Question 1

A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?

Accepted Answer

A)  What language do you speak at home? 
B)  How different is your life here from back home? 
C)  Which caregivers do you seek when you are sick? 
D)  How different is what we do from what your family does when you are sick? 
A)  What language do you speak at home? 
B)  How different is your life here from back home? 
C)  Which caregivers do you seek when you are sick? 
D)  How different is what we do from what your family does when you are sick? B

Question 2

A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the "H"?

Accepted Answer

A)  Health 
B)  Healers 
C)  History 
D)  Homeland 
A)  Health 
B)  Healers 
C)  History 
D)  Homeland B

Question 3

A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?

Accepted Answer

A)  Accessibility of health care services 
B)  Outcomes of health conditions 
C)  Prevalence of complications 
D)  Incidence of diseases 
A)  Accessibility of health care services 
B)  Outcomes of health conditions 
C)  Prevalence of complications 
D)  Incidence of diseases A

Question 4

A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take $\bold{first}$?

Accepted Answer

A)  Assessing own biases and attitude 
B)  Learning about the world view of others 
C)  Understanding organizational forces 
D)  Developing cultural skills 
A)  Assessing own biases and attitude 
B)  Learning about the world view of others 
C)  Understanding organizational forces 
D)  Developing cultural skills

Question 5

A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence?

Accepted Answer

A)  Communicates effectively in a multicultural context 
B)  Functions effectively in a multicultural context 
C)  Visits a foreign country 
D)  Speaks a different language 
A)  Communicates effectively in a multicultural context 
B)  Functions effectively in a multicultural context 
C)  Visits a foreign country 
D)  Speaks a different language

Question 6

A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using?

Accepted Answer

A)  Document staff satisfaction. 
B)  Focus on the family. 
C)  Implement change on a grand scale. 
D)  Reduce disparities. 
A)  Document staff satisfaction. 
B)  Focus on the family. 
C)  Implement change on a grand scale. 
D)  Reduce disparities.

Question 7

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?
-Cultural awareness

Accepted Answer

A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills 
A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills

Question 8

The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?

Accepted Answer

A)  Use long sentences when talking. 
B)  Look at the patient when talking. 
C)  Use breaks in sentences when talking. 
D)  Look at only nonverbal behaviors when talking. 
A)  Use long sentences when talking. 
B)  Look at the patient when talking. 
C)  Use breaks in sentences when talking. 
D)  Look at only nonverbal behaviors when talking.

Question 9

A nurse is using the explanatory model to determine the etiology of an illness. Which questions should the nurse ask? (Select all that apply.)

Accepted Answer

A)  How should your sickness be treated? 
B)  What do you call your problem? 
C)  How does this illness work inside your body? 
D)  What do you fear most about your sickness? 
E)  What name does it have? 
A)  How should your sickness be treated? 
B)  What do you call your problem? 
C)  How does this illness work inside your body? 
D)  What do you fear most about your sickness? 
E)  What name does it have?

Question 10

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?
-Cultural knowledge

Accepted Answer

A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills 
A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills

Question 11

A nurse is teaching patients about health care information. Which patient will the nurse assess closely for health literacy?

Accepted Answer

A)  A patient 35 years old 
B)  A patient 68 years old 
C)  A patient with a college degree 
D)  A patient with a high-school diploma 
A)  A patient 35 years old 
B)  A patient 68 years old 
C)  A patient with a college degree 
D)  A patient with a high-school diploma

Question 12

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care?

Accepted Answer

A)  Provides care that fits the patient's valued life patterns and set of meanings 
B)  Provides care that is based on meanings generated by predetermined criteria 
C)  Provides care that makes the nurse the leader in determining what is needed 
D)  Provides care that is the same as the values of the professional health care system 
A)  Provides care that fits the patient's valued life patterns and set of meanings 
B)  Provides care that is based on meanings generated by predetermined criteria 
C)  Provides care that makes the nurse the leader in determining what is needed 
D)  Provides care that is the same as the values of the professional health care system

Question 13

Which action indicates the nurse is meeting a primary goal of cultural competent care for patients?

Accepted Answer

A)  Provides care to transgender patients 
B)  Provides care to restore relationships 
C)  Provides care to patients that is individualized 
D)  Provides care to surgical patients 
A)  Provides care to transgender patients 
B)  Provides care to restore relationships 
C)  Provides care to patients that is individualized 
D)  Provides care to surgical patients

Question 14

A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse is $\bold{priority}$?

Accepted Answer

A)  On the way a patient reacts to disease 
B)  On the malfunctioning of biological processes 
C)  On the malfunctioning of psychological processes 
D)  On the way a patient reacts to family/social interactions 
A)  On the way a patient reacts to disease 
B)  On the malfunctioning of biological processes 
C)  On the malfunctioning of psychological processes 
D)  On the way a patient reacts to family/social interactions

Question 15

A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients. Which design should the nurse use?

Accepted Answer

A)  Use partnered rather than married. 
B)  Use mother rather than father. 
C)  Use parents rather than guardian. 
D)  Use wife/husband rather than significant other. 
A)  Use partnered rather than married. 
B)  Use mother rather than father. 
C)  Use parents rather than guardian. 
D)  Use wife/husband rather than significant other.

Question 16

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?
-Cultural desires

Accepted Answer

A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills 
A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills

Question 17

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?
-Cultural encounters

Accepted Answer

A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills 
A) In-depth self-examination of one's own background 
B) Ability to assess factors that influence treatment and care 
C) Sufficient comparative understanding of diverse groups 
D) Motivation and commitment to continue learning about cultures 
E) Cross-cultural interaction that develops communication skills

Question 18

A nurse is assessing population groups for the risk of suicide requiring medical attention. Which group should the nurse monitor $\bold{most}$ closely?

Accepted Answer

A)  Young bisexuals 
B)  Young caucasians 
C)  Asian Americans 
D)  African-Americans 
A)  Young bisexuals 
B)  Young caucasians 
C)  Asian Americans 
D)  African-Americans

Question 19

A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT. Which actions should the nurse take? (Select all that apply.)

Accepted Answer

A)  Connect on a social level. 
B)  Help the patient overcome barriers. 
C)  Consciously attempt to suspend judgment. 
D)  Stress that they will be working together to address problems. 
E)  Know limitations in addressing medical issues across cultures. 
A)  Connect on a social level. 
B)  Help the patient overcome barriers. 
C)  Consciously attempt to suspend judgment. 
D)  Stress that they will be working together to address problems. 
E)  Know limitations in addressing medical issues across cultures.

Question 20

A nurse is working at a health fair screening people for liver cancer. Which population group should the nurse monitor $\bold{most}$ closely for liver cancer?

Accepted Answer

A)  Hispanic 
B)  Asian Americans 
C)  Non-Hispanic Caucasians 
D)  Non-Hispanic African-Americans 
A)  Hispanic 
B)  Asian Americans 
C)  Non-Hispanic Caucasians 
D)  Non-Hispanic African-Americans

Exam 9: Cultural Awareness

A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?

A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the "H"?

A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?

A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first\bold{first}first ?

A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence?

A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using?

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using? -Cultural awareness

The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?

A nurse is using the explanatory model to determine the etiology of an illness. Which questions should the nurse ask? (Select all that apply.)

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using? -Cultural knowledge

A nurse is teaching patients about health care information. Which patient will the nurse assess closely for health literacy?

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care?

Which action indicates the nurse is meeting a primary goal of cultural competent care for patients?

A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse is priority\bold{priority}priority ?

A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients. Which design should the nurse use?

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using? -Cultural desires

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using? -Cultural encounters

A nurse is assessing population groups for the risk of suicide requiring medical attention. Which group should the nurse monitor most\bold{most}most closely?

A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT. Which actions should the nurse take? (Select all that apply.)

A nurse is working at a health fair screening people for liver cancer. Which population group should the nurse monitor most\bold{most}most closely for liver cancer?

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A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take $\bold{first}$ ?

A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse is $\bold{priority}$ ?

A nurse is assessing population groups for the risk of suicide requiring medical attention. Which group should the nurse monitor $\bold{most}$ closely?

A nurse is working at a health fair screening people for liver cancer. Which population group should the nurse monitor $\bold{most}$ closely for liver cancer?