Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continu
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um
MULTIPLE CHOICE
xx
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
xx xx xx xx xx xx xx xx xx xx xx xx xx
on xx by the nurse would best indicate progress toward this goal?
xx xx xx xx xx xx xx xx xx
A. Demonstrate good knowledge of different cultural health beliefs
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B. Effectively respond to the needs of people of different cultures
xx xx xx xx xx xx xx xx xx
C. Interact respectfully with patients who have differing health beliefs
xx xx xx xx xx xx xx xx
D. Recognize that they will never be the expert in other cultures
xx xx xx xx xx xx xx xx xx xx
ANS: C xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uum
xx
Objective: #. Pag xx xx
e: 13
xx
Heading: Cultural Practices Integrat
xx xx xx
ed Processes: Caring
xx xx
Client Need: Psychosocial Integrity Cogniti
xx xx xx xx
ve Level: Analysis [Analyzing] Concept: Di
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versity; Critical Thinking Difficulty: Difficu
xx xx xx xx
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
xx xx xx xx xx xx xx xx xx xx xx xx
tures and requires a certain level of knowledge about those cultures.
xx xx xx xx xx xx xx xx xx xx
B. Cultural competence is the ability to interact effectively with people of different cul
xx xx xx xx xx xx xx xx xx xx xx xx
tures and requires a certain level of knowledge about those cultures.
xx xx xx xx xx xx xx xx xx xx
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
xx xx xx xx xx xx xx xx xx xx xx xx
t from one‘s own. A nurse with this characteristic is respectful of and open to othe
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
rs.
D. Cultural humility is the recognition that one will never master all information about
xx xx xx xx xx xx xx xx xx xx xx xx
another culture.
xx xx
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
xx xx xx xx xx xx xx xx xx xx xx xx xx
demonstrates this characteristic? xx xx
A. Attends workshops on cultural diversity and health practices
xx xx xx xx xx xx xx
B. Participates in community health events with minority populations
xx xx xx xx xx xx xx
C. Plans care with the family members within their cultural beliefs
xx xx xx xx xx xx xx xx xx
D. Uses family members as interpreters to make them feel important
xx xx xx xx xx xx xx xx xx
, ANS: C xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uum
xx
Objective: #. Pag xx xx
e: 16
xx
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
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ntegrated Processes: Caring
xx xx
Client Need: Psychosocial Integrity Cogniti
xx xx xx xx
ve Level: Evaluation [Evaluating] Concept:
xx xx xx xx xx
Diversity; Critical Thinking Difficulty: Diff
xx xx xx xx
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is
too limited in scope to demonstrate cultural competence.
xx xx xx xx xx xx xx
B. Participating in community events with diverse populations can increase cultural kn
xx xx xx xx xx xx xx xx xx xx
owledge, but this action is too limited in scope to demonstrate cultural
xx xx xx xx xx xx xx xx xx xx xx
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
xx xx xx xx xx xx xx xx xx xx xx xx
uals and families from different cultures. This nurse plans interventions with a sol
xx xx xx xx xx xx xx xx xx xx xx xx
id knowledge of the values and practices of the members of the culture. Being o
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pen, listening to the family, and involving them in care demonstrates respect, uni
xx xx xx xx xx xx xx xx xx xx xx xx
fies the nurse– xx xx
patient relationship, and will motivate the patient (and family) to make positive h
xx xx xx xx xx xx xx xx xx xx xx xx
ealth changes. xx
D. Nurses should use professional interpreters when needed.
xx xx xx xx xx xx
3. A patient wishes to use complementary therapy when managing a chronic health conditio
xx xx xx xx xx xx xx xx xx xx xx xx
n. Which action by the nurse is most appropriate?
xx xx xx xx xx xx xx xx
A. Advise the patient that stopping medical treatment may cause it to worsen.
xx xx xx xx xx xx xx xx xx xx xx
B. Inform the patient that there are no complementary therapies for this condition.
xx xx xx xx xx xx xx xx xx xx xx
C. Investigate herbs that can be substituted for prescription drugs.
xx xx xx xx xx xx xx xx
D. Suggest the patient add massage therapy to the medical regimen.
xx xx xx xx xx xx xx xx xx
ANS: D xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uum
xx
Objective: #. Pag xx xx
e: 18
xx
Heading: Complementary and Alternative Therapies I
xx xx xx xx xx
ntegrated Processes: Teaching and Learning
xx xx xx xx
Client Need: Health Promotion and Maintenance Cog
xx xx xx xx xx xx
nitive Level: Analysis [Analyzing]
xx xx xx
, Concept: Promoting Health Difficult
xx xx xx
y: Moderate
xx
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
xx xx xx xx xx xx xx xx xx xx xx xx xx
warn them of the effects of stopping treatment.
