Nokea
Which of the following diseases would you likely address? Select all that apply.
- A. Human immunodeficiency virus (HIV)
- B. Cancer
- C. Heart disease
- D. Chronic obstructive pulmonary disease (COPD)
- E. Alzheimers disease
Correct Answer: A,B,C
Rationale: Ethnic and racial minorities are disproportionately burdened with cancer, heart disease, diabetes, human immunodeficiency virus (HIV), infection/acquired immunodeficiency syndrome (AIDS), and other conditions. COPD and Alzheimers disease are incorrect because health care disparities have not been noted with these two diseases.
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How can this goal be best accomplished?
- A. By offering multicultural health studies in nursing curricula
- B. By enhancing the content of community nursing classes
- C. By requiring students to care primarily for patients from other ethnic groups
- D. By screening applicants according to their cultural competence
Correct Answer: A
Rationale: Nursing programs are exploring creative ways to promote cultural competence and humanistic care in nursing students, including offering multicultural health studies in their curricula. Enhancing the content of community nursing classes would not necessarily achieve this goal. Matching students to patients from other cultures is often impractical and applicants are not screened by their cultural competence.
When using this model in the care of a patient who has had a transurethral prostate resection (TUPR), what area of care would be influenced most directly?
- A. Transferring the patient from a stretcher to a bed
- B. Documenting the patients vital signs and level of consciousness
- C. Administering a scheduled dose of acetaminophen
- D. Explaining the rationale for continuous bladder irrigation (CBI)
Correct Answer: D
Rationale: Giger and Davidhizar identified communication, space, time orientation, social organization, environmental control, and biologic variations as relevant phenomena. Explaining CBI requires clear communication. Transferring a patient to a bed, administering Tylenol, or documenting are nursing responsibilities that are less directly relevant to this model.
Which of the following is most likely the patients religion?
- A. Roman Catholicism
- B. Buddhism
- C. Islam
- D. Mormonism
Correct Answer: C
Rationale: Many Islamic people abstain from eating pork. Members of other religions also proscribe the consumption of meat in general, or pork in particular, but the other listed religions are not among these.
What aspects of patient care may be most influenced by diverse cultural perspectives?
- A. Pharmacokinetics and pharmacodynamics
- B. Monitoring fluid balance
- C. Monitoring food intake
- D. Obtaining informed consent
Correct Answer: D
Rationale: Many aspects of care may be influenced by the diverse cultural perspectives held by health care providers, patients, families, or significant others. One example is the issue of informed consent and full disclosure. The other aspects of care can also be influenced by cultural differences, but most often to a lesser degree.
When reviewing a hospitals current policy framework, which of the following actions has the potential to improve the overall level of culture competence?
- A. Reducing the institutions dependence on English for communication
- B. Promoting members of minority groups to higher profile positions
- C. Eliminating written information from staff members identification badges
- D. Creating greater flexibility in visiting hours
Correct Answer: D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, such as the number, frequency, and length of visits. Eliminating written information from staff members identification badges is unnecessary and of little benefit. Cultural competence does not require a reduction in the use of English. Promoting members of minority groups to higher profile positions on the sole basis of ethnicity would be unethical.