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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
What is the term used to refer to the integration of an individual’s cultural beliefs into their health care?
  1. cultural integrity
  2. culturally competent care
  3. holistic care
  4. integrative care
2 .
A patient is admitted to the medical-surgical floor for uncontrolled hypertension. He is a seventy-five-year-old Hispanic man who speaks fluent English. He tells the nurse that he has been seeing a curandero, or traditional healer, for his health issues for the last several years. What is the best initial response from the nurse?
  1. Ask the patient for a list of all herbs, plants, and special diets that he is currently taking.
  2. Educate the patient on why adherence to a Western medical treatment plan is better for his health.
  3. Inform the patient that the treatment he has been receiving from the curandero is not evidence based.
  4. Tell the patient he is welcome to continue whatever traditional treatments he likes while he is in the hospital.
3 .
You are a nurse and have just finished taking a course on identifying implicit bias. You decide to journal after one of your shifts to reflect on any possible instances of implicit bias in your workday. What might an interaction reflecting implicit bias look like?
  1. You are frustrated when you learn during report that one of your patients is an 82-year-old male with dementia who is forgetful, difficult to redirect, and often agitated.
  2. You learn that one of your patients went to another high school in your hometown. You rush through your medication pass so you can spend some extra time talking to this patient.
  3. One of your patients is a 59-year-old female from Syria. During report, the patient’s previous nurse explains to you that the patient’s husband is at the bedside and that when the patient is questioned, he usually answers the questions for her. The nurse states “I think it’s really sexist, but they are from the Middle East.”
  4. You enter the room of your patient who is a 23-year-old Black female with a history of alcohol misuse. She is on alcohol withdrawal protocol and has orders for frequent vital signs. She shares with you her drinking history and how difficult it is for her to stop. You empathize with her and tell her you are supportive of her efforts to get sober.
4 .
What is the term used to describe nonmedical factors that influence health outcomes, including conditions in which people are born, grow, work, live, and age, and the wider sets of forces and systems shaping the conditions of daily life?
  1. environmental influences
  2. life circumstances
  3. situational occurrences
  4. social determinants of health
5 .
A process where the patient and nurse seek a mutually acceptable way to deal with competing interests of nursing care, prescribed medical care, and the patient’s cultural needs is known as cultural negotiation. What would be an example that demonstrates cultural negotiation?
  1. a nurse insisting the patient shave his facial hair
  2. a nurse demanding daily medication be taken at 0900, when the patient wakes daily at 0500
  3. a nurse planning to keep the patient’s hijab in place for a surgical procedure
  4. a nurse requesting a special religious healer visit the patient after admission
6 .
While learning about Chinese culture and attending local presentations on culturally competent care, you discover a local event happening in your area. You decide to ask a group of coworkers to join you in attending a local Chinese New Year parade. This is an example of engaging in what type of cultural diversity practice?
  1. active learning
  2. interpersonal awareness
  3. intrapersonal awareness
  4. willingness to change
7 .
What is an example that illustrates being culturally competent?
  1. attending an Indian dance night at a local community center
  2. educating the patient on your own cultural practices
  3. implementing a system to improve cardiovascular health screening procedures for Black women at your hospital
  4. insisting a patient answer your questions instead of her husband answering
8 .
What is an example of cultural humility?
  1. a nurse allowing a non-English-speaking patient’s son to translate for them
  2. a nurse listening to a patient who is pregnant explain why they want a traditional midwife from their own culture present in the room while they are delivering their baby
  3. a nurse administering a new medication to a patient with limited English, even though the translator is late, so that it can be given on schedule
  4. a nurse giving the patient discharge paperwork printed in their preferred language because they do not have time to verbally discuss discharge instructions with the patient
9 .
What is the purpose of the Theory of Culture Care: Diversity and Universality?
  1. to provide a framework for transcultural nursing and the development and practice of culturally competent nursing care
  2. to explain the many cultural differences that exist among communities
  3. to shape the beliefs of nurses regarding certain health- and wellness-related customs among historically marginalized communities
  4. to provide patients with a way to address health disparities and systemic inequality in the healthcare system
10 .
Taking a test to examine your own implicit biases is an example of which of the twelve standards of practice for culturally competent nursing care?
  1. critical reflection
  2. culturally competent practice
  3. knowledge of cultures
  4. social justice
11 .
According to Giger and Davidhizar’s Six Cultural Phenomena, all communication exists in the context of which factor?
  1. biology
  2. environment
  3. space
  4. time
12 .
What is one important purpose of cultural competency?
  1. to improve the quality of care leading to better health outcomes for culturally diverse patients
  2. to ensure that the predominant cultural voices in a community are the ones who shape healthcare practices
  3. to prevent unscientific beliefs from influencing important medical decisions
  4. to provide education to cultural communities on how they can best adapt their practices to suit the modern healthcare system
13 .
What term describes the state in which everyone has a fair and just opportunity to obtain their highest level of health?
  1. health equality
  2. health equity
  3. fairness
  4. justice
14 .
You receive report from another nurse who tells you that your patient is an 82-year-old Chinese female. You know that you will have a good day with this patient as older Asian women are usually very polite, easy to get along with, and compliant with your requests. What prevents you from recognizing diversity and inclusion?
  1. cultural application
  2. cultural blindness
  3. ethnocentrism
  4. stereotyping
15 .
You have a patient who is Spanish-speaking only, and you are required to obtain their signature on a consent form. The patient requests that their family member interpret for them. What is the most appropriate response?
  1. Ask the family member to leave the room and use an official translator.
  2. Find an official translator to assist with the conversation along with the patient and family member.
  3. Proceed with allowing the family member to interpret.
  4. Tell the patient that you are only allowed to use official translators or interpreters.
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