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Davis Advantage for Maternal-Child Nursing Care 3rd Edition Test Bank
Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
MULTIPLE CHOICE
1. A nurse wishes to improve their cultural sensitivity while working
with patients. Which action by the nurse would best indicate progress toward this goal?
A. Demonstrate good knowledge of different cultural health beliefs
B. Effectively respond to the needs of people of different cultures
C. Interact respectfully with patients who have differing health beliefs
D. Recognize that they will never be the expert in other cultures
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
Objective: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. Cultural competence is the ability to interact effectively with people of different
cultures and requires a certain level of knowledge about those cultures.
B. Cultural competence is the ability to interact effectively with people of different
cultures and requires a certain level of knowledge about those cultures.
C. Cultural sensitivity is a way of approaching people who hold health beliefs
different from one’s own. A nurse with this characteristic is respectful of and
open to others.
D. Cultural humility is the recognition that one will never master all information
about another culture.
, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Test Bank
2. A nurse manager is evaluating staff members on their cultural competence. Which action best
demonstrates this characteristic?
A. Attends workshops on cultural diversity and health practices
B. Participates in community health events with minority populations
C. Plans care with the family members within their cultural beliefs
D. Uses family members as interpreters to make them feel important
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
Objective: #.
Page: 16
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. Attending workshops is a good way to learn about diverse cultures, but this
action is too limited in scope to demonstrate cultural competence.
B. Participating in community events with diverse populations can increase cultural
knowledge, but this action is too limited in scope to demonstrate cultural
competence.
C. The culturally sensitive nurse can understand and respond to the needs of
individuals and families from different cultures. This nurse plans interventions
with a solid knowledge of the values and practices of the members of the culture.
Being open, listening to the family, and involving them in care demonstrates
respect, unifies the nurse–patient relationship, and will motivate the patient (and
family) to make positive health changes.
D. Nurses should use professional interpreters when needed.
3. A patient wishes to use complementary therapy when managing a chronic health condition.
Which action by the nurse is most appropriate?
A. Advise the patient that stopping medical treatment may cause it to worsen.
B. Inform the patient that there are no complementary therapies for this condition.
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
Objective: #.
, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Test Bank
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Promoting Health
Difficulty: Moderate
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
warn them of the effects of stopping treatment.
B. There are always complementary therapies that can be added to a medical
regimen.
C. Substituting herbs for prescription medication is an example of alternative
therapy.
D. Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an
example of using complementary therapy.
4. A nurse is working with a family that uses multiple complementary and alternative medicine
(CAM) modalities. What action by the nurse is best?
A. Allow the family to continue these practices as desired.
B. Assess how these practices reflect religious beliefs.
C. Inform the family that most of these practices do not work.
D. Provide evidence-based information about the therapies.
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Family; Promoting Health
Difficulty: Moderate
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
up the opportunity to provide and discuss information about CAM.
B. A culturally competent nurse will assess how religious and spiritual beliefs affect
health-care practices, but the nurse needs to advocate for the patient/family by
providing solid information.
C. Many CAM practices have demonstrated benefit, so telling the family they don’t
work is false information.
, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Test Bank
D. The nurse working with individuals or families who use CAM practices should
respect the beliefs, values, and desires of the patient. The nurse should encourage
families to make decisions regarding CAM practices based on evidence and
research into their effects. The nurse can best assist in this by providing and
discussing information.
5. A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What
action by the nurse will best promote effective communication?
A. Call for a professional interpreter to translate information.
B. Pattern voice tone and eye contact after the patient’s behaviors.
C. Talk slowly and deliberately using simple language and cues.
D. Use nonverbal communication as much as possible with the patient.
ANS: B
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
Objective: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
A. There is no indication that this patient does not speak English, so using an
interpreter is inappropriate.
B. In the situation where the nurse is unfamiliar with the patient’s culture, the nurse
should pattern verbal and nonverbal communication after the patient’s own style.
C. There is no indication that this patient does not speak English, so talking slowly
using simple language is inappropriate.
D. There is no indication that this patient does not speak English, so using mostly
nonverbal communication is inappropriate.
6. A nurse manager expects all employees to be patient advocates. Which nursing action best
demonstrates this nursing role?
A. Arranging a family–physician conference to clarify treatment plans
B. Encouraging treatment options based on personal beliefs and values
C. Giving contact information for governmental assistance agencies
D. Working on a political campaign to reduce poverty in the state
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