NUR-400 NCLEX Question from Presentations

Question 1

An African American patient is speaking to the doctor about their health concerns. The doctor cannot understand some of what they are saying because they are speaking in a different dialect. The doctor should:
A: Assume the meaning of what the client is trying to say and keep pretending to understand.
B: Document that they do not understand what the patient is saying.
C: Ask the patient to further elaborate on what the questionable words mean.
D: Leave the room because he is frustrated.

Answer 1

C: Ask the patient to further elaborate on what the questionable words mean.

Question 2

When interviewing a client from the African American culture, which of the following questions should the nurse think about? Select all that apply.
A: Would using perfume products be okay?
B: Who may be expected to be present during the client interview?
C: Should communication patterns be modified to accompdate this client?
D: How much eye contact should be made with the client?
E: Would shaking hands be okay?

Answer 2

B: Who may be expected to be present during the client interview?
C: Should communication patterns be modified to accompdate this client?
D: How much eye contact should be made with the client?
E: Would shaking hands be okay?

Question 3

What is important to remember when providing holistic care to an African American patient?
A: They will always speak in a different dialect, so you will need help understanding them.
B: They typically have large families who might want to know about their relative’s health, so ask the patient who they would like to be involved in their care.
C: They are probably into folk medicine, so you should have some prepared for them.

Answer 3

B: They typically have large families who might want to know about their relative’s health, so ask the patient who they would like to be involved in their care.

Question 4

Which individual is at a greatest risk for developing hypertension?
A. A 45 year old African American attorney
B. A 60 year old Asian-American shop owner
C. A 40 year old Caucasian nurse
D. A 55 year old Hispanic school teacher

Answer 4

A. A 45 year old African American attorney

Question 5

When educating African Americans about their risk for CVD, it is important to state which of the following?
A. African American’s risk for CVD is higher because they naturally have high levels of HDL
B. CVD is the number one cause of death in African Americans
C. African American women are at a decreased risk for CVD compared to Caucasian women
D. Dietary habits do not affect an African American’s risk for CVD

Answer 5

B. CVD is the number one cause of death in African Americans

Question 6

Why do African Americans need to pay close attention to their dietary habits in order to decrease their risk of CVD?
A. African Americans do not eat lots of fruits and vegetables
B. African Americans tend to be lactose intolerant
C. African Americans are genetically more sensitive to salt
D. African Americans already have high cholesterol levels

Answer 6

C. African Americans are genetically more sensitive to salt

Question 7

An African American mother is concerned because her 10 year old daughter experiences abdominal pain, flatulence, nausea, and diarrhea whenever she eats her mothers home-made ice cream. What should the nurse consider when assessing this patient.
A. These symptoms are uncommon and the mother should be evaluated for giving her daughter dangerous food items.
B. The symptoms can be related to lactose intolerance which is a common condition in African Americans.
C. The daughter is probably making up these symptoms because she does not like her mothers ice cream.
D. The daughter is overweight which is causing these symptoms to happen.

Answer 7

B. The symptoms can be related to lactose intolerance which is a common condition in African Americans.

Question 8

Which of the following is TRUE regarding psychological characteristics among African Americans (select all that apply).
A. Post-traumatic stress is least likely to occur in African Americans.
B. Alcoholism is one of the major health problems among African Americans.
C. Bipolar depression was twice that of Whites.
D. Higher rate of paranoia and schizophrenia.
E. There is no belief in witch craft among the African American race.

Answer 8

B. Alcoholism is one of the major health problems among African Americans.
C. Bipolar depression was twice that of Whites.
D. Higher rate of paranoia and schizophrenia.

Question 9

A nurse is assessing an African American newborn who was delivered one week premature. What should the nurse NOT consider throughout her assessment?
A. African Americans tend to have smaller skin fold thickness in their arms than Whites have, but distribution of fat on the trunk is similar for both Whites and African Americans.
B. A premature African American infant is uncommon for this race so extensive evaluation of the newborn and mother are required.
C. African American children tend to mature faster than White children.
D. Premature infants is twice as common in African Americans as it is for Whites.
E. Mongolian spots are a common variance found in African American infants.

