Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum
x x x x x x x x x x x x
MULTIPLE CHOICE
x
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action by
x x x x x x x x x x x x x x
the nurse would best indicate progress toward this goal?
x x x x x x x x x
A. Demonstrate good knowledge of different cultural health beliefs x x x x x x x
B. Effectively respond to the needs of people of different cultures
x x x x x x x x x
C. Interact respectfully with patients who have differing health beliefs
x x x x x x x x
D. Recognize that they will never be the expert in other cultures
x x x x x x x x x x
ANS: C x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
xuum
Objective: #. Pag x x
e: 13 x
Heading: Cultural Practices Integrate
x x x
d Processes: Caring
x x
Client Need: Psychosocial Integrity Cognitive
x x x x
Level: Analysis [Analyzing] Concept: Divers
x x x x x
ity; Critical Thinking Difficulty: Difficult
x x x x
Feedback
A. Cultural competence is the ability to interact effectively with people of different culture
x x x x x x x x x x x x
s and requires a certain level of knowledge about those cultures.
x x x x x x x x x x
B. Cultural competence is the ability to interact effectively with people of different culture
x x x x x x x x x x x x
s and requires a certain level of knowledge about those cultures.
x x x x x x x x x x
C. Cultural sensitivity is a way of approaching people who hold health beliefs different fro
x x x x x x x x x x x x x
m one‘s own. A nurse with this characteristic is respectful of and open to others.
x x x x x x x x x x x x x x
D. Cultural humility is the recognition that one will never master all information about anot
x x x x x x x x x x x x x
her culture. x
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
x x x x x x x x x x x x x
demonstrates this characteristic? x x
A. Attends workshops on cultural diversity and health practices
x x x x x x x
B. Participates in community health events with minority populationsx x x x x x x
C. Plans care with the family members within their cultural beliefs
x x x x x x x x x
D. Uses family members as interpreters to make them feel important
x x x x x x x x x
, ANS: C x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
uum
x
Objective: #. Pag x x
e: 16
x
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health Integ
x x x x x x x x x x
rated Processes: Caring
x x
Client Need: Psychosocial Integrity Cognitive
x x x x
Level: Evaluation [Evaluating] Concept: Div
x x x x x
ersity; Critical Thinking Difficulty: Difficult
x x x x
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action is
x x x x x x x x x x x x x x
too limited in scope to demonstrate cultural competence.
x x x x x x x
B. Participating in community events with diverse populations can increase cultural knowl
x x x x x x x x x x
edge, but this action is too limited in scope to demonstrate cultural
x x x x x x x x x x x
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individuals
x x x x x x x x x x x x x
and families from different cultures. This nurse plans interventions with a solid knowl
x x x x x x x x x x x x
edge of the values and practices of the members of the culture. Being open, listening t
x x x x x x x x x x x x x x x
o the family, and involving them in care demonstrates respect, unifies the nurse–
x x x x x x x x x x x x
patient relationship, and will motivate the patient (and family) to make positive health
x x x x x x x x x x x x
xchanges.
D. Nurses should use professional interpreters when needed.
x x x x x x
3. A patient wishes to use complementary therapy when managing a chronic health condition. W
x x x x x x x x x x x x x
hich action by the nurse is most appropriate?
x x x x x x x
A. Advise the patient that stopping medical treatment may cause it to worsen.
x x x x x x x x x x x
B. Inform the patient that there are no complementary therapies for this condition.
x x x x x x x x x x x
C. Investigate herbs that can be substituted for prescription drugs. x x x x x x x x
D. Suggest the patient add massage therapy to the medical regimen.
x x x x x x x x x
ANS: D x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
xuum
Objective: #. Pag x x
e: 18
x
Heading: Complementary and Alternative Therapies Int
x x x x x
egrated Processes: Teaching and Learning
x x x x
Client Need: Health Promotion and Maintenance Cognit
x x x x x x
ive Level: Analysis [Analyzing]
x x x
, Concept: Promoting Health Difficulty
x x x
: Moderate
x
Feedback
A. Because the patient is asking about complementary therapy, there is no need to warn t
x x x x x x x x x x x x x x
hem of the effects of stopping treatment.
