How will a staff educator explain the concept of cultural competency to staff?

Multiple choice culturally competent writing homework helpMultiple Choice Questions1. The nurse desires to become more culturally competent when providing care to patients fromnon-English- speaking cultures. Which action would the nurse take to achieve this self-expectation?a. Commit to a time-consuming journeyb. Find a seminar on cultural competencec. Talk to people from different culturesd. Attend a festival from a different culture2. The staff development educator is analyzing ways to incorporate cultural competency conceptsin continuing education programs. How will the educator explain the concept of culturalcompetency to staff?a. Philosophyb. Conditionc. Theoryd. Fad3. A health care organization is planning continuing education for all staff on culturally andlinguistically appropriate service delivery. Which category of culturally and linguisticallyappropriate services in health care will this action support?a. Fundamentals of culturally competent careb. Speaking of culturally competent carec. Structuring culturally competent cared. Manage the dynamics of difference4. The nurse is unable to locate an interpreter to support a patient from a non-English-speakingculture. The patient asks a family member to interpret for the staff. What would the nurse do toensure culturally and linguistically appropriate services for this patient?a. Use sign language.b. Write the questions down for the patient to answer.c. Do nothing until an interpreter can be located.d. Use the family member as an interpreter until a non–family member can be located.5. A patient from a non-English-speaking culture comes into the health clinic seeking care. Thenurse is unable to determine the patient’s primary language. What should the nurse do?a. Notify Securityb. Encourage the patient to seek care elsewherec. Ask for help to determine the patient’s primary languaged. Contact a homeless shelter6. In a non-English-speaking patient’s medical records, it is indicated that he has no family.However, a large group of people stating that they are the patient’s family have just arrived tothe critical care unit. What impact does this miscommunication have on the patient’s care?a. Increase the costb. Poor decision makingc. Improve the outcomesd. Enhance therapeutic communication7. The nurse working in a Joint Commission–accredited organization is admitting a patient from anon-English- speaking culture. Which action supports the Joint Commission principle ofeffective communication?a. Manage the dynamics of differenceb. Value diversityc. Assess communication needsd. Adapt to diversity8. The nurse determines that a patient is in the process of acculturation. What did the nurseassess in this patient?a. Americanization of the patient’s nameb. Engaging in activities with members of the family’s preferred social groupc. Speaking the family’s native languaged. Living away from the family of origin9. A patient born in a European country speaks excellent American English. The nurse realizes thatthis patient has achieved which type of assimilation?a. Maritalb. Culturalc. Primary structurald. Secondary structural10. The nurse is planning care for an older patient. What will the nurse take into consideration toreduce generational conflict?a. Events that occurred when the patient was 10 years of ageb. Ethnocultural status of the nursec. Age of the nursed. All of the above.11. A seminal event in the boomer generation that can still elicit comments today is the question:a. “Where were you when John F. Kennedy was shot?”b. “Do you remember Pearl Harbor?”c. “What were you doing on September 11, 2001?”d. “How did the Challenger tragedy affect you?”12. The staff development instructor is planning a seminar that focuses on the variables leading togenerational conflict. What will the instructor include in this content?a. Decade of birthb. Generation in the United Statesc. Classd. All of the above.13. A health care provider comments that a patient is “too old to take care of herself” and needsto “let a man make decisions for her.” The nurse recognizes that this health care provider isdemonstrating which misanthropic feelings?a. Ethnocentrismb. Sexismc. Racismd. Heterosexism14. According to the 2010 Census, 40.3 million people are aged 65 and over. What are thelong-term implications for the health of this group?a. Providing health care that is focused on gerontological needsb. Developing medications to prolong life at any costc. Providing health insurance for all age groupsd. Developing systems to provide health care only to those older citizens who remainhealthy15. A patient, an immigrant from another country, is waiting to