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Cultural Diversity And Community Health Nursing

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Question 1
Free
Multiple Choice

Which of the following statements best describes how the population of the United States is changing?

Choose correct answer/s
A

Growth will occur because of a decrease in the death rate.

B

Growth will occur because of ongoing immigration.

C

Growth will occur because of an increase in the birth rate.

D

Growth will occur because of lengthening of the normal life span.

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Question 2
Free
Multiple Choice

Which of the following statements best defines Leininger's term "culture universal"?

Choose correct answer/s
A

The preference to be cared for by someone from their own cultural group for maximum ease and comfort

B

The commonalities of values, norms, and life patterns that are held in all cultures

C

The particular values, beliefs, and patterning of behavior that is universal within a particular culture

D

The health care roles, norms, and behaviors that are involved when illness or injury occurs

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Question 3
Free
Multiple Choice

A patient had wrapped a tummy band around her newborn's abdomen. What should the nurse say to the new mother?

Choose correct answer/s
A

"Can you explain to me the purpose of wrapping a band around the baby's tummy?"

B

"In the hospital, we prefer to expose the umbilical cord to air so it's easier to put medication on it as it dries up."

C

"Let me put some medication on the baby's cord, and then I'll put the tummy band back."

D

"Please remove that band; it is not helpful as the umbilical cord needs to be kept clean and dry."

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Question 4
Free
Multiple Choice

A baby was dehydrated because of diarrhea. The mother explained that she had finally gone to a folk healer who told her to give the baby herbal tea, which did seem to be helping a bit, but the baby still seemed ill. Which of the following statements would be the most appropriate reply by the nurse?

Choose correct answer/s
A

"Folk healers cannot cure such problems; let me give you appropriate fluids for your baby."

B

"Let's go back to feeding the baby formula, and see how the baby does."

C

"You continue to give the baby herbal tea, but let's put some sugar and salt in the tea."

D

"Your healer is correct; fluids are crucial for your baby. Let me give you some special fluids for you to give the baby."

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Question 5
Free
Multiple Choice

A nurse carefully explained that the medication had to be taken three times a day, with each meal. The patient came to the clinic with symptoms of medication overdose. How should the nurse respond?

Choose correct answer/s
A

"Can you explain what you believe happened to make you so ill now?"

B

"Can you tell me when in the day you and your family eat?"

C

"Please review with me when I taught you to take your medication."

D

"Why did you take more medication than we suggested?"

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Question 6
Multiple Choice

A woman who spoke English was an immigrant from the Middle East, attending the clinic for the first time with two female friends. When a male nurse attempted to get a health history, the woman refused to respond to his questions. Which of the following actions should be taken by the nurse?

Choose correct answer/s
A
Ask a female nurse to talk with the client
B
Ensure that the client has privacy, with the two female friends waiting outside before trying again
C
Explain that the woman cannot see a physician until the nurse obtains a health history and does an initial examination
D
Stress that the clinic is free and she does not have to pay extra to see both the nurse and the physician
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Question 7
Multiple Choice

A nurse was explaining a problem to the client so the client could make an informed decision about alternative treatment approaches. The client responded, "The doctor will choose the best treatment. Do whatever the doctor says." Which of the following actions should be taken next by the nurse?

Choose correct answer/s
A
Ask if the client would like to discuss the choices with her family
B
Explain that the client has to decide, and wait for the client's decision
C
Explain that physicians cannot decide; perhaps the client could just flip a coin?
D
Nothing; simply accept that some fatalistic-oriented clients literally do not know how to choose
E
Suggest that the client discuss the situation with her ancestors and wait for guidance
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Question 8
Multiple Choice

The nurse made a follow-up appointment for a client at the clinic, but the client did not come. Two days later the client presented at the clinic explaining that a temporary job had come up and he could not come back until he had finished and been paid for that job. Which of the following actions should be taken by the nurse next?

Choose correct answer/s
A
Explain that patients are seen by appointment only, and set up another appointment for the client
B
Reinforce the need to plan ahead before arranging another appointment
C
Stress that health is the number one priority, and try to fit the client in sometime the same day
D
Understand that some clients are present oriented, and fit the client in so care can be given
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Question 9
Multiple Choice

When a nurse visited a client's home, it was apparent that the client had not begun to implement the needed exercise program. Rather, the client had been doing drawings about his illness experience. Which of the following actions would be most appropriate for the nurse to take next?

Choose correct answer/s
A
Express admiration for his artistic ability, and do not schedule future visits because the patient is noncompliant
B
Point out the negative consequences that will ensue if the client does not begin exercising
C
Review with the client why exercise is so crucial to his recovery
D
Suggest drawing might be more forceful after exercising
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Question 10
Multiple Choice

A nurse reviewed the treatment the surgeon recommended for a woman's breast lump. When the nurse asked the woman if she could be admitted to the hospital for immediate surgery, the husband thanked the nurse for her time and said they would get back in touch after they speak with other family members. Which of the following actions would be most appropriate for the nurse to take?

