Chapter 09: Cultural Competence
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MULTIPLE CHOICE ra
1.
A nursing attendant is discussing the changing demographics of the US population. What
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is expected to be the fastest growing racial ethnic group by 2060? a. Hispanic
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b. Asian
c. Multiracial
d. Non-Hispanic Blacks ra
ACCURATE ar
ANSWER:-C
The changing demographics of the US population create challenges for the health care system
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and health care providers. By the year 2060, the percentage of racial and ethnic minority grou
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ps in the United States is expected to climb to 32% of the population. The fastestgrowing racial e
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thnic group in the United States is people whose ancestry is from two or more
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races, and this group is projected to grow by 200%. The next fastest growing is the Asian po
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
pulation, which is projected to double, followed by the Hispanic population.
ra ra ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Compare social and cultural influences in health and illness. ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
2. A nursing attendant is caring for an immigrant with low income. Which informatio
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n ar
should the nursing attendant consider when planning care for this hospital client ?
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a. There is a decreased frequency of morbidity.
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b. There is an increased incidence of disease. ra ra ra ra ra ra
c. There is an increased level of health. ra ra ra ra ra ra
d. There is a decreased mortality rate. ra ra ra ra ra
ACCURATE ar
ANSWER:-B
Populations with health disparities (immigrant with low income) have a significantly increas
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ed incidence of disease or increased morbidity and mortality when compared with the general p
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opulation. Although Americans’ health overall has improved during the past few decades, the
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health of members of marginalized groups has actually declined.
a ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Compare social and cultural influences in health and illness. ra ra ra ra ra ra ra ra ar
TOPIC:-Planning MSC: Management of Care ra ra ra
3. A nursing attendant is assessing the health care disparities among population grou
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ps . Which area is the nursing attendant monitoring? a.
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Accessibility of health care services ra ra ra ra
b. Outcomes of health conditions ra ra ra
c. Prevalence of complications ra ra
d. Incidence of diseases ra ra
ACCURATE ANSWER:-A ra
, While health disparities are the differences among populations in the incidence, prevalence, a
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nd outcomes of health conditions, diseases and related complications, health care disparities ar
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e differences among populations in the availability, accessibility, and quality of health care serv
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ices (e.g., screening, diagnostic, treatment, management, and rehabilitation) aimed at prevent
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ion, treatment, and management of diseases and their complications.
ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Discuss health disparity and the social determinants that affect it.
ra ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
4. A nursing attendant is providing care to a hospital client from a different culture.
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Which action by the nursing attendant indicates cultural competence? a.
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Communicates effectively in a multicultural context. ra ra ra ra ra
b. Effectively provides for multifaceted healthcare needs. ra ra ra ra ra
c. Visits a foreign country. ra ra ra
d. Speaks a different language. ra ra ra
ACCURATE ANSWER:-B ra
Cultural competence refers to a developmental process that evolves over time that impacts ab
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ility to effectively function in the multifaceted context. Communicates effectively and speaki
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ng a different language indicates linguistic competence. Visiting a foreign country does not ind
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icate cultural competence. ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the concepts of cultural awareness, cultural knowledge, cultural skill, cultural encounte
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r, and cultural desire in the cultural competence model.
ar ra TOPIC:-Implementation MSC:
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Psychosocial Integrity ra
5. The nursing attendant learns about cultural issues involved in the hospital client ’s
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health car ra
e belief system and enables hospital client s and families to achieve meaningful and
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supportiv e care. Which concept is the nursing attendant demonstrating? a.
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Marginalized groups ra
b. Health care disparity ra ra
c. Transcultural nursing ra
d. Culturally congruent care ra ra
ACCURATE ANSWER:-D ra
The nursing attendant is demonstrating culturally congruent care. Culturally congruent car
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e, or care that fits a person’s life patterns, values, and system of meaning, provides meaningfu
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l and beneficial nursing care. Marginalized groups are populations left out or excluded. Health
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care disparities are differences among populations in the availability, accessibility, and quali
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ty of health care services (e.g., screening, diagnostic, treatment, management, and rehabilitat
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ion) aimed at prevention, treatment, and management of diseases and their complications.
ra ra ra ra ra ra ra ra ra ra ra
Transcultural nursing is a comparative study of cultures in order to understand their similar
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ities (culture that is universal) and the differences among them (culture that is specific to part
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icular groups). ra
DIF:Understand (comprehension) ra
OBJ:Explain the concepts of cultural awareness, cultural knowledge, cultural skill, cultural encounte
ra ra ra ra ra ra ra ra ra ra ra
r, and cultural desire in the cultural competence model.
ar ra TOPIC:-Implementation MSC:
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Psychosocial Integrity ra
, 6.