be seen in the EmergencyDepartment. What difficulties is this patient dealing with since coming to a new country?a. Learning a new languageb. Adapting to a new climatec. Eating new foodsd. All of the above.16. The nurse notes that a larger number of foreign-born patients are being seen in the hospital.From which leading country are the majority of foreign-born, legal permanent residents?a. Europeb. Mexicoc. South Americad. None of the above.17. Legal permanent residents tend to initially settle in urban areas. What can be inferred fromthis?a. Employment may be found but will probably be in lesser-paying jobsb. Unemployment will not be a concernc. Employment is easy to obtain in urban areasd. Income earning potential is higher18. The nurse desires employment in a metropolitan area with a high percentage of foreign-bornlegal residents. In which areas would the nurse consider employment?a. New York Cityb. Los Angelesc. Miamid. All of the above.19. The nurse is trying to determine if a patient is a refugee. Which characteristics would thepatient need to fulfill in order to be classified as a refugee?a. Person is outside the country of nationalityb. Person is unable to return to the country of nationality because of persecutionc. Person is unable to return to the country of nationality because of fear of persecutiond. All of the above.20. What disease prevention and health promotion determinants would the nurse review whenassessing a patient?a. Learn the patient’s lifestyleb. Understand the patient’s environmentc. Identify how to measure progressd. a and b only21. Besides being important public health issues and motivating people to action, what purpose dothe Healthy People 2020 objectives serve?a. Measure the impact of prevention activitiesb. Provide monetary worth to the nationc. Replace other toolsd. Identify people needing secondary health services22. Why would health care providers refer to Healthy People 2020 when providing patient care?a. It serves as a monitoring system that evaluates the health of all citizens.b. It supports health policies that provide monetary incentives to states who reach thebenchmark goals.c. It provides a plan to continue to improve the health of everyone in the United States.d. It is mandated legislation that will result in a healthier population by 2020.23. While reviewing the Healthy People 2020 document, the nurse identifies what as being themain objectives of the program?a. Ensuring that all Americans have one physical each yearb. Emphasize an ecological approach to disease prevention and health promotion.c. Ensuring that all Americans have health insuranced. Eliminating childhood diseases24. Within the Healthy People 2020 document, what characteristics contribute to health disparityin the United States?a. Raceb. Religionc. Genderd. All of the above.25. What is the Healthy People 2020 goal for health disparities?a. Achieve health equity, eliminate disparities, and improve the health of all groups.b. Reduce health disparities among Americans.c. Eliminate health disparities among Americans.  d. Recognize health disparities among elderly.Multiple Choice Questions1. 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. Aberglobinb. Kayn aynhorehc. Szatand. Dybbuk2. While caring for an infant of Puerto Rican descent, the nurse sees a black amulet on a chain on the wrist of the baby’s right hand. What should the nurse do with the amulet?a. Remove the amuletb. Leave it on the baby’s wristc. Ask that the amulet be removed until the baby is olderd. Move it to the baby’s ankle3. During an assessment, a patient tells the nurse, “An onion a day keeps everyone away.” How does this philosophy protect health?a. Protects the person from coming in contact with those who might be illb. Affirms the belief in the power of onions to prevent diseasec. Recognizes the special antibiotic properties contained within onionsd. Advertises that onions have special healing abilities4. While caring for a patient from the Chinese culture, the nurse learns that the patient has a specific practice that follows yin and yang. What impact will this have on the patient’s dietary intake?a. There are specific foods for specific purposesb. Some foods are only eaten at different times of the yearc. The patient will eat only specified proportions of foodd. Identifies if foods should be eaten hot or cold5. Which patient statement reflects a spiritual belief that defines illness?a. ”I am being punished for breaking a religious code”b. “It is a necessary part of my religious culture”c. “I failed to wear special amulets to ward it off”d. “I am sick because I violated dietary practices”6. During a health history, a patient tells the nurse about following