NR 222 Week 3 (ch. 9 & 10) Exam 36 Questions with Answers
health disparity - CORRECT ANSWER a particular type of health difference that is closely
... [Show More] linked with social, economic, and/or environmental disadvantage
transcultural nursing - CORRECT ANSWER comparative study of cultures to understand similarities and differences across human groups
goal: to provide culturally congruent care
culturally congruent care - CORRECT ANSWER care that fits a person's life patterns, values, and system of meaning
core measures - CORRECT ANSWER key quality indicators that help health care institutions improve performance, increase accountability, and reduce costs
they are intended to reduce health disparities
A. The nurse requests a professional interpreter.
C. The nurse determines the interpreter's qualifications and makes sure that the interpreter can speak the patient's dialect.
D. The nurse uses short sentences to explain the treatments provided in the ED.
E. The nurse directs questions to the patient by looking at the patient instead of at the interpreter. - CORRECT ANSWER A patient is admitted through the emergency department (ED) after a serious car accident. The nurse assesses the patient and quickly learns that he speaks little English. Spanish is his primary language. The nurse speaks some Spanish. Which interventions would be appropriate at this time? Select all that apply.
A. The nurse requests a professional interpreter.
B. Since this is an emergent situation, the nurse will interpret and identify the patient's priority needs.
C. The nurse determines the interpreter's qualifications and makes sure that the interpreter can speak the patient's dialect.
D. The nurse uses short sentences to explain the treatments provided in the ED.
E. The nurse directs questions to the patient by looking at the patient instead of at the interpreter.
A. Lack of primary health care providers in a zip code
B. Poor-quality public school education that prevents a person from developing adequate reading skills
C. Lack of affordable health insurance
D. Employment opportunities that do not provide paid vacation or sick leave
F. Neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home - CORRECT ANSWER Which of the following are considered social determinants of health? Select all that apply.
A. Lack of primary health care providers in a zip code
B. Poor-quality public school education that prevents a person from developing adequate reading skills
C. Lack of affordable health insurance
D. Employment opportunities that do not provide paid vacation or sick leave
E. The number of times a person exercises during a week
F. Neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home
B. Marginalization - CORRECT ANSWER In the United States, there has never been a president of Asian or Hispanic culture. This is an example of:
A. Social inequality
B. Marginalization
C. Under inclusion
D. Social location
A. A health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits.
C. A community hospital lacks an adequate staff of social workers who are able to ensure patients' access to resources they need to take care of their health.
D. A hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow-up appointment.
E. A nurse uses a family member as an interpreter to explain the patient's medications.
F. The hospital conducts quality improvement without stratifying data by race, ethnicity, language, socioeconomic status, sexual orientation, and other axes of social group identities. - CORRECT ANSWER Which of the following are examples of problems with the health care system that contribute to health disparities? Select all that apply.
A. A health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits.
B. The discharge nurse at a hospital uses Teach Back with a patient to ensure that she has communicated the discharge instructions clearly.
C. A community hospital lacks an adequate staff of social workers who are able to ensure patients' access to resources they need to take care of their health.
D. A hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow-up appointment.
E. A nurse uses a family member as an interpreter to explain the patient's medications.
F. The hospital conducts quality improvement without stratifying data by race, ethnicity, language, socioeconomic status, sexual orientation, and other axes of social group identities.
A. "After teaching a patient how to use an inhaler, I need to use the Teach Back technique to test my patient's understanding." - CORRECT ANSWER Which statement made by a new graduate nurse about the teachback technique requires intervention and further instruction by the nurse's preceptor?
A. "After teaching a patient how to use an inhaler, I need to use the Teach Back technique to test my patient's understanding."
B. "The Teach Back technique is an ongoing process of asking patients for feedback."
C. "Using Teach Back will help me identify explanations and communication strategies that my patients will most commonly understand."
D. "Using pictures, drawings, and models can enhance the effectiveness of the Teach Back technique."
C. Acknowledge - CORRECT ANSWER During an encounter with an elderly patient, the nurse recognizes that a thorough cultural assessment is necessary because the patient has recently come to the United States from Russia and has never been hospitalized before. The nurse wants to discuss cultural similarities between herself and the patient. Which step of the LEARN mnemonic is this?
A. Listen
B. Explain
C. Acknowledge
D. Recommend treatment
E. Negotiate agreement
C. The nurse asks the patient, "Tell me about the main problems you have had with your health from not having a home." - CORRECT ANSWER A new nurse is caring for a hospitalized obese patient who is homeless. This is the first time the patient has been admitted to the hospital, and the patient is scheduled for surgery. Which of the following is a universal skill that will help the nurse work effectively with this patient?
