Which student nurse statement regarding cultural competence indicates a need for further teaching?
"Culturally competent organizations adapt to diversity."
"Culturally competent organizations conduct cultural self-assessment."
"Culturally competent organizations institutionalize cultural knowledge."
"Culturally competent organizations manage the dynamics of homogeny."
Rationale
Culturally competent organizations manage the dynamics of difference, not homogeny. A culturally
competent organization adapts to diversity to provide meaningful and supportive care for all patients. It
encourages the health care providers to conduct cultural self-assessment to understand patients’ world
views. A culturally competent organization also institutionalizes cultural knowledge to gain sufficient
comparative knowledge of diverse groups, including the values, health beliefs, care practices, world views,
and bicultural ecologies commonly found within each group.
Test-Taking Tip: If you can eliminate any responses as incorrect based on your knowledge, you will not be
guessing randomly but will be exercising "informed guessing."
p. 107
The community health nurse is conducting a program on health and fitness awareness for medically
underserved people. Who would be categorized as medically underserved?
People belonging to a different culture
People of a poor socioeconomic status
People who are not willing to be treated for their illnesses
People who use complementary and alternative treatments for their illnesses
Rationale
Medically underserved people are those who lack the financial resources required for proper health care.
Unemployment, low-paying jobs, and rising health care costs have all increased the population of
medically underserved people in the United States. People not belonging to the dominant culture are not
necessarily poor or unable to bear health care costs. People who prefer not to be treated and those who opt
for alternative treatment methods are not categorized as medically underserved. p. 8
The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risks
and benefits of the surgery to the family and discusses the patient’s wishes with the family. Which role is
the nurse playing for the patient?
, Educator
Advocate
Caregiver
Manager
Rationale
An advocate protects the patient’s human and legal right to make choices about care. An advocate may also
provide additional information to help a patient decide whether or not to accept a treatment or find an
interpreter to help family members communicate their concerns. As an educator, the nurse explains
concepts and facts about health, describes the reason for routine care activities, demonstrates procedures
such as self-care activities, reinforces learning or patient behavior, and evaluates the patient’s progress in
learning. As a caregiver, the nurse helps patients maintain and regain health, manage disease and
symptoms, and attain a maximal level of function and independence through the healing process. A
manager coordinates the activities of members of the nursing staff in delivering nursing care and has
personnel, policy, and budgetary responsibility for a specific nursing unit or agency.
STUDY TIP: Familiarize yourself with the definitions of different types of nurses (nurse educator, case
manager, etc.) and roles of the nurse (advocate, caregiver, etc.) so the answers to these types of questions
are crystal clear.
p. 3
Which phrase accurately describes output?
Data entering the system
The end product
Data related to system functioning
The product and information obtained from the system
Rationale
Output is the end product. A system functions on its content, input, output, and feedback. Data entering the
system is input, not output. Data related to system functioning is feedback, not output. The product and
information obtained from the system is content, not output.
p. 45
A patient who has developed a pulmonary embolism after abdominal surgery is immediately transferred to
another hospital. Which law has been broken in this case?
Mental Health Parity Act
Americans With Disabilities Act
, Patient Self-Determination Act
Emergency Medical Treatment and Active Labor Act
Rationale
According to the Emergency Medical Treatment and Active Labor Act, patients who have an emergency
condition should not be discharged or referred to another hospital unless the condition stabilizes.
Pulmonary embolism is a life-threatening condition, and according to this law, the patient should not be
transferred to another hospital unless the condition is stabilized. According to the Mental Health Parity Act,
health insurance companies should not place lifetime or annual limits on mental health coverage, and the
coverage should be as generous as coverage for medical or surgical care. The Americans With Disabilities
Act prevents discrimination against persons with disabilities and ensures equal opportunities in
employment, state and local government services, public accommodations, commercial facilities, and
transportation. According to the Patient Self-
Determination Act, health care institutions should provide written information to patients about their
rights to make decisions regarding treatment. p. 308
Which phrase accurately describes feedback as it relates to the nursing process as a system?
Data entering the system
The end product
Data related to system functioning
The product and information obtained from the system
Rationale
Feedback is the data related to system functioning. Feedback serves to inform a system about how it
functions. A system functions on its content, input, output, and feedback. Data entering the system are
input, not feedback. The end product is output, not feedback. The product and information obtained from
the system is content, not feedback. pp. 45-46
The registered nurse is teaching a nursing student about interventions performed to prevent deep vein
thrombosis in an immobilized patient. Which statement made by the nursing student indicates a need for
correction?
"I will massage the legs."
"I will instruct the patient to avoid crossing the legs."
"I will assist the patient in performing range-of-motion exercises."