traditional epidemiological practices. What is the purpose of these practices?a. Uses folk medicine herbal remediesb. Used as a part of the patient’s religionc. Used to cure an illnessd. Used to preserve a heritage7. The nurse learns that a patient used to follow homeopathic medicine but now only uses allopathic medicine approaches. What is the significance of allopathic medicine?a. Is practiced only where it is acceptedb. Accepts other forms of therapy as valid for treating diseasec. Empirical science and scientific methods for treating diseased. Encompasses different treatment modalities within its framework8. A patient with a progressive neurological disease wants to visit shrines in the United States to offer prayers for healing. Which shrines would be available for the patient to visit?a. The Tomb of Menachem Mendel Schneersonb. Shrine of Our Lady of San Juanc. Shrine of our Lord of Esquipulasd. All of the above.9. A patient with terminal cancer is planning a trip to Lourdes, France, the site of a revered Roman Catholic shrine. What is the significance of visiting this shrine?a. Receiving a cure through a miracleb. Being able to live a long lifec. Becoming more prosperousd. Gaining insight about the cause of disease10. What would be alternative treatment modalities used during an illness?a. Willingness to seek a second medical opinionb. Consultation of a healer outside the medical establishmentc. Refusal to allow any medical treatment to be performedd. Strict adherence to the prescribed medical regimen11. A patient adheres to the teachings of Seventh-day Adventist. What practice is followed bythose within this religion?a. Abstinence from alcohol, coffee, and teab. Avoid porkc. Fasting once a monthd. Follow a vegetarian diet12. A patient tells the nurse that no blood or blood products will be accepted as a form of healthtreatment. This patient is most likely a member of which religion?a. Jehovah’s Witnessb. Roman Catholicc. Church of Jesus Christ of Latter-day Saintsd. Christian Science13. A patient follows the teachings of Christian Science and will not take any medications, but forwhich health problem will medications be used by members of this religion?a. Antibioticsb. Chemotherapy to treat cancerc. Immunizations to comply with civil lawd. Narcotics for pain relief14. Which actions are considered to be health restoration practices for individuals of EasternEuropean Jewish heritage?a. Chicken soupb. Glass of winec. Alcohol massaged. All of the above.15. A patient tells the nurse about using cod liver oil every day. Which heritages utilize cod liver oilas a health maintenance practice?a. English Episcopalb. English Baptistc. Norwegian Lutherand. a and c only16. Which health restoration practice for a cold would the nurse assess in a patient of EnglishCatholic heritage?a. Rubbing the chest with Vicksb. Drinking honey and vinegarc. Gargling with water and vinegard. Drinking warm milk17. During an assessment, the nurse asks a patient of Irish Catholic heritage to identify a healthprotection practice that is ingested. What practice will this patient most likely follow?a. Senna teab. Yeastc. Wined. Hot peppermint tea18. A patient of Swedish-American Protestant descent wants a specific HEALTH protectionintervention to maintain throat health. Which action will the patient most likely request?a. Gargling with salt and taking honey with milkb. Having the throat blessed on St. Blaise Dayc. Ingesting baking sodad. Staying in a steamy bathroom when the throat is sore19. A patient tells the nurse that Father John’s Medicine is used as a HEALTH protection practicefrom November to May. Individuals from which heritage uses this remedy?a. Italian-American Catholicsb. English-American Episcopaliansc. Canadian Catholicsd. Native American Baptists20. The cost of prescription medications, an indicator of health care costs, has skyrocketed from  $2.7 million in 1960 to $234.1 billion in 2008. What would be a reason for the increase inprescription medication costs?a. Technology costs associated with new drug developmentb. Health insurance covers all medication costsc. People want more prescription medications for all of their illnessesd. The majority of prescription medications are used by an increasingly aging population21. The nurse is reviewing the costs associated with providing care for specific health problems in2006. Which health problems increased since 1999?a. Respiratory intubation and mechanical ventilationb. Percutaneous transluminal coronary angioplasty (PTCA)c. Cardiac pacemakerd. All of the above.22. What was the focus of health care during the early part of the twentieth century?a. Discovery of external cardiac pacingb. Maternal and child