Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Con
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tinuum
MULTIPLE CHOICE
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,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @
action by the nurse would best indicate progress toward this goal?
1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
A. Demonstrate good knowledge of different cultural health beliefs
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B. Effectively respond to the needs of people of different cultures
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C. Interact respectfully with patients who have differing health beliefs
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D. Recognize that they will never be the expert in other cultures
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ANS: C @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
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ontin- uum @1
Objective: #. Pa @1 @1
ge: 13 @1
Heading: Cultural Practices Integra
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ted Processes: Caring
@1 @1
Client Need: Psychosocial Integrity Cogni
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tive Level: Analysis [Analyzing] Concept:
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Diversity; Critical Thinking Difficulty: Di
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fficult
Feedback
A. Cultural competence is the ability to interact effectively with people of different
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
cultures and requires a certain level of knowledge about those cultures.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
B. Cultural competence is the ability to interact effectively with people of different
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
cultures and requires a certain level of knowledge about those cultures.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
C. Cultural sensitivity is a way of approaching people who hold health beliefs diff
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
erent from one‘s own. A nurse with this characteristic is respectful of and ope
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
n to others.
@1 @1
D. Cultural humility is the recognition that one will never master all information a
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bout another culture.
@1 @1
2. A nurse manager is evaluating staff members on their cultural competence. Which action
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
best
demonstrates this characteristic? @1 @1
A. Attends workshops on cultural diversity and health practices
@1 @1 @1 @1 @1 @1 @1
B. Participates in community health events with minority populations
@1 @1 @1 @1 @1 @1 @1
C. Plans care with the family members within their cultural beliefs
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D. Uses family members as interpreters to make them feel important
@1 @1 @1 @1 @1 @1 @1 @1 @1
, ANS: C @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 16 @1
Heading: Table 1.2 Strategies and Measures to Improve Maternal Healt
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h Integrated Processes: Caring
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Client Need: Psychosocial Integrity Cogni
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tive Level: Evaluation [Evaluating] Concep
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t: Diversity; Critical Thinking Difficulty:
@1 @1 @1 @1 @1
Difficult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this ac
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
tion is @1
too limited in scope to demonstrate cultural competence.
@1 @1 @1 @1 @1 @1 @1
B. Participating in community events with diverse populations can increase cultural
@1 @1 @1 @1 @1 @1 @1 @1 @1
@1knowledge, but this action is too limited in scope to demonstrate cultural
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
competence.
C. The culturally sensitive nurse can understand and respond to the needs of in
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
dividuals and families from different cultures. This nurse plans interventions
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
with a solid knowledge of the values and practices of the members of the c
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ulture. Being open, listening to the family, and involving them in care demo
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
nstrates respect, unifies the nurse–
@1 @1 @1 @1
patient relationship, and will motivate the patient (and family) to make positi
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ve health changes.
@1 @1
D. Nurses should use professional interpreters when needed.
@1 @1 @1 @1 @1 @1
3. A patient wishes to use complementary therapy when managing a chronic health con
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
dition. Which action by the nurse is most appropriate?
@1 @1 @1 @1 @1 @1 @1 @1
A. Advise the patient that stopping medical treatment may cause it to worsen.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
B. Inform the patient that there are no complementary therapies for this condition.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
C. Investigate herbs that can be substituted for prescription drugs.
@1 @1 @1 @1 @1 @1 @1 @1
D. Suggest the patient add massage therapy to the medical regimen.
@1 @1 @1 @1 @1 @1 @1 @1 @1
ANS: D @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 18 @1
Heading: Complementary and Alternative Therapies
@1 @1 @1 @1 @
Integrated Processes: Teaching and Learning
1 @1 @1 @1 @1
Client Need: Health Promotion and Maintenance C
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ognitive Level: Analysis [Analyzing]
@1 @1 @1
, Concept: Promoting Health Difficul
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ty: Moderate
@1
Feedback
A. Because the patient is asking about complementary therapy, there is no need
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
to warn them of the effects of stopping treatment.
@1 @1 @1 @1 @1 @1 @1 @1
B. There are always complementary therapies that can be added to a medical regi
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
men.
C. Substituting herbs for prescription medication is an example of alternative thera
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
py.