x x x x x x
B. There are always complementary therapies that can be added to a medical regimen.
x x x x x x x x x x x x
C. Substituting herbs for prescription medication is an example of alternative therapy.
x x x x x x x x x x
D. Complementary therapy is nontraditional medical treatment used together with conven x x x x x x x x x
tional medical treatment. Adding massage to the medical regimen is an ex-
x x x x x x x x x x x
xample of using complementary therapy. x x x x
4. A nurse is working with a family that uses multiple complementary and alternative medicine (C
x x x x x x x x x x x x x x
AM) modalities. What action by the nurse is best?
x x x x x x x x
A. Allow the family to continue these practices as desired.
x x x x x x x x
B. Assess how these practices reflect religious beliefs.
x x x x x x
C. Inform the family that most of these practices do not work.
x x x x x x x x x x
D. Provide evidence-based information about the therapies.
x x x x x
ANS: D x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
xuum
Objective: #. Pag x x
e: 18 x
Heading: Complementary and Alternative Therapies Int
x x x x x
egrated Processes: Teaching and Learning
x x x x
Client Need: Health Promotion and Maintenance
x x x x x x
Cognitive Level: Application [Applying] Concep
x x x x
t: Family; Promoting Health
x x x
Difficulty: Moderate x
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass up t
x x x x x x x x x x x x x x x
he opportunity to provide and discuss information about CAM.
x x x x x x x x
B. A culturally competent nurse will assess how religious and spiritual beliefs affect h
x x x x x x x x x x x x
ealth-care practices, but the nurse needs to advocate for the patient/family by
x x x x x x x x x x x
providing solid information. x x
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t wor
x x x x x x x x x x x x
k is false information.
x x x
D. The nurse working with individuals or families who use CAM practices should respect t
x x x x x x x x x x x x x
he beliefs, values, and desires of the patient. The nurse should encourage
x x x x x x x x x x x
families to make decisions regarding CAM practices based on evidence and research i
x x x x x x x x x x x x
nto their effects. The nurse can best assist in this by providing and
x x x x x x x x x x x x
discussing information. x
x x x x x x x x x x x x
MULTIPLE CHOICE
x
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action by
x x x x x x x x x x x x x x
the nurse would best indicate progress toward this goal?
x x x x x x x x x
A. Demonstrate good knowledge of different cultural health beliefs x x x x x x x
B. Effectively respond to the needs of people of different cultures
x x x x x x x x x
C. Interact respectfully with patients who have differing health beliefs
x x x x x x x x
D. Recognize that they will never be the expert in other cultures
x x x x x x x x x x
ANS: C x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
xuum
Objective: #. Pag x x
e: 13 x
Heading: Cultural Practices Integrate
x x x
d Processes: Caring
x x
Client Need: Psychosocial Integrity Cognitive
x x x x
Level: Analysis [Analyzing] Concept: Divers
x x x x x
ity; Critical Thinking Difficulty: Difficult
x x x x
Feedback
A. Cultural competence is the ability to interact effectively with people of different culture
x x x x x x x x x x x x
s and requires a certain level of knowledge about those cultures.
x x x x x x x x x x
B. Cultural competence is the ability to interact effectively with people of different culture
x x x x x x x x x x x x
s and requires a certain level of knowledge about those cultures.
x x x x x x x x x x
C. Cultural sensitivity is a way of approaching people who hold health beliefs different fro
x x x x x x x x x x x x x
m one‘s own. A nurse with this characteristic is respectful of and open to others.
x x x x x x x x x x x x x x
D. Cultural humility is the recognition that one will never master all information about anot
x x x x x x x x x x x x x
her culture. x
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
x x x x x x x x x x x x x
demonstrates this characteristic? x x
A. Attends workshops on cultural diversity and health practices
x x x x x x x
B. Participates in community health events with minority populationsx x x x x x x
C. Plans care with the family members within their cultural beliefs
x x x x x x x x x
D. Uses family members as interpreters to make them feel important
x x x x x x x x x
, ANS: C x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
uum
x
Objective: #. Pag x x
e: 16
x
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health Integ
x x x x x x x x x x
rated Processes: Caring
x x
Client Need: Psychosocial Integrity Cognitive
x x x x
Level: Evaluation [Evaluating] Concept: Div
x x x x x
ersity; Critical Thinking Difficulty: Difficult
x x x x
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action is
x x x x x x x x x x x x x x
too limited in scope to demonstrate cultural competence.
