Culture

Question 1

A nurse is developing new policies in the unit to increase cultural competence and sensitivity. the nurse decides to reference the core competencies developed by the Quad Council, and explain how the first skill ________ is crucial to all nursing practice

A. acting in a sensitive manner with people of diverse backgrounds
B. Identifying the role that social determinants of health play in health care
C. recognizing the importance of diversity in health care
D. understanding factors contributing to diversity

Answer 1

A. acting in a sensitive manner with people of diverse backgrounds

Question 2

A public health nurse (PHN) is moving from his or her hometown in the Northeastern United States to a new position in Southern California. When beginning the local community assessments, what might the PHN notice about how the environment affects regional
A. people living in the colder Northeast climate are more likely to socalize around outdoor experiences
B. clothing styles are very similar
C. food choices in southern california tend to be lighter and revolve around fresh produce
D. non of the above

Answer 2

C. food choices in southern california tend to be lighter and revolve around fresh produce

Question 3

A nurse is speaking with a new group of student nurses about the importance of developing cultural humility, not just cultural competence. How does the nurse suggest that the students begin to develop cultural humility?
A. study as much as they can about other cultures
B. nothing- it will become second nature as they progress in their career
C. perform cultural self assessments regularly
D. perform cultural assessments on every patient they encounter

Answer 3

C. perform cultural self assessments regularly

Question 4

A nurse is looking to educate women in the community about women’s health issues. After performing a community assessment, the nurse decides to target young women by holding informal and fun seminars for small groups. Where should the nurse consider holding these seminars?
A. the local library
B. nail and hair salons
C. the town community center
D. local parks

Answer 4

B. nail and hair salons

Question 5

A nurse is performing a community assessment in a small town several hundred miles away. The nurse only has a few days in town before heading back to analyze the assessment. What is the best way to get as much information as possible?
A. perform demographic research from public records
B. drive around town and observe local residents
C. interview key stakeholders in the community about life in town
D. attend a city council meeting to observe local policy makers

Answer 5

C. interview key stakeholders in the community about life in town

Question 6

A nurse is wrapping up a community cultural assessment but needs to clarify some of the information learned and ask some additional questions. What is the best way to do
A. internet research
B. reading old newspapers and community magazines
C. questionnaires mailed to community residents
D. hosting a focus group with several key members of the community

Answer 6

D. hosting a focus group with several key members of the community

Question 7

A nurse is teaching a class about government policies and their effect on health care. Which of the following programs made it a central goal to eliminate health disparities?
A. SNAP
B. social security insurance
C. healthy people 2020
D. none of the above

Answer 7

C. healthy people 2020

Question 8

A nurse has completed an in-depth community assessment on a local town to address rising levels of obesity and hypertension. What is the best next step?
A. meet with local community members to establish realistic, culturally appropriate goals for the community
B. hold a town hall meeting for everyone in the community to discuss the findings
C. start planning a community fair so residents can start to get more information about health eating and exercise habits
D. host a focus group to clarify information learned during the assessment

Answer 8

A. meet with local community members to establish realistic, culturally appropriate goals for the community

Question 9

A nurse manager is reviewing terms associated with appropriate cultural care with the staff. the nurse is discussing the goal of creating an environment where patients feel respected for their cultural differences. what is this called?
A. cultural safety
B. cultural competence
C. cultural humility
D. cultural conflict

Answer 9

A. cultural safety

Question 10

A PHN is presenting a guest lecture to an undergraduate ethics class. The PHN is describing the ethical question of whether providing culturally inappropriate care violates the principle that nurses should only act in his or her patient’s best interests. This is also known as:
A. autonomy
B. justice
C. beneficence
D. maleficence

Answer 10

C. beneficence

Question 11

A nurse is meeting with community stakeholders to review a cultural community assessment. The nurse has been sent to this town to address rising tobacco use and to help the community find ways to encourage quitting. The community is a very small town without primary caregivers and other support systems in place. Which of the following is the best intervention for this town?
A. provide free bussing into the nearest town so community members can attend tobacco cessation support groups
B. train local community members about running smoking cessation support groups and individual support services
C. host a community fair to disseminate information about the dangers of smoking
D. pass a law forbidding smoking in a public place

Answer 11

B. train local community members about running smoking cessation support groups and individual support services

Question 12

A nurse is performing the very beginning of a community assessment. The nurse is evaluating the community’s language and family structure and traditions. This is known as
A. race
B. ethnicity
C. culture
D. ethnocentrism

Answer 12

C. culture

Question 13

A nurse in a hospital is assigned a new patient who only speaks Italian. The nurse knows that language is a big part of a person’s identity, but it also contributes to their:
A. culture
B. ethnicity
C. all of the above
D. none of the above

Answer 13

C. all of the above

Question 14

A nurse is talking with a colleague about an IV solution he or she has been ordered to set up. The nurse is confused by the calculations for the drip rate. A friend jokingly tells the nurse to ask a third colleague, who happens to be Korean, saying, “Aren’t all Asians good at math?” This is an example of what type of behavior?
A. racism
B. ethnocentrism
C. positive stereotyping
D. negative stereotyping

Answer 14

C. positive stereotyping

Question 15

a nurse has been called to visit a community specifically for older adults (ages 55 and over) where there has been a dramatic rise in gonorrhea infections. what is the first step?
A. Establish a display in the community center with educational materials about safe sex and free condoms.
B. Speak with the individuals involved and determine the source of the infection.
C. Organize a community wide meeting to discuss why safe sex practices are important even though pregnancy is no longer a concern.
D. Perform a community assessment to see what interventions might be needed in the community.

Answer 15

D. Perform a community assessment to see what interventions might be needed in the community.

Question 16

A nurse is caring for a Buddhist patient who has mentioned that his daily periods of meditation are very important to him. How should the nurse respond?
A. Get more information from him about what this means: When does he meditate and for how long, and does he need anything specific to facilitate his practice?
B. Tell him you’ll need to speak with the physician to see if the hospital would be able to accommodate his meditation time.
C. Smile and tell him that’s fine.
D. Apologize that the medical staff needs to be able to have access to him at all times and that you couldn’t guarantee private time to meditate.

Answer 16

A. Get more information from him about what this means: When does he meditate and for how long, and does he need anything specific to facilitate his practice?

Question 17

A nurse is preparing to do his or her first community cultural assessment on a nearby town. What should the nurse include in the assessment?
Select all that apply.
A. average level of education
B. religion
C. socioeconomic breakdown
D. language
E. health beliefs, practices, and traditions

Answer 17

B. religion
D. language
E. health beliefs, practices, and traditions

Question 18

A nurse is creating a questionnaire to help students begin their cultural self-assessment. What questions should be included in the questionnaire?
Select all that apply.
A. what are my religious beliefs?
B. what are my personal beliefs and values?
C. where did i grow up and how did that affect my values?
D. who in my life do i consider to be most influential in helping me establish my belief system?
E. what does good health mean to me? what does bad health mean to me?

Answer 18

ALL

Question 19

A nurse is discussing changing population patterns and diversity with a class. The nurse mentions that the percentage of Caucasians within the American population is decreasing in comparison with other minority populations. The nurse asks the class why, despite the increase in diversity, the Caucasian population is still considered to be the majority group. How can students in the class respond?
Select all that apply.
A. Caucasians still remain the largest percentage of the population.
B. Other ethnicities tend to experience a pattern of inequality and disadvantage.
C. Minority groups are more self-conscious about their role in society.
D. America is historically a Caucasian country.
E. caucasians tend to have more social power and influence

Answer 19

B. Other ethnicities tend to experience a pattern of inequality and disadvantage.
C. Minority groups are more self-conscious about their role in society.
E. caucasians tend to have more social power and influence

Question 20

A nurse is creating a questionnaire to help students begin their cultural self-assessment. What questions should be included in the questionnaire?
Select all that apply.
A.
What are my religious beliefs?
B.
What are my personal beliefs and values?
C.
Where did I grow up and how did that affect my values?
D.
Who in my life do I consider to be most influential in helping me establish my belief system?
E.
What does good health mean to me? What does bad health mean to me?

Answer 20

A,B,C,D,E

Question 21

A nurse is discussing changing population patterns and diversity with a class. The nurse mentions that the percentage of Caucasians within the American population is decreasing in comparison with other minority populations. The nurse asks the class why, despite the increase in diversity, the Caucasian population is still considered to be the majority group. How can students in the class respond?
Select all that apply.
A.
Caucasians still remain the largest percentage of the population.
B.
Other ethnicities tend to experience a pattern of inequality and disadvantage.
C.
Minority groups are more self-conscious about their role in society.
D.
America is historically a Caucasian country.
E.
Caucasians tend to have more social power and influence.

Answer 21

B,C,E