Choose correct answer/s
A
Ask if there was some reason the woman could not be immediately admitted for treatment
B
Explain to the woman why postponing the surgery was dangerous
C
Point out it that it's the woman's decision, and stress that she should go to the hospital immediately
D
Recognize that the husband and other family members may need to have input into this decision
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Question 11
Multiple Choice

When one woman asked her friend to stay while a painful procedure was done, it was explained that only one immediate family member could be in the room. The woman asked the nurse, "How do you define family?" Which of the following would be the best response by the nurse?

Choose correct answer/s
A
"A person's husband, wife, or children"
B
"Anyone related to you by law or by blood ties"
C
"Someone who lives with you and has ties of commitment"
D
"Whoever you tell us is your family"
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Question 12
Multiple Choice

In a client's culture it is exceedingly rude to ask any questions about income or wealth. Which of the following actions should be taken by the nurse to draw conclusions about the client's socioeconomic status (SES)?

Choose correct answer/s
A
Ask about the client's education or employment position
B
Ask his or her religious leader to share such information with the nurse
C
Let the financial office deal with the problem
D
Refer the issue to the social worker who has better sources of information
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Question 13
Multiple Choice

A nurse was responsible for setting up a health fair with free pizza being served during lunch. The nurse observed a few people who did not eat but just talked quietly during lunch. Which of the following actions should be taken by the nurse?

Choose correct answer/s
A
Assume it was a religious fast day, and not worry about it
B
Discuss with the supervisor what are traditional foods in that neighborhood
C
Offer to let those who did not eat take the leftover pizza home for a meal later in the day
D
Talk to the group, and ask what foods might have been more acceptable
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Question 14
Multiple Choice

A nurse set up a clinic appointment for Friday of the following week. An Arab patient asked to come earlier in the week. As those days were heavily booked, the nurse left the appointment on Friday. The patient was a "no show." Which of the following best explains what happened?

Choose correct answer/s
A
A lot of people do family errands such as shopping on Fridays, Saturdays, and Sundays.
B
It was inconvenient for the client so he did not come.
C
A Muslim's holy day is from sunset Thursday to sunset Friday.
D
Patients do not like being told what to do.
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Question 15
Multiple Choice

Before interviewing an Hispanic family, what is the most important action for the nurse to take?

Choose correct answer/s
A
Compliment each member on some visible asset
B
Establish rapport, and gain trust and confidence
C
Greet them in Spanish even if badly spoken and accented
D
Recognize the male as the authority figure in the family
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Question 16
Multiple Choice

A woman stood very close to the nurse and asked a question about her husband's condition. The nurse took a step back and shared the requested information. No other questions were asked. Was this a successful interaction?

Choose correct answer/s
A
No, because the nurse should not answer any questions about a client, even if the wife is the one asking
B
No, because the woman and the nurse had different perceptions of personal space
C
Obviously yes, because the woman sought information, received it, and had no further questions
D
Yes, because the nurse was knowledgeable and able to respond appropriately
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Question 17
Multiple Choice

A nurse felt very good about an Asian man who had responded positively to the instructions given to him. Later, the nurse heard him tell his wife that there was no way he could implement the suggestions. Which of the following best describes the problem that the client is experiencing?

Choose correct answer/s
A
Polite response may not equal agreement.
B
Men do not take instruction from women.
C
His culture may value harmonious relationships over expressing disagreement.
D
The nurse told him what to do but did not ask if he could do it.
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Question 18
Multiple Choice

A nurse became frustrated because after each interview question there was a long pause before the client responded. Which of the following actions should be taken by the nurse?

Choose correct answer/s
A
Accept the hesitation before receiving an answer
B
Ask the client what silence after a question means
C
Copy the client's behavior; insert a pause before asking the next question
D
Recognize that the client was distracted, and reschedule the home visit
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Question 19
Multiple Choice

A client, accompanied by her son, spoke only Spanish while the nurse did not. Which of the following actions should be taken by the nurse to best meet the client's need?

Choose correct answer/s
A
Ask the woman if it's OK if the son translates for her
B
Call until she finds a Spanish interpreter employed by the agency
C
Let the son translate because he's obviously informed about the problem
D
Use gestures and pantomime to make oneself clear
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Question 20
Multiple Choice

At a military base, a family from Qatar, a Muslim Arabic country, came in to the prenatal clinic because the wife believed she was pregnant. Which of the following providers would be the most appropriate choice for this client?

Choose correct answer/s
A
A male obstetrician, expert in high-risk pregnancies
B
The female nurse midwife
C
The male obstetrician with a female nurse always in the room with the wife
D
Whichever provider was on duty until the pregnancy was confirmed
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