Question 1

The nursing faculty member explains that paternalism refers to:

Accepted Answer

A)   the physician must understand new ethical and professional standards.
B)   the patient is responsible for obtaining health care knowledge.
C)   the government imposed strict regulations on patient consent.
D)   the belief that physicians know more about the patient's needs than the patient does. D

Question 2

A nurse is beginning discharge teaching when the patient states, "I just don't know if I can follow this diet at home.What difference will it make?" In further refining the discharge teaching plan, the nurse should:

Accepted Answer

A)   ask the patient to help set nutritional goals.
B)   give the patient clear written directions.
C)   provide the patient with a list of websites.
D)   tell the patient when to return to the clinic. B

Question 3

A nurse assessing the needs of a patient.Which question demonstrates sensitivity to the client's culture?

Accepted Answer

A)   "Are you able to meet your needs when you are sick?"
B)   "Are there any special foods that you like?"
C)   "How much stress do you have in your life right now?"
D)   "When did the symptoms first become bothersome?" B

Question 4

The nursing professor understands that percentage of students from minority backgrounds in entry-level baccalaureate programs is:

Accepted Answer

A)   31.0.
B)   30.1.
C)   26.5.
D)   34.9.

Question 5

Which is a more viable mechanism than race for examining similarities and differences?

Accepted Answer

A)   Religion
B)   Ethnicity
C)   Cultural
D)   Social status

Question 6

A nurse is frustrated because a patient does not make any needed health changes despite ongoing and comprehensive education on the health-related topic.The best action by the nurse would be to:

Accepted Answer

A)   ask the patient if he or she really wants to make changes.
B)   assess for barriers to implementing the knowledge.
C)   continue trying to education the patient on the topic.
D)   find out whether the patient learns in a different way.

Question 7

Which action by the nurse demonstrates cultural awareness?

Accepted Answer

A)   Stating Maslow's level of self-actualization
B)   Becoming educated about a new culture
C)   Examines own biases and stereotypes
D)   Understanding the importance of health in their lives

Question 8

Much of what we believe, think, and act is attributed to:

Accepted Answer

A)   diversity.
B)   holism.
C)   culture.
D)   faith.

Question 9

A nurse has worked to teach patients disease prevention strategies and is frustrated by the low level of compliance.This nurse would most likely conclude that:

Accepted Answer

A)   it is hard to convince people that they can attain higher wellness levels.
B)   most people have very low levels of motivation to make changes.
C)   patients do not like being told that good health requires deprivation.
D)   the information being given is too difficult for patients to follow.

Question 10

A nurse explains to a nursing student that an advantage of a broad view of health is:

Accepted Answer

A)   family, friends, culture, and environment are all resources the patient can use.
B)   it leaves room for alternative, holistic views about health and health care practices.
C)   patients are free to define health and illness according to their own philosophies.
D)   the health care team will not inadvertently overlook important issues for the patient.

Question 11

Before providing written information or behavioral contracts to a patient, a nurse should ascertain that the patient:

Accepted Answer

A)   can read and understand.
B)   has resources for change.
C)   is ready to make changes.
D)   wants to make changes.

Question 12

A nurse is helping an obese patient alter dietary habits, but the patient does not seem to follow through with agreed-upon recommendations.Which action by the nurse would be most beneficial?

Accepted Answer

A)   Ask the patient about foods that have special meanings.
B)   Describe the health risks of not staying on the regimen.
C)   Encourage the patient to keep a food log during the day.
D)   Review dietary teaching to see what is not understood.

Question 13

A nurse is counseling a patient on disease prevention for a condition seen often in the patient's family history.Which instruction would the nurse be most likely to include in the patient's teaching?

Accepted Answer

A)   "Fresh fruits and vegetables have healthy nutrients."
B)   "Sleep deprivation has some very harmful effects."
C)   "Stress can be reduced through many different methods."
D)   "You should limit red meat to three servings a week."

Question 14

Which statement is true of overall trends regarding racial and ethnic minorities?

Accepted Answer

A)   Life expectancy has decreased slightly.
B)   Infant mortality has remained the same.
C)   They are more likely to receive medical procedures.
D)   They experience a lower quality of health services.

Question 15

The nurse explains to a student that health promotion means :

Accepted Answer

A)   encouraging people to avoid unhealthy habits.
B)   maintaining a preventive health schedule.
C)   preventing major diseases and injuries.
D)   protecting health and improving wellness.

Question 16

Which groups has the highest burden of human immunodeficiency virus?

Accepted Answer

A)   Asian Americans
B)   Hispanics Latinos
C)   African Americans
D)   Pacific Islanders

Question 17

Which action displays cultural knowledge?

Accepted Answer

A)   Examining biases
B)   Interviewing the patient
C)   Creating a careplan for the patient
D)   Educating oneself on different cultures

Question 18

A grant-awarding organization is reviewing a nurse-led program promoting weight loss and healthy eating habits in a minority population.The program has a high success rate.The organization's members might conclude that:

Accepted Answer

A)   members of the cultural group have specific health needs the program helps meet.
B)   nurse-run programs have better outcomes than those led by other providers.
C)   the nurse sought assistance from cultural leaders to develop the program.
D)   this cultural group is well assimilated and uses Western medical practices.

Question 19

The nurse educator is presenting a lecture on diversity.How should diversity be explained?

Accepted Answer

A)   Faith differences
B)   Differences in nationality
C)   Differences in social class
D)   Ethnic differences

Question 20

Which construct of the Campinha-Bacote Model of Competence is based solely on the nurses intrinsic need to acquire new knowledge?

Accepted Answer

A)   Cultural knowledge
B)   Cultural skill
C)   Cultural awareness
D)   Cultural desire

Exam 14: Diversity in Health and Illness