Nurs 286: Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
Question: IOM competency
Correct Answer: provide patient-centered care: patient-centered care key elements: 1. patient advocacy 2.
culture, diversity, and disparities 3. core coordination: plan of care, critical thinking, clinical reasoning, and
judgement 4. self-management of care, health literacy, patient and family education 5. nurse-patient
communication and interaction
Question: skills necessary for patient-centered care
Correct Answer: 1. share power/responsibility with patients and caregivers 2. communicate with patients
in a shared and open manner 3. take into account patients' individuality, emotional needs, values, and life
issues (culture and family) 4. implement strategies to reach those who do not present for care on their own
5. enhance prevention and health promotion
Question: disparities in health care
Correct Answer: healthy people 2020 goal: achieve health equity, eliminate disparities, and improve the
health of all groups "racial or ethnic differences in the quality of healthcare that are not due to
access-related factors or clinical needs, preferences, and appropriateness of intervention" -IOM there are
persistent gaps between the care of minorities and non-minorities in the US
Question: inadequate health care access factors
Correct Answer: economic geographic linguistic cultural health care financing
Question: substandard quality of care factors
Correct Answer: patient-provider miscommunication provider discrimination stereotyping prejudice
Question: individual factors
Correct Answer: 1. sociodemographic characteristics (age, race, gender) 2. cultural norms and values 3.
literacy values 4. familial influences 5. environmental and occupational exposures 6. patient preferences for
care and treatment
Question: uneven distribution of societal resources 7. health care system factors-access and utilization
Correct Answer: insurance status affordability transportation geographic barriers provider bias, racism,
and discrimination
Question: culture
Correct Answer: a patterned behavioral response that develops over time through social and religious
customs and intellectual and artistic activities non-physical traits (values, beliefs, attitudes, customs, and
traditions) shared by a group of people; passed on from generation to generation
Question: cultural behavior
Correct Answer: how a person acts in certain situations socially acquired not genetically inherited
Question: cultural values
Correct Answer: unique, individual expressions of a particular culture that have been accepted as
appropriate over time like work ethic, independence, treatment of elders
, Question: norms
Correct Answer: rules and expectations by which a society guides the behavior of its members
Question: diversity
Correct Answer: differences among culture primary characteristics and secondary characteristics
Question: primary characteristics
Correct Answer: nationality, race, color, gender, age, spiritual beliefs
Question: secondary characteristics
Correct Answer: socioeconomic status, education, occupation, time away from country of origin, gender
issues, residential status, sexual orientation
Question: ethnicity
Correct Answer: groups whose members share a common social and cultural heritage that is passed on to
successive generations does not equate with race shared feelings of belonging to a group
Question: race
Correct Answer: related to biology groups share genetic material and physical features such as skin, color,
stature, eyes, etc.
Question: Racial and Ethnic Groups in the United States
Correct Answer: African-American/Black American Indian/Alaskan native Mexican
American/chicano/latino asian-americas/Pacific Islander Puerto Rican/cuban/other hispanic multiracial
other
Question: ethnocentrism
Correct Answer: belief that your way is the best often subconscious has a significant impact on the care
you give
Question: stereotyping
Correct Answer: making generalizations about others based on primary and secondary characteristics of
diversity oversimplified belief, conception or opinion based on limited information
Question: bias
Correct Answer: predisposed to a POV
Question: prejudice
Correct Answer: making assumptions or judgements about another culture based on emotional beliefs
about the population results in negative attitudes
Question: acculturation
Correct Answer: process of adapting to another culture blending
Question: assimilation
Correct Answer: the process of being absorbed into the mainstream culture and relinquishing one's own
one becomes indistinguishable
Question: melting pot
Answers
Question: IOM competency
Correct Answer: provide patient-centered care: patient-centered care key elements: 1. patient advocacy 2.
culture, diversity, and disparities 3. core coordination: plan of care, critical thinking, clinical reasoning, and
judgement 4. self-management of care, health literacy, patient and family education 5. nurse-patient
communication and interaction
Question: skills necessary for patient-centered care
Correct Answer: 1. share power/responsibility with patients and caregivers 2. communicate with patients
in a shared and open manner 3. take into account patients' individuality, emotional needs, values, and life
issues (culture and family) 4. implement strategies to reach those who do not present for care on their own
5. enhance prevention and health promotion
Question: disparities in health care
Correct Answer: healthy people 2020 goal: achieve health equity, eliminate disparities, and improve the
health of all groups "racial or ethnic differences in the quality of healthcare that are not due to
access-related factors or clinical needs, preferences, and appropriateness of intervention" -IOM there are
persistent gaps between the care of minorities and non-minorities in the US
Question: inadequate health care access factors
Correct Answer: economic geographic linguistic cultural health care financing
Question: substandard quality of care factors
Correct Answer: patient-provider miscommunication provider discrimination stereotyping prejudice
Question: individual factors
Correct Answer: 1. sociodemographic characteristics (age, race, gender) 2. cultural norms and values 3.
literacy values 4. familial influences 5. environmental and occupational exposures 6. patient preferences for
care and treatment
Question: uneven distribution of societal resources 7. health care system factors-access and utilization
Correct Answer: insurance status affordability transportation geographic barriers provider bias, racism,
and discrimination
Question: culture
Correct Answer: a patterned behavioral response that develops over time through social and religious
customs and intellectual and artistic activities non-physical traits (values, beliefs, attitudes, customs, and
traditions) shared by a group of people; passed on from generation to generation
Question: cultural behavior
Correct Answer: how a person acts in certain situations socially acquired not genetically inherited
Question: cultural values
Correct Answer: unique, individual expressions of a particular culture that have been accepted as
appropriate over time like work ethic, independence, treatment of elders
, Question: norms
Correct Answer: rules and expectations by which a society guides the behavior of its members
Question: diversity
Correct Answer: differences among culture primary characteristics and secondary characteristics
Question: primary characteristics
Correct Answer: nationality, race, color, gender, age, spiritual beliefs
Question: secondary characteristics
Correct Answer: socioeconomic status, education, occupation, time away from country of origin, gender
issues, residential status, sexual orientation
Question: ethnicity
Correct Answer: groups whose members share a common social and cultural heritage that is passed on to
successive generations does not equate with race shared feelings of belonging to a group
Question: race
Correct Answer: related to biology groups share genetic material and physical features such as skin, color,
stature, eyes, etc.
Question: Racial and Ethnic Groups in the United States
Correct Answer: African-American/Black American Indian/Alaskan native Mexican
American/chicano/latino asian-americas/Pacific Islander Puerto Rican/cuban/other hispanic multiracial
other
Question: ethnocentrism
Correct Answer: belief that your way is the best often subconscious has a significant impact on the care
you give
Question: stereotyping
Correct Answer: making generalizations about others based on primary and secondary characteristics of
diversity oversimplified belief, conception or opinion based on limited information
Question: bias
Correct Answer: predisposed to a POV
Question: prejudice
Correct Answer: making assumptions or judgements about another culture based on emotional beliefs
about the population results in negative attitudes
Question: acculturation
Correct Answer: process of adapting to another culture blending
Question: assimilation
Correct Answer: the process of being absorbed into the mainstream culture and relinquishing one's own
one becomes indistinguishable
Question: melting pot
