LEWIS TEST BANK
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, MEDICAL SURGICAL NURSING 10TH EDITION LEWIS TEST BANK
Chapter 02: Health Disparities and Culturally Competent Care
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is obtaining a health history from a new patient. Which data will be the focus of
patient teaching?
a. Age and gender c. Hispanic/Latino ethnicity
b. Saturated fat intake d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patient’s saturated fat 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 teaching.
DIF: Cognitive Level: Apply (application) REF: 18
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if
implemented by the nurse, would decrease health care disparities for the Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D NURSINGTB.COM
Health care disparities are caused by stereotyping, biases, and prejudice of health care
providers. The nurse can decrease these through staff education. The other strategies may also
be addressed by the nurse but will not directly impact health disparities.
DIF: Cognitive Level: Apply (application) REF: 19
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
3. What information should the nurse collect when assessing the health status of a community?
a. Air pollution levels c. Most common causes of death
b. Number of health food stores d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life expectancy, access
to care, and morbidity and mortality rates related to disease and injury. Although air pollution,
access to health food stores, and education level are factors that affect a community’s health
status, they are not health measures.
DIF: Cognitive Level: Understand (comprehension) REF: 18
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
4. The nurse is caring for a Native American patient who has traditional beliefs about health and
illness. Which action by nurse is most appropriate?
a. Avoid asking questions unless the patient initiates the conversation.
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