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Leadership and nursing care management 6th edition huber test bank
Leadership and nursing care management 6th edition huber test bank
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Leadership and Nursing Care Management 6th Edition Huber Test BankChapter 11: Workplace Diversity
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. Which of these statements are true about culture?
a. Culture remains consistent.
b. Individuals identify with one culture during their lifetime.
c. Culture is complex.
d. Culture excludes religion.
ANS: C
Culture is dynamic in nature, and individuals may identify with multiple cultures over the
course of their lifetimes. There is a complex nature to culture, which has been defined and
studied across many disciplines.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Basic Care and Comfort
2. A client of Vietnamese background is admitted to the unit after a hysterectomy. She has an
order for clear liquids. When her tray is brought to her, she refuses the lime Jell-O. Which
response by the nurse is most appropriate?
a. “I don’t blame you. I don’t like lime Jell-O either.”
b. “Tell me about your cultural beliefs to best help you.”
c. “Why don’t you want to eat the lime Jell-O?”
d. “It is important for you toNeURo I
at sS thN
G ouBwill
at yT
.COheal.”
M
ANS: B
The first step toward multicultural competence is to recognize one’s own prejudices and learn
about other people’s differences. The problem is that many Americans are afraid to ask people
about their culture because of the idea that “we don’t want to offend anyone.” The challenge
with this thinking is that if nurses do not ask about people’s differences, then the only option
is to make assumptions.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Cultural diversity refers to the:
a. variety of cultural or ethnic groups within a society.
b. belief that one’s own culture is similar to another’s culture.
c. realization that all people in a particular culture have the same beliefs.
d. view that individuals living in a country should speak the native language.
ANS: A
Cultural diversity is defined by the Oxford Dