Nursing Fundamentals exam 4 practice test
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A nurse is caring for patients of diverse cultures in a d, e, f
community health care facility. Which characteristics of
cultural diversity that exist in the United States should the Rationale: A person may be a member of multiple cultural, ethnic, and racial
nurse consider when planning culturally competent care? groups at one time. Culture guides what is acceptable behavior for people in a
Select all that apply. specific group. Cultural practices and beliefs may evolve over time, but they
mainly remain constant as long as they satisfy a group's needs. The United States
a. The United States has become less inclusive of same- has become more (not less) inclusive of same-sex couples. The definition of
sex couples cultural diversity includes, but is not limited to, people of varying cultures, racial
b. Cultural diversity is limited to people of varying and ethnic origin, religion, language, physical size, biological sex, sexual
cultures and races orientation, age, disability, socioeconomic status, occupational status, and
c. Cultural diversity is separate and distinct from health geographic location. Cultural diversity, including culture, ethnicity, and race, is an
and illness integral component of both health and illness.
d. People may be members of multiple cultural groups at
one time
e. Culture guides what is acceptable behavior for people
in a specific group
f. Cultural practices may evolve over time but mainly
remain constant
,In order to provide culturally competent care, nurses a, d
must be alert to factors inhibiting sensitivity to diversity in
the health care system. Which nursing actions are Rationale: Cultural imposition occurs when a hospital nurse tells a nurse's aide that
examples of cultural imposition? Select all that apply. patients should not be given a choice whether or not to shower or bathe daily,
and when a Catholic nurse insists that a patient diagnosed with terminal bladder
a. A hospital nurse tells a nurse's aide that patients should cancer see the chaplain in residence. Cultural blindness occurs when a nurse
not be given a choice whether or not to shower or bathe treats all patients the same whether or not they come from a different culture.
daily. Culture conflict occurs when a nurse ridicules a patient by telling another nurse
b. A nurse treats all patients the same whether or not they that Jewish diet restrictions are just a way for Jewish patients to get a special tray
come from a different culture. of their favorite foods. When a nurse refuses to respect an older adult's ability to
c. A nurse tells another nurse that Jewish diet restrictions speak for himself or herself, or if the nurse refuses to treat a patient based on that
are just a way for them to get a special tray of their patient's sexual orientation, the nurse is engaging in stereotyping.
favorite foods.
d. A Catholic nurse insists that a patient diagnosed with
terminal bladder cancer see the chaplain in residence.
e. A nurse directs interview questions to an older adult's
daughter even though the patient is capable of
answering them.
f. A nurse refuses to care for a married gay man who is
HIV positive because she is against same-sex marriage.
A nurse caring for culturally diverse patients in a health a, c, e, f
care provider's office is aware that patients of certain
cultures are more prone to specific disease states than Rationale: Native Americans, Alaska Natives, Hispanics, and Whites are more
the general population. Which patients would the nurse prone to developing diabetes mellitus. African Americans are prone to
screen for diabetes mellitus based on the patient's race? hypertension, stroke, sickle cell anemia, lactose intolerance, and keloids. Asians
Select all that apply. are prone to hypertension, liver cancer, thalassemia, and lactose intolerance.
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient
, A nurse is using the ESFT model to understand a patient's b
conception of a diagnosis of chronic obstructive
pulmonary disease (COPD). Which interview question Rationale: The ESFT model guides providers in understanding a patient's
would be MOST appropriate to assess the E aspect of this explanatory model (a patient's conception of her or his illness), social and
model—Explanatory model of health and illness? environmental factors, and fears and concerns, and also guides providers in
contracting for therapeutic approaches. Asking the questions: "How does having
a. How do you get your medications? COPD affect your lifestyle?" explores the explanatory model, "How do you get
b. How does having COPD affect your lifestyle? your medications?" refers to the social and environmental factor, "Are you
c. Are you concerned about the side effects of your concerned about the side effects of your medications?" addresses fears and
medications? concerns, and "Can you describe how you will take your medications?" involves
d. Can you describe how you will take your medications? therapeutic contracting.
The nurse practitioner sees patients in a community clinic a
that is located in a predominately White neighborhood.