healthc. Implementing Medicared. Reducing the impact of HIV/AIDS23. What was the impact of infrastructure on the health care industry in the middle of thetwentieth century?a. Development of the foundation for today’s costly tests and treatmentsb. Restriction of public immunizations and medications for communicable diseasesc. Social policy planning for health care expendituresd. Decrease of hospital building and local resources for health care24. What impact did social and health policy have on the health care system in the latter part ofthe twentieth century?a. Affordable health care for all citizensb. The majority of health care being paid for through government subsidiesc. Exploding health care costs and the challenges to reform and control themd. Health care costs decreasing as a result of social and health policy25. What was the goal of health care reform efforts in the 1990s?a. Making health care affordable, comprehensive, and accessibleb. Allocating health resources based on priority needsc. Providing government-subsidized health care  d. Ensuring all citizens had health insuranceMultiple Choice Questions1. The nurse is observing a healing ceremony performed by people of the American Indian culture. What is a characteristic of this ceremony?a. Soundb. Quietc. Herbal teasd. Hallucinogenic plants2. A patient of the American Indian culture tells the nurse that the medicine man is consulted when an illness develops. How does a person become a medicine man?a. Know the interrelationships between people, the earth, and the universeb. Understand the ways of plants and animalsc. Perform special ceremoniesd. All of the above.3. What is the difference between the modern physician and the medicine man when determining the cause of an illness?a. The medicine man looks for the physical cause of the problemb. The medicine man looks for the spiritual cause of the problemc. The medicine man studies the patient’s past medical history to determine the cause ofthe illnessd. The medicine man studies the dietary practices of the person being seen4. In which American Indian tribe are meditation and herbs used to create a trance to provide the vision of the evil that causes an illness?a. Hopib. Siouxc. Navajod. Cherokee5. Which Navajo American Indian divination method will women practice to diagnose the cause of a disease?a. Singingb. Listeningc. Motion in the handd. Stargazing6. What is the purpose of sand paintings when diagnosing illness in the Navajo American Indian culture?a. Creates symbolic representations of the client and familyb. Ensures that appropriate payment is made by the familyc. Provides an atmosphere of calm for the medicine mand. Determines the cause and treatment of the illness7. The nurse is conducting a medication history with a patient from the Oneida American Indian culture. Which remedies would the nurse include as part of this history?a. Witch hazelb. Comfreyc. Skunk oild. All of the above.8. A patient that is of the American Indian culture is waiting to be seen in a non-Indian Health Service facility. What concern might this patient have about receiving health care through this route?a. Conflict between his or her perception of the illness and what the physician diagnosesb. Easier to receive medical care through emergency departments rather than privatephysiciansc. Receive better health care from mainstream medical servicesd. Concern that medical insurance won’t cover all the medical costs9. Which action would the nurse take when assessing a patient of American Indian culture?a. Remaining quiet and recognizing the importance of nonverbal communication to seekinformationb. Asking detailed questions regarding the presenting symptomsc. Asking indirect questions about the reason for seeking health cared. Ensuring that no one beyond the medical provider and the client discuss what hasbrought the client to seek care10. Which is a concept of holism in traditional Chinese medicine?a. Integration of the body with the external environmentb. Energy fields that create health or diseasec. Local pathology as separate from the bodyd. Harmonic balance that creates illness11. Which action would a patient, who practices Ayurvedic medicine, take to reestablish harmonyand balance in the body?a. Sit in the sunb. Massagec. Do yoga and meditationd. Ingest a substance to cleanse the body of substances that cause disease12. The nurse is planning care for a group of community members who follow Ayurveda medicine.What beliefs about this form of health care would the nurse need to keep in mind whileplanning this care?a. All things in the universe are joined together.b. Human beings contain elements that can be found in the universe.c. All people are born in a