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Adult Health Theory Exam 1 Practice Questions and Answers (Module 1-3)
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Adult Health Theory Exam 1 PracticeQuestions and Answers (Module 1-3)
A nurse is explaining differences in the incidence, prevalence, mortality rate,
and burden of diseases among specific population groups to community
volunteers. The nurse is describing what concept?
a. Stereotyping
b. Ethnocentrism
c. Health disparities
d. Cultural competence - -c. Health disparities
- The nurse is performing an assessment of a Chinese American patient
wearing a jade bracelet on her left wrist. The nurse asks the patient about
the significance of the bracelet and whether it can be removed before the
scheduled diagnostic procedure. What behavior has the nurse
demonstrated?
Diversity
Stereotyping
Ethnocentrism
Cultural competence - -Cultural competence
- A nurse, while preparing to interview for employment in a rural hospital,
identifies which chronic illnesses as more prevalent in rural areas than in
urban areas of the United States?
Cancer and heart disease
Sexually transmitted infections
Alzheimer's disease and dementia
Chronic obstructive pulmonary disease - -Cancer and heart disease
- Chronic illnesses that are more prevalent in rural areas of the United States
include cancer, heart disease, diabetes, depression, injury-related deaths,
obesity, and substance abuse.
-Obesity and chronic illness rates for diabetes, hypertension, chronic
obstructive pulmonary diseases, cancer, and stroke are higher among
minority people.
- An older adult from Nigeria is visiting an adult child. The child tries to
encourage the patient to have the testing and treatment for a chronic
productive cough. What behavior has occurred since the child now believes
in American medical treatment?
Acculturation
Ethnocentrism
Race awareness
,Cultural imposition - -Acculturation
- The adult children of a patient who is Hindu have requested a vegetarian
diet for the patient. What is the nurse's most appropriate response?
Order a vegetarian diet for the patient.
Assess the family's rationale for choosing this particular diet.
Teach the family about the relationship between protein intake and wound
healing.
Explore the benefits of a low-meat, high-protein diet with the family and the
dietitian. - -Order a vegetarian diet for the patient.
- A Muslim patient is hospitalized during the period of Ramadan and refuses
his morning oral medications. What is the priority action by the nurse?
Place the medication in food.
Offer the medication to the patient after sundown.
Tell the patient that if he does not take the medication now, he will not get
better.
Inform the patient that if he does not take his medication, he will have to
leave the hospital. - -Offer the medication to the patient after sundown.
- The nurse is interested in developing her cultural competence. What
behaviors can be adopted to do so?
Develop an understanding of all ethnic groups.
Identify the one culture about which she is interested in being competent.
Have extended contact with a cultural group to enhance understanding of its
values and beliefs.
Understand the specific information about the patient's culture so the
understanding can be applied to caring for the patient. - -Have extended
contact with a cultural group to enhance understanding of its values and
beliefs.
- The nurse is caring for a Spanish-speaking patient that speaks no English.
What action should the nurse take when using an interpreter for
communication with this patient?
Ask a family member to interpret.
Maintain eye contact with the patient.
Ask fewer questions to prevent fatigue.
Use as many medical terms as possible. - -Maintain eye contact with the
patient.
, - The nurse is caring for a Hispanic man who wishes to have a "traditional
healer" come to the hospital to give care. After informing the primary care
provider, the nurse should obtain the services of which individual?
A hougan
A shaman
A parteras
A curandero - -A curandero
- The nurse is developing a community outreach program for patients with
limited health care access. Which patient would be most likely to benefit
from this program?
A 65-yr-old upper class Hispanic man living in the city
A 78-yr-old Native American man living on a reservation
A 72-yr-old black retired attorney living in a condominium
A 50-yr-old middle-class white woman living in a rural area - -A 78-yr-old
Native American man living on a reservation
- What are the four components of cultural competence that nurses can
demonstrate in providing nursing care in any care delivery setting?
Awareness, knowledge, skill, and encounter
Patience, sensitivity, openness, and listening
Immersion, transcendence, imposition, and attitude
Ability, understanding, communication, and empathy - -Awareness,
knowledge, skill, and encounter
- The charge nurse observes a staff nurse. What observed action would be
most indicative of stereotyping?
Advocating for bronchodilators to be prescribed for all newly admitted black
patients
Helping a recent immigrant to explore ways to pay for her newly prescribed
antihypertensive medications
Prioritizing the assessment of obesity when providing care for black and
Mexican American women
Arranging for translation services to be provided for a patient who has
recently emigrated from Sri Lanka and does not speak English - -Advocating
for bronchodilators to be prescribed for all newly admitted black patients
- A patient being prepared for a major cardiac surgical procedure tells the
nurse she is not religious but has spiritual beliefs. How would the nurse best
base her response to the patient?
Beliefs about life, death, good, and evil
, The use of prayer for intercession and thanksgiving
A person's effort to find purpose and meaning in life
A formal system of beliefs, including worship of God or gods - -A person's
effort to find purpose and meaning in life
- The nurse identifies a patient at high risk for health care disparities. What
should be included as important nursing actions to reduce health care
disparities? (Select all that apply.)
Active listening
Relationship building
Taking foreign language classes
Participating in cross-cultural education
Using standardized evidence-based guidelines - -Active listening
Relationship building
Participating in cross-cultural education
- Improving interpersonal skills, an important first step in reducing health
care disparities, includes active listening, relationship building, and
communication skills. Participating in cross-cultural education enhances
cultural sensitivity and appropriate provision of health care. The use of
standardized evidence-based care guidelines can reduce disparities in
diagnosis and treatments.
- Leading determinants of a patient's health? (all that apply)
Genetics
a. Health behaviors
b. Fam history of disease
c. Social and physical env
d. Type and quality of medical care received - -a,b,d
- When identifying patients at the greatest risk for health disparities, the
nurse would note that
a. Patients living in urban area have readily available access to services
b. Cultural diff exist in patients' ability to comm with health care provider
c. Patient receiving care from health care provider of diff culture will have
decrease quality of care
d. Men more likely than women to have cardiovascular disease symptom
ignored by health care provider - -b. Cultural diff exist in patients' ability to
comm with health care provider
- Forcing one's own cultural beliefs and practices on another person is: - -
cultural imposition
- Which statement MOST accurately describes cultural factors that may
affect health?
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