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