Answer 9

B. A premature African American infant is uncommon for this race so extensive evaluation of the newborn and mother are required.

Question 10

A nurse is assigned to check in a Mexican-American client and perform an admission assessment. During the initial meeting with the client, the nurse should plan to:
A.) Greet the client with handshake
B.) Avoid touching the client
C.) Avoid any affirmative nod during the conversations with the client
D.) Smile and use humor throughout the entire admission assessment

Answer 10

A.) Greet the client with handshake

Question 11

A Mexican American male teenager is displaying a prideful and tough attitude and is repeatedly stating, “I don’t need a doctor, I can take care of myself.” Nurses need to be aware that the patient is showing forth characteristics of \_\_\_\_\_\_\_\_\_.
A.) Feminism
B.) Intelligence
C.) Mal ojo
D.) Machismo

Answer 11

D.) Machismo

Question 12

In regards to social organization and family, Mexican Americans tend to:
A.) Be loners and isolate themselves
B.) Surround themselves with many family and friends
C.) Surround themselves with a few close friends
D.) None of the above

Answer 12

B.) Surround themselves with many family and friends

Question 13

A nurse is communicating to the Mexican American patient about short term effects of not following treatment plans and goals in addition to stressing the importance of showing up to appointments as well as being there on time. This is because Mexican Americans are usually characterized by which time orientation?
A.) Past
B.) Future
C.) Present
D.) All of the above

Answer 13

C.) Present

Question 14

When interacting with a Mexican American client, Maria Gonzales, the nurse notes that the client will not face the nurse directly and keeps stepping back during conversation and wringing her hands. The nurse and Mrs. Gonzales are talking about sexually transmitted diseases and birth control. The best explanation for this behavior is that the client is:
A.) Anxious about talking with the nurse.
B.) Uncomfortable with the topic being discussed.
C.) Fearful of being with a health professional.
D.) In need of additional personal space.

Answer 14

B.) Uncomfortable with the topic being discussed.

Question 15

When providing care for a Mexican American patient, the nurse and health care provider should always include the family in the plan of care. If members of the family are present, who should make the main, overriding decisions in regarding the patient’s care?
A.) Grandmother
B.) Child
C.) Wife
D.) Husband

Answer 15

D.) Husband

Question 16

The nurse is planning care with a Mexican-American client who is diagnosed with depression. The client believes in “mal ojo” (the evil eye), and uses treatment by a root healer. The nurse should do which of the following?
A.) Avoid talking to the client about the root healer.
B.) Explain to the client that Western medicine has a scientific, not mystical, basis.
C.) Explain that such beliefs are superstitious and should be forgotten.
D.) Involve the root healer in a consultation with the client, physician and nurse.

Answer 16

D.) Involve the root healer in a consultation with the client, physician and nurse.

Question 17

An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally sensitive nurse would:
A.) Contact the hospital administrator about the best course of action.
B.) Automatically get a curandero for her because it is not culturally appropriate for her to request one.
C.) Further assess the patient’s cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires.
D.) Ask the family what they would like to do because Mexican-Americans traditionally give control of decisions to their families.

Answer 17

C.) Further assess the patient’s cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires.

Question 18

While completing a physical assessment on a young Mexican American baby you notice flat, blue/grey spots near the lower back & buttocks area. When you find this you:
A.) Immediately call the physician because the spots are large and irregular is shape.
B.) Note that it is a fungus on the skin and ask the provider to prescribe antifungal skin cream for it.
C.) Realize that these are Mongolian Spots and normal for the Mexican American baby.
D.) Realize that these are Mongolian Spots and action needs to be taken immediately to treat them.

Answer 18

C.) Realize that these are Mongolian Spots and normal for the Mexican American baby.