state of balance.d. All of the above.13. A patient of the Asian culture tells the nurse that an alteration in yin and yang will lead todisease. Which variable can affect the body’s yin and yang?a. Clothingb. The weatherc. Social classd. Improper food preparation14. Why does the Chinese physician focus on palpating a patient’s pulse?a. It is considered the storehouse of the blood.b. It indicates a specific treatment.c. It can help to refine a diagnosis.d. It determines the time of death.15. A belief of Ayurvedic medicine is the concept of doshas. What is a characteristic of thisconcept?a. Combine space and air to control nutritional preferencesb. Blend fire and water to balance mental capacitiesc. Are constantly formed and reformed by food, activity, and bodily processesd. Use water and earth to regulate hormonal balance16. While assessing the health history of a patient who is an Asian/Pacific Islander, what will thenurse identify as a leading cause of death for people from this culture?a. Malignant neoplasmsb. Influenza and pneumoniac. Alzheimer’s diseased. Chronic lower respiratory diseases17. Why does poor health continue to occur among immigrant Asian populations?a. Poor working environments and crowded living conditionsb. Refusal of Western medicine to treat Asian immigrantsc. Inability to tolerate Western medicationsd. Low number of health care workers of Asian origin18. How would a patient from the Black culture treat poison ivy?a. Sprinkling crushed bluestone powder on the affected areab. Placing a mixture of garlic, onions, and parsley on the sitec. Placing clay in a dark leaf over the affected aread. Rubbing Vicks Vaporub on the area19. In the Black culture, what would be used to treat colds?a. Sassafras teab. Hot lemon water with honeyc. Hot toddy made of tea, honey, lemon, peppermint, and alcohold. All of the above.20. Why are folk remedies still used today in the Black community?a. Tradition of quality care and treatment by healersb. Acknowledgement of the African heritagec. Rituals associated with folk remediesd. Close proximity of hospitals in the community21. What would be a benefit of following the African food tradition of geophagy?a. Dirt is high in calciumb. Pica is an accepted cultural practicec. Red clay is rich in irond. Starch is sweet and dry22. For which reasons might a patient of the Black culture and of the Muslin religion refuse insulinto treat diabetes mellitus?a. Because any injectable medication is forbiddenb. If it has a pork basec. Because it implies the person has not led a holy lifed. During Ramadan23. Which is a health statistic of significance to Black or African Americans when compared to allraces?a. A lower incidence of breast cancerb. Lower percentages of low birth weight infantsc. A lower crude birth rated. Lower male death rates from homicide24. Who does the nurse recognize as being the leading authority figure within the Black familialstructure?a. Femaleb. Ministerc. Maled. Oldest adult child25. Why would some patients of the Black culture resent using health clinics for care?a. Prescription medications are given out only to those seen first.b. Cheaper accessible health care is regarded as demeaning.c. A day’s work may be lost in waiting to be seen by a physician.  d. There are not enough clinics to focus on Black health problems.Multiple Choice Questions1. A patient from the Mexican heritage relates using a curandero for health care needs. What are the characteristics of this type of healer?a. Considered to be a religious figureb. Was born as a healerc. Taught the ways of healing through herbsd. All of the above.2. In the Mexican health care system, what is the scope of practice of the partera?a. The care given is confined to the pregnant womanb. Only provides physical carec. Acts alone without doing other consultations or referralsd. Does not participate in labor and delivery3. During a medical history with a patient from Puerto Rico, what preparations will the nurse need to include?a. Those obtained from a botanicab. Those obtained from a botanical centerc. Those obtained from a healerd. Those obtained from a pharmacy4. Which is a dilemma encountered by health care providers when trying to accommodate a patient of the Mexican culture’s desire to maintain hot and cold food preferences?a. Avoiding all foods that contain certain spicesb. Understanding which foods the patient considers hot and coldc. Obtaining the unusual foods native to a Mexican patient’s dietd. Ensuring that all medications are taken with specific foods5. Where might a patient of Puerto Rican heritage seek help when experiencing signs of a mental illness?a. Milagrosb. Curanderismoc. Santeriad. Partera6. What is a significant