1)A nurse wants to improve cultural competence. What action shows…

Question Answered step-by-step 1)A nurse wants to improve cultural competence. What action shows… 1)   A nurse wants to improve cultural competence. What action shows progress toward this goal?A.  Uses an evidence-based cultural assessment tool CorrectB.   Tries to treat all patients the sameC.   Prioritizes care based on cultural needsD.  Wants to learn more about other ethnic groups2)   What is an example of a system barrier to cultural competence?A.  Lack of knowledge regarding kosher diet options on menuB.   No sinks in every patient roomC.   No privacy curtains in exam roomsD.  A strict and enforced policy against more than one visitor in the ICU 3) Which of the following actions causes health care disparities? A. Refusal of treatment Correct B. Provider-patient relationships C. Trust in the health care system D. Provider bias and discrimination4)   Which of the following actions would have little to no impact in helping resolve health care disparities? A.  Research on life stressors B.   Access to basic health careC.   Increasing diversity of health care workersD.  Health promotion and wellness programs5)   Based on assessment data, the nursing diagnosis for a patient is spiritual distress related to loneliness or social alienation. What would be included in spiritual nursing interventions?A.  Participate in active listening. B.    Identify level of functioning.C.   Assist with activities of daily living.D.  Evaluate ability to understand events.6)   By asking “How has being sick affected your spiritual practices?” the nurse is trying to determine the need in what spiritual dimension?A.  Sources of hope and strengthB.   Spirit-enhancing practices or rituals  C. Involvement in spiritual community D. Experience of God or transcendence7)   Using a spiritual assessment tool helps the nurse gain more understanding of the patient. What would be the best question to assess a patient’s inner strengths?A.  What gives your life meaning?B.   Are you motivated to get well?C.   What do you do to show love for yourself?D.  What brings you joy and peace in your life? 8)   Determine which of the following situations would be a provider barrier to the nurse developing cultural competence.A.  A nurse who is unaware of personal biases to other ethnic groups B.   No family rooms to accommodate a critically ill patient’s familyC.   A nurse who seeks encounters with individuals from other culturesD.  A health care provider who incorporates alternative therapies in health care9)   A manager is educating a group of nurses on the importance of cultural competence. The manager knows that the teaching has been effective when one of the nurses statesA.  “Cultural competence does not impact patient care.”B.   “Cultural competence is not important in health care.”C.   “Lack of cultural competence leads to suboptimal patient outcomes.” D.  “Lack of cultural competence does not cause active harm to the patient.”10)  A nurse has an adequate understanding of the barriers to cultural competence when making which of the following statements? A. “Barriers to cultural competence no longer exist in today’s society.” B. “The barriers to cultural competence cannot be broken down.” C. “Provider barriers include having knowledge about a custom’s culture regarding health care.” D. “System barriers exist when an agency’s structure and policies are not designed to support cultural diversity.” Correct11)  A nurse is attending a lecture on health disparities. The education has been effective when the nurse states which of the following?A.  “Inequalities in income and education are the root of many health disparities.” B. “Today, there are no longer inequalities preventing access to health care.” C. “Low education and low income levels are related to lower rates of health disparities.” D. “Higher income is associated with more health disparities than lower income.”12) A nurse is working in a disaster area as a volunteer with the local ambulance agency. The nurse is providing care to a Spanish-speaking patient. What actions can be taken to properly care for this patient?A.  Use gestures to emphasize what he is saying.B. Obtain an interpreter. C. Provide wound care instructions written in English.D. Treat the patient without speaking to her.13) A nurse is caring for a patient experiencing spiritual distress. What nursing intervention would be appropriate for this patient?A. Asking the patient to reserve prayer for the hospital chaplainB. Placing the patient by the nurses’ station because it will be distractingC. Developing a trusting relationship with the patient D. Allowing the patient’s roommate to have visitors late into the night14) A nurse is caring for a diabetic patient who frequently uses alternative medicine to manage ailments. The patient feels nauseous and requests ginger tea. What should the nurse be aware of before giving the patient ginger tea?A. Nothing; natural remedies do not cause unwanted side effects.B. Ginger can cause blood glucose levels to decrease. C. Ginger causes blood glucose levels to rise.D. Ginger can cause a diabetic patient to become more nauseous.15) A nurse manager is looking for ways to improve the cultural competency of unit staff. Which action would help the manager accomplish this?A. Propose voluntary cultural competence training.B. Hire bicultural clinical and administrative staff. C. Hire staff from the same ethnic background.D. Avoid issues pertaining to cultural competence.16)A nurse is educating a patient’s family on holistic nursing. Which statement by a family member leads the nurse to determine that more education is needed?A. “Holistic nursing is an attitude.”B. “Holistic nursing is a way of being.”C. “Holistic nursing focuses on healing the person as a whole.”D. “Holistic nursing focuses on healing the system causing the ailment.” 17)A nurse is gathering data on a patient of a different culture. Which action can the nurse take to enhance communication while gathering cultural data?A. Ignore the patient’s culture and focus on the reason for hospital admission.B. Use hand gestures to get points across to a patient with poor English.C. Use closed-ended questions to gather information.D. Determine the patient’s level of fluency in English. 18) The nurse understands that the following organization believes that cultural competence in nursing is necessary.A. Nurse Practice Acts of state boards of nursingB. Code of Ethics of the American Nurses Association CorrectC. Accreditation standards of the National League of NursingD. Accreditation standards of The Joint Commission (TJC)19) In what culture are older adults respected and unquestioned?A. Asian B. African American C. HispanicD. Native American20)The nurse knows that in this culture mental illness can bring shame on the family.A. Chinese B. HispanicC. Native AmericanD. African American21) The nurse is creating a plan of care for a patient. Which would be important for the nurse to consider before implementing the plan? (Select all that apply.)A. The patient’s lifestyle B. The patient’s insurance coverageC. The patient’s value system D. The patient’s religious beliefs The patient’s ability to pay for services22) A nurse manager is educating unit staff on cultural competence. The manager knows that the teaching has been effective when one of the staff members states that “cultural competence is (Select all that apply.)A. not important in health care.”B. accepting and respecting cultural differences.” C. demonstrating knowledge of the patient’s culture.” D. demonstrating an understanding of the patient’s culture.” E) adapting care to be congruent with the patient’s culture.” 23) Which actions by the nurse show cultural competence of Native American culture? (Select all that apply.)A. Refuse to allow rituals to be practiced at the bedside.B. Allow the family to bring in a medicine man for healing. C. Allow the family and patient time for prayer.D. Provide space for rituals. E. Work hard to gain trust.24) Which statements by the nurse show understanding of the Vietnamese culture? (Select all that apply.)A. “Vietnamese are slow to trust authority figures.”B. “Vietnamese have a very patriarchal society.”C. “Vietnamese will try home remedies before seeking Western medicine.”D.  “Vietnamese are often compliant with Western treatment once sought.”E. “Vietnamese are generally noncompliant with health care.”25) A nurse is educating a student nurse on African American culture. The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)A. “have extended family who have a great influence on the patient.” B. “honor and respect older family members.” C. “have the oldest woman as the decision maker.”D. “do not disagree with health care recommendations.”  E. “don’t always follow up with health care recommendations.”  Health Science Science Nursing NURSING 425 Share QuestionEmailCopy link Comments (0)