Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continu
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
um
MULTIPLE CHOICE
x2
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
on x2 by the nurse would best indicate progress toward this goal?
x2 x2 x2 x2 x2 x2 x2 x2 x2
A. Demonstrate good knowledge of different cultural health beliefs
x2 x2 x2 x2 x2 x2 x2
B. Effectively respond to the needs of people of different cultures
x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Interact respectfully with patients who have differing health beliefs
x2 x2 x2 x2 x2 x2 x2 x2
D. Recognize that they will never be the expert in other cultures
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ANS: C x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uum
x2
Objective: #. Pag x2 x2
e: 13
x2
Heading: Cultural Practices Integrat
x2 x2 x2
ed Processes: Caring
x2 x2
Client Need: Psychosocial Integrity Cogniti
x2 x2 x2 x2
ve Level: Analysis [Analyzing] Concept: Di
x2 x2 x2 x2 x2
versity; Critical Thinking Difficulty: Difficu
x2 x2 x2 x2
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
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tures and requires a certain level of knowledge about those cultures.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
B. Cultural competence is the ability to interact effectively with people of different cul
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
tures and requires a certain level of knowledge about those cultures.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
t from one‘s own. A nurse with this characteristic is respectful of and open to othe
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
rs.
D. Cultural humility is the recognition that one will never master all information about
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
another culture.
x2 x2
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
demonstrates this characteristic? x2 x2
A. Attends workshops on cultural diversity and health practices
x2 x2 x2 x2 x2 x2 x2
B. Participates in community health events with minority populations
x2 x2 x2 x2 x2 x2 x2
C. Plans care with the family members within their cultural beliefs
x2 x2 x2 x2 x2 x2 x2 x2 x2
D. Uses family members as interpreters to make them feel important
x2 x2 x2 x2 x2 x2 x2 x2 x2
, ANS: C x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uum
x2
Objective: #. Pag x2 x2
e: 16
x2
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
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ntegrated Processes: Caring
x2 x2
Client Need: Psychosocial Integrity Cogniti
x2 x2 x2 x2
ve Level: Evaluation [Evaluating] Concept:
x2 x2 x2 x2 x2
Diversity; Critical Thinking Difficulty: Diff
x2 x2 x2 x2
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
is
too limited in scope to demonstrate cultural competence.
x2 x2 x2 x2 x2 x2 x2
B. Participating in community events with diverse populations can increase cultural kn
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
owledge, but this action is too limited in scope to demonstrate cultural
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
uals and families from different cultures. This nurse plans interventions with a sol
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
id knowledge of the values and practices of the members of the culture. Being o
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
pen, listening to the family, and involving them in care demonstrates respect, uni
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
fies the nurse– x2 x2
patient relationship, and will motivate the patient (and family) to make positive h
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ealth changes. x2
D. Nurses should use professional interpreters when needed.
x2 x2 x2 x2 x2 x2
3. A patient wishes to use complementary therapy when managing a chronic health conditio
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n. Which action by the nurse is most appropriate?
x2 x2 x2 x2 x2 x2 x2 x2
A. Advise the patient that stopping medical treatment may cause it to worsen.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
B. Inform the patient that there are no complementary therapies for this condition.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Investigate herbs that can be substituted for prescription drugs.
x2 x2 x2 x2 x2 x2 x2 x2
D. Suggest the patient add massage therapy to the medical regimen.
x2 x2 x2 x2 x2 x2 x2 x2 x2
ANS: D x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uum
x2
Objective: #. Pag x2 x2
e: 18
x2
Heading: Complementary and Alternative Therapies I
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ntegrated Processes: Teaching and Learning
x2 x2 x2 x2
Client Need: Health Promotion and Maintenance Cog
x2 x2 x2 x2 x2 x2
nitive Level: Analysis [Analyzing]
x2 x2 x2
, Concept: Promoting Health Difficult
x2 x2 x2
y: Moderate
x2
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
warn them of the effects of stopping treatment.
x2 x2 x2 x2 x2 x2 x2
B. There are always complementary therapies that can be added to a medical regimen.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Substituting herbs for prescription medication is an example of alternative therapy.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
D. Complementary therapy is nontraditional medical treatment used together with conx2 x2 x2 x2 x2 x2 x2 x2 x2
ventional medical treatment. Adding massage to the medical regimen is an ex-
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ample of using complementary therapy.
x2 x2 x2 x2 x2
4. A nurse is working with a family that uses multiple complementary and alternative medici
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ne (CAM) modalities. What action by the nurse is best?
x2 x2 x2 x2 x2 x2 x2 x2 x2
A. Allow the family to continue these practices as desired.
x2 x2 x2 x2 x2 x2 x2 x2
B. Assess how these practices reflect religious beliefs.
x2 x2 x2 x2 x2 x2
C. Inform the family that most of these practices do not work.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
D. Provide evidence-based information about the therapies.
x2 x2 x2 x2 x2
ANS: D x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uumx2
Objective: #. Pag x2 x2
e: 18
x2
Heading: Complementary and Alternative Therapies I
x2 x2 x2 x2 x2
ntegrated Processes: Teaching and Learning
x2 x2 x2 x2
Client Need: Health Promotion and Maintenanc
x2 x2 x2 x2 x2
e Cognitive Level: Application [Applying] Con
x2 x2 x2 x2 x2
cept: Family; Promoting Health
x2 x2 x2
Difficulty: Moderate x2
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
up the opportunity to provide and discuss information about CAM.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ct health-
x2
care practices, but the nurse needs to advocate for the patient/family by
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
providing solid information. x2 x2
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
work is false information.x2 x2 x2
D. The nurse working with individuals or families who use CAM practices should res
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
pect the beliefs, values, and desires of the patient. The nurse should encourage
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
families to make decisions regarding CAM practices based on evidence and resea
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
rch into their effects. The nurse can best assist in this by providing and
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
discussing information. x2
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
um
MULTIPLE CHOICE
x2
,1. A nurse wishes to improve their cultural sensitivity while working with patients. Which acti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
on x2 by the nurse would best indicate progress toward this goal?
x2 x2 x2 x2 x2 x2 x2 x2 x2
A. Demonstrate good knowledge of different cultural health beliefs
x2 x2 x2 x2 x2 x2 x2
B. Effectively respond to the needs of people of different cultures
x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Interact respectfully with patients who have differing health beliefs
x2 x2 x2 x2 x2 x2 x2 x2
D. Recognize that they will never be the expert in other cultures
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ANS: C x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uum
x2
Objective: #. Pag x2 x2
e: 13
x2
Heading: Cultural Practices Integrat
x2 x2 x2
ed Processes: Caring
x2 x2
Client Need: Psychosocial Integrity Cogniti
x2 x2 x2 x2
ve Level: Analysis [Analyzing] Concept: Di
x2 x2 x2 x2 x2
versity; Critical Thinking Difficulty: Difficu
x2 x2 x2 x2
lt
Feedback
A. Cultural competence is the ability to interact effectively with people of different cul
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
tures and requires a certain level of knowledge about those cultures.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
B. Cultural competence is the ability to interact effectively with people of different cul
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
tures and requires a certain level of knowledge about those cultures.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Cultural sensitivity is a way of approaching people who hold health beliefs differen
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
t from one‘s own. A nurse with this characteristic is respectful of and open to othe
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
rs.
D. Cultural humility is the recognition that one will never master all information about
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
another culture.
x2 x2
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
demonstrates this characteristic? x2 x2
A. Attends workshops on cultural diversity and health practices
x2 x2 x2 x2 x2 x2 x2
B. Participates in community health events with minority populations
x2 x2 x2 x2 x2 x2 x2
C. Plans care with the family members within their cultural beliefs
x2 x2 x2 x2 x2 x2 x2 x2 x2
D. Uses family members as interpreters to make them feel important
x2 x2 x2 x2 x2 x2 x2 x2 x2
, ANS: C x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uum
x2
Objective: #. Pag x2 x2
e: 16
x2
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health I
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ntegrated Processes: Caring
x2 x2
Client Need: Psychosocial Integrity Cogniti
x2 x2 x2 x2
ve Level: Evaluation [Evaluating] Concept:
x2 x2 x2 x2 x2
Diversity; Critical Thinking Difficulty: Diff
x2 x2 x2 x2
icult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this action
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
is
too limited in scope to demonstrate cultural competence.
x2 x2 x2 x2 x2 x2 x2
B. Participating in community events with diverse populations can increase cultural kn
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
owledge, but this action is too limited in scope to demonstrate cultural
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
competence.
C. The culturally sensitive nurse can understand and respond to the needs of individ
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
uals and families from different cultures. This nurse plans interventions with a sol
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
id knowledge of the values and practices of the members of the culture. Being o
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
pen, listening to the family, and involving them in care demonstrates respect, uni
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
fies the nurse– x2 x2
patient relationship, and will motivate the patient (and family) to make positive h
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ealth changes. x2
D. Nurses should use professional interpreters when needed.
x2 x2 x2 x2 x2 x2
3. A patient wishes to use complementary therapy when managing a chronic health conditio
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n. Which action by the nurse is most appropriate?
x2 x2 x2 x2 x2 x2 x2 x2
A. Advise the patient that stopping medical treatment may cause it to worsen.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
B. Inform the patient that there are no complementary therapies for this condition.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Investigate herbs that can be substituted for prescription drugs.
x2 x2 x2 x2 x2 x2 x2 x2
D. Suggest the patient add massage therapy to the medical regimen.
x2 x2 x2 x2 x2 x2 x2 x2 x2
ANS: D x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uum
x2
Objective: #. Pag x2 x2
e: 18
x2
Heading: Complementary and Alternative Therapies I
x2 x2 x2 x2 x2
ntegrated Processes: Teaching and Learning
x2 x2 x2 x2
Client Need: Health Promotion and Maintenance Cog
x2 x2 x2 x2 x2 x2
nitive Level: Analysis [Analyzing]
x2 x2 x2
, Concept: Promoting Health Difficult
x2 x2 x2
y: Moderate
x2
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
warn them of the effects of stopping treatment.
x2 x2 x2 x2 x2 x2 x2
B. There are always complementary therapies that can be added to a medical regimen.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
C. Substituting herbs for prescription medication is an example of alternative therapy.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
D. Complementary therapy is nontraditional medical treatment used together with conx2 x2 x2 x2 x2 x2 x2 x2 x2
ventional medical treatment. Adding massage to the medical regimen is an ex-
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ample of using complementary therapy.
x2 x2 x2 x2 x2
4. A nurse is working with a family that uses multiple complementary and alternative medici
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ne (CAM) modalities. What action by the nurse is best?
x2 x2 x2 x2 x2 x2 x2 x2 x2
A. Allow the family to continue these practices as desired.
x2 x2 x2 x2 x2 x2 x2 x2
B. Assess how these practices reflect religious beliefs.
x2 x2 x2 x2 x2 x2
C. Inform the family that most of these practices do not work.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
D. Provide evidence-based information about the therapies.
x2 x2 x2 x2 x2
ANS: D x2
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Conti
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
n- uumx2
Objective: #. Pag x2 x2
e: 18
x2
Heading: Complementary and Alternative Therapies I
x2 x2 x2 x2 x2
ntegrated Processes: Teaching and Learning
x2 x2 x2 x2
Client Need: Health Promotion and Maintenanc
x2 x2 x2 x2 x2
e Cognitive Level: Application [Applying] Con
x2 x2 x2 x2 x2
cept: Family; Promoting Health
x2 x2 x2
Difficulty: Moderate x2
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
up the opportunity to provide and discuss information about CAM.
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
B. A culturally competent nurse will assess how religious and spiritual beliefs affe
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
ct health-
x2
care practices, but the nurse needs to advocate for the patient/family by
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
providing solid information. x2 x2
C. Many CAM practices have demonstrated benefit, so telling the family they don‘t
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
work is false information.x2 x2 x2
D. The nurse working with individuals or families who use CAM practices should res
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
pect the beliefs, values, and desires of the patient. The nurse should encourage
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
families to make decisions regarding CAM practices based on evidence and resea
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
rch into their effects. The nurse can best assist in this by providing and
x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
discussing information. x2
