen.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Substituting herbs for prescription medication is an example of alternative therapy.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
D. Complementary therapy is nontraditional medical treatment used together with con
Xi Xi Xi Xi Xi Xi Xi Xi Xi
ventional medical treatment. Adding massage to the medical regimen is an ex-
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ample of using complementary therapy.
Xi Xi Xi Xi Xi
4. A nurse is working with a family that uses multiple complementary and alternative medici
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ne (CAM) modalities. What action by the nurse is best?
Xi Xi Xi Xi Xi Xi Xi Xi Xi
A. Allow the family to continue these practices as desired.
Xi Xi Xi Xi Xi Xi Xi Xi
B. Assess how these practices reflect religious beliefs.
Xi Xi Xi Xi Xi Xi
C. Inform the family that most of these practices do not work.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
D. Provide evidence-based information about the therapies.
Xi Xi Xi Xi Xi
ANS: D Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uumXi
Objective: #. Pag Xi Xi
e: 18
Xi
Heading: Complementary and Alternative Therapies I
Xi Xi Xi Xi Xi
ntegrated Processes: Teaching and Learning
Xi Xi Xi Xi
Client Need: Health Promotion and Maintenanc
Xi Xi Xi Xi Xi
e Cognitive Level: Application [Applying] Con
Xi Xi Xi Xi Xi
cept: Family; Promoting Health
Xi Xi Xi
Difficulty: Moderate Xi
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
up the opportunity to provide and discuss information about CAM.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ct health-
Xi
care practices, but the nurse needs to advocate for the patient/family by
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
providing solid information. Xi Xi
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
work is false information.Xi Xi Xi
D. The nurse working with individuals or families who use CAM practices should res
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
pect the beliefs, values, and desires of the patient. The nurse should encourage
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
families to make decisions regarding CAM practices based on evidence and resea
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
rch into their effects. The nurse can best assist in this by providing and
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
discussing information. Xi
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
MULTIPLE CHOICE Xi
1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
on Xiby the nurse would best indicate progress toward this goal?
Xi Xi Xi Xi Xi Xi Xi Xi Xi
A. Demonstrate good knowledge of different cultural health beliefs
Xi Xi Xi Xi Xi Xi Xi
B. Effectively respond to the needs of people of different cultures
Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Interact respectfully with patients who have differing health beliefs
Xi Xi Xi Xi Xi Xi Xi Xi
D. Recognize that they will never be the expert in other cultures
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ANS: C Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uum
Xi
Objective: #. Pag Xi Xi
e: 13
Xi
Heading: Cultural Practices Integrat
Xi Xi Xi
ed Processes: Caring
Xi Xi
Client Need: Psychosocial Integrity Cogniti
Xi Xi Xi Xi
ve Level: Analysis [Analyzing] Concept: Di
Xi Xi Xi Xi Xi
versity; Critical Thinking Difficulty: Difficu
Xi Xi Xi Xi
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
tures and requires a certain level of knowledge about those cultures.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
B. Cultural competence is the ability to interact effectively with people of different cul
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
tures and requires a certain level of knowledge about those cultures.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
t from one‘s own. A nurse with this characteristic is respectful of and open to othe
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
rs.
D. Cultural humility is the recognition that one will never master all information about
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
another culture.
Xi Xi
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
demonstrates this characteristic? Xi Xi
A. Attends workshops on cultural diversity and health practices
Xi Xi Xi Xi Xi Xi Xi
B. Participates in community health events with minority populations
Xi Xi Xi Xi Xi Xi Xi
C. Plans care with the family members within their cultural beliefs
Xi Xi Xi Xi Xi Xi Xi Xi Xi
D. Uses family members as interpreters to make them feel important
Xi Xi Xi Xi Xi Xi Xi Xi Xi
, ANS: C Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uum
Xi
Objective: #. Pag Xi Xi
e: 16
Xi
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ntegrated Processes: Caring
Xi Xi
Client Need: Psychosocial Integrity Cogniti
Xi Xi Xi Xi
ve Level: Evaluation [Evaluating] Concept:
Xi Xi Xi Xi Xi
Diversity; Critical Thinking Difficulty: Diff
Xi Xi Xi Xi
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
is
too limited in scope to demonstrate cultural competence.
