Nokea
Although all of the following are factors to consider when caring for patients with limited income, which one is the most important?
- A. basic human needs may go unmet
- B. limited access to reliable transportation
- C. decreased access to healthcare services
- D. risk for increased incidence of disease
Correct Answer: A
Rationale: Unmet basic needs (e.g., food, shelter) are the most critical issue, as they underpin health and access to care.
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How is culture learned by each new generation?
- A. ethnic heritage
- B. involvement in religious activities
- C. formal and informal experiences
- D. belonging to a subculture
Correct Answer: C
Rationale: Culture is learned through formal (e.g., education) and informal (e.g., family, social interactions) experiences, which shape individuals' understanding of cultural norms and values.
Which of the following are considered cultural norms of the healthcare system? Select all that apply.
- A. inability to define health and illness
- B. frequent use of jargon and documentation
- C. professional deference to pecking order
- D. use of a problem-solving methodology
- E. belief in the fallibility of technology
- F. use of certain procedures for birth and death
Correct Answer: B,C,D,F
Rationale: Healthcare norms include jargon/documentation (B), hierarchical deference (C), problem-solving approaches (D), and specific procedures for birth/death (F). Defining health/illness (A) is possible, and technology is generally trusted (E).
What is one way in which nurses can develop cultural self-awareness?
- A. Ask peers and colleagues about practicing cultural competence.
- B. Objectively examine own beliefs, values, and practices.
- C. Realize nothing can be done to change ones values and beliefs.
- D. Assert to others that personal biases cannot be changed.
Correct Answer: B
Rationale: Self-awareness is a key method for developing cultural competence by reflecting on one's own cultural influences.
A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other patients on the floor. This nurse is displaying the feelings associated with:
- A. culture conflict
- B. cultural blindness
- C. stereotyping
- D. cultural shock
Correct Answer: A
Rationale: The nurse's dismissive attitude reflects culture conflict, which arises when differing cultural practices clash.
In which of the following populations should the nurse carefully assess the patients use of over-the-counter medications?
- A. African American
- B. Hispanic
- C. White middle class
- D. Asian
Correct Answer: C
Rationale: White middle-class patients may have greater access to over-the-counter medications and should be assessed for their use to prevent adverse effects.