D. Complementary therapy is nontraditional medical treatment used together with
@1 @1 @1 @1 @1 @1 @1 @1 @1
conventional medical treatment. Adding massage to the medical regimen is an e
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
x- ample of using complementary therapy.
@1 @1 @1 @1 @1
4. A nurse is working with a family that uses multiple complementary and alternative m
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
edicine (CAM) modalities. What action by the nurse is best?
@1 @1 @1 @1 @1 @1 @1 @1 @1
A. Allow the family to continue these practices as desired.
@1 @1 @1 @1 @1 @1 @1 @1
B. Assess how these practices reflect religious beliefs.
@1 @1 @1 @1 @1 @1
C. Inform the family that most of these practices do not work.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
D. Provide evidence-based information about the therapies.
@1 @1 @1 @1 @1
ANS: D @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 18 @1
Heading: Complementary and Alternative Therapies
@1 @1 @1 @1 @
Integrated Processes: Teaching and Learning
1 @1 @1 @1 @1
Client Need: Health Promotion and Maintenan
@1 @1 @1 @1 @1
ce Cognitive Level: Application [Applying] C
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oncept: Family; Promoting Health
@1 @1 @1
Difficulty: Moderate @1
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @
pass up the opportunity to provide and discuss information about CAM.
1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
B. A culturally competent nurse will assess how religious and spiritual beliefs
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
affect health- @1
care practices, but the nurse needs to advocate for the patient/family by
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
providing solid information. @1 @1
C. Many CAM practices have demonstrated benefit, so telling the family they do
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
n‘t work is false information.
@1 @1 @1 @1
D. The nurse working with individuals or families who use CAM practices should
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
respect the beliefs, values, and desires of the patient. The nurse should encour
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
age
families to make decisions regarding CAM practices based on evidence and r
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
esearch into their effects. The nurse can best assist in this by providing and
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
discussing information. @1
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
tinuum
MULTIPLE CHOICE
@1
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @
action by the nurse would best indicate progress toward this goal?
1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
A. Demonstrate good knowledge of different cultural health beliefs
@1 @1 @1 @1 @1 @1 @1
B. Effectively respond to the needs of people of different cultures
@1 @1 @1 @1 @1 @1 @1 @1 @1
C. Interact respectfully with patients who have differing health beliefs
@1 @1 @1 @1 @1 @1 @1 @1
D. Recognize that they will never be the expert in other cultures
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ANS: C @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 13 @1
Heading: Cultural Practices Integra
@1 @1 @1
ted Processes: Caring
@1 @1
Client Need: Psychosocial Integrity Cogni
@1 @1 @1 @1
tive Level: Analysis [Analyzing] Concept:
@1 @1 @1 @1 @1
Diversity; Critical Thinking Difficulty: Di
@1 @1 @1 @1
fficult
Feedback
A. Cultural competence is the ability to interact effectively with people of different
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
cultures and requires a certain level of knowledge about those cultures.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
B. Cultural competence is the ability to interact effectively with people of different
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
cultures and requires a certain level of knowledge about those cultures.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
C. Cultural sensitivity is a way of approaching people who hold health beliefs diff
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
erent from one‘s own. A nurse with this characteristic is respectful of and ope
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
n to others.
@1 @1
D. Cultural humility is the recognition that one will never master all information a
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
bout another culture.
@1 @1
2. A nurse manager is evaluating staff members on their cultural competence. Which action
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
best
demonstrates this characteristic? @1 @1
A. Attends workshops on cultural diversity and health practices
@1 @1 @1 @1 @1 @1 @1
B. Participates in community health events with minority populations
@1 @1 @1 @1 @1 @1 @1
C. Plans care with the family members within their cultural beliefs
@1 @1 @1 @1 @1 @1 @1 @1 @1
D. Uses family members as interpreters to make them feel important
@1 @1 @1 @1 @1 @1 @1 @1 @1
, ANS: C @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 16 @1
Heading: Table 1.2 Strategies and Measures to Improve Maternal Healt
@1 @1 @1 @1 @1 @1 @1 @1 @1
h Integrated Processes: Caring
@1 @1 @1
Client Need: Psychosocial Integrity Cogni
@1 @1 @1 @1
tive Level: Evaluation [Evaluating] Concep
@1 @1 @1 @1
t: Diversity; Critical Thinking Difficulty:
@1 @1 @1 @1 @1
Difficult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this ac
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
tion is @1
too limited in scope to demonstrate cultural competence.