Question 19

What would be considered inappropriate when caring for a Chinese American patient?
A.	Giving a firm hand shake
B.	Using a translator 
C.	Holding eye contact
D.	Avoiding criticism and harsh tones

Answer 19

C. Holding eye contact

Question 20

Who is important to include in the teaching process?
A.	Only the individual 
B.	Family Involvement
C.	Friend involvement
D.	Employer involvement

Answer 20

B. Family Involvement

Question 21

When addressing your patient it would be most appropriate to…
A. Stand at a right angle to them
B. Avoid touching them more than necessary
C. Use hand gestures
D. All of the above

Answer 21

D. All of the above

Question 22

The Chinese American client is subscribed to the theory of yin and yang and believes that food those qualities. It is the nurses job to:
A. Ignore the client’s diet wishes and order them food that fits into the what nurse thinks it best for the client at that point and time.
B. Persuade the client to change their diet because it would improve their overall health.
C. Assist the client to select the appropriate foods accordingly.
D. Tell the client they will not be able to support their special diet during their stay at the health care facility.

Answer 22

C. Assist the client to select the appropriate foods accordingly.

Question 23

Many Chinese Americans are more likely to engage in self-treatment by using native healing processes. Some of these practices seem unusual to the nurse. The nurse should:
A. Tell them they should discontinue practicing the native healing processes because it can be harmful to the client’s health.
B. Respect and allow the client to continue as long as the practices are not harmful and pose no safety hazards.
C. Contact and inform the client’s health care provider that the client is not following the provider’s orders and then document that you contacted provider.
D. Do nothing because nurses do not have the kind of knowledge required to give them accurate information concerning Chinese native healing practices.

Answer 23

B. Respect and allow the client to continue as long as the practices are not harmful and pose no safety hazards.

Question 24

The Chinese American family of a dying relative are more likely to choose what type of environment to achieve a dignified death for their loved one?
A. an intimate and familiar environment surrounded by family members.
B. a quiet, low dimed room with minimal people around.
C. a well-lit room with music playing, filled with a variety of people the client is acquainted.
D. an open and warm environment with only one person the client was very fond of and the nurse.

Answer 24

A. an intimate and familiar environment surrounded by family members.

Question 25

What are important genetic variations that the nurse should understand puts the Chinese American’s health at risk?
A. Higher incidence of Mongolian spots in newborns.
B. Increased risk for Thalassemia and lactase deficiency.
C. Higher suicide rates in Chinese women.
D. Shorter stature and smaller chest volumes.

Answer 25

B. Increased risk for Thalassemia and lactase deficiency.

Question 26

When providing education related to dietary needs, what is the most appropriate action by the nurse?
A. The nurse gives the Chinese patient a generalized brochure with important daily dietary and nutrient requirements.
B. Since the Chinese American client is often quiet and reserved, the nurse asks if they have any questions about their diet and only answers those questions to preserve their privacy.
C. The nurse provides detailed education about their dietary needs in context with the yin & yang and genetic variations.
D. The nurse assesses the client’s physiological wellbeing and educates the client based only on the observable deficiencies and needs.

Answer 26

C. The nurse provides detailed education about their dietary needs in context with the yin & yang and genetic variations.

Question 27

When providing culturally sensitive care to the Chinese American, what should the nurse put as a priority nursing diagnosis for the client?
A. “Ineffective breathing patterns” r/t smaller chest volumes
B. “Knowledge deficit” r/t traditional cultural healthcare practices
C. “At risk of infection” d/t immigrants carrying over disease such as TB and Malaria
D. “Readiness for enhanced learning” AEB patient states he understands and will follow through with his/her health care.

Answer 27

B. “Knowledge deficit” r/t traditional cultural healthcare practices

Question 28

Which of the following is not appropriate when communicating with Japanese Americans?

a. ) Remember to pay close attention to their nonverbal communication
b. ) Stare directly into their eyes and try to maintain eye contact
c. ) Understand that the client may say “yes” in order to avoid conflict
d. ) Remember that they are not comfortable with a lot of physical touch

Answer 28

c.) Understand that the client may say “yes” in order to avoid conflict

Question 29

A nurse has offered a pain medication to a Japanese American client and the client refused the medication. Which of the following is an appropriate action for the nurse to take?

a. ) Assume that the client will ask for pain medication when they need it
b. ) Understand that the client does not wish for pain medication at that time
c. ) Understand that the client considers it rude to accept when something is first offered and the nurse should offer the medication 2-3 more times
d. ) Nurse understands not to worry about the nonverbal communication because Japanese Americans do not show their emotions

Answer 29

c.) Understand that the client considers it rude to accept when something is first offered and the nurse should offer the medication 2-3 more times

Question 30

Which of the following is correct in relation to space with Japanese Americans?

a. ) Do not tolerate crowded spaces
b. ) Usually only immediate family lives in the same household
c. ) They are usually open with people they do not know
d. ) May appear reserved and formal in a new setting

Answer 30

d.) May appear reserved and formal in a new setting

Question 31

In discussing home health care techniques, it is important for the nurse to include:

a. ) only the client
b. ) only the family members
c. ) the client and family members
d. ) the other nurses on staff

Answer 31

c.) the client and family members

Question 32

Japanese Americans have a higher incidence of what disease?

a. ) type 1 diabetes
b. ) hyperthyroidism
c. ) heart disease
d. ) type 2 diabetes

Answer 32

d.) type 2 diabetes

Question 33

The Japanese American client understands the nurses teaching of ways to reduce his risk for hypertension when he states:

a. ) “I will increase my intake of green tea at dinner time.”
b. ) “I will reduce the amount of soy sauce I add to my rice.”
c. ) “I will eat more fruit.”
d. ) “I don’t need to change anything about my diet.”

Answer 33

b.) “I will reduce the amount of soy sauce I add to my rice.”

Question 34

A nurse is reviewing the psychosocial behaviors of a Japanese American client. The nurse should know that negative behaviors:

a. ) have no impact on the family
b. ) are socially acceptable
c. ) are family failures that disrupt harmony of family life
d. ) are the young client’s way of expressing themselves

Answer 34

c.) are family failures that disrupt harmony of family life

Question 35

A nurse is teaching a Japanese American client on medication times and administration. The nurse should understand that:

a. ) Japanese Americans are noncompliant and careless with schedules
b. ) Japanese Americans don’t take medication
c. ) Japanese Americans use herbal remedies and administer them at whatever time they want
d. ) Japanese Americans are prompt in time and adhere to fixed schedules

Answer 35

d.) Japanese Americans are prompt in time and adhere to fixed schedules

Question 36

What should the nurse caring for a Japanese American client remember when providing care for the client? Select all that apply.

a. ) the family members caring for the client will reflect overextension and lack of self-care
b. ) families may want to keep a vigil during hospitalizations of elderly family members
c. ) information concerning the client illness is only shared between the nurse and the client
d. ) the wife may be at the bedside so the client is not bothered by the nurse

Answer 36

a. ) the family members caring for the client will reflect overextension and lack of self-care
b. ) families may want to keep a vigil during hospitalizations of elderly family members
d. ) the wife may be at the bedside so the client is not bothered by the nurse

Question 37

When taking care of an Amish American, a nurse should be aware that the patients first language is most likely:

a. German
b. English
c. Pennsylvania Dutch
d. Amish

Answer 37

c. Pennsylvania Dutch

Question 38

An Amish woman is in her exam room with her husband and two children. In preparing the client for a physical examination, the nurse should make sure to first:
A. Proceed with the examination ignoring the family
B. Allow the family to help with the examination
C. Demand that the family must leave immediately
D. Explain to the family what will happen and show them to the nearest waiting room

Answer 38

D. Explain to the family what will happen and show them to the nearest waiting room

Question 39

Although Amish are known to keep strong boundaries between themselves and outsiders, when concerning medical care and healthcare professionals, the Amish are:
A.	Uncooperative
B.	Relaxed
C.	Controlling 
D.	Excited

