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