After performing assessments on the majority of the Rationale: When minority groups live within a dominant group, many members
patients visiting the clinic, the nurse notes that many of lose the cultural characteristics that once made them different in a process called
the minority groups living within the neighborhood have assimilation. Cultural imposition occurs when one person believes that everyone
lost the cultural characteristics that made them different. should conform to his or her own belief system. Culture shock occurs when a
What is the term for this process? person is placed in a different culture perceived as strange, and ethnocentrism is
the belief that the ideas, beliefs, and practices of one's own cultural group are
a. Cultural assimilation best, superior, or most preferred to those of other groups.
b. Cultural imposition
c. Culture shock
d. Ethnocentrism
A nurse states, "That patient is 78 years old—too old to d
learn how to change a dressing." What is the nurse
demonstrating? Rationale: Stereotyping is assuming that all members of a group are alike. This is
not an example of cultural competence nor is the nurse imposing her culture on
a. Cultural imposition the patient. Clustering is not an applicable concept.
b. Clustering
c. Cultural competency
d. Stereotyping
A young Hispanic mother comes to the local clinic b
because her baby is sick. She speaks only Spanish and
the nurse speaks only English. What is the appropriate Rationale: The nurse should ask an interpreter for help. Many facilities have a
nursing intervention? qualified interpreter who understands the health care system and can reliably
provide assistance. Using short words, talking loudly, and providing instructions in
a. Use short words and talk more loudly. writing will not help the nurse communicate with this patient. Explaining why care
b. Ask an interpreter for help. can't be provided is not an acceptable choice because the nurse is required to
c. Explain why care can't be provided. provide care; also, since the patient doesn't speak English, she won't understand
d. Provide instructions in writing. what the nurse is saying.
A nurse is interviewing a newly admitted patient. Which c
question is considered culturally sensitive?
Rationale: Asking patients what types of foods they eat for meals is culturally
a. "Do you think you will be able to eat the food we have sensitive. The other questions are culturally insensitive.
here?"
b. "Do you understand that we can't prepare special
meals?"
c. "What types of food do you eat for meals?"
d. "Why can't you just eat our food while you are here?"
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Fundamental HESI, Hesi Fundament... ATI RN Adult Medical Surgical Exam... NU 327 Patho Exam 2 Study Guide Q... HESI R
Teacher 342 terms Teacher 5 terms Teacher 167 terms Teacher
Adan_Ibrahim2 Preview Jones_Mwania Preview wilmotmutuku Preview tan
Terms in this set (100) Hide definitions
A nurse is caring for patients of diverse cultures in a d, e, f
community health care facility. Which characteristics of
cultural diversity that exist in the United States should the Rationale: A person may be a member of multiple cultural, ethnic, and racial
nurse consider when planning culturally competent care? groups at one time. Culture guides what is acceptable behavior for people in a
Select all that apply. specific group. Cultural practices and beliefs may evolve over time, but they
mainly remain constant as long as they satisfy a group's needs. The United States
a. The United States has become less inclusive of same- has become more (not less) inclusive of same-sex couples. The definition of
sex couples cultural diversity includes, but is not limited to, people of varying cultures, racial
b. Cultural diversity is limited to people of varying and ethnic origin, religion, language, physical size, biological sex, sexual
cultures and races orientation, age, disability, socioeconomic status, occupational status, and
c. Cultural diversity is separate and distinct from health geographic location. Cultural diversity, including culture, ethnicity, and race, is an
and illness integral component of both health and illness.
d. People may be members of multiple cultural groups at
one time
e. Culture guides what is acceptable behavior for people
in a specific group
f. Cultural practices may evolve over time but mainly
remain constant
,In order to provide culturally competent care, nurses a, d
must be alert to factors inhibiting sensitivity to diversity in
the health care system. Which nursing actions are Rationale: Cultural imposition occurs when a hospital nurse tells a nurse's aide that
examples of cultural imposition? Select all that apply. patients should not be given a choice whether or not to shower or bathe daily,
and when a Catholic nurse insists that a patient diagnosed with terminal bladder
a. A hospital nurse tells a nurse's aide that patients should cancer see the chaplain in residence. Cultural blindness occurs when a nurse
not be given a choice whether or not to shower or bathe treats all patients the same whether or not they come from a different culture.
