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