Answer 39

B. Relaxed

Question 40

Health care professionals should be aware that an Amish family may base their decisions on the:
A.	Ordnung
B.	King James Bible
C.	Vedatata - Sutra
D.	Mahayana

Answer 40

A. Ordnung

Question 41

When caring for an Amish child, what would you expect the child’s family structure type to be?
A.	Blended 
B.	Traditional Nuclear 
C.	Nuclear Dyad
D.	Extended

Answer 41

B. Traditional Nuclear

Question 42

When considering social organization of the Amish, which of the following is/are true? SELECT ALL THAT APPLY
A. Birth control is forbidden
B. Individualism is not a virtue
C. Amish have available medical insurance
D. Men and women share control

Answer 42

A. Birth control is forbidden

B. Individualism is not a virtue

Question 43

Which of the following is not true of the Amish?
A. The Amish believe in an external locus of control
B. The Amish seek out medical treatment as a first option
C. Amish women prefer not to give birth in the hospital
D. Death is not feared amongst the Amish

Answer 43

B. The Amish seek out medical treatment as a first option

Question 44

When caring for an Amish man, a nurse should be aware that the following diseases’ are more prevalent? (SELECT ALL THAT APPLY)
A.	Hypertension
B.	Cancer
C.	Obesity
D.	Glaucoma

Answer 44

A. Hypertension

B. Cancer

Question 45

When caring for an ill and dying loved one of an Amish family, the nurse should consider what true? (SELECT ALL THAT APPLY)
A. Implementing additional life saving measures shows a lack of faith
B. Death is not considered a natural part of life
C. Visitors should be limited
D. Death is not feared, but considered solemn and profound

Answer 45

A. Implementing additional life saving measures shows a lack of faith
D. Death is not feared, but considered solemn and profound

Question 46

A female nurse asks an Afghan woman about her reason for admission. The nurse should expect:
A. The patient to request a male nurse
B. The patient allows her husband to answer the question
C. The patient will avoid eye contact with the nurse
D. The patient to speaks in story rich context, rather than providing brief answer

Answer 46

D. The patient to speaks in story rich context, rather than providing brief answer

Question 47

A nurse observes two Afghan women speak to each other in loud voices. The nurse should:
A. Contact security because a fight maybe occur soon
B. Recognize that high-volume is a way that females show affection in public
C. Tell the women to be quiet and not fighting
D. Assess each women for hearing problems

Answer 47

B. Recognize that high-volume is a way that females show affection in public

Question 48

A female nurse working with a traditional male Afghan patient should: (select all that apply)
A. Avoid winking
B. Avoid touching the patient when possible
C. Touch the patient when talking
D. Sustain eye contact
E. Perceive patient’s silence as a lack of hope

Answer 48

A. Avoid winking

B. Avoid touching the patient when possible

Question 49

An Afghan woman goes in for a breast examination and is scheduled to see a male doctor. The nurse should expect:
A. The patient to request a female doctor to perform the examination
B. The patient will avoid eye contact with the male doctor
C. The patient to cancel the appointment
D. The patient will request a female nurse to be present during the procedure

Answer 49

A. The patient to request a female doctor to perform the examination

Question 50

An Afghan American is scheduled for an appointment , the nurse should recognize that the patient will require,
A. The nurse to call the patient for three consecutive days as reminders for the scheduled appointment
B. Teaching for illness prevention and health risk reduction
C. No translator as most children are present at appointments and are able to speak English
D. A babysitter for their children so they are able to make the appointment on time

Answer 50

B. Teaching for illness prevention and health risk reduction

Question 51

When observing an Afghan American interact with other people, the nurse recognizes that the use of touch is based on
A. How much they trust the person and amount of eye contact they make
B. Gender, race, and age
C. Social class and religion
D. Family relationships and gender

Answer 51

D. Family relationships and gender

Question 52

Though Afghans believe illness is the “Will of God” nurses should remember
A. Afghans are likely to seek Western medical care
B. Afghans only use folk-traditional treatment
C. Afghans have many genetically linked diseases
D. Afghans have a poor diet and hygiene

Answer 52

A. Afghans are likely to seek Western medical care

Question 53

An Afghan client asks the nurse how she could make her already healthy meals even healthier. The nurse suggests
A. The client should not change her meals because she eats healthy enough.
B. The client should adopt American practices of nutrition.
C. The client use unsaturated oils as well as using less oil when cooking.
D. The client go on a diabetic friendly diet because it is a common disease among Afghans.

