Test Bank Davis Advantage for Maternal Child Nursing Care 3rd Edition by Meredith Scannell - ISBN: 9781719640985 | All Chapters 1 - 33

Test Bank Davis Advantage for Maternal Child Nursing Care 3rd Edition by Meredith Scannell ISBN: 9781719640985 | All Chapters 1 - 33. Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the Continuum MULTIPLE CHOICE 1. A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the nurse would best indicate progress toward this goal? A. Demonstrate good knowledge of different cultural health beliefs B. Effectively respond to the needs of people of different cultures C. Interact respectfully with patients who have differing health beliefs D. Recognize that they will never be the expert in other cultures ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 13 Heading: Cultural Practices Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive Level: Analysis [Analyzing] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. Cultural competence is the ability to interact effectively with people of different cultures and requires a certain level of knowledge about those cultures. B. Cultural competence is the ability to interact effectively with people of different cultures and requires a certain level of knowledge about those cultures. C. Cultural sensitivity is a way of approaching people who hold health beliefs different from one’s own. A nurse with this characteristic is respectful of and open to others. D. Cultural humility is the recognition that one will never master all information about another culture. 2. A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrates this characteristic? A. Attends workshops on cultural diversity and health practices B. Participates in community health events with minority populations C. Plans care with the family members within their cultural beliefs D. Uses family members as interpreters to make them feel important ANS: C Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 16 Heading: Table 1.2 Strategies and Measures to Improve Maternal Health Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive Level: Evaluation [Evaluating] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. Attending workshops is a good way to learn about diverse cultures, but this action is too limited in scope to demonstrate cultural competence. B. Participating in community events with diverse populations can increase cultural knowledge, but this action is too limited in scope to demonstrate cultural competence. C. The culturally sensitive nurse can understand and respond to the needs of individuals and families from different cultures. This nurse plans interventions with a solid knowledge of the values and practices of the members of the culture. Being open, listening to the family, and involving them in care demonstrates respect, unifies the nurse–patient relationship, and will motivate the patient (and family) to make positive health changes. D. Nurses should use professional interpreters when needed. 3. 4. A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best? A. Allow the family to continue these practices as desired. B. Assess how these practices reflect religious beliefs. C. Inform the family that most of these practices do not work. D. Provide evidence-based information about the therapies. ANS: D Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 18 Heading: Complementary and Alternative Therapies Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Family; Promoting Health Difficulty: Moderate Feedback A. Although the nurse cannot stop the family from using CAM, they should not pass up the opportunity to provide and discuss information about CAM. B. A culturally competent nurse will assess how religious and spiritual beliefs affect health-care practices, but the nurse needs to advocate for the patient/family by providing solid information. C. Many CAM practices have demonstrated benefit, so telling the family they don’t work is false information. D. The nurse working with individuals or families who use CAM practices should respect the beliefs, values, and desires of the patient. The nurse should encourage families to make decisions regarding CAM practices based on evidence and research into their effects. The nurse can best assist in this by providing and discussing information. 5. A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What action by the nurse will best promote effective communication? A. Call for a professional interpreter to translate information. B. Pattern voice tone and eye contact after the patient’s behaviors. C. Talk slowly and deliberately using simple language and cues. D. Use nonverbal communication as much as possible with the patient. ANS: B Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 13 Heading: Cultural Practices Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Diversity; Critical Thinking Difficulty: Difficult Feedback A. There is no indication that this patient does not speak English, so using an interpreter is inappropriate. B. In the situation where the nurse is unfamiliar with the patient’s culture, the nurse should pattern verbal and nonverbal communication after the patient’s own style. C. There is no indication that this patient does not speak English, so talking slowly using simple language is inappropriate. D. There is no indication that this patient does not speak English, so using mostly nonverbal communication is inappropriate. 6. A nurse manager expects all employees to be patient advocates. Which nursing action best demonstrates this nursing role? A. Arranging a family–physician conference to clarify treatment plans B. Encouraging treatment options based on personal beliefs and values C. Giving contact information for governmental assistance agencies D. Working on a political campaign to reduce poverty in the state ANS: A Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Continuum Objective: #. Page: 17 Heading: Health Disparities Integrated Processes: Caring Client Need: Safe and Effective Care Environment – Management of Care Cognitive Level: Evaluation [Evaluating] Concept: Critical Thinking; Nursing Roles Difficulty: Difficult Feedback A. In the advocate role, the nurse should promote patient-/family-centered care and work to provide the patient with more control, power, and self-determination in the health-care setting. The nurse who arranges a family–physician conference to clarify treatment plans is advocating for the patient. B. The nurse advocate must ensure he or she is speaking for the patient and the patient’s desires, not inserting personal values and beliefs into the process. C. Giving contact information for assistance agencies is a way of demonstrating advocacy but is too limited in scope to be the best answer. D. Working on political campaigns is a way of demonstrating advocacy but is too limited in scope to be the best answer.