NSG 4074 (South University), Transcultural Health Care, All Correct Test bank Questions and Answers with Explanations (latest Update), 100% Correct.

NSG 4074 (South University), Transcultural Health Care, All Correct Test bank Questions and Answers with Explanations (latest Update), 100% Correct. Theoretical Foundations of Transcultural Nursing 1. Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists? A) Nursing interventions planned on the basis of age and developmental norms. B) Evaluation of the understanding of risk factors based on cognitive function. C) Implementation of nursing care, respectful of the individual's economic status. D) Assessment of woman's ability to function successfully in her role within the family. 2. Which is the basis to support the need for transcultural nursing in a health care setting that serves a multicultural metropolitan community? A) The nursing responsibility to provide nursing care for each patient that demonstrates respect and acceptance. B) The ever-expanding numbers of immigrants entering the United States requiring physical and mental health care. C) The diversity seen in the values, beliefs, behaviors, as well as physical and mental characteristics of the client population. D) The varying economic and social backgrounds represented in the population present unique barriers to health care delivery. 3. Which assessment question shows an understanding of the impact of cultural beliefs and behaviors on a client's demonstration of pain? A) “Can you describe the pain you are experiencing for me?” B) “Do you understand the long-term effects of chronic pain?” C) “Have you ever taken medication to help control your pain?” D) “How can I help you deal with the pain you are experiencing?” 4. Which nursing intervention demonstrates an understanding of the full scope on culturally sensitive nursing care? A) When planning a teenaged focused educational program on sexuality, both homosexual and heterosexual lifestyle choices are discussed. B) When assessing a recently immigrated Hispanic's ability to both speak and read the English language when preparing discharge teaching. C) Including both Eastern traditional folk treatments and Western medical therapies into the care plan of a Chinese patient. D) Directing a discussion concerning treatment options for an Arab female toward the family's elder male members. 5. Which statement exhibits an understanding of the meaning of culturally congruent nursing care? A) “Care that is culturally congruent is a client right of all ethnically diversed individuals.” B) “I have a nursing responsibility to always provide culturally congruent nursing care.” C) “Providing culturally congruent nursing care offers care the client has confidence in.” D) “Outcomes are so much better when the care is delivered in a culturally congruent manner.” 6. Which nursing intervention demonstrates one of the strengths of the transcultural nursing Theory of Culture Care Diversity and Universality? A) Planning treatments around the praying schedule of a Muslim client. B) Encouraging a Chinese client to explain the concept of “Ying and Yang.” C) Assessing for stress factors affecting a Haitian client as well as her immediate family. D) Evaluating the reading comprehension of a client for whom English is a second language. 7. According to Purnell Model for Cultural Competence, what initially indoctrinates an individual to cultural norms? A) Genetics B) Family C) Community D) Peers 8. Which nursing intervention demonstrates an avoidance of one of the cited criticisms of current transcultural nursing theories? A) Asking the Jewish client whether he or she will need a kosher diet menu. B) Making sure that a Catholic client's rosary beads are always within easy reach. C) Encouraging a German World War II veteran to talk about his military experiences. D) Suggesting that an obese Irish American minimize consumption of beer and potatoes. 9. Which activity would be best supported by the Council on Nursing and Anthropology Association? A) A multidisciplinary research project on the effects of culture on pain management plans. B) Revising facility visitation policies to support cultures in which family members remain with the client. C) Organizing a rally to raise awareness of the need for a local free clinic to serve cultural diverse families. D) Providing staff education regarding the dietary traditions of both the local Jewish and Arab populations. 