factor when caring for health problems of patients within the Hispanic culture?a. Lack of Spanish-speaking health care providers impeding appropriate care deliveryb. Failure to highlight common chronic diseases among Hispanics in local mediac. Overall population is young with a high birthrate compared to the general populationd. Use of folk remedies creating cultural dissonance with the medical establishment7. What would the combination of a young population, high birthrates, and lower socioeconomic status contribute to in the Hispanic population?a. Higher incidence of births to women under age 18b. Lower birth weight infantsc. Higher percentage of first trimester prenatal cared. Higher infant mortality rate8. Which health problem does the nurse identify as being a higher risk for the patient from the Hispanic culture when compared to the general population?a. Septicemiab. Unintentional injuriesc. Chronic lower respiratory diseasesd. Alzheimer’s disease9. What would the nurse infer about the incidence of lung cancer being lower among Hispanic women versus that of the general population?a. Hispanic women are not genetically predisposed to lung cancer.b. Hispanic women are healthier than the general population.c. Hispanic women have better preventive health practices.d. Hispanic women are less likely to smoke.10. What might a patient of German descent used to treat a stomachache?a. Drink peppermint teab. Stop eating for at least 24 hoursc. Take black draughtd. Eat chicken soup11. Which actions might a patient of German descent use to treat a cough?a. Rub goose fat on the chestb. Eating honey and milkc. Drinking rumd. All of the above.12. When caring for a postoperative wound at home, what would a patient of German descent tendto use?a. Keroseneb. Iodinec. Salves and linimentsd. Onion compresses13. For what would a patient of German descent use cloves?a. Headacheb. Rheumatismc. Toothached. Fever14. What would a patient of Italian descent tell the nurse is the cause of pneumonia?a. Moving air in the form of draftsb. Eating food that was not nutritiousc. Improper balance of fluidsd. Not dressing properly15. What will the nurse assess as an important component of healing for a patient of Italiandescent?a. Religious faith in Godb. Use of garlic and olive oil in tonicsc. Wearing black when a family member is illd. Eating pasta at every meal16. What will a patient of Polish descent tell the nurse is used to treat a cough?a. Taking garlic oilb. Goose grease rubbed on the throatc. Drinking hot lemonade with whiskeyd. A mustard plaster on the chest17. What will a patient of Polish descent use to treat a burn?a. Aloe verab. Salt porkc. Carbolic salved. Turpentine and liniment18. For what would a patient of Polish descent tell the nurse that paregoric is used?a. Gasb. Diarrheac. Indigestiond. Cramps19. In which ways does the current United States health care system create barriers to individualsfrom different cultures?a. Expectation to select a physician from a listb. Cost of treatments and testsc. Violation of cultural beliefs and practicesd. All of the above.20. How would the use of patient advocates bridge the gap of inadequate numbers of health careproviders representing culturally diverse population groups?a. Speak to patients in their native languageb. Coordinate services to meet the patients’ needsc. Resolve problemsd. All of the above.21. The health care administrator is identifying ways to improve communication with non-English-speaking patients. Which languages would the administrator target as being spoken by hospitalemployees?a. Russianb. Chinesec. Spanishd. None of the above.22. The nurse is experiencing collisions when attempting to improve cultural competency. Whattypes of collisions is this nurse experiencing?a. Meeting dense cultural barriersb. Sabotaged effortsc. Unexpected hillsd. a and b only23. Two nurses are overhead talking about their experiences with cultural competency. Whichexperience would be considered an unexpected positive event?a. Deep love of life and peopleb. Role of a healer within a culturec. Learning a foreign languaged. Being an advocate for funding24. What self-observation does the nurse make that indicates that the nurse is “on the road” tocultural competency?a. Socialized by societyb. Individual culture and religionc. Adhering to ways to protect health that are consistent with the dominant cultured. Avoiding the use of amulets25. What action would a nurse take to learn more about the different cultures represented in thecommunity?a. Walk through the communityb. Prepare a guide sheet with a list of herbsc. Recognize hot–cold imbalances  d. Recognize folk diseases 

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