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