10. When applying for certification as a transcultural nurse, which activity best supports the need to possess appropriate specialized knowledge? A) Membership in two nursing orientations whose focus is transcultural nursing care. B) Letters of reference from facility administration supporting the awarding of the certification. C) Documentation proofing a work history in facilities that serve a cultural diverse population. D) A portfolio showing completion of educational classes that support culturally congruent nursing. Answer Key 1. D 2. C 3. D 4. A 5. C 6. C 7. B 8. A 9. A 10. D Transcultural Diversity and Health Care Multiple Choice Identify the choice that best completes the statement or answers the question. 1. According to the 2010 U.S. Census Bureau, approximately 72.4 percent of the population reported their race as white. The second most commonly reported race is 1. Black. 2. Hispanic. 3. American Indian/Alaskan Native. 4. Asian. 2. Of the Hispanic population in the United States, the largest percentage self-identify as 1. Puerto Rican. 2. Cuban. 3. Mexican. 4. Central American. 3. In distinguishing a stereotype from a generalization, a generalization is a(an) 1. Starting point. 2. End point. 3. Minor variation of stereotype. 4. Major variation of stereotype. 4. Mr. James, a nutritionist at McDowell Memorial Medical Center, gave the U.S. Department of Agriculture Dominant American food pyramid to a traditional Guatemalan migrant worker. This is an example of 1. Cultural imposition. 2. Cultural imperialism. 3. Cultural relativism. 4. Cultural sensitivity. 5. Worldview is best described as 1. An explanation for disease etiology. 2. The one who exercises the most power within a group. 3. Careful consideration of future implications when making a decision. 4. An understanding of how human experiences fit into a bigger picture. 6. Cultural sensitivity is 1. Using politically correct language. 2. Having an appreciation of cultural arts and dress. 3. Knowing aggregate data about a cultural group. 4. Knowing specific cultural attributes about a group. 7. Cultural imposition is defined as 1. Applying the majority views and practices to minority groups. 2. The practice of extending the policies and practices of one group (usually the dominant one) to disenfranchised and minority groups. 3. The belief that the behaviors and practices of people should be judged only from the context of their cultural system. 4. Not saying things that may be seen as derogatory about another group—that is, using politically correct, neutral language. 8. Ethnocentrism is 1. Being aware of the ethnicity of your patients. 2. Believing that your nursing practices and values are superior to others’ practices and values. 3. The belief that the behaviors and practices of people should be judged only from the context of their cultural system. 4. Learning aggregate data of cultural groups to whom they provide care. 9. A hallmark of individualistic cultures is 1. Self-expression. 2. Teamwork. 3. High-context communication. 4. Expectations of loyalty. 10. One culture that encourages self-expression is 1. Filipino. 2. Thai. 3. European American. 4. Somali. Transcultural Diversity and Health Care Answer Section MULTIPLE CHOICE 1. ANS: 2 Feedback 1 Incorrect: 12.1 percent of the U.S. population is black. 2 Correct: 12.6 percent of the U.S. population is Hispanic/Latino. 3 Incorrect: 0.9 percent of the U.S. population is American Indian or Alaskan Native. 4 Incorrect: Only 4.8 percent of the U.S. population is Asian. PTS: 1 2. ANS: 3 Feedback 1 Incorrect. Of the Hispanic population in the United States, the majority are Mexican. 2 Incorrect. Of the Hispanic population in the United States, the majority are Mexican. 3 Correct. Of the Hispanic population in the United States, the majority are Mexican. 4 Incorrect. Of the Hispanic population in the United States, the majority are Mexican. PTS: 1 3. ANS: 1 Feedback 1 Correct. A generalization is a starting point, not an endpoint. 2 Incorrect. A generalization is a starting point, not an endpoint. 3 Incorrect. A generalization is not a major or minor variation of stereotype. 4 Incorrect. A generalization is not a major or minor variation of stereotype. PTS: 1 4. ANS: 1 Feedback 1 Correct. Cultural imposition is applying the majority views and practices to minority groups. 2 Incorrect. Cultural imperialism is the practice of extending the policies and practices of one group (usually the dominant one) to disenfranchised and minority groups. 3 Incorrect. Cultural relativism is the belief that the behaviors and practices of people should be judged only from the context of their cultural system. 