NUR 418 Exam 1
A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the
nurse would best indicate progress toward this goal?
1. Demonstrate good knowledge of different cultural health beliefs
2. Effectively respond to the needs of people of different cultures
3. Interact respectfully with patients who have differing health beliefs
4. Recognize that they will never be the expert in other cultures *** 3. Interact respectfully with patients
who have differing health beliefs
A nurse manager is evaluating staff members on their cultural competence. Which action best
demonstrates this characteristic?
1. Attends workshops on cultural diversity and health practices
2. Participates in community health events with minority populations
3. Plans care with the family members within their cultural beliefs
4. Uses family members as interpreters to make them feel important *** 3. Plans care with the family
members within their cultural beliefs
The culturally sensitive nurse can understand and respond to the needs of individuals and families from
different cultures. This nurse plans interventions with a solid knowledge of the values and practices of
the members of the culture. Being open, listening to the family, and involving them in care
demonstrates respect, unifies the nurse-patient relationship, and will motivate the patient (and family)
to make positive health changes.
A patient wishes to use complementary therapy when managing a chronic health condition. Which
action by the nurse is most appropriate?
1. Advise the patient that stopping medical treatment may cause it to worsen.
,2. Inform the patient that there are no complementary therapies for this condition.
3. Investigate herbs that can be substituted for prescription drugs.
4. Suggest the patient add massage therapy to the medical regimen. *** 4. Suggest the patient add
massage therapy to the medical regimen.
A nurse is working with a family that uses multiple complementary and alternative medicine (CAM)
modalities. What action by the nurse is best?
1. Allow the family to continue these practices as desired.
2. Assess how these practices reflect religious beliefs.
3. Inform the family that most of these practices do not work.
4. Provide evidence-based information about the therapies. *** 4. Provide evidence-based information
about the therapies.
A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by
the nurse will best promote effective communication?
1. Call for a professional interpreter to translate information.
2. Pattern voice tone and eye contact after the patient's behaviors.
3. Talk slowly and deliberately using simple language and cues.
4. Use nonverbal communication as much as possible with the patient. *** 2. Pattern voice tone and eye
contact after the patient's behaviors.
A nurse manager expects all employees to be patient advocates. Which nursing action best
demonstrates this nursing role?
1. Arranging a family-physician conference to clarify treatment plans
2. Encouraging treatment options based on personal beliefs and values
,3. Giving contact information for governmental assistance agencies
4. Working on a political campaign to reduce poverty in the state *** 1. Arranging a family-physician
conference to clarify treatment plans
A patient and family have the nursing diagnosis of impaired verbal communication secondary to a
language barrier. What action by the patient/family would best indicate that short-term goals for this
diagnosis have been met?
1. Able to communicate long-term desires for health of the patient
2. Demonstrates comprehension by head nodding and saying "yes"
3. States understanding of condition and treatment via an interpreter
4. Understands how nonverbal communication varies between cultures *** 3. States understanding of
condition and treatment via an interpreter
A nurse is working with family members who have been striving to improve their functioning as a family
unit. What behavior would suggest to the nurse that the family is meeting its goals?
1. The children are in multiple activities to develop talents.
2. The desire to be understood guides most communication.
3. Family members gave up some activities to eat dinner together on most nights.
4. The parents have a strong desire for the children to succeed. *** 3. Family members gave up some
activities to eat dinner together on most nights.
A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want
to implement desired health behaviors. What action by the nurse would be most helpful?
1. Conduct a health screening and educational event each month.
2. Provide written information in the group's native language.
, 3. Teach selected group representatives to be lay health educators.
4. Try to establish relationships within the refugee community. *** 3. Teach selected group
representatives to be lay health educators.
According to family systems theory, each family system contains boundaries that affect how the outside
world interacts with the family. Families that have recently immigrated to the United States might have
closed boundaries and may only be receptive to health information provided by extended family
members or members of their community. Establishing a lay health educator program in which
community members can be taught health information with the intent of delivering it to their
communities would be a good way to work with these families while respecting their boundaries.
A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery
from a serious illness and operation. The visiting nurse notes that the family is in a state of disarray and
members are disorganized and not communicating. The patient is trying to direct everyone's actions.
The nurse calls a family meeting. What action by the nurse is best?
1. Encourage family members to make "to do" lists and assign chores.
2. Explain that changes in one person require changes in the others.
3. Make a referral to a counselor or mental health nurse practitioner.
4. Tell the family members that, for the patient to recover, they must assume the patient's role. *** 2.
Explain that changes in one person require changes in the others.
A nurse is working with a blended family of 1 year with five children aged 3, 7, 13 (twins), and 19. The
parents seem overly stressed and anxious and do not seem to work well as a unit. What can the nurse
conclude about this family?
1. Communication problems are the core of the parents' stress.
2. Economic stressors are impacting the parental dyad.
3. The family is in too many developmental stages to master any of them.
4. There are too many children to give each one adequate attention. *** 3. The family is in too many
developmental stages to master any of them.
