COMMUNITY HEALTH NURSING EXAM. Questions and Answers 2020/2021

COMMUNITY HEALTH NURSING EXAM. Questions and Answers 2020/2021 MULTIPLE CHOICE 1. Which of the following best describes most Americans attitude toward immigrants? a . Ambivalence because there are no clear solutions about how to address their needs b . Strongly negative because immigrants take jobs that native-born Americans could have instead c . Strongly positive because immigrants bring useful job skills and often join previous family members already in the United States d . Strong opposition to further immigration because of the increasing population in the United States ANS: A Most Americans are ambivalent about immigration, recognizing both the positive and negative aspects involved and realizing that it is a complex issue that has no clear solutions. DIF: Cognitive Level: Understand (Comprehension) REF: p. 62 2. A nurse is about to despair. Earlier in the week, she carefully taught a patient from a different culture exactly how much medication to take and emphasized the importance of taking the correct amount. However, the patient is back in the hospital today with symptoms of an overdose, although the patient denies taking more than the label indicated. Which of the following is the most likely explanation?a . The patient was taking more mediation in the hope of getting well faster. b . The patient was also taking folk medicines that had many of the same effects and perhaps some of the same ingredients as the prescribed medication. c . The patient truly did not understand and thought the dose being taken was correct. d . The patient had a unique response to the medication and should have a smaller dose ordered. ANS: B For fear of disapproval, a person may not tell the nurse that he or she is using folk medicine as well as Western medication. The two medicines may have cumulative effects that could be dangerous to the client. Nurses who lack cultural knowledge may develop feelings of inadequacy and helplessness because they are often unable to effectively help their clients. DIF: Cognitive Level: Analyze (Analysis) REF: p. 74 3. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first? a . Complete a survey of all the various ethnicities represented in the nurses community. b . Consider how the nurses own personal beliefs and decisions are reflective of his or her culture.c . Invite a family from another culture to join the nurse for an event. d . Study the beliefs and traditions of persons living in other cultures. ANS: B Cultural awareness requires self-examination and an in-depth exploration of ones own beliefs and values as they influence behavior. DIF: Cognitive Level: Analyze (Analysis) REF: p. 75 4. A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for the nurse to take? a . Alter personal nonverbal behaviors to reflect the cultural norms of the client. b . Keep all behaviors culturally neutral to avoid misinterpretation. c . Rely on friendly gestures to communicate caring for the client. d . Avoid any pretense of prejudice by treating the client in the same way as any other client. ANS: A Cultural competence in nursing includes adoption of culturally congruent behaviors. Culturally skillful nurses use appropriate touch during conversation, modify the physicaldistance between themselves and others, and use strategies to avoid cultural misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be culturally competent respect people from other cultures and value diversity, which helps them to provide more responsive care. DIF: Cognitive Level: Apply (Application) REF: p. 77 5. A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when collecting a clients history. He stopped doing this around Muslim clients after being told that Muslims were offended when he exposed the sole of his foot (shoe) to their face. Which of the following was exhibited by the nurse when he changed his behavior? a . Cultural accommodation b . Cultural imposition c . Cultural repatterning d . Cultural skill ANS: D Cultural skill is the effective integration of cultural knowledge and awareness to meet client needsin this case, the clients need to not be offended by having the bottom of the nurses foot or shoe in view of the clients face. The nurse using cultural skill makes sure nonverbal communication techniques take into consideration the clients use of body language and space. Cultural accommodation involves negotiation with clients to include aspects of their folk practices with the traditional health care system to implement essential treatment plans. Cultural imposition is the process of imposing ones values on others. Culturalrepatterning is working with clients to make changes in their health practices if cultural behaviors are harmful or decrease their well-being. DIF: Cognitive Level: Apply (Application) REF: p. 77 6. The nurse practitioner (NP) discovered that an immigrant client is not taking the penicillin prescribed because his illness is hot and he believes that penicillin, a hot medicine, will not provide balance. Which of the following terms best describes the action taken by the NP when the clients prescription is changed to a different yet equally effective antibiotic? a . Cultural awareness b . Cultural brokering c . Cultural knowledge d . Cultural skill ANS: D Cultural skill involves the provision of care that is beneficial, safe, and satisfying to the client. The medication change allows the client to retain his cultural beliefs and also satisfies the nurse practitioners need to prescribe an effective antibiotic. DIF: Cognitive Level: Apply (Application) REF: p. 77 7. Mexican immigrants who take metamizole (Mexican aspirin) for pain may experience life-threatening agranulocytosis. Which of the following actions would be taken by a nurse who employs cultural repatterning?