Answer 53

C. The client use unsaturated oils as well as using less oil when cooking.

Question 54

Afghan Americans are a mixture of many different cultures that influenced the culture throughout history. Due to the variation in appearance among Afghan Americans nurses should check for jaundice and anemia by
A. By assessing only the skin
B. By assessing the palms of their hands
C. By drawing blood and running tests
D. By assessing the sclerae and oral mucosa as well as the skin

Answer 54

D. By assessing the sclerae and oral mucosa as well as the skin

Question 55

At the start of your shift, you go to introduce yourself to the patient that is undergoing surgery that afternoon. Whom should you address first?
A.	the patient
B.	the patient’s husband
C.	the patient’s brother
D.	the patient’s children

Answer 55

B. the patient’s husband

Question 56

How might you as the nurse keep yourself from being overwhelmed amongst the many family members in a patient’s room?
A. Tell all of the family members they must leave
B. Ask the patient to choose who they want present in the room
C. Discuss options with the family and patient on who will be involved in the care
D. Go on with your work while ignoring the family members

Answer 56

C. Discuss options with the family and patient on who will be involved in the care

Question 57

What foods would most likely be a part of the East Hindu Indian’s diet? (Select all that apply)
A.	rice
B.	pork
C.	corn
D.	wheat
E.	E.   potatoes

Answer 57

A. rice
C. corn
D. wheat

Question 58

When asking health questions about the East Indian Hindu American women, whom  should the questions be directed toward?
A.	The woman herself
B.	Her husband
C.	The oldest son
D.	The whole family

Answer 58

B. Her husband

Question 59

After death, who ideally should be the only one to touch the dead body?
A.	The Nurse
B.	The Doctor
C.	The Family
D.	The Priest

Answer 59

C. The Family

Question 60

What is the reason that East Indian Hindu Americans are hesitant to seek medical care outside of their family?
A. Fear of being publicly examined by strangers
B. Do not believe in their practices
C. Can not afford it
D. Not accepted by their religious practices

Answer 60

A. Fear of being publicly examined by strangers

Question 61

What is a major challenge for the nurse regarding the East Indian Hindu diet?

a. Refuse to eat fruits and vegetables
b. Most are vegetarians
c. Only eat two meals a day
d. Green foods are “cursed”

Answer 61

b. Most are vegetarians

Question 62

How would a bath for an East Indian Hindu be made?

a. Cold water added to hot water
b. Hot water added to cold water
c. Lukewarm bath
d. Most only bathe once a week, baths are not viewed highly

Answer 62

b. Hot water added to cold water

Question 63

East Indian Hindus are what type of oriented? (Choose all that apply)

a. Past
b. Present
c. Future
d. Carefree

Answer 63

a. Past
b. Present
c. Future

Question 64

Which of the following combinations should be avoided when caring for a conservative Orthodox Jewish patient?
A. A female nurse caring for a male patient
B. A male nurse caring for a female patient
C. A male nurse caring for a male patient
D. A male doctor caring for a female patient

Answer 64

B. A male nurse caring for a female patient

Question 65

While working on a pediatric unit, a nurse has a Jewish patient that is 4 years old. She realizes that the following is a normal practice in this culture:
A. Verbally abuse their child for getting sick
B. Tell the nurse that the child has been behaving badly and that is why he got sick
C. Plan for someone to stay with the child at all times while he is in the hospital

Answer 65

C. Plan for someone to stay with the child at all times while he is in the hospital

Question 66

A Jewish patient shows signs of distress while awaiting diagnostic lab results. The nurse notices that the patient is anxious. Which of the following would be the best response to this patient? Select all that apply.
A. Rush the lab results
B. Ignore the patient knowing that this is just a cultural reaction
C. Tell the patient to suppress their anxiety because it is worrying their family more
D. Remain patient and honest to provide a calm environment
E. Show interest and concern in order to reduce anxiety

Answer 66

D. Remain patient and honest to provide a calm environment

E. Show interest and concern in order to reduce anxiety

Question 67

Which food choices would be appropriate to give a Jewish client who follows kosher diet laws?

a. Mac and cheese with chicken
b. Shrimp and pasta
c. A rare steak with bloody juices
d. Salmon and crackers

Answer 67

d. Salmon and crackers

Question 68

Which behaviors are common in ill Jewish clients? Select all that apply

a. Crying
b. Complaining about illness
c. Not expressing pain
d. Having family sit with them at all times
e. Not seeking healthcare until absolutely necessary

Answer 68

a. Crying
b. Complaining about illness
d. Having family sit with them at all times

Question 69

A nurse is getting ready to discharge a Jewish woman who just had a baby boy. What statement made by the nurse is correct?

a. “you should really just have your baby circumcised here at the hospital, it’s much safer.”
b. “Only physicians should circumcise babies. No one else knows how to do it properly.”
c. “ I know your baby is not circumcised yet, but here are some post-circumcision instructions to keep the wound from getting infected.”
d. “Since you did not choose to have your baby circumcised here, you do not need circumcision care instructions.”

Answer 69

c. “ I know your baby is not circumcised yet, but here are some post-circumcision instructions to keep the wound from getting infected.”

Question 70

You are screening a Jewish client for cancer. Which of the following are associated with a greater prevalence among the Jewish community? Select all that apply.

a. Lung cancer
b. Breast cancer
c. Stomach cancer
d. Colorectal cancer
e. Skin cancer
f. Ovarian cancer

Answer 70

b. Breast cancer
c. Stomach cancer
d. Colorectal cancer
f. Ovarian cancer

Question 71

You are caring for a Jewish client and are concerned about a genetic variations. The client presents with pain, drastic changes in BP and body temperature, and impaired chewing, swallowing, and digestion. Which of the following genetic diseases do you suspect.

a. Tay-Sachs disease
b. Familial dysautonomia
c. Type 1 diabetes
d. Sickle-cell disease

Answer 71

b. Familial dysautonomia

Question 72

You are a nurse seeking to educate your patient with high serum cholesterol levels on their eating habits. It is important to consider their kosher diet and foods typically consumed. What foods would should you teach your patient to change and/or eliminate?

a. Green leafy vegetables
b. Bacon
c. Animal and saturated fats
d. Foods high in vitamin C

Answer 72

c. Animal and saturated fats

Question 73

What can be viewed as impolite/having a lack of good manners in the Appalachian culture? 
A. Shaking hands 
B. Direct eye contact 
C. Eating with your mouth open 
D. Listening intently

Answer 73

B. Direct eye contact

Question 74

What are the most important elements to include as a health care provider when speaking to an Appalachian patient? 
A.	Include family members
B.	Use direct eye contact
C.	Establish a trusting relationship 
D.	Use a direct approach

Answer 74

A. Include family members
C. Establish a trusting relationship
D. Use a direct approach

Question 75

Who is the majority of the Appalachian population? 
A. Native American Indians 
B. Latino Americans 
C. Non-Hispanic White Americans 
D. African Americans

Answer 75

C. Non-Hispanic White Americans

Question 76

To improve healthcare in the rural Appalachian regions, what are new medical implementations to improve medical compliance? (Select all the apply)
A. Extended clinic hours in walk-in-clinic
B. Improved transportation
C. Parish nursing
D. Refuse family involvement in care planning
E. More Home visits

Answer 76

A. Extended clinic hours in walk-in-clinic
B. Improved transportation
C. Parish nursing
E. More Home visits

Question 77

2. As a non-Appalachian nurse, you should understand that it is common for Appalachian patients to be late to appointments. This is because most are:
A. Past oriented 
B. Present oriented 
C. Future oriented
D. Sun dial oriented

Answer 77

B. Present oriented

Question 78

The main religion of Appalachian Americans is:
A. Nondenominational Christian
B. Islam
C. Catholicism 
D. Snake Handling

Answer 78

A. Nondenominational Christian

Question 79

What are the most common Folk Beliefs in Appalachian health care? (Select all that apply) 
A. High/Low Blood
B. Sugar/Sweet Blood 
C. Anxiousness
D. Nerves
E. Itchiness

Answer 79

A. High/Low Blood
B. Sugar/Sweet Blood
D. Nerves

Question 80

What is the highest causing health disparity in the Appalachian culture? 
A. COPD
B. CHF (Congestive Heart Failure) 
C. CAD (Coronary Artery Disease) 	
D. Diabetes

Answer 80

C. CAD (Coronary Artery Disease)

Question 81

What is the main source of nutrition in the Appalachian culture? (Select all that apply) 
A. Fats 
B. Vitamin D 
C. Sugar 
D. Carbohydrates 
E. Salt

Answer 81

A. Fats
D. Carbohydrates
E. Salt

Question 82

What is a virtue that the Navajo Indians have a hard time doing to someone they just met?
A.	Honor
B.	Trust
C.	Goodness
D.	Respect

Answer 82

B. Trust

Question 83

How can a nurse help a Navajo Indian adapt to a new setting?

a. Familiarize the client with space
b. Ask their feelings about the space
c. Make the client wait longer for an appointment so they have time to look around the waiting room
d. There is no need to help them adapt to a new setting

Answer 83

a. Familiarize the client with space

Question 84

What is a concern of the cramped living spaces the Navajo Indians often live in?

a. Getting annoyed with each other
b. Easily transmitted infections and diseases
c. poor sleeping patterns due to disturbances
d. There is no concerns with this type of living

Answer 84

b. Easily transmitted infections and diseases

Question 85

When caring for a female Navajo client, the nurse should recognize that the family members present often includes:
A. Just the husband, as he is the leader of the family
B. The nuclear family including the husband and children
C. The extended family including the husband, children, aunts, uncles, and cousins
D. No one, as they view hospital stays as private and personal

Answer 85

C. The extended family including the husband, children, aunts, uncles, and cousins

Question 86

What nursing considerations are necessary when providing care for a Navajo client in regards to time?
A. Navajo are past-oriented, so they are unconcerned with their current health problems
B. Navajo are present-oriented, meaning they may not put importance on future appointments or medication regimen
C. Navajo are future-oriented, implying they may only be worried about their health outcome rather than the current care plan
D. Navajo are present-oriented and future-oriented, regarding past healthcare issues as insignificant

Answer 86

B. Navajo are present-oriented, meaning they may not put importance on future appointments or medication regimen

Question 87

In regards to social organization, the Navajo culture places significance on:
A. Ceremonies for birth, death, marriage, and sickness
B. The wife being less successful than the husband
C. Children are assets, not liabilities
D. All of the above

Answer 87

D. All of the above

Question 88

What is the Navajo Indians Locus of control?

a. Internal
b. External
c. A mixture of both
d. neither

Answer 88

b. External

Question 89

What is a common medical finding in the Navajo population?

a. Lactose intolerance
b. Epilepsy
c. GERD
d. Alopecia

Answer 89

a. Lactose intolerance

Question 90

Upon the patient’s arrival to the medical-surgical floor, the nurse notices the client seems uneasy and anxious. From the nurse’s knowledge of Navajo culture, she gathers:

a. The patient feels uncomfortable because the hectic environment does not promote harmony with nature
b. The patient is probably just tired and feeling the effects of his ill
c. The patient feels overwhelmed because all of his extended family is present
d. The patient does not trust healthcare workers

Answer 90

a. The patient feels uncomfortable because the hectic environment does not promote harmony with nature