Xi Xi Xi Xi Xi Xi Xi
B. Participating in community events with diverse populations can increase cultural kn
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
owledge, but this action is too limited in scope to demonstrate cultural
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
uals and families from different cultures. This nurse plans interventions with a sol
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
id knowledge of the values and practices of the members of the culture. Being o
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
pen, listening to the family, and involving them in care demonstrates respect, uni
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
fies the nurse– Xi Xi
patient relationship, and will motivate the patient (and family) to make positive h
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ealth changes. Xi
D. Nurses should use professional interpreters when needed.
Xi Xi Xi Xi Xi Xi
3. A patient wishes to use complementary therapy when managing a chronic health conditio
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n. Which action by the nurse is most appropriate?
Xi Xi Xi Xi Xi Xi Xi Xi
A. Advise the patient that stopping medical treatment may cause it to worsen.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
B. Inform the patient that there are no complementary therapies for this condition.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Investigate herbs that can be substituted for prescription drugs.
Xi Xi Xi Xi Xi Xi Xi Xi
D. Suggest the patient add massage therapy to the medical regimen.
Xi Xi Xi Xi Xi Xi Xi Xi Xi
ANS: D Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uum
Xi
Objective: #. Pag Xi Xi
e: 18
Xi
Heading: Complementary and Alternative Therapies I
Xi Xi Xi Xi Xi
ntegrated Processes: Teaching and Learning
Xi Xi Xi Xi
Client Need: Health Promotion and Maintenance Cog
Xi Xi Xi Xi Xi Xi
nitive Level: Analysis [Analyzing]
Xi Xi Xi
, Concept: Promoting Health Difficult
Xi Xi Xi
y: Moderate
Xi
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
warn them of the effects of stopping treatment.
Xi Xi Xi Xi Xi Xi Xi
B. There are always complementary therapies that can be added to a medical regimen.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
C. Substituting herbs for prescription medication is an example of alternative therapy.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
D. Complementary therapy is nontraditional medical treatment used together with con
Xi Xi Xi Xi Xi Xi Xi Xi Xi
ventional medical treatment. Adding massage to the medical regimen is an ex-
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ample of using complementary therapy.
Xi Xi Xi Xi Xi
4. A nurse is working with a family that uses multiple complementary and alternative medici
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ne (CAM) modalities. What action by the nurse is best?
Xi Xi Xi Xi Xi Xi Xi Xi Xi
A. Allow the family to continue these practices as desired.
Xi Xi Xi Xi Xi Xi Xi Xi
B. Assess how these practices reflect religious beliefs.
Xi Xi Xi Xi Xi Xi
C. Inform the family that most of these practices do not work.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
D. Provide evidence-based information about the therapies.
Xi Xi Xi Xi Xi
ANS: D Xi
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
n- uumXi
Objective: #. Pag Xi Xi
e: 18
Xi
Heading: Complementary and Alternative Therapies I
Xi Xi Xi Xi Xi
ntegrated Processes: Teaching and Learning
Xi Xi Xi Xi
Client Need: Health Promotion and Maintenanc
Xi Xi Xi Xi Xi
e Cognitive Level: Application [Applying] Con
Xi Xi Xi Xi Xi
cept: Family; Promoting Health
Xi Xi Xi
Difficulty: Moderate Xi
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
up the opportunity to provide and discuss information about CAM.
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
ct health-
Xi
care practices, but the nurse needs to advocate for the patient/family by
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
providing solid information. Xi Xi
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
work is false information.Xi Xi Xi
D. The nurse working with individuals or families who use CAM practices should res
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
pect the beliefs, values, and desires of the patient. The nurse should encourage
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
families to make decisions regarding CAM practices based on evidence and resea
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
rch into their effects. The nurse can best assist in this by providing and
Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi Xi
discussing information. Xi