A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the
nurse would best indicate progress toward this goal?
1. Demonstrate good knowledge of different cultural health beliefs
2. Effectively respond to the needs of people of different cultures
3. Interact respectfully with patients who have differing health beliefs
4. Recognize that they will never be the expert in other cultures *** 3. Interact respectfully with patients
who have differing health beliefs
A nurse manager is evaluating staff members on their cultural competence. Which action best
demonstrates this characteristic?
1. Attends workshops on cultural diversity and health practices
2. Participates in community health events with minority populations
3. Plans care with the family members within their cultural beliefs
4. Uses family members as interpreters to make them feel important *** 3. Plans care with the family
members within their cultural beliefs
The culturally sensitive nurse can understand and respond to the needs of individuals and families from
different cultures. This nurse plans interventions with a solid knowledge of the values and practices of
the members of the culture. Being open, listening to the family, and involving them in care
demonstrates respect, unifies the nurse-patient relationship, and will motivate the patient (and family)
to make positive health changes.
A patient wishes to use complementary therapy when managing a chronic health condition. Which
action by the nurse is most appropriate?
1. Advise the patient that stopping medical treatment may cause it to worsen.
,2. Inform the patient that there are no complementary therapies for this condition.
3. Investigate herbs that can be substituted for prescription drugs.
4. Suggest the patient add massage therapy to the medical regimen. *** 4. Suggest the patient add
massage therapy to the medical regimen.
A nurse is working with a family that uses multiple complementary and alternative medicine (CAM)
modalities. What action by the nurse is best?
1. Allow the family to continue these practices as desired.
2. Assess how these practices reflect religious beliefs.
3. Inform the family that most of these practices do not work.
4. Provide evidence-based information about the therapies. *** 4. Provide evidence-based information
about the therapies.
A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by
the nurse will best promote effective communication?
1. Call for a professional interpreter to translate information.
2. Pattern voice tone and eye contact after the patient's behaviors.
3. Talk slowly and deliberately using simple language and cues.
4. Use nonverbal communication as much as possible with the patient. *** 2. Pattern voice tone and eye
contact after the patient's behaviors.
A nurse manager expects all employees to be patient advocates. Which nursing action best
demonstrates this nursing role?
1. Arranging a family-physician conference to clarify treatment plans
2. Encouraging treatment options based on personal beliefs and values
,3. Giving contact information for governmental assistance agencies
4. Working on a political campaign to reduce poverty in the state *** 1. Arranging a family-physician
conference to clarify treatment plans
A patient and family have the nursing diagnosis of impaired verbal communication secondary to a
language barrier. What action by the patient/family would best indicate that short-term goals for this
diagnosis have been met?
1. Able to communicate long-term desires for health of the patient
2. Demonstrates comprehension by head nodding and saying "yes"
3. States understanding of condition and treatment via an interpreter
4. Understands how nonverbal communication varies between cultures *** 3. States understanding of
condition and treatment via an interpreter
A nurse is working with family members who have been striving to improve their functioning as a family
unit. What behavior would suggest to the nurse that the family is meeting its goals?
1. The children are in multiple activities to develop talents.
2. The desire to be understood guides most communication.
3. Family members gave up some activities to eat dinner together on most nights.
4. The parents have a strong desire for the children to succeed. *** 3. Family members gave up some
activities to eat dinner together on most nights.
A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want
to implement desired health behaviors. What action by the nurse would be most helpful?
1. Conduct a health screening and educational event each month.
2. Provide written information in the group's native language.
, 3. Teach selected group representatives to be lay health educators.
4. Try to establish relationships within the refugee community. *** 3. Teach selected group
representatives to be lay health educators.
According to family systems theory, each family system contains boundaries that affect how the outside
world interacts with the family. Families that have recently immigrated to the United States might have
closed boundaries and may only be receptive to health information provided by extended family
members or members of their community. Establishing a lay health educator program in which
community members can be taught health information with the intent of delivering it to their
communities would be a good way to work with these families while respecting their boundaries.
A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery
from a serious illness and operation. The visiting nurse notes that the family is in a state of disarray and
members are disorganized and not communicating. The patient is trying to direct everyone's actions.
The nurse calls a family meeting. What action by the nurse is best?
1. Encourage family members to make "to do" lists and assign chores.
2. Explain that changes in one person require changes in the others.
3. Make a referral to a counselor or mental health nurse practitioner.
4. Tell the family members that, for the patient to recover, they must assume the patient's role. *** 2.
Explain that changes in one person require changes in the others.
A nurse is working with a blended family of 1 year with five children aged 3, 7, 13 (twins), and 19. The
parents seem overly stressed and anxious and do not seem to work well as a unit. What can the nurse
conclude about this family?
1. Communication problems are the core of the parents' stress.
2. Economic stressors are impacting the parental dyad.
3. The family is in too many developmental stages to master any of them.
4. There are too many children to give each one adequate attention. *** 3. The family is in too many
developmental stages to master any of them.
