1.Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members? a. Hire health care professionals from different Spanish-speaking countries. b. Ensure that all health care workers speak Spanish. c. Ensure that all signage is posted in Spanish as well as English. d. Ensure health services are in varying locations

  1. Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members? a. Hire health care professionals from different Spanish-speaking countries. b. Ensure that all health care workers speak Spanish. c. Ensure that all signage is posted in Spanish as well as English. d. Ensure health services are in varying locations.
  2. On which criterion would the Human Resources manager focus when identifying interpreters to support the care of patients with limited English proficiency? a. Be of the same ethnic background of the patients b. Availability of family members c. Proficient in health language terminology d. Be on 24-hour call
  3. a. Ensure grievances are resolved b. Plan and implement culturally and linguistically appropriate services c. Plan for culturally appropriate continuing education for the staff d. Develop partnerships with community members
  4. During an assessment, the nurse asks the patient to describe her current health status. In what context will the patient most likely explain her health? a. Diagnosis b. Personal experience c. Cost d. Impact on family
  5. The nurse desires to become more culturally competent when providing care to patients from non-English-speaking cultures. Which action would the nurse take to achieve this self- expectation? a. Attend a festival from a different culture. b. Find a seminar on cultural competence. c. Talk to people from different cultures. d. Commit to a time-consuming journey.
  6. The staff development educator is analyzing ways to incorporate cultural competency concepts in continuing education programs. How will the educator explain the concept of cultural competency to staff? a. Philosophy b. Condition c. Theory d. Fad
  7. A patient from a non-English-speaking culture comes into the health clinic seeking care. The nurse is unable to determine the patient’s primary language. What should the nurse do? a. Ask for help to determine the patient’s€primary language. b. Encourage the patient to seek care elsewhere. c. Notify Security. d. Contact a homeless shelter.
  8. The nurse is planning care to address health care needs for a non-English-speaking patient and family. What would the nurse use as a guide for this care? a. Nursing textbook b. Standardized care plan c. Checklist d. Care map
  9. A patient’s parish priest arrives to the care area to visit the patient and provide communion. What impact does the priest’s visit have on the patient’s health? a. Reinforces distinctiveness b. Reinforces acculturation c. Offers support and provides positive expectation d. Reinforce assimilation
  10. An older patient tells the nurse about being born in a different country and having visited the home country many times throughout the years. The nurse realizes that the patient is explaining which aspect of culture? a. Acculturation b. Religious preference c. Socialization d. Heritage consistency
  11. A group of nurses talking are overheard using jargon that is consistent with the nursing profession. Which behavior are the nurses demonstrating? a. Heritage consistency b. Ethnicity c. Acculturation d. Socialization
  12. A seminal event in the boomer generation that can still elicit comments today is the question: a. “Do you remember Pearl Harbor?” b. “Where were you when John F. Kennedy was shot?”€ c. “What were you doing on September 11, 2001?” d. “How did the Challenger tragedy affect you?”
  13. A patient from a different culture tells the nurse about eating specific foods during pregnancy and after childbirth to ensure a healthy mother and infant. Which cultural phenomena does this behavior exemplify? a. Environmental control b. Social organization c. Time orientation d. Biological variation
  14. Why does the nurse stop and think before implementing touch when providing care to a patient from a different culture? a. Impacts time orientation b. Influences environmental control c. Influences the patient’s personal space d. Alters social organization
  15. Prior to caring for a Native American patient, the nurse reviews the diseases that are more prevalent in this culture. What is the nurse taking into consideration when caring for this patient? a. Biological variation b. Environmental control c. Social organization pattern d. Component of heritage consistency
  16. The nurse learns that a patient from a different culture does not know the names of the people who are candidates running in the next general election. What assumption can be made about this assessment finding? a. The patient cannot read. b. The patient is heritage consistent. c. The patient is hard of hearing. d. The patient does not have a high school education.
  17. While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic origin. What influenced this change to occur in demographic data reporting? a. Better differentiates categories within the African-American group b. The number of people identified as non-White was increasing out of proportion to the population. c. Identifies which health plans the patient is eligible to enroll in d. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.
  18. While shifts in the population profile are occurring, what is an important consideration to address in health care? a. Cultural health needs of varying groups must be considered. b. Health care needs to be streamlined for consistent care delivery. c. More physicians need to be trained to deliver health care. d. Health care providers need to be younger to care for an aging population.
  19. Between the 2000 Census and 2010 Census, what is the most notable statistic about the total United States population? a. The population age shift moved towards 18 years and younger. b. The Asian population increased to become the second-largest minority group in the United States. c. The U.S. population was over 308 million in 2010. d. The population shift went from a White majority to White minority status.
  20. According to the 2010 Census, 40.3 million people are aged 65 and over. What are the long-term implications for the health of this group? a. Providing health care that is focused on gerontological needs b. Developing medications to prolong life at any cost c. Providing health insurance for all age groups d. Developing systems to provide health care only to those older citizens who remain healthy
  21. Which criterion limits access to health care? a. Employment opportunities b. No public transportation c. Transition programs for newly arrived legal residents d. Advocacy groups for immigrants
  22. Why would a patient who has a higher income generally have better health outcomes? a. Have better access to health care b. Have better job skills c. Can afford private transportation d. Can afford private insurance
  23. A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that eligibility for this program is determined by: a. Employment history b. Family size c. Geographic address d. Low-income guidelines
  24. Which definition of health would the nurse most likely use when assessing a patient’s thinking about health? a. Having a harmonious, balanced relationship with nature b. Not having any discernible illness or disease c. Being in a state of physical, mental, and social well-being d. The ability to get up and go to work each day
  25. Which statement exemplifies how a nursing student views health? a. Must share the client’s views of health and illness b. Forces clients to accept the medical definitions of health c. Entered the health care profession with a culturally based concept of health d. Accepts the prevailing definition of health and applies it to individual clients
  26. A group of health care providers are attempting to define health. What can occur during this discussion? a. Terms and meanings may be challenged b. Categories of health will be listed c. Ambiguity will be resolved d. Achieves a full acceptance by all parties
  27. For many people, health and illness are opposites which can make them view health as which of the following: a. A state of physical fitness b. Freedom from evil that causes illness c. A state of emotional ambiguity d. The reward for a productive life
  28. Why would health care providers refer to Healthy People 2020 when providing patient care? a. It is mandated legislation that will result in a healthier population by 2020. b. It supports health policies that provide monetary incentives to states who reach the benchmark goals. c. It serves as a monitoring system that evaluates the health of all citizens. d. It provides a plan to continue to improve the health of everyone in the United States.
  29. A patient has a family history of cardiac disease and has maintained lifestyle changes as a preventive measure. Within the overall perspective of perceived susceptibility, what is this patient demonstrating? a. Perceived benefits b. Perceived seriousness c. Taking action d. Changing modifying factors
  30. The nurse determines that a patient is in the onset stage of an illness. What did the nurse observe in the patient? a. The first symptoms of a given problem are experienced. b. There is a gradual resumption of normal roles and activities. c. The sick role becomes that of being a patient. d. The disease is identified and socially sanctioned.
  31. Which action do most people take when experiencing a mild illness? a. Rely on self-treatment or do nothing. b. Ingest herbs specific to how they are feeling. c. Consult a local faith healer. d. Immediately seek medical attention.
  32. How would the nurse explain alternative medical traditions to a patient? a. For use in concert with other aspects of health care b. Outside of the realm of a person’s cultural heritage medical tradition c. An essential component of a cultural heritage medical tradition d. Traditional methods of health care
  33. Which actions would the nurse categorize as traditional mental health maintenance? a. Wearing head covering in the cold to preserve head warmth b. Avoiding physically demanding hobbies c. Using medications to preserve chemical balance in the brain d. Activities to concentrate and stimulate the mind
  34. While assessing a patient from the Jewish culture, the nurse learns that the patient believes that an illness is being caused by another soul. What is this health belief considered? a. Dybbuk b. Kayn aynhoreh c. Szatan d. Aberglobin
  35. During an assessment, a patient tells the nurse, “An onion a day keeps everyone away.”€ How does this philosophy protect health? a. Recognizes the special antibiotic properties contained within onions b. Affirms the belief in the power of onions to prevent disease c. Protects the person from coming in contact with those who might be ill d. Advertises that onions have special healing abilities
  36. Which patient statement reflects a spiritual belief that defines illness? a. “It is a necessary part of my religious culture.” b. “I am being punished for breaking a religious code.” c. “I failed to wear special amulets to ward it off.” d. “I am sick because I violated dietary practices.”
  37. What is an advantage of using complementary medicine for treatment of an illness? a. Complementary medicine is never used with allopathic medicine. b. Complementary medicine replaces allopathic medicine as a primary form of treatment. c. Complementary medicine lessens a patient’s discomfort with allopathic treatments. d. Complementary medicine can be used with allopathic medicine.
  38. Why would the nurse assess a patient’s religion when completing the health history process? a. Religion plays a role in the perception of health and illness b. Helps explain recreational habits c. Provides information about the patient’s geographic location d. Explains nutritional preferences
  39. Which action would the nurse take when assessing the impact of religion, culture, and ethnicity on a patient’s illness? a. Recognize that certain ethnic groups practice the same religion. b. Recognize that all members of an ethnic group will follow the same dietary practices. c. Recognize that religious preferences may differ between members of an ethnic group. d. Recognize that certain ethnic groups always practice the same cultural rituals.
  40. The nurse overhears a patient ask a family member to bring the Lourdes water to the hospital. The nurse recalls that this water is believed to cure which health problem? a. Being bedridden b. Blindness c. Bodily ills d. Deafness
  41. A family member tells a patient with terminal cancer not to worry since special prayers have been said in church. To which saint is prayed for help with cancer? a. St. Peregrine b. St. Odilia c. St. Francis de Sales d. St. Raymond Nonnatus
  42. What would be alternative treatment modalities used during an illness? a. Strict adherence to the prescribed medical regimen b. Willingness to seek a second medical opinion c. Refusal to allow any medical treatment to be performed d. Consultation of a healer outside the medical establishment

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