@1 @1 @1 @1 @1 @1 @1
B. Participating in community events with diverse populations can increase cultural
@1 @1 @1 @1 @1 @1 @1 @1 @1
@1knowledge, but this action is too limited in scope to demonstrate cultural
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
competence.
C. The culturally sensitive nurse can understand and respond to the needs of in
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
dividuals and families from different cultures. This nurse plans interventions
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
with a solid knowledge of the values and practices of the members of the c
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ulture. Being open, listening to the family, and involving them in care demo
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
nstrates respect, unifies the nurse–
@1 @1 @1 @1
patient relationship, and will motivate the patient (and family) to make positi
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ve health changes.
@1 @1
D. Nurses should use professional interpreters when needed.
@1 @1 @1 @1 @1 @1
3. A patient wishes to use complementary therapy when managing a chronic health con
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
dition. Which action by the nurse is most appropriate?
@1 @1 @1 @1 @1 @1 @1 @1
A. Advise the patient that stopping medical treatment may cause it to worsen.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
B. Inform the patient that there are no complementary therapies for this condition.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
C. Investigate herbs that can be substituted for prescription drugs.
@1 @1 @1 @1 @1 @1 @1 @1
D. Suggest the patient add massage therapy to the medical regimen.
@1 @1 @1 @1 @1 @1 @1 @1 @1
ANS: D @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 18 @1
Heading: Complementary and Alternative Therapies
@1 @1 @1 @1 @
Integrated Processes: Teaching and Learning
1 @1 @1 @1 @1
Client Need: Health Promotion and Maintenance C
@1 @1 @1 @1 @1 @1
ognitive Level: Analysis [Analyzing]
@1 @1 @1
, Concept: Promoting Health Difficul
@1 @1 @1
ty: Moderate
@1
Feedback
A. Because the patient is asking about complementary therapy, there is no need
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
to warn them of the effects of stopping treatment.
@1 @1 @1 @1 @1 @1 @1 @1
B. There are always complementary therapies that can be added to a medical regi
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
men.
C. Substituting herbs for prescription medication is an example of alternative thera
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
py.
D. Complementary therapy is nontraditional medical treatment used together with
@1 @1 @1 @1 @1 @1 @1 @1 @1
conventional medical treatment. Adding massage to the medical regimen is an e
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
x- ample of using complementary therapy.
@1 @1 @1 @1 @1
4. A nurse is working with a family that uses multiple complementary and alternative m
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
edicine (CAM) modalities. What action by the nurse is best?
@1 @1 @1 @1 @1 @1 @1 @1 @1
A. Allow the family to continue these practices as desired.
@1 @1 @1 @1 @1 @1 @1 @1
B. Assess how these practices reflect religious beliefs.
@1 @1 @1 @1 @1 @1
C. Inform the family that most of these practices do not work.
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1
D. Provide evidence-based information about the therapies.
@1 @1 @1 @1 @1
ANS: D @1
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the C
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
ontin- uum @1
Objective: #. Pa @1 @1
ge: 18 @1
Heading: Complementary and Alternative Therapies
@1 @1 @1 @1 @
Integrated Processes: Teaching and Learning
1 @1 @1 @1 @1
Client Need: Health Promotion and Maintenan
@1 @1 @1 @1 @1
ce Cognitive Level: Application [Applying] C
@1 @1 @1 @1 @1
oncept: Family; Promoting Health
@1 @1 @1
Difficulty: Moderate @1
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @
pass up the opportunity to provide and discuss information about CAM.
1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
B. A culturally competent nurse will assess how religious and spiritual beliefs
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
affect health- @1
care practices, but the nurse needs to advocate for the patient/family by
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
providing solid information. @1 @1
C. Many CAM practices have demonstrated benefit, so telling the family they do
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
n‘t work is false information.
@1 @1 @1 @1
D. The nurse working with individuals or families who use CAM practices should
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
respect the beliefs, values, and desires of the patient. The nurse should encour
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
age
families to make decisions regarding CAM practices based on evidence and r
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
esearch into their effects. The nurse can best assist in this by providing and
@1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1 @1
discussing information. @1
