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