"I will position the patient without applying pressure on the posterior of knee."
"Culturally competent organizations adapt to diversity."
"Culturally competent organizations conduct cultural self-assessment."
"Culturally competent organizations institutionalize cultural knowledge."
"Culturally competent organizations manage the dynamics of homogeny."
Rationale
Culturally competent organizations manage the dynamics of difference, not homogeny. A culturally
competent organization adapts to diversity to provide meaningful and supportive care for all patients. It
encourages the health care providers to conduct cultural self-assessment to understand patients’ world
views. A culturally competent organization also institutionalizes cultural knowledge to gain sufficient
comparative knowledge of diverse groups, including the values, health beliefs, care practices, world views,
and bicultural ecologies commonly found within each group.
Test-Taking Tip: If you can eliminate any responses as incorrect based on your knowledge, you will not be
guessing randomly but will be exercising "informed guessing."
p. 107
The community health nurse is conducting a program on health and fitness awareness for medically
underserved people. Who would be categorized as medically underserved?
People belonging to a different culture
People of a poor socioeconomic status
People who are not willing to be treated for their illnesses
People who use complementary and alternative treatments for their illnesses
Rationale
Medically underserved people are those who lack the financial resources required for proper health care.
Unemployment, low-paying jobs, and rising health care costs have all increased the population of
medically underserved people in the United States. People not belonging to the dominant culture are not
necessarily poor or unable to bear health care costs. People who prefer not to be treated and those who opt
for alternative treatment methods are not categorized as medically underserved. p. 8
The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risks
and benefits of the surgery to the family and discusses the patient’s wishes with the family. Which role is
the nurse playing for the patient?
, Educator
Advocate
Caregiver
Manager
Rationale
An advocate protects the patient’s human and legal right to make choices about care. An advocate may also
provide additional information to help a patient decide whether or not to accept a treatment or find an
interpreter to help family members communicate their concerns. As an educator, the nurse explains
concepts and facts about health, describes the reason for routine care activities, demonstrates procedures
such as self-care activities, reinforces learning or patient behavior, and evaluates the patient’s progress in
learning. As a caregiver, the nurse helps patients maintain and regain health, manage disease and
symptoms, and attain a maximal level of function and independence through the healing process. A
manager coordinates the activities of members of the nursing staff in delivering nursing care and has
personnel, policy, and budgetary responsibility for a specific nursing unit or agency.
STUDY TIP: Familiarize yourself with the definitions of different types of nurses (nurse educator, case
manager, etc.) and roles of the nurse (advocate, caregiver, etc.) so the answers to these types of questions
are crystal clear.
p. 3
Which phrase accurately describes output?
Data entering the system
The end product
Data related to system functioning
The product and information obtained from the system
Rationale
Output is the end product. A system functions on its content, input, output, and feedback. Data entering the
system is input, not output. Data related to system functioning is feedback, not output. The product and
information obtained from the system is content, not output.
p. 45
A patient who has developed a pulmonary embolism after abdominal surgery is immediately transferred to
another hospital. Which law has been broken in this case?
Mental Health Parity Act
Americans With Disabilities Act
, Patient Self-Determination Act
Emergency Medical Treatment and Active Labor Act
Rationale
According to the Emergency Medical Treatment and Active Labor Act, patients who have an emergency
condition should not be discharged or referred to another hospital unless the condition stabilizes.
Pulmonary embolism is a life-threatening condition, and according to this law, the patient should not be
transferred to another hospital unless the condition is stabilized. According to the Mental Health Parity Act,
health insurance companies should not place lifetime or annual limits on mental health coverage, and the
coverage should be as generous as coverage for medical or surgical care. The Americans With Disabilities
Act prevents discrimination against persons with disabilities and ensures equal opportunities in
employment, state and local government services, public accommodations, commercial facilities, and
transportation. According to the Patient Self-
Determination Act, health care institutions should provide written information to patients about their
rights to make decisions regarding treatment. p. 308
Which phrase accurately describes feedback as it relates to the nursing process as a system?
Data entering the system
The end product
Data related to system functioning
The product and information obtained from the system
Rationale
Feedback is the data related to system functioning. Feedback serves to inform a system about how it
functions. A system functions on its content, input, output, and feedback. Data entering the system are
input, not feedback. The end product is output, not feedback. The product and information obtained from
the system is content, not feedback. pp. 45-46
The registered nurse is teaching a nursing student about interventions performed to prevent deep vein
thrombosis in an immobilized patient. Which statement made by the nursing student indicates a need for
correction?
"I will massage the legs."
"I will instruct the patient to avoid crossing the legs."
"I will assist the patient in performing range-of-motion exercises."
"I will position the patient without applying pressure on the posterior of knee."