xx xx xx xx xx xx xx
B. There are always complementary therapies that can be added to a medical regimen.
xx xx xx xx xx xx xx xx xx xx xx xx
C. Substituting herbs for prescription medication is an example of alternative therapy.
xx xx xx xx xx xx xx xx xx xx
D. Complementary therapy is nontraditional medical treatment used together with con
xx xx xx xx xx xx xx xx xx
ventional medical treatment. Adding massage to the medical regimen is an ex-
xx xx xx xx xx xx xx xx xx xx xx
ample of using complementary therapy.
xx xx xx xx xx
4. A nurse is working with a family that uses multiple complementary and alternative medici
xx xx xx xx xx xx xx xx xx xx xx xx xx
ne (CAM) modalities. What action by the nurse is best?
xx xx xx xx xx xx xx xx xx
A. Allow the family to continue these practices as desired.
xx xx xx xx xx xx xx xx
B. Assess how these practices reflect religious beliefs.
xx xx xx xx xx xx
C. Inform the family that most of these practices do not work.
xx xx xx xx xx xx xx xx xx xx
D. Provide evidence-based information about the therapies.
xx xx xx xx xx
ANS: D xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uumxx
Objective: #. Pag xx xx
e: 18
xx
Heading: Complementary and Alternative Therapies I
xx xx xx xx xx
ntegrated Processes: Teaching and Learning
xx xx xx xx
Client Need: Health Promotion and Maintenanc
xx xx xx xx xx
e Cognitive Level: Application [Applying] Con
xx xx xx xx xx
cept: Family; Promoting Health
xx xx xx
Difficulty: Moderate xx
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
xx xx xx xx xx xx xx xx xx xx xx xx xx
up the opportunity to provide and discuss information about CAM.
xx xx xx xx xx xx xx xx xx xx
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
xx xx xx xx xx xx xx xx xx xx xx
ct health-
xx
care practices, but the nurse needs to advocate for the patient/family by
xx xx xx xx xx xx xx xx xx xx xx
providing solid information. xx xx
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
xx xx xx xx xx xx xx xx xx xx xx xx
work is false information.xx xx xx
D. The nurse working with individuals or families who use CAM practices should res
xx xx xx xx xx xx xx xx xx xx xx xx
pect the beliefs, values, and desires of the patient. The nurse should encourage
xx xx xx xx xx xx xx xx xx xx xx xx
families to make decisions regarding CAM practices based on evidence and resea
xx xx xx xx xx xx xx xx xx xx xx
rch into their effects. The nurse can best assist in this by providing and
xx xx xx xx xx xx xx xx xx xx xx xx xx
discussing information. xx
xx xx xx xx xx xx xx xx xx xx xx xx
um
MULTIPLE CHOICE
xx
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
xx xx xx xx xx xx xx xx xx xx xx xx xx
on xx by the nurse would best indicate progress toward this goal?
xx xx xx xx xx xx xx xx xx
A. Demonstrate good knowledge of different cultural health beliefs
xx xx xx xx xx xx xx
B. Effectively respond to the needs of people of different cultures
xx xx xx xx xx xx xx xx xx
C. Interact respectfully with patients who have differing health beliefs
xx xx xx xx xx xx xx xx
D. Recognize that they will never be the expert in other cultures
xx xx xx xx xx xx xx xx xx xx
ANS: C xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uum
xx
Objective: #. Pag xx xx
e: 13
xx
Heading: Cultural Practices Integrat
xx xx xx
ed Processes: Caring
xx xx
Client Need: Psychosocial Integrity Cogniti
xx xx xx xx
ve Level: Analysis [Analyzing] Concept: Di
xx xx xx xx xx
versity; Critical Thinking Difficulty: Difficu
xx xx xx xx
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
xx xx xx xx xx xx xx xx xx xx xx xx
tures and requires a certain level of knowledge about those cultures.
xx xx xx xx xx xx xx xx xx xx
B. Cultural competence is the ability to interact effectively with people of different cul
xx xx xx xx xx xx xx xx xx xx xx xx
tures and requires a certain level of knowledge about those cultures.
xx xx xx xx xx xx xx xx xx xx
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
xx xx xx xx xx xx xx xx xx xx xx xx
t from one‘s own. A nurse with this characteristic is respectful of and open to othe
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
rs.
D. Cultural humility is the recognition that one will never master all information about
xx xx xx xx xx xx xx xx xx xx xx xx
another culture.
xx xx
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
xx xx xx xx xx xx xx xx xx xx xx xx xx
demonstrates this characteristic? xx xx
A. Attends workshops on cultural diversity and health practices
xx xx xx xx xx xx xx
B. Participates in community health events with minority populations
xx xx xx xx xx xx xx
C. Plans care with the family members within their cultural beliefs
xx xx xx xx xx xx xx xx xx
D. Uses family members as interpreters to make them feel important
xx xx xx xx xx xx xx xx xx
, ANS: C xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uum
xx
Objective: #. Pag xx xx
e: 16
xx
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
xx xx xx xx xx xx xx xx xx xx
ntegrated Processes: Caring
xx xx
Client Need: Psychosocial Integrity Cogniti
xx xx xx xx
ve Level: Evaluation [Evaluating] Concept:
xx xx xx xx xx
Diversity; Critical Thinking Difficulty: Diff
xx xx xx xx
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is
too limited in scope to demonstrate cultural competence.