x x x x x x x
B. Participating in community events with diverse populations can increase cultural knowl
x x x x x x x x x x
edge, but this action is too limited in scope to demonstrate cultural
x x x x x x x x x x x
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individuals
x x x x x x x x x x x x x
and families from different cultures. This nurse plans interventions with a solid knowl
x x x x x x x x x x x x
edge of the values and practices of the members of the culture. Being open, listening t
x x x x x x x x x x x x x x x
o the family, and involving them in care demonstrates respect, unifies the nurse–
x x x x x x x x x x x x
patient relationship, and will motivate the patient (and family) to make positive health
x x x x x x x x x x x x
xchanges.
D. Nurses should use professional interpreters when needed.
x x x x x x
3. A patient wishes to use complementary therapy when managing a chronic health condition. W
x x x x x x x x x x x x x
hich action by the nurse is most appropriate?
x x x x x x x
A. Advise the patient that stopping medical treatment may cause it to worsen.
x x x x x x x x x x x
B. Inform the patient that there are no complementary therapies for this condition.
x x x x x x x x x x x
C. Investigate herbs that can be substituted for prescription drugs. x x x x x x x x
D. Suggest the patient add massage therapy to the medical regimen.
x x x x x x x x x
ANS: D x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
xuum
Objective: #. Pag x x
e: 18
x
Heading: Complementary and Alternative Therapies Int
x x x x x
egrated Processes: Teaching and Learning
x x x x
Client Need: Health Promotion and Maintenance Cognit
x x x x x x
ive Level: Analysis [Analyzing]
x x x
, Concept: Promoting Health Difficulty
x x x
: Moderate
x
Feedback
A. Because the patient is asking about complementary therapy, there is no need to warn t
x x x x x x x x x x x x x x
hem of the effects of stopping treatment.
x x x x x x
B. There are always complementary therapies that can be added to a medical regimen.
x x x x x x x x x x x x
C. Substituting herbs for prescription medication is an example of alternative therapy.
x x x x x x x x x x
D. Complementary therapy is nontraditional medical treatment used together with conven x x x x x x x x x
tional medical treatment. Adding massage to the medical regimen is an ex-
x x x x x x x x x x x
xample of using complementary therapy. x x x x
4. A nurse is working with a family that uses multiple complementary and alternative medicine (C
x x x x x x x x x x x x x x
AM) modalities. What action by the nurse is best?
x x x x x x x x
A. Allow the family to continue these practices as desired.
x x x x x x x x
B. Assess how these practices reflect religious beliefs.
x x x x x x
C. Inform the family that most of these practices do not work.
x x x x x x x x x x
D. Provide evidence-based information about the therapies.
x x x x x
ANS: D x
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin-
x x x x x x x x x x x x x
xuum
Objective: #. Pag x x
e: 18 x
Heading: Complementary and Alternative Therapies Int
x x x x x
egrated Processes: Teaching and Learning
x x x x
Client Need: Health Promotion and Maintenance
x x x x x x
Cognitive Level: Application [Applying] Concep
x x x x
t: Family; Promoting Health
x x x
Difficulty: Moderate x
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass up t
x x x x x x x x x x x x x x x
he opportunity to provide and discuss information about CAM.
x x x x x x x x
B. A culturally competent nurse will assess how religious and spiritual beliefs affect h
x x x x x x x x x x x x
ealth-care practices, but the nurse needs to advocate for the patient/family by
x x x x x x x x x x x
providing solid information. x x
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t wor
x x x x x x x x x x x x
k is false information.
x x x
D. The nurse working with individuals or families who use CAM practices should respect t
x x x x x x x x x x x x x
he beliefs, values, and desires of the patient. The nurse should encourage
x x x x x x x x x x x
families to make decisions regarding CAM practices based on evidence and research i
x x x x x x x x x x x x
nto their effects. The nurse can best assist in this by providing and
x x x x x x x x x x x x
discussing information. x