A. The nurse shifts her focus to understanding the patient by asking her, "Describe for me the course of your illness."
B. The nurse tells the patient, "Your choices of foods and unwillingness to exercise are adding to your health problems."
C. The nurse asks the patient, "Tell me about the main problems you have had with your health from not having a home."
D. The nurse explains, "Because you have obesity, it is important to know the effects it has on wound healing because of reduced tissue perfusion."
A. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation
B. Develop greater self-knowledge about personal biases
C. Recognize consciously the multiple factors that influence his or her own world view
D. Engage in an in-depth self-examination of his or her own background - CORRECT ANSWER How can a nurse work on developing cultural awareness? Select all that apply.
A. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation
B. Develop greater self-knowledge about personal biases
C. Recognize consciously the multiple factors that influence his or her own world view
D. Engage in an in-depth self-examination of his or her own background
E. Learn as many facts as possible about an ethnic group
A. Explicitly including sexual orientation and gender identity into nondiscrimination policies
B. Displaying art that reflects LGBT community
C. Modifying health care forms to provide opportunities for gender identity and sexual orientation disclosure
E. Ensuring access to unisex or single-stall bathrooms - CORRECT ANSWER Which of the following changes can help create a more inclusive environment for lesbian, gay, bisexual, and transgender (LGBT) patients? Select all that apply.
A. Explicitly including sexual orientation and gender identity into nondiscrimination policies
B. Displaying art that reflects LGBT community
C. Modifying health care forms to provide opportunities for gender identity and sexual orientation disclosure
D. Not asking patients about their gender identity and sexual orientation to avoid making them uncomfortable
E. Ensuring access to unisex or single-stall bathrooms
C. The nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient. - CORRECT ANSWER A nurse has worked in a home health agency for a number of years. She goes to visit a patient who has diabetes and who lives in a public housing facility. This is the first time the nurse has cared for the patient. The patient has four other family members who live with her in the one-bedroom apartment. Which of the following, based on Campinha-Bacote's (2002) model of cultural competency, is an example of cultural awareness?
A. The nurse begins a discussion with the patient by asking, "Tell me about your family members who live with you?"
B. The nurse asks, "What do you believe is needed to make you feel better?"
C. The nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient.
D. The nurse uses a therapeutic and caring approach to how she interacts with the patient.
under inclusion - CORRECT ANSWER A group has been overlooked in research and the design of interventions.
social inequality - CORRECT ANSWER Groups have unequal access to resources, services, and positions
social location - CORRECT ANSWER One's place in society is based on membership in a social group that determines access to resources.
B. If you feel an interpretation is not correct, stop and address the situation directly with the interpreter.
C. Pace a conversation so there is time for the patient's response to be interpreted.
E. Ask the patient for feedback and clarification at regular intervals. - CORRECT ANSWER When you care for a patient who does not speak English, it is necessary to call on a professional interpreter. Which of the following are proper principles for working with interpreters? Select all that apply.
A. Expect the interpreter to interpret your statements word-for-word so there is no misunderstanding by the patient.
B. If you feel an interpretation is not correct, stop and address the situation directly with the interpreter.
C. Pace a conversation so there is time for the patient's response to be interpreted.
D. Direct your questions to the interpreter.
E. Ask the patient for feedback and clarification at regular intervals.
D. How different is this problem from the one you had previously? - CORRECT ANSWER A nurse is preparing to perform a cultural assessment of a patient. Which of the following questions is an example of a contrast question?
A. Tell me about your ethnic background.
B. Have you had this problem in the past?
C. Where do other members of your family live?
D. How different is this problem from the one you had previously?
hardiness - CORRECT ANSWER internal strengths and durability of the family unit
resiliency - CORRECT ANSWER helps to evaluate healthy responses when individuals and families experience stressful events
C. Resiliency - CORRECT ANSWER The Collins family includes a mother; stepfather, two teenage biological daughters of the mother; and a 25-year-old biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into Stacey's bedroom and is in the process of distributing household chores. When you talk to members of the family, they all think that their family can adjust to lifestyle changes. This is an example of family:
A. Diversity.
B. Durability.
C. Resiliency.
D. Configuration.
A. Family goals
C. Decision making
D. Methods of discipline - CORRECT ANSWER Which of the following are possible outcomes with clear family communication? Select all that apply.