A nursing attendant is beginning to use hospital client centered care and cultural competen
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ce to improve nursing care. Which step should the nursi
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ng attendant take first in achieving cultural awareness?
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Assessing own biases and attitude ra ra ra ra
b. Learning about the world view of others ra ra ra ra ra ra
c. Understanding organizational forces ra ra
d. Developing cultural skills ra ra
ACCURATE ANSWER:-A ra
Becoming more aware of your biases and attitudes about human behavior is the first step in p
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
roviding hospital client centered care, leading to culturally competent care. It is helpful to think
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
about cultural comp ra ra
etence as a lifelong process of learning about others and also about yourself. Learning about th
ra ra ra ra ra ra ra ra ra ra ra ar ra ra ra
e world view, developing cultural skills, and understanding organizational forces are not the f
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irst steps. ra
DIF:Apply (application) ra
OBJ:Explain the concepts of cultural awareness, cultural knowledge, cultural skill, cultural encounte
ra ra ra ra ra ra ra ra ra ra ra
r, and cultural desire in the cultural competence model.
ar ra TOPIC:-Implementation MSC:ra ra ra ra ra ra ra
Psychosocial Integrity ra
7. A nursing attendant is performing a cultural assessment using the LEARN mnemonic f
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or communication. Which area will the nursing attendant assess for the ―L‖? a. Look
ar ra ra ra ra ra ra ra ra ra ra
b. Listen
c. Liken
d. Leave
ACCURATE ANSWER:-B ra
The ―L‖ in Learn stands for Listen: Listen to the hospital client ’s perception of the problem. B
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e nonjudgmental and use encouraging comments such as, ―Tell me more‖ or ―I understand w
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hat you are saying.‖ ra ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the approaches to use in conducting a cultural nursing history and physical assessment.
ra ra ra ra ra ra ra ra ra ra ra ra ra
TOPIC:-Assessment MSC: Psychosocial Integrity
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8. The nursing attendant caring for a hospital client of Hispanic descent who speaks no E
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nglish, is working with an interpreter. Which action should the nursing attendant take
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? a. Use long sentences when talking. ra ra ra ra
b. Look at the hospital client when talking. ra ra ra ra ra ra
c. Use breaks in sentences when talking. ra ra ra ra ra
d. Look at only nonverbal behaviors when talking. ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Direct your questions to the hospital client . Look at the hospital client , instead of looking at the
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in terpreter. Pace your speech by using short sentences, but do not break your sentences.
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Observe the hospital client ’s nonverbal and verbal behaviors.
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DIF:Apply (application) ra
OBJ:Explain the principles to apply when using an interpreter. ra ra ra ra ra ra ra ra
TOPIC:-Implementation MSC: Psychosocial Integrity ra ra
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MULTIPLE CHOICE ra
1.
A nursing attendant is discussing the changing demographics of the US population. What
ra ra ra ra ra ra ra ra ra ra ra ra ra
is expected to be the fastest growing racial ethnic group by 2060? a. Hispanic
ar ra ra ra ra ra ra ra ra ra ra
b. Asian
c. Multiracial
d. Non-Hispanic Blacks ra
ACCURATE ar
ANSWER:-C
The changing demographics of the US population create challenges for the health care system
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
and health care providers. By the year 2060, the percentage of racial and ethnic minority grou
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ps in the United States is expected to climb to 32% of the population. The fastestgrowing racial e
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
thnic group in the United States is people whose ancestry is from two or more
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
races, and this group is projected to grow by 200%. The next fastest growing is the Asian po
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
pulation, which is projected to double, followed by the Hispanic population.
ra ra ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Compare social and cultural influences in health and illness. ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
2. A nursing attendant is caring for an immigrant with low income. Which informatio
ra ra ra ra ra ra ra ra ra ra ra ra
n ar
should the nursing attendant consider when planning care for this hospital client ?
ra ra ra ra ra ra ra ra ra ra ra ra
a. There is a decreased frequency of morbidity.
