test bank for cultural diversity in health and illness 9th edition by rachel spector
rachael spector chapter 1 14
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TEST BANK FOR
Cultural Diversity in Health and Illness 9th
Edition
Authors: Rachel Spector, Rachael Spector
Table of Contents
Unit I Cultural Foundations
Chapter 1: Building Cultural and Linguistic Competence
Chapter 2: Cultural Heritage and History
Chapter 3: Diversity
Chapter 4: Health and Illness
Unit II Health Domains
Chapter 5: Health Traditions
Chapter 6: Healing Traditions
Chapter 7: Familial Health Traditions
Chapter 8: Health and Illness in Modern Healthcare
Unit III Health and Illness Panoramas
Chapter 9: Health and Illness in the American Indian and Alaska Native Population
Chapter 10: Health and Illness in the Asian Population
Chapter 11: Health and Illness in the Black Population
Chapter 12: Health and Illness in the Hispanic Populations
Chapter 13: Health and Illness in the White Populations
Chapter 14: Cultural Competency
Cultural Diversity in Health and Illness, 9e (Spector)
Chapter 1 Building Cultural and Linguistic Competence
1) Which action would a hospital administrator take to meet the cultural and linguistic needs of
Spanish-speaking community members?
1. Hire professional staff from different Spanish-speaking countries.
2. Ensure that all health care workers speak Spanish.
3. Ensure that all signage is posted in Spanish as well as English.
4. Ensure health services are in varying locations.
Answer: 1
Explanation: 1. Hiring professional staff from different Spanish-speaking countries would create
a foundation for the variations in the language and culture of the different countries, and aid in
providing cultural and linguistic competence to meet the health needs of this population.
2. Ensuring all health care workers speak Spanish would benefit this population, but does not
necessarily guarantee that cultural and linguistic competence would result.
3. Spanish signage would aid with patient understanding, but this action also assumes that all of
the patient population is literate.
4. Ensuring health services are in varying locations meets the needs of many populations, but is
not necessarily a component of linguistic and cultural competence.
,Cognitive Level: Applying
Patient Need: Psychosocial Integrity
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the National Standards for Culturally and Linguistically
Appropriate Services in Health Care.
2) On which criterion would the Human Resources manager focus when identifying interpreters
to support the care of patients with limited English proficiency?
1. Proficient in health language terminology
2. Availability of family members
3. Be of the same ethnic background of the patients
4. Be on 24-hour call
Answer: 1
Explanation: 1. Interpreters providing language assistance must be proficient in health language
terminology in order to provide accurate information to a patient in their own language.
2. Family members are not to be used for language assistance or interpretation unless absolutely
necessary, or on request by the patient, as they may not be able to provide objective impartial
information.
3. While it is helpful to have the same ethnic background of the patients for whom language
assistance is provided, it is not necessary.
4. An interpreter may not be able to be on 24-hour call, but back-up mechanisms should be in
place to provide language assistance when a designated interpreter is not available.
Cognitive Level: Applying
Patient Need: Safe and Effective Care Environment
Patient Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Describe the National Standards for Culturally and Linguistically
Appropriate Services in Health Care.
,implement, and evaluate practices and services.
5. Communication should be provided to all stakeholders, constituents and the general public in
order to acknowledge progress.
Cognitive Level: Applying
Patient Need: Health Promotion and Maintenance
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO02 - Describe the National Standards for Culturally and Linguistically
Appropriate Services in Health Care.
There is no direct mention of strategic plan in this chapter but rather an organizations planning
and operations, thus the question is going to be modified slightly.
4) Why does a health care organization maintain a current demographic, cultural, and
epidemiological profile of the patients receiving care in the hospital?
1. Ensure grievances are resolved.
2. Plan and implement culturally and linguistically appropriate services.
3. Plan for culturally appropriate continuing education for the staff.
4. Develop partnerships with community members.
Answer: 2
Explanation: 1. Maintaining a current demographic, cultural, and epidemiological profile of the
patients receiving care in the hospital does not ensure that grievances are resolved. The health
care organization must ensure that the grievance process is culturally and linguistically sensitive
and capable of resolving cross-cultural conflicts.
2. Healthcare organizations should maintain a current demographic, cultural, and
epidemiological profile of the community to accurately plan for and implement services that
respond to the cultural and linguistic characteristics of the service area.
3. Maintaining a current demographic, cultural, and epidemiological profile of the patients
receiving care in the hospital is not done to plan for culturally appropriate continuing education
for staff. Planning for ongoing education and training in culturally and linguistically appropriate
services would be based on the patient demographic, but not on the epidemiological profile of
the community.
4. Maintaining a current demographic, cultural, and epidemiological profile of the patients
receiving care in the hospital is not done to develop partnerships with community members.
Partnerships with communities are used to facilitate community and patient involvement when
designing and implementing culturally and linguistically appropriate service-related activities.
Cognitive Level: Analyzing
Patient Need: Health Promotion and Maintenance
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 - Describe the National Standards for Culturally and Linguistically
Appropriate Services in Health Care.
5) Which behavior of a health care provider exemplifies culturally competent care?
1. Delivering care that demonstrates understanding and application to the patient's situation
2. Speaking the patient's language
3. Understanding some health traditions of the patient
4. Knowledgeable of the patient's cultural background
Answer: 1
, Explanation: 1. When delivering culturally competent care, the provider demonstrates
understanding and attends to the total context of the patient's situation.
2. Speaking the patient's language is being language-proficient. However, this does not ensure
culturally competent care. Interpreters can be used to ensure linguistic competence.
3. Understanding some traditions of the patient is being culturally sensitive.
4. Being knowledgeable of the patient's cultural background is one aspect of being culturally
appropriate.
Cognitive Level: Applying
Patient Need: Safe and Effective Care Environment
Patient Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO04 - Articulate the attributes of CULTURALCOMPETENCY and
CULTURALCARE.
6) When a healthcare provider takes the time to learn the underlying background of a patient to
provide the best possible healthcare, which type of cultural care is being provided?
1. Competent
2. Sensitive
3. Designated
4. Appropriate
Answer: 4
Explanation: 1. Culturally competent care implies that within the delivered care, the provider
understands and attends to the total context of the patient's situation.
2. Culturally sensitive care implies the provider possesses some basic knowledge of, and
constructive attitudes toward, health traditions observed among the different cultural groups in
the practice setting.
3. Culturally designated care is not a correct cultural term.
4. Culturally appropriate care implies the provider applies the underlying background knowledge
that he or she must possess in order to give a patient the best possible care
Cognitive Level: Analyzing
Patient Need: Health Promotion and Maintenance
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO04 - Articulate the attributes of CULTURALCOMPETENCY and
CULTURALCARE.
7) The health care organization has made a conscious effort to provide linguistically appropriate
services to its predominantly Hispanic population, incorporating within its staff members from
different Spanish-speaking countries of Latin America. Which cultural care concept is this
organization implementing?
1. Language proficiency
2. Cultural competence
3. Cultural sensitivity
4. Cultural appropriateness
Answer: 1
Explanation: 1. Language proficiency is the provision of linguistically appropriate services and
implementation of competent interpreter services when the patient or family does not understand,
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