A. Family goals
B. Increased socialization
C. Decision making
D. Methods of discipline
E. Improved education
F. Impaired coping
A. Cultural practices
B. Decision making
D. Rituals and celebrations - CORRECT ANSWER A new immigrant family consisting of a grandparent, two adults, and three school-age children has decided to receive their health promotion care at the Community Wellness Center. This is their first visit, and a family assessment, a health history, and a physical of each family member are needed. Which of the following are included in a family function assessment? Select all that apply.
A. Cultural practices
B. Decision making
C. Neighborhood services
D. Rituals and celebrations
E. Neighborhood crime data
F. Availability of parks
D. Alternative family relationship - CORRECT ANSWER Two single mothers are active professionals and have teenage daughters. They also have busy social lives and date occasionally. Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What type of family form does this represent?
A. Diverse family relationship
B. Blended family relationships
C. Extended family relationship
D. Alternative family relationship
A. Resuming full-time work when spouse loses job
C. Developing hobbies when children leave home
F. Consulting a financial planner - CORRECT ANSWER A family is undergoing a major change. Just as twins graduate from college and leave home to begin their careers, the husband loses his executive well-paying job. Because the family had two children in college at the same time, they did not save for retirement. They planned to save aggressively after the children left college. In this situation, which of the following demonstrate family resiliency? Select all that apply.
A. Resuming full-time work when spouse loses job
B. Increasing problems among siblings
C. Developing hobbies when children leave home
D. Placing blame on family members
E. Expecting children to help financially
F. Consulting a financial planner
B. Legal interventions - CORRECT ANSWER What is the most common reason for calling on grandparents to raise their grandchildren?
A. Single parenthood
B. Legal interventions
C. Dual-income families
D. Increased divorce rate
D. Economic stability - CORRECT ANSWER Which of the following most greatly affects a family's access to adequate health care, opportunity for education, and sound nutrition?
A. Development
B. Family function
C. Family structure
D. Economic stability
B. Providing physical and emotional care for a family member
C. Establishing a safe physical environment for a family
D. Monitoring for side effects of illness and treatments - CORRECT ANSWER A family has decided to care for their father who is in the last stages of a debilitating neurological illness. Although he is alert, he cannot speak clearly or carry out self-care activities; he indicates that he wants to remain involved in family life as long as possible and loves spending time with his wife and two teenage children. Which best defines family caregiving? Select all that apply.
A. Designing a nurturing family to raise children
B. Providing physical and emotional care for a family member
C. Establishing a safe physical environment for a family
D. Monitoring for side effects of illness and treatments
E. Reducing the use of community resources
A. Family meetings
B. Established family roles
D. Willingness to change in time of stress - CORRECT ANSWER A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she likes. Which of the following contribute to this family's hardiness? Select all that apply.
A. Family meetings
B. Established family roles
C. New neighborhood
D. Willingness to change in time of stress
E. Passive orientation to life
A. Economic status
C. Underinsured
E. Frequency of fast-food dinners - CORRECT ANSWER You are caring for a family that consists of a father and 3-year-old boy who has well-managed asthma but misses care infrequently. They live in state-supported housing. The father is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner. However, he and his son spend a lot of time together. The family receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this family's level of health? Select all that apply.
A. Economic status
B. Chronic illness
C. Underinsured
D. Government-assisted day care
E. Frequency of fast-food dinners
F. State-supported housing
A. Communication
B. Decision making - CORRECT ANSWER A family has decided to care for a grandparent with terminal cancer in the daughter's home. Family caregiving is new to the family. When helping this family as they begin to plan for their caregiving roles, what are the two top priority assessments to best learn about family functioning? Select all that apply.
A. Communication
B. Decision making
C. Development
D. Economic status
E. Family structure
D. Health needs of an individual member - CORRECT ANSWER In viewing the family as context, what is the primary focus?
A. Family members within a system
B. Family process and relationships
C. Family relational and transactional concepts
D. Health needs of an individual member
B. Family as patient - CORRECT ANSWER A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. When the nurse visits, the focus is on symptom management for the grandmother and helping the family with coping skills. This approach is an example of which of the following?
A. Family as context
B. Family as patient
C. Family as system
D. Family as structure
C. Collaboration between family members
D. Social support
E. Conflict resolution practices - CORRECT ANSWER Which of the following family assessments are most important for successful family caregiving? Select all that apply.
A. Educational level of family members
B. Cultural food preferences
C. Collaboration between family members
D. Social support
E. Conflict resolution practices
A. Health promotion activities - CORRECT ANSWER During a visit to a family clinic, a nurse teaches a mother about immunizations, car-seat use, and home safety for an infant and toddler. Which type of nursing interventions are these?
A. Health promotion activities
B. Acute care activities
C. Restorative care activities
D. Growth and development care activities [Show Less]