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b. There is an increased incidence of disease. ra ra ra ra ra ra
c. There is an increased level of health. ra ra ra ra ra ra
d. There is a decreased mortality rate. ra ra ra ra ra
ACCURATE ar
ANSWER:-B
Populations with health disparities (immigrant with low income) have a significantly increas
ra ra ra ra ra ra ra ra ra ra ra
ed incidence of disease or increased morbidity and mortality when compared with the general p
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
opulation. Although Americans’ health overall has improved during the past few decades, the
ra ra ra ra ra ra ra ra ra ra ra ra r
health of members of marginalized groups has actually declined.
a ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Compare social and cultural influences in health and illness. ra ra ra ra ra ra ra ra ar
TOPIC:-Planning MSC: Management of Care ra ra ra
3. A nursing attendant is assessing the health care disparities among population grou
ra ra ra ra ra ra ra ra ra ra ra
ps . Which area is the nursing attendant monitoring? a.
ar ra ra ra ra ra ra
Accessibility of health care services ra ra ra ra
b. Outcomes of health conditions ra ra ra
c. Prevalence of complications ra ra
d. Incidence of diseases ra ra
ACCURATE ANSWER:-A ra
, While health disparities are the differences among populations in the incidence, prevalence, a
ra ra ra ra ra ra ra ra ra ra ra ra
nd outcomes of health conditions, diseases and related complications, health care disparities ar
ra ra ra ra ra ra ra ra ra ra ra ar
e differences among populations in the availability, accessibility, and quality of health care serv
ra ra ra ra ra ra ra ra ra ra ra ra ar
ices (e.g., screening, diagnostic, treatment, management, and rehabilitation) aimed at prevent
ra ra ra ra ra ra ra ra ra ra
ion, treatment, and management of diseases and their complications.
ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Discuss health disparity and the social determinants that affect it.
ra ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
4. A nursing attendant is providing care to a hospital client from a different culture.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Which action by the nursing attendant indicates cultural competence? a.
ar ra ra ra ra ra ra ra
Communicates effectively in a multicultural context. ra ra ra ra ra
b. Effectively provides for multifaceted healthcare needs. ra ra ra ra ra
c. Visits a foreign country. ra ra ra
d. Speaks a different language. ra ra ra
ACCURATE ANSWER:-B ra
Cultural competence refers to a developmental process that evolves over time that impacts ab
ra ra ra ra ra ra ra ra ra ra ra ra ra
ility to effectively function in the multifaceted context. Communicates effectively and speaki
ra ra ra ra ra ra ra ra ra ra ra
ng a different language indicates linguistic competence. Visiting a foreign country does not ind
ra ra ra ra ra ra ra ra ra ra ra ar ra
icate cultural competence. ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the concepts of cultural awareness, cultural knowledge, cultural skill, cultural encounte
ra ra ra ra ra ra ra ra ra ra ra
r, and cultural desire in the cultural competence model.
ar ra TOPIC:-Implementation MSC:
ra ra ra ra ra ra ra
Psychosocial Integrity ra
5. The nursing attendant learns about cultural issues involved in the hospital client ’s
ra ra ra ra ra ra ra ra ra ra ra ra ra
health car ra
e belief system and enables hospital client s and families to achieve meaningful and
ar ra ra ra ra ra ra ra ra ra ra ra ra ra
supportiv e care. Which concept is the nursing attendant demonstrating? a.
ra ra ra ra ra ra ra ra
Marginalized groups ra
b. Health care disparity ra ra
c. Transcultural nursing ra
d. Culturally congruent care ra ra
ACCURATE ANSWER:-D ra
The nursing attendant is demonstrating culturally congruent care. Culturally congruent car
ra ra ra ra ra ra ra ra ra ra
e, or care that fits a person’s life patterns, values, and system of meaning, provides meaningfu
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra
l and beneficial nursing care. Marginalized groups are populations left out or excluded. Health
ar ra ra ra ra ra ra ra ra ra ra ra ra ar
care disparities are differences among populations in the availability, accessibility, and quali
ra ra ra ra ra ra ra ra ra ra ra
ty of health care services (e.g., screening, diagnostic, treatment, management, and rehabilitat
ra ra ra ra ra ra ra ra ra ra ra
ion) aimed at prevention, treatment, and management of diseases and their complications.
ra ra ra ra ra ra ra ra ra ra ra
Transcultural nursing is a comparative study of cultures in order to understand their similar
ra ra ra ra ra ra ra ra ra ra ra ra ra
ities (culture that is universal) and the differences among them (culture that is specific to part
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
icular groups). ra
DIF:Understand (comprehension) ra
OBJ:Explain the concepts of cultural awareness, cultural knowledge, cultural skill, cultural encounte
ra ra ra ra ra ra ra ra ra ra ra
r, and cultural desire in the cultural competence model.
ar ra TOPIC:-Implementation MSC:
ra ra ra ra ra ra ra
Psychosocial Integrity ra
, 6.
A nursing attendant is beginning to use hospital client centered care and cultural competen
ra ra ra ra ra ra ra ra ra ra ra ra ra
ce to improve nursing care. Which step should the nursi
ar ra ra ra ra ra ra ra ra
ng attendant take first in achieving cultural awareness?
ra ra a. ra ra ra ra ra
Assessing own biases and attitude ra ra ra ra
b. Learning about the world view of others ra ra ra ra ra ra
c. Understanding organizational forces ra ra
d. Developing cultural skills ra ra
ACCURATE ANSWER:-A ra
Becoming more aware of your biases and attitudes about human behavior is the first step in p
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
roviding hospital client centered care, leading to culturally competent care. It is helpful to think
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
about cultural comp ra ra
etence as a lifelong process of learning about others and also about yourself. Learning about th
ra ra ra ra ra ra ra ra ra ra ra ar ra ra ra
e world view, developing cultural skills, and understanding organizational forces are not the f
ra ra ra ra ra ra ra ra ra ra ra ra ra
irst steps. ra
DIF:Apply (application) ra
OBJ:Explain the concepts of cultural awareness, cultural knowledge, cultural skill, cultural encounte
ra ra ra ra ra ra ra ra ra ra ra
r, and cultural desire in the cultural competence model.
ar ra TOPIC:-Implementation MSC:ra ra ra ra ra ra ra
Psychosocial Integrity ra
7. A nursing attendant is performing a cultural assessment using the LEARN mnemonic f
ra ra ra ra ra ra ra ra ra ra ra ra
or communication. Which area will the nursing attendant assess for the ―L‖? a. Look
ar ra ra ra ra ra ra ra ra ra ra
b. Listen
c. Liken
d. Leave
ACCURATE ANSWER:-B ra
The ―L‖ in Learn stands for Listen: Listen to the hospital client ’s perception of the problem. B
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
e nonjudgmental and use encouraging comments such as, ―Tell me more‖ or ―I understand w
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hat you are saying.‖ ra ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the approaches to use in conducting a cultural nursing history and physical assessment.
ra ra ra ra ra ra ra ra ra ra ra ra ra
TOPIC:-Assessment MSC: Psychosocial Integrity
ar ra ra ra
8. The nursing attendant caring for a hospital client of Hispanic descent who speaks no E
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nglish, is working with an interpreter. Which action should the nursing attendant take
ra ra ra ra ra ra ra ra ra ra ra ra
? a. Use long sentences when talking. ra ra ra ra
b. Look at the hospital client when talking. ra ra ra ra ra ra
c. Use breaks in sentences when talking. ra ra ra ra ra
d. Look at only nonverbal behaviors when talking. ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Direct your questions to the hospital client . Look at the hospital client , instead of looking at the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
in terpreter. Pace your speech by using short sentences, but do not break your sentences.
ra ra ra ra ra ra ra ra ra ra ra ra ra
Observe the hospital client ’s nonverbal and verbal behaviors.
ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain the principles to apply when using an interpreter. ra ra ra ra ra ra ra ra
TOPIC:-Implementation MSC: Psychosocial Integrity ra ra
