Transcultural Health Care A Culturally Competent Approach 4th Edition By Larry D. – Test Bank

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Transcultural Health Care A Culturally Competent Approach 4th Edition By Larry D. – Test Bank

 

Sample  Questions

 

Chapter 3: Individual Competence and Evidence-Based Practice

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Which statement about critical reflection is true?

1. Critical reflection helps free the professional from prejudice.
2. Critical reflection is intended for the patient, not the health professional.
3. Critical reflection is the same as cultural competence.
4. Critical reflection is the same as cultural sensitivity.

 

 

____    2.   Standards of Practice for Culturally Competent Nursing Care include all of the following except

1. Aggregate data on individual cultures.
2. Cross-cultural communication.
3. Policy development.
4. Market justice.

 

 

____    3.   A statement that alerts the health-care provider that a patient may not have adequate heath literacy is

1. I usually take my medication every morning.
2. My spouse keeps all this information; I will take the form home to complete.
3. I prefer to get my information from the Internet; I can remember it better.
4. I think I understand the information; I will call you if I have additional questions.

 

 

____    4.   When unable to find best evidence in systematic reviews, the New York Academy of Medicine is another source where the provider can obtain

1. Grey literature.
2. The Cochrane library.
3. Evidence-based practice journals.
4. PubMed.

 

 

____    5.   Each component of Quality and Safety Education for Nurses (QSEN) has all but the following:

1. Knowledge.
2. Skills.
3. Attitudes.
4. Risk.

 

 

____    6.   A good source for finding systematic reviews for evidence-based practice is

1. The World Health Organization.
2. Health Sciences online.
3. Campbell Collaboration Library.
4. Scirus for scientific information.

 

Chapter 5: Perspectives on Nursing in a Global Context

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Global health has become a priority because

1. It pertains only to less developed countries.
2. It largely affects more developed countries.
3. Of the potential for the spread of infectious disease.
4. Of the rural area at particular risk.

 

 

____    2.   The Millennium Goals address which of the following?

1. Eliminate health-care disparities by 2020.
2. Eradicate extreme hunger and poverty.
3. Ensure cultural competence in more developed countries.
4. Ensure cultural competence in less developed countries.

 

 

____    3.   The U.S. government agency that provides economic assistance to countries with natural disasters is

1. U.S. Agency for International Development.
2. U.S. Peace Corps.
3. World Health Organization.
4. Care International.

 

 

____    4.   According to the World Health Organization, the country with the lowest density of health-care providers is

1. Haiti.
2. Bangladesh.
3. Senegal.
4. Guinea.

Chapter 7: The Amish

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse is preparing discharge instructions on wound care for William Yoder, a 40-year-old Amish man. The nurse should

1. Obtain an interpreter for instructions in Deutsch.
2. Obtain an interpreter for instructions in English.
3. Provide verbal and written instructions in English.
4. Give verbal instructions in English and written instruction in Deutsch.

 

 

____    2.   Amish newspapers are printed in

1. Vernacular German.
2. Deutsch.
3. English.
4. High German.

 

 

____    3.   Care for the Amish is culturally encoded in their dialect as abwaarde, which means

1. To minister to someone by being present.
2. Silent individual prayer at the ill person’s bedside.
3. Corporate prayer at the ill person’s bedside.
4. To combine folk practices with allopathic medicine.

 

 

____    4.   What was the primary reason the Amish came to the New World?

1. Expulsion from their homeland
2. Religious freedom
3. Better economic opportunities
4. Crowded living conditions in Europe

 

 

____    5.   A female public-health nurse has gone to an Amish community to increase immunization rates. The nurse should greet the Amish with

1. A nod of the head.
2. Her hands at her side.
3. A handshake.
4. A smile.

Chapter 9: People of Arab Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Male caregivers need to be especially mindful when touching devout Islamic females. When touch is necessary, the nurse should

1. Explain the necessity and then proceed with the examination.
2. Acknowledge the religious concern and proceed with the examination.
3. Ask if using gloves is acceptable for the examination.
4. Complete only the physical part of the examination in which touch is not necessary.

 

 

____    2.   While making a visit to an Arab man with a chronic illness, the home-health nurse notices that he is berating his 13-year-old daughter for what the nurse considers a minor offense. The nurse should

1. Ask the father what was so offensive about his daughter’s behavior.
2. Ignore the situation.
3. Explain to the father that he is mentally abusing his daughter.
4. Explain child abuse laws in the United States.

 

 

____    3.   A 66-year-old Arab Islamic man is having difficulty making a decision about having surgery for an abdominal aortic aneurysm. The best strategy for helping him to make the decision about surgery would be

1. Helping him contact a rabbi.
2. Helping him contact an imam.
3. Asking the hospital chaplain to talk with him.
4. Re-explaining the danger to his health if he does not have the surgery.

 

 

____    4.   Amal Abd Al-Ramaan, an 80-year-old Arab Muslim, has been cared for at home where he has been recuperating from a brain surgery. He was brought to the emergency room comatose and is not expected to live. His son very loudly tells the nurse that he must face Mecca immediately. Which direction would the nurse turn him?

1. Depends on which part of the world he is in
2. Depends on which part of the hospital he is in
3. East
4. West

 

 

____    5.   Among Arab Muslims, irreversible forms of birth control are considered haram, which means

1. Unusual.
2. A family decision.
3. Absolutely unlawful.
4. Murder.

Chapter 11: People of Cuban Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Elena Carmen de Diaz, a 76-year-old Cuban American, is recuperating from a myocardial infarction. She is 30 pounds overweight by the “dominant” American standards. Mrs. Diaz tells the nurse she is not displeased with her weight. The nurse should

1. Tell her that if she does not lose weight, she will have another heart attack.
2. Involve her family in helping to explain the importance of losing weight.
3. Factually explain the advantages of losing some weight.
4. Accept the fact that she does not want to lose weight.

 

 

____    2.   A 22-year-old from Cuba comes to the prenatal clinic for the first time. She introduces herself as Carmen Elena Salvador Potillo. The receptionist should ask what

1. Is your husband’s surname?
2. Is your husband’s last name?
3. Name do you wish to be called?
4. What is your legal name?

 

 

____    3.   Juana Diaz, a Cuban construction worker, prefers traditional practitioners over Western allopathic practitioners. The most likely explanation for this is

1. Traditional practitioners are usually known by the individual and more trusted.
2. Most individuals who prefer traditional practitioners cannot afford allopathic practitioners.
3. Traditional practitioners specialize in specific health conditions.
4. Traditional practitioners stress wellness and health promotion.

 

 

____    4.   The nurse is using an interpreter to interview the parents of a 6-year-old Cuban, Juan, who has left abdominal quadrant pain. Both parents speak some English. The nurse should direct questions to

1. The father.
2. The mother.
3. The interpreter.
4. Both parents.

 

 

____    5.   Traditional Cubans value simpatia, which is translated as

1. Having sympathy for your patients.
2. Smooth interpersonal relationships.
3. Personal relationships over bureaucratic relationships.
4. Bureaucratic relationships over personal relationships.

Chapter 13: People of Filipino Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   When assessing the health needs of Filipino young adults and adolescents, the health-care provider should recognize that

1. True feelings are not divulged for fear of hurting the feelings of the receiver of the communication.
2. Communication in this generation is more intragenerational than intergenerational when it comes to thoughts and feelings.
3. This generation assimilates slowly, owing to their overprotective family structure.
4. This group shares intimate thoughts and feelings only with close family members.

 

 

____    2.   Lino Faranon, age 39 years, emigrated from the Philippines 12 years ago. He has had abnormal liver enzymes from hepatitis B for at least 15 years. The nurse recognizes that hepatitis B may be a precursor for

1. Diabetes mellitus.
2. Hypertension.
3. Liver cancer.
4. Esophageal cancer.

 

 

____    3.   Which of the following Filipino terms means fatalism?

1. Utang na loob
2. Pakkipagkawa
3. Pakiramdam
4. Bahala na

 

 

____    4.   When greeting an older Filipino man, the health-care provider should address him using

1. The first name and last name, in that order.
2. The last name and first name, in that order.
3. Only the surname.
4. Gender- and age-specific honorific nouns.

 

 

____    5.   Dula Galang, age 35 years, is 48 hours postpartum. She has requested the nurse to find a hilot for her. A hilot is

1. Someone who gives an aromatic sponge bath.
2. The Filipino word for mother.
3. A traditional midwife.
4. A Filipino priest.

Chapter 15: People of Haitian Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Jean Paul Sabatier, aged 78, is from Haiti. While visiting his daughter and her extended family in the United States, he had a cerebrovascular accident and was admitted to an acute medical unit. The evening nurse is having difficulty with numerous visitors, which is interfering with the other patient in the room. The nurse should

1. Ask a family spokesperson to help control the visitors.
2. Have security talk with them to limit the number of visitors.
3. Ask the physician to talk with the family and explain the importance of limiting visitors.
4. Explain that Mr. Sabatier needs rest and the visitors are interfering with his recovery.

 

 

____    2.   Bella Labelle, a 30-year-old Haitian American, is 54 pounds overweight. She emphatically insists that she does not want to be “pencil thin” like many of her friends. The first step in helping her lose weight is to

1. Determine her food preferences.
2. Provide her with a 1000-calorie diet.
3. Provide her with a 1500-calorie diet.
4. Negotiate with her as to what she believes is an acceptable weight.

 

 

____    3.   The discharge nurse is providing verbal discharge instructions to Mr. Baptise, a 34-year-old Haitian. When the nurse asks him if he understands the instructions, he looks at her and nods. The nurse recognizes that he probably does not understand and should

1. Ask him to repeat the instructions.
2. Give him written instructions to ensure understanding.
3. Have him demonstrate the instructions.
4. Give the instructions to a family member.

 

 

____    4.   An emergency department (ED) nurse has noticed that many Haitians who have had auto accidents were not wearing their seat belts. The most effective strategy to increase compliance with seat belt laws would be to

1. Provide brochures about seat belt use at the time of admission to the ED.
2. Provide brochures about seat belt use at the time of discharge from the ED.
3. Work with paramedics on a billboard display.
4. Work with the Haitian American Church and other community activities.

 

 

____    5.   Many Haitians practice the hot and cold theory of health maintenance. Haitian for this practice is

1. Yin and yang.
2. Calor y frio.
3. Fret and cho.
4. Am and duong.

Chapter 17:  People of Hmong Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Many older Hmong living in the United States are functionally illiterate primarily because

1. Of the lack of a written Hmong language.
2. The primary language in school was Vietnamese.
3. The primary language in school was Laotian.
4. Older Hmong did not value education.

 

 

____    2.   Many Hmong believe that Americans are rude because they

1. Stand very close when conversing.
2. Stand very far away when conversing.
3. Are too direct with their questions.
4. Avoid eye contact with lower socioeconomic groups.

 

 

____    3.   In the Hmong culture, the primary person to make health-care decisions is the

1. Female head of the family.
2. Male head of the family.
3. Grandmother.
4. Oldest daughter.

 

 

____    4.   When is a male Hmong considered to be an adult?

1. At age 18 years
2. At age 21 years
3. When the clan leader designates him an adult
4. When he marries

 

 

____    5.   Many older Hmong may have breathing difficulties due to

1. Small lung capacity.
2. Paragonimiasis, which is a parasite contracted in Southeast Asia.
3. Malnourishment from childhood.
4. Anxiety-related disorders.

Chapter 19: People of Jewish Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Abraham Handmann, an Orthodox Jew, came with his wife, Sarah, to the prenatal clinic. The nurse, Luanne Prather, extended her hand in greeting to Mr. Handmann. He did not extend his hand in greeting but rather put his hands behind his back. The nurse recognizes that Mr. Handmann is

1. Uncomfortable with being at the clinic.
2. Being rude.
3. Distracted by his surroundings and all the equipment.
4. Not allowed to touch women other than his wife.

 

 

____    2.   Most of the genetic diseases affecting the Jewish population, such as Tay-Sachs disease, Gaucher’s disease, and familial dysautonomia, are autosomal recessive. This means that

1. The mother is the carrier.
2. The father is the carrier.
3. Both parents are carriers.
4. The paternal grandparents are the carriers.

 

 

____    3.   When does Sabbath begin for Jews?

1. Just before sunset on Friday
2. Just before sunset on Saturday
3. Two hours after sunset on Friday
4. Two hours after sunset on Saturday

 

 

____    4.   From what part of the world do Sephardic Jews originate?

1. Eastern Europe
2. Africa
3. South America
4. Spain and Portugal

 

 

____    5.   Which of the following foods is appropriate to serve at a conference at which Jewish people are in attendance?

1. Chicken cordon bleu
2. Ham with pineapple
3. Veal alfredo
4. Steak with no sauce

Chapter 21: People of Mexican Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   When assisting Mexican families to make important health-care decisions, the health provider must remember that the decision-making authority is determined by

1. A patriarchal family structure.
2. A matriarchal family structure.
3. Godparents.
4. A family structure in which gender roles vary according to social class and education.

 

 

____    2.   Kelly de la Caza Gaborra y Salinas has come to the maternity clinic for her first prenatal visit. What name should the receptionist use for her medical record?

1. Ask her what her legal name is.
2. Use de la Caza, her husband’s name.
3. Use her father’s name, Gaborra.
4. Use her mother’s maiden name, Salinas.

 

 

____    3.   Enrique and Maria Sanchez bring their 3-year-old son, Olmedo, to the public-health clinic because he has been increasingly lethargic over the last 3 days. The parents tell the nurse that they have been giving him greta for a toothache. The nurse realizes that greta has high levels of

1. Lead.
2. Iron.
3. Sulfonamides.
4. Digitalis.

 

 

____    4.   When assessing a 2-year-old child, the nurse should address questions to

1. Only the father, whose role is spokesperson for the family.
2. The mother, who usually knows more about the child’s behavior than the father.
3. Both parents.
4. Whichever parent seems to understand English the best.

Chapter 23: People of Puerto Rican Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The concept of hot and cold is recognized by most Puerto Ricans. The health-care professional recognizes that this concept is

1. Related to the metabolic properties of food.
2. Consistent across cultural groups.
3. Related to the temperature of foods.
4. Related to the spiciness of foods.

 

 

____    2.   Mrs. Estrada, an 80-year-old Puerto Rican, self-identifies as Boricua, which is

1. A slang expression for Puerto Ricans.
2. Used only by older Puerto Ricans.
3. The Taino Indian word for Puerto Rico.
4. The Puerto Rican word for respected elders.

 

 

____    3.   When assisting Puerto Rican families to make important health-care decisions, the health provider must remember that the decision-making authority is determined by

1. A patriarchal family structure.
2. A matriarchal family structure.
3. Godparents.
4. A family structure in which decision-making varies according to social class and education.

 

 

____    4.   Which of the following is a traditional folk healer used by Puerto Ricans?

1. Diviner
2. Hoca
3. Espiritista
4. Hilot

 

 

____    5.   Traditional Puerto Ricans express grief of a loved one

1. Stoically.
2. Through loud crying.
3. Silent tears.
4. Histrionically.

Chapter 27: People of Brazilian Heritage

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Lisimaco Bonilla, a 67-year-old Brazilian, has colon cancer. When the nurse talks with him about his discharge instructions, he is reluctant to talk about his disease. The nurse recognizes that

1. This is a culture-bound practice.
2. He is in denial.
3. He does not understand what the nurse is saying.
4. He does not understand the impact of his illness.

 

 

____    2.   The folk-health field has many types of health-care practitioners for Brazilians. Praying women or rezadeiras assist the family by

1. Helping to exorcise an illness.
2. Acting as sorcerers.
3. Summoning the appropriate souls and spirits.
4. Acting as health-care counselors or advisors.

 

 

____    3.   Important taboos for pregnant women in Brazil include

1. Swimming, hard work, and sexual relations.
2. Eating too much and lifting the arms above the head.
3. Eating black fruits, going out in the morning dew, and taking vitamins.
4. Sitting by the window in the dark, knitting, and naming the baby before it is born.

 

 

____    4.   Family is the greatest source of strength to the Brazilians. In order to honor a deceased family member, they practice certain rituals such as

1. Placing fresh flowers at a family altar and the burial site weekly.
2. Chanting over the body until the burial ceremony is complete.
3. Wearing black for one year as a mourning ritual.
4. Placing the deceased’s portrait in the family chapel or near the family altar where an eternal light burns.

 

 

____    5.   Many Brazilians believe that talking about an illness

1. Positively influences the outcome.
2. Negatively influences the outcome.
3. Increases discrimination.
4. Gets increased sympathy.

 

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