4 Incorrect. Cultural sensitivity is not saying things that may be seen as derogatory about another group—that is, using politically correct, neutral language. PTS: 1 5. ANS: 4 Feedback 1 Incorrect. This may be part of worldview, but it is not the best definition. The definition is not complete. 2 Incorrect. This may be part of worldview, but it is not the best definition. The definition is not complete. 3 Incorrect. This may be part of worldview, but it is not the best definition. The definition is not complete. 4 Correct. Worldview is best described as an understanding of how human experiences fit into a bigger picture. PTS: 1 6. ANS: 1 Feedback 1 Correct. Using politically correct language is a cultural sensitivity. 2 Incorrect. Cultural awareness is an appreciation of cultural arts and dress. 3 Incorrect. Knowing aggregate data about a cultural group is a step toward cultural competence. 4 Incorrect. Knowing specific cultural attributes about a cultural group is a step toward cultural competence. PTS: 1 7. ANS: 3 Feedback 1 Incorrect. Cultural relativism is the belief that the behaviors and practices of people should be judged only from the context of their cultural system. 2 Incorrect. Cultural imperialism is the practice of extending the policies and practices of one group (usually the dominant one) to disenfranchised and minority groups. 3 Correct. Cultural imposition is applying the majority views and practices to minority groups. 4 Incorrect. Cultural sensitivity is not saying things that may be seen as derogatory about another group—that is, using politically correct, neutral language. PTS: 1 8. ANS: 2 Feedback 1 Incorrect. Being aware of the ethnicity of your patients is not ethnocentrism. 2 Correct. Believing that your nursing practices and values are superior to others’ practices and values is ethnocentrism. 3 Incorrect. The belief that the behaviors and practices of people should be judged only from the context of their cultural system is cultural relativism. 4 Incorrect. Learning aggregate data of cultural groups to whom they provide care is a step of cultural competence. PTS: 1 9. ANS: 1 Feedback 1 Correct. A hallmark of individualistic cultures is self-expression. 2 Incorrect. Teamwork is a hallmark of collectivistic cultures. 3 Incorrect. High-context communication is a hallmark of collectivistic cultures. 4 Incorrect. The expectation of loyalty is a hallmark of collectivistic cultures. PTS: 1 10. ANS: 3 Feedback 1 Incorrect. Filipino culture is collectivistic and does not encourage self-expression. 2 Incorrect. The Thai culture is collectivistic and does not encourage self-expression. 3 Correct. The European American culture is individualistic and encourages self- expression. 4 Incorrect. The Somali culture is collectivistic and does not encourage self-expression. PTS: 1 Health Disparities and Culturally Competent Care Test Bank MULTIPLE CHOICE 1. The nurse obtains information about all these areas during the health interview for a new patient. Which area will be the focus of patient teaching? a. Age and gender b. Hispanic/Latino ethnicity c. Family history of diabetes d. Refined carbohydrate intake ANS: D Behaviors are strongly linked to many health care problems. The patient’s carbohydrate intake is a behavior that the patient can change. The other information will be useful as the nurse develops an individualized plan for improving the patient’s health, but will not be the focus of patient education. DIF: Cognitive Level: Application REF: 20-21 TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 2. When developing strategies to decrease health care disparities, the nurse working in a clinic located in a neighborhood with many Vietnamese individuals will include a. improving public transportation. b. obtaining low-cost medications. c. updating equipment and supplies for the clinic. d. educating staff about Vietnamese health beliefs. ANS: D Health care disparities are due to stereotyping, biases, and prejudice of health care providers; the nurse can decrease these through staff education. The other strategies also may be addressed by the nurse but will not impact health disparities. DIF: Cognitive Level: Application REF: 21-23 | 32 TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 3. Which information will the nurse need to collect when assessing the health status of a community? a. Average income of community members b. Morning traffic patterns in the community c. Median life expectancy for the community d. Occupations of individuals in the community ANS: C