Review Questions
1
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A nurse is caring for a person who is blind. What intervention could the nurse implement to deliver culturally responsive care?
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Ask family members to leave the room for the discussion of care.
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Be aware of how the person is addressed.
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Introduce herself with her name and credentials upon entering the room.
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Leave education material in Braille on the table across the room from the bed.
2
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People in extended families can live together for many reasons. What can the nurse do to provide the best care for a person living with an extended family?
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Assume the family is poor and needs information on financial assistance.
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Ask the person if they would like the family members to remain in the room during the exam.
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Set a limit on who is allowed in the room with the person regardless of the circumstances.
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Address the family first then the patient.
3
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A family member stands at the nurse station and requests help for their partner. What response should the nurse give to the family member?
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“Are you the husband?”
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“Who is your wife?”
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“What can I do to help you and your partner?”
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“Are you part of the trans couple in room 214?”
4
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What does the nurse know about the definition of a family?
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Families are made up of couples with biological children.
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Families are created through marriage or birth.
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Families can be blended but are not called families.
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Families are made of kinships defined by the family.
5
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A couple who has stated that they are LGBTQIA+ during prior visits arrives at the clinic for prenatal care. What can the nurse say in the waiting area to help them feel welcome and safe?
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“You can take this tablet to an area in the waiting room and check in. Then bring the tablet back to me when you are done.”
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“Are you pregnant? Your paperwork says your name is Tom.”
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“You can have a seat, and a person from the LGBTQIA+ office will come to assist you.”
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“Here is our paperwork. It doesn’t have a box for your sex, but you can write it next to the gender box.”
6
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Family roles are often defined by culture and religion. What does the nurse know about collectivism?
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Collectivist cultures place an emphasis on individuality.
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Decisions are made for the benefit of the individual person, then the family.
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A person from a collectivist culture might leave treatment decisions to their family.
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These cultures believe that it is best for society when everyone decides on their own health care.
7
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What question during a family assessment could the nurse ask to determine if the family has necessary resources?
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“Do you enjoy spending time with your family?”
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“Do you have a group of friends, neighbors, or a church that helps you when you are ill?”
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“How often do you go to the store by yourself?”
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“Do your family members get along well?”
8
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A person is admitted to the antepartum floor for hypertension. The person is Hispanic and speaks fluent English. They tell the nurse they have been seeing a curandero, or traditional healer, for the past several years. What is the best initial response from the nurse?
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Ask the patient for a list of all herbs, plants, and special diets they are currently taking.
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Educate the person on why adherence to a Western medical treatment plan is better for their health.
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Inform the person that the treatment they have been receiving from the curandero is not evidence based.
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Tell the person that they are not considering the health of their baby by using these traditions.
9
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What is the term for integrating a person’s cultural beliefs into their health care?
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cultural integrity
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culturally responsive care
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holistic care
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integrative care
10
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The nurse enters the person’s room for the first time. What can the nurse do to show cultural sensitivity?
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Come in and sit on the bed with the person.
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Address the person by their first name.
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Make and hold eye contact.
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Document their preferred language in their chart.
11
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What is an example of a nurse’s question that is part of the Four Cs?
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What did you do to cause your injury?
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What are you concerned about today?
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What kind of problems will your traditions cause for other patients?
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When will your family move you in to stay with them?
12
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What is the term for 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?
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environmental influences
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life circumstances
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situational occurrences
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social determinants of health
13
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Pregnant Black people have more complications resulting from epigenetic changes caused by prolonged stress due to racism and discrimination. What complication could arise because of this history?
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postterm pregnancy
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preeclampsia
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liver disease
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cholestasis of pregnancy
14
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LGBTQIA+ families are at higher risk for certain issues more than straight, cisgender parents. What is an example of a vulnerability experienced by LGBTQIA+ families?
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increased cases of social exclusion
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fewer cases of intimate partner violence
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fewer incidents of family trauma
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increased cases of social acceptance