daily. Culture conflict occurs when a nurse ridicules a patient by telling another nurse
b. A nurse treats all patients the same whether or not they that Jewish diet restrictions are just a way for Jewish patients to get a special tray
come from a different culture. of their favorite foods. When a nurse refuses to respect an older adult's ability to
c. A nurse tells another nurse that Jewish diet restrictions speak for himself or herself, or if the nurse refuses to treat a patient based on that
are just a way for them to get a special tray of their patient's sexual orientation, the nurse is engaging in stereotyping.
favorite foods.
d. A Catholic nurse insists that a patient diagnosed with
terminal bladder cancer see the chaplain in residence.
e. A nurse directs interview questions to an older adult's
daughter even though the patient is capable of
answering them.
f. A nurse refuses to care for a married gay man who is
HIV positive because she is against same-sex marriage.
A nurse caring for culturally diverse patients in a health a, c, e, f
care provider's office is aware that patients of certain
cultures are more prone to specific disease states than Rationale: Native Americans, Alaska Natives, Hispanics, and Whites are more
the general population. Which patients would the nurse prone to developing diabetes mellitus. African Americans are prone to
screen for diabetes mellitus based on the patient's race? hypertension, stroke, sickle cell anemia, lactose intolerance, and keloids. Asians
Select all that apply. are prone to hypertension, liver cancer, thalassemia, and lactose intolerance.
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient
, A nurse is using the ESFT model to understand a patient's b
conception of a diagnosis of chronic obstructive
pulmonary disease (COPD). Which interview question Rationale: The ESFT model guides providers in understanding a patient's
would be MOST appropriate to assess the E aspect of this explanatory model (a patient's conception of her or his illness), social and
model—Explanatory model of health and illness? environmental factors, and fears and concerns, and also guides providers in
contracting for therapeutic approaches. Asking the questions: "How does having
a. How do you get your medications? COPD affect your lifestyle?" explores the explanatory model, "How do you get
b. How does having COPD affect your lifestyle? your medications?" refers to the social and environmental factor, "Are you
c. Are you concerned about the side effects of your concerned about the side effects of your medications?" addresses fears and
medications? concerns, and "Can you describe how you will take your medications?" involves
d. Can you describe how you will take your medications? therapeutic contracting.
The nurse practitioner sees patients in a community clinic a
that is located in a predominately White neighborhood.
After performing assessments on the majority of the Rationale: When minority groups live within a dominant group, many members
patients visiting the clinic, the nurse notes that many of lose the cultural characteristics that once made them different in a process called
the minority groups living within the neighborhood have assimilation. Cultural imposition occurs when one person believes that everyone
lost the cultural characteristics that made them different. should conform to his or her own belief system. Culture shock occurs when a
What is the term for this process? person is placed in a different culture perceived as strange, and ethnocentrism is
the belief that the ideas, beliefs, and practices of one's own cultural group are
a. Cultural assimilation best, superior, or most preferred to those of other groups.
b. Cultural imposition
c. Culture shock
d. Ethnocentrism
A nurse states, "That patient is 78 years old—too old to d
learn how to change a dressing." What is the nurse
demonstrating? Rationale: Stereotyping is assuming that all members of a group are alike. This is
not an example of cultural competence nor is the nurse imposing her culture on
a. Cultural imposition the patient. Clustering is not an applicable concept.
b. Clustering
c. Cultural competency
d. Stereotyping
A young Hispanic mother comes to the local clinic b
because her baby is sick. She speaks only Spanish and
the nurse speaks only English. What is the appropriate Rationale: The nurse should ask an interpreter for help. Many facilities have a
nursing intervention? qualified interpreter who understands the health care system and can reliably
provide assistance. Using short words, talking loudly, and providing instructions in
a. Use short words and talk more loudly. writing will not help the nurse communicate with this patient. Explaining why care
b. Ask an interpreter for help. can't be provided is not an acceptable choice because the nurse is required to
c. Explain why care can't be provided. provide care; also, since the patient doesn't speak English, she won't understand
d. Provide instructions in writing. what the nurse is saying.
A nurse is interviewing a newly admitted patient. Which c
question is considered culturally sensitive?
Rationale: Asking patients what types of foods they eat for meals is culturally
a. "Do you think you will be able to eat the food we have sensitive. The other questions are culturally insensitive.
here?"
b. "Do you understand that we can't prepare special
meals?"
c. "What types of food do you eat for meals?"
d. "Why can't you just eat our food while you are here?"
