ACTUAL Exam Questions and CORECT
Answers
Eliciting the patient's (explanatory) model gives the physician knowledge of the beliefs the
patient holds about his illness, the personal and social meaning he attaches to his disorder, his
expectations about what will happen to him and what the doctor will do, and his own therapeutic
goals - CORRECT ANSWER - Kleinman explanatory Model
Cultural competence is defined as "a dynamic, fluid, continuous process whereby an individual,
system or health care agency find meaningful and useful care delivery strategies based on
knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom they render
care" - CORRECT ANSWER - Cultural competence
:Self-examination of one's own prejudices and biases toward other cultures. An in-depth
exploration of one's own cultural/ethnic background. - CORRECT ANSWER - Cultural
Awareness
A lifelong commitment to self-evaluation and self-critiques, redressing the power of imbalances
in the patient- physician dynamic, developing mutually. Beneficial relationships. - CORRECT
ANSWER - Cultural humility
Obtaining a sound educational foundation concerning the various worldviews of differences
cultures. Obtaining knowledge regarding biological variations, disease and health conditions and
variation in drug metabolism. - CORRECT ANSWER - Cultural Knowledge
Ability to collect culturally relevant data regarding the client's health history and presenting
problem. Ability to conduct culturally based physician assessments. Conducting these
assessments in a culturally sensitive manner. - CORRECT ANSWER - Cultural Skill:
Motivation of the healthcare provider to "want" to engage in the process of cultural competence,
characteristics of compassion, authenticity, humility, openness, availability, and flexibility,
,commi tment and passion to caring, regardless of conflict. - CORRECT ANSWER -
Cultural Desire
as "the aggregate of cultural practices, social influences, religious pursuits, and racial
characteristics shaping the distinctive identity of community" - CORRECT ANSWER -
ethnicity
Care is designed for the specific client.
Care is based on the uniqueness of the person's culture and includes cultural norms and values.
Care includes self-employment strategies to facilitate client decision making to improve health
behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of clients. - CORRECT
ANSWER - Cultural competence in nursing consists of four principles.
What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment? - CORRECT
ANSWER - The APN may also use the Kleinman Explanatory Model of Illness (1978).
Below are the questions that can be utilized.
communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
, biological variations. - CORRECT ANSWER - According to Giger and Davidhizer
(2000), although cultures differ, they all have the same basic organizing factors that must be
assessed in order to provide care for culturally diverse patients. These factors include
- CORRECT ANSWER - The National Center for Cultural Competence (NCCC) provides
national leadership and contributes to the body of knowledge on cultural and linguistic
competency within systems and organizations. Major emphasis is placed on translating evidence
into policy and practice for programs and personnel concerned with health and mental healthcare
delivery, administration, education, and advocacy.
Web-based technical assistance, (2) knowledge development and dissemination, (3) supporting a
community of learners, and (4) collaboration and partnerships with diverse groups. - CORRECT
ANSWER - The NCCC uses four major approaches to fulfill its mission, including
- CORRECT ANSWER - These approaches entail the provision of training, technical
assistance, and consultation and are intended to facilitate networking, linkages, and information
exchange. The NCCC has particular expertise in developing instruments and conducting
organizational self-assessment processes to advance cultural and linguistic competency.
host, agent, environment - CORRECT ANSWER - Epidemiological Triad:
- CORRECT ANSWER - Genetics is considered an agent in the epidemiological triad
The study of individual genes and their impact on relatively rare single gene disorders -
CORRECT ANSWER - Genetics
The study of all genes in the human genome as well as their interaction with other genes, the
individual's environment, and the influence of cultural and psychosocial factors - CORRECT
ANSWER - Genomics
the link of epidemiology and genetics - CORRECT ANSWER - Genetic epidemiology