Health Disparities and Culturally Competent Care Flashcards

1
Q

The nurse is obtaining a health history from a new patient. Which data will be the focus of
patient teaching?

A

Saturated fat intake

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2
Q

The nurse works in a clinic located in a community with many Hispanics. Which strategy, if
implemented by the nurse, would decrease health care disparities for the Hispanic patients?

A

Teach clinic staff about Hispanic health beliefs.

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3
Q

What information should the nurse collect when assessing the health status of a community?

A

Most common causes of death

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4
Q

The nurse is caring for a Native American patient who has traditional beliefs about health and
illness. Which action by nurse ismostappropriate?

A

Ask the patient whether it is important that cultural healers are contacted.

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5
Q

The nurse is caring for an Asian patient who is being admitted to the hospital. Which action
would bemostappropriate for the nurse to take when interviewing this patient?

A

Observe the patient’s use of eye contact.

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6
Q

A female staff nurse is assessing a male patient of Arab descent who is admitted with
complaints of severe headaches. It is most important for the charge nurse to intervene if the nurse
takes which action?

A

The nurse sits down at the bedside and closes the privacy curtain.

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7
Q

The nurse cares for a patient who speaks a different language. If an interpreter is not available,
which action by the nurse ismostappropriate?

A

Use simple gestures to demonstrate meaning while talking to the patient.

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8
Q

The nurse plans care for a hospitalized patient who uses culturally based treatments. Which
action by the nurse isbest?

A

Coordinate the use of folk treatments with ordered medical therapies.

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9
Q

The nurse is caring for a newly admitted patient. Which intervention is thebestexample of a
culturally appropriate nursing intervention?

A

Ask permission before touching a patient during the physical assessment.

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10
Q

A staff nurse expresses frustration that a Native American patient always has several family
members at the bedside. Which action by the charge nurse ismostappropriate?

A

Ask about the nurse’s personal beliefs about family support during hospitalization.

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11
Q

An older Asian American patient tells the nurse that she has lived in the United States for 50
years. The patient speaks English and lives in a predominantly Asian neighborhood. Which
action by the nurse ismostappropriate?

A

Ask the patient about any special cultural beliefs or practices.

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12
Q

The nurse plans health care for a community with a large number of recent immigrants from
Vietnam. Which intervention is themostimportant for the nurse to implement?

A

Tuberculosis screening

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13
Q

When doing an admission assessment for a patient, the nurse notices that the patient pauses
before answering questions about the health history. Which action by the nurse
ismostappropriate?

A

Wait for the patient to answer the questions.

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14
Q

Which strategy should be aprioritywhen the nurse is planning care for a diabetic patient
who is uninsured?

A

Follow evidence-based practice guidelines.

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15
Q

A Hispanic patient complains of abdominal cramping caused byempacho.Which action
should the nurse takefirst?

A

Ask the patient what treatments are likely to help.

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16
Q

The nurse performs a cultural assessment with a patient from a different culture. Which action
by the nurse should be takenfirst?

A

Ask the patient about any affiliation with a particular cultural group.

17
Q

The nurse working in a clinic in a primarily African American community notes a higher
incidence of uncontrolled hypertension in the patients. To correct this health disparity, which
action should the nurse takefirst?

A

Assess the perceptions of community members about the care at the clinic.

18
Q

The nurse is performing an admission assessment for a non-English speaking patient who is
from China. Which actions could the nurse take to enhance communication

A

Use an electronic translation application.

Use a telephone-based medical interpreter.

Wait until an agency interpreter is available.