1. Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient (select all that apply)?
a) Assess for depression.
b) Review laboratory results.
c) Determine food preferences.
d) Inspect teeth and oral mucosa.
e) Ask about transportation needs.
ANS: ...
1. Which nursing actions will the nurse take to assess for possible
malnutrition in an older adult patient (select all that apply)?
a) Assess for depression.
b) Review laboratory results.
c) Determine food preferences.
d) Inspect teeth and oral mucosa.
e) Ask about transportation needs.
ANS: A, B, D, E
The laboratory results, especially albumin and cholesterol levels, may indicate
chronic poor protein intake or high-fat or high-cholesterol intake.
Transportation affects the patient’s ability to shop for groceries. Depression
may lead to decreased appetite. Oral sores or teeth in poor condition may
decrease the ability to chew and swallow. Food likes and dislikes are not
necessarily associated with malnutrition.
2.A nurse is working at a health fair screening people for liver cancer.
Which population group should the nurse monitor most closely for liver
cancer?
a. Hispanic
b. Asian Americans
c. Non-Hispanic Caucasians
d. Non-Hispanic African-Americans
ANS: B
While Asian Americans generally have lower cancer rates than the non-
Hispanic Caucasian population, they also have the highest incidence rates of
liver cancer for both sexes compared with Hispanic, non-Hispanic
Caucasians, or non-Hispanic African-Americans. 1
1
, ATI COMMUNITY HEALTH FINAL EXAM
3.A nurse is caring for an immigrant with low income. Which information
should the nurse consider when planning care for this patient?
e. There is a decreased frequency of morbidity.
f. There is an increased incidence of disease.
g. There is an increased level of health.
h. There is a decreased mortality rate.
ANS: B
Populations with health disparities (immigrant with low income) have a
significantly increased incidence of disease or increased morbidity and
mortality when compared with the general population. Although Americans’
health overall has improved during the past few decades, the health of
members of marginalized groups has actually declined.
4A nurse is assessing the health care disparities among population
groups. Which area is the nurse monitoring?
.Accessibility of health care services
i. Outcomes of health conditions
j. Prevalence of complications
k. Incidence of diseases
ANS: A
While health disparities are the differences among populations in the incidence,
prevalence, and outcomes of health conditions, diseases and related
complications, health care disparities are differences among populations in the
availability, accessibility, and quality of health care services (e.g. screening,
diagnostic, treatment, management, and rehabilitation) aimed at prevention,
treatment, and management of diseases and their complications.
5.A nurse is providing care to a patient from a different culture. Which
action by the nurse indicates cultural competence?
l. Communicates effectively in a multicultural context
m. Functions effectively in a multicultural context
n. Visits a foreign country
o. Speaks a different language 2
2
, ATI COMMUNITY HEALTH FINAL EXAM
ANS: B
Cultural competence refers to a developmental process that evolves over time
that impacts ability to effectively function in the multicultural context.
Communicates effectively and speaking a different language indicates
linguistic competence. Visiting a foreign country does not indicate cultural
competence.
2. The nurse learns about cultural issues involved in the patient’s health
care belief system and enables patients and families to achieve meaningful
and supportive care. Which concept is the nurse demonstrating?
a. Marginalized groups
b. Health care disparity
c. Transcultural nursing
d. Culturally congruent care
ANS: D
The nurse is demonstrating culturally congruent care. Culturally congruent
care, or care that fits a person’s life patterns, values, and system of meaning,
provides meaningful and beneficial nursing care. Marginalized groups are
populations left out or excluded. Health care disparities are differences among
populations in the availability, accessibility, and quality of health care services
(e.g. screening, diagnostic, treatment, management, and rehabilitation) aimed
at prevention, treatment, and management of diseases and their complications.
Transcultural nursing is a comparative study of cultures in order to understand
their similarities (culture that is universal) and the differences among them
(culture that is specific to particular groups).
3. A nurse is beginning to use patient-centered care and cultural
competence to improve nursing care. Which step should the nurse take
first?
a. Assessing own biases and attitude
b. Learning about the world view of others
c. Understanding organizational forces
d. Developing cultural skills
ANS: A
Becoming more aware of your biases and attitudes about human behavior is
the first step in providing patient- centered care, leading to culturally
competent care. It is helpful to think about cultural competence as a lifelong 3
process of learning about others and also about yourself. Learning about the
3
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