Chapter 2. "Diversity and Inclusion
Maternal Child Nursing" questions and
100% verified answers 2025/2026 version
QUALITY IMPROVEMENT
While she is in the hospital, M.R., 12 years old, makes the following statements. Which statement most
clearly suggests she received culturally competent care?
A. "My doctor is funny; he tells jokes and makes me laugh."
B. "The nurses keep asking me who makes decisions in my family."
C. "I'm sure my leg will heal quickly; the nurse said I'm an overall healthy person."
D. "The nurse asked me what I like to eat and then brought me the taco I wanted." - Answer B. The
nurse assessing a family's structure and decision-making norms is a component of culturally competent
care. These patterns of behavior differ significantly between cultures. Nurses should avoid assumptions
that may border on being stereotypes, such as equating a preference for tacos with a patient who is
Hispanic.
TEAMWORK AND COLLABORATION
M.R. is a 12-year-old student. What advice should the nurse provide to an unlicensed care provider
about communicating effectively with her?
A. "Speak in a clear and natural tone when you're talking with M.R."
B. "M.R. is Hispanic, so avoid talking about current children's movies."
C. "M.R.'s first language is Spanish, so avoid talking about difficult topics."
D. "If possible, try to speak to M.R. in an accent that's similar to hers." - Answer A. The nurse should
encourage the care provider to communicate as naturally and clearly as possible; imitating the patient's
accent is inappropriate. There is no particular need to avoid pop culture references if these are
contextually appropriate.
SAFETY
M.R. tells the nurse she rates the pain she has from bruising as 5 on a 10-point scale. The nurse offers to
bring her a tablet of acetaminophen (Tylenol). Her grandmother produces a packet of herbs from her
purse and says, "Good. I'll give her a family remedy along with that." Which statement is the most
culturally respectful response?
, A. "Wonderful. I'm sure herbs will complement what your doctor prescribed."
B. "I wouldn't bother with that. Drugs are much more likely to be effective."
C. "Good. I understand you people often use home cures for many things."
D. "Let's check first to be certain the herbs won't cause an interaction." - Answer D. It is important for
the nurse to avoid interactions between home remedies and prescribed medicine. For the nurse to use
the words "you people" is a term of disrespect.
INFORMATICS
The nurse is including M.R.'s nursing care plan with her discharge instructions so a visiting community
nurse can make her transition from reduced activity to full sports participation as seamless as possible.
Which aspect of her care planning could be regarded as an act of discrimination?
A. Documenting the fact that M.R.'s mother is responsible for making most of the family's decisions.
B. Cautioning against M.R.'s participation in the local soccer league because she is unlikely to fit in.
C. Adding to her electronic health record a list of foods M.R. does not eat because of her preference for
Mexican American dishes.
D. Documenting the fact that M.R.'s priest plays an important role in the family's spiritual life. - Answer
B. It would be discriminatory for the nurse to presume that the patient will not "fit in" by virtue of their
ethnicity.
PATIENT-CENTERED CARE
M.R., 12 years old, tells the nurse she never eats peanut butter because her mother has warned her
against it. Because peanut butter can be a good source of protein, how should the nurse best respond to
her?
A. "Almost everyone in America eats peanut butter when they're young."
B."Your mother's wrong; at 12, you should learn the truth about foods."
C. "I understand. I don't like the taste of peanut butter either."
D. "Let's look at your menu and pick out something you would like to eat." - Answer D. The nurse
respecting food choices is a way of respecting cultural diversity. The nurse addressing the taste of the
food does not focus on the patient's concerns.
EVIDENCE-BASED PRACTICE
Maternal Child Nursing" questions and
100% verified answers 2025/2026 version
QUALITY IMPROVEMENT
While she is in the hospital, M.R., 12 years old, makes the following statements. Which statement most
clearly suggests she received culturally competent care?
A. "My doctor is funny; he tells jokes and makes me laugh."
B. "The nurses keep asking me who makes decisions in my family."
C. "I'm sure my leg will heal quickly; the nurse said I'm an overall healthy person."
D. "The nurse asked me what I like to eat and then brought me the taco I wanted." - Answer B. The
nurse assessing a family's structure and decision-making norms is a component of culturally competent
care. These patterns of behavior differ significantly between cultures. Nurses should avoid assumptions
that may border on being stereotypes, such as equating a preference for tacos with a patient who is
Hispanic.
TEAMWORK AND COLLABORATION
M.R. is a 12-year-old student. What advice should the nurse provide to an unlicensed care provider
about communicating effectively with her?
A. "Speak in a clear and natural tone when you're talking with M.R."
B. "M.R. is Hispanic, so avoid talking about current children's movies."
C. "M.R.'s first language is Spanish, so avoid talking about difficult topics."
D. "If possible, try to speak to M.R. in an accent that's similar to hers." - Answer A. The nurse should
encourage the care provider to communicate as naturally and clearly as possible; imitating the patient's
accent is inappropriate. There is no particular need to avoid pop culture references if these are
contextually appropriate.
SAFETY
M.R. tells the nurse she rates the pain she has from bruising as 5 on a 10-point scale. The nurse offers to
bring her a tablet of acetaminophen (Tylenol). Her grandmother produces a packet of herbs from her
purse and says, "Good. I'll give her a family remedy along with that." Which statement is the most
culturally respectful response?
, A. "Wonderful. I'm sure herbs will complement what your doctor prescribed."
B. "I wouldn't bother with that. Drugs are much more likely to be effective."
C. "Good. I understand you people often use home cures for many things."
D. "Let's check first to be certain the herbs won't cause an interaction." - Answer D. It is important for
the nurse to avoid interactions between home remedies and prescribed medicine. For the nurse to use
the words "you people" is a term of disrespect.
INFORMATICS
The nurse is including M.R.'s nursing care plan with her discharge instructions so a visiting community
nurse can make her transition from reduced activity to full sports participation as seamless as possible.
Which aspect of her care planning could be regarded as an act of discrimination?
A. Documenting the fact that M.R.'s mother is responsible for making most of the family's decisions.
B. Cautioning against M.R.'s participation in the local soccer league because she is unlikely to fit in.
C. Adding to her electronic health record a list of foods M.R. does not eat because of her preference for
Mexican American dishes.
D. Documenting the fact that M.R.'s priest plays an important role in the family's spiritual life. - Answer
B. It would be discriminatory for the nurse to presume that the patient will not "fit in" by virtue of their
ethnicity.
PATIENT-CENTERED CARE
M.R., 12 years old, tells the nurse she never eats peanut butter because her mother has warned her
against it. Because peanut butter can be a good source of protein, how should the nurse best respond to
her?
A. "Almost everyone in America eats peanut butter when they're young."
B."Your mother's wrong; at 12, you should learn the truth about foods."
C. "I understand. I don't like the taste of peanut butter either."
D. "Let's look at your menu and pick out something you would like to eat." - Answer D. The nurse
respecting food choices is a way of respecting cultural diversity. The nurse addressing the taste of the
food does not focus on the patient's concerns.
EVIDENCE-BASED PRACTICE