xx xx xx xx xx xx xx
B. Participating in community events with diverse populations can increase cultural kn
xx xx xx xx xx xx xx xx xx xx
owledge, but this action is too limited in scope to demonstrate cultural
xx xx xx xx xx xx xx xx xx xx xx
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
xx xx xx xx xx xx xx xx xx xx xx xx
uals and families from different cultures. This nurse plans interventions with a sol
xx xx xx xx xx xx xx xx xx xx xx xx
id knowledge of the values and practices of the members of the culture. Being o
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pen, listening to the family, and involving them in care demonstrates respect, uni
xx xx xx xx xx xx xx xx xx xx xx xx
fies the nurse– xx xx
patient relationship, and will motivate the patient (and family) to make positive h
xx xx xx xx xx xx xx xx xx xx xx xx
ealth changes. xx
D. Nurses should use professional interpreters when needed.
xx xx xx xx xx xx
3. A patient wishes to use complementary therapy when managing a chronic health conditio
xx xx xx xx xx xx xx xx xx xx xx xx
n. Which action by the nurse is most appropriate?
xx xx xx xx xx xx xx xx
A. Advise the patient that stopping medical treatment may cause it to worsen.
xx xx xx xx xx xx xx xx xx xx xx
B. Inform the patient that there are no complementary therapies for this condition.
xx xx xx xx xx xx xx xx xx xx xx
C. Investigate herbs that can be substituted for prescription drugs.
xx xx xx xx xx xx xx xx
D. Suggest the patient add massage therapy to the medical regimen.
xx xx xx xx xx xx xx xx xx
ANS: D xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uum
xx
Objective: #. Pag xx xx
e: 18
xx
Heading: Complementary and Alternative Therapies I
xx xx xx xx xx
ntegrated Processes: Teaching and Learning
xx xx xx xx
Client Need: Health Promotion and Maintenance Cog
xx xx xx xx xx xx
nitive Level: Analysis [Analyzing]
xx xx xx
, Concept: Promoting Health Difficult
xx xx xx
y: Moderate
xx
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
xx xx xx xx xx xx xx xx xx xx xx xx xx
warn them of the effects of stopping treatment.
xx xx xx xx xx xx xx
B. There are always complementary therapies that can be added to a medical regimen.
xx xx xx xx xx xx xx xx xx xx xx xx
C. Substituting herbs for prescription medication is an example of alternative therapy.
xx xx xx xx xx xx xx xx xx xx
D. Complementary therapy is nontraditional medical treatment used together with con
xx xx xx xx xx xx xx xx xx
ventional medical treatment. Adding massage to the medical regimen is an ex-
xx xx xx xx xx xx xx xx xx xx xx
ample of using complementary therapy.
xx xx xx xx xx
4. A nurse is working with a family that uses multiple complementary and alternative medici
xx xx xx xx xx xx xx xx xx xx xx xx xx
ne (CAM) modalities. What action by the nurse is best?
xx xx xx xx xx xx xx xx xx
A. Allow the family to continue these practices as desired.
xx xx xx xx xx xx xx xx
B. Assess how these practices reflect religious beliefs.
xx xx xx xx xx xx
C. Inform the family that most of these practices do not work.
xx xx xx xx xx xx xx xx xx xx
D. Provide evidence-based information about the therapies.
xx xx xx xx xx
ANS: D xx
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
xx xx xx xx xx xx xx xx xx xx xx xx xx
n- uumxx
Objective: #. Pag xx xx
e: 18
xx
Heading: Complementary and Alternative Therapies I
xx xx xx xx xx
ntegrated Processes: Teaching and Learning
xx xx xx xx
Client Need: Health Promotion and Maintenanc
xx xx xx xx xx
e Cognitive Level: Application [Applying] Con
xx xx xx xx xx
cept: Family; Promoting Health
xx xx xx
Difficulty: Moderate xx
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
xx xx xx xx xx xx xx xx xx xx xx xx xx
up the opportunity to provide and discuss information about CAM.
xx xx xx xx xx xx xx xx xx xx
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
xx xx xx xx xx xx xx xx xx xx xx
ct health-
xx
care practices, but the nurse needs to advocate for the patient/family by
xx xx xx xx xx xx xx xx xx xx xx
providing solid information. xx xx
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
xx xx xx xx xx xx xx xx xx xx xx xx
work is false information.xx xx xx
D. The nurse working with individuals or families who use CAM practices should res
xx xx xx xx xx xx xx xx xx xx xx xx
pect the beliefs, values, and desires of the patient. The nurse should encourage
xx xx xx xx xx xx xx xx xx xx xx xx
families to make decisions regarding CAM practices based on evidence and resea
xx xx xx xx xx xx xx xx xx xx xx
rch into their effects. The nurse can best assist in this by providing and
xx xx xx xx xx xx xx xx xx xx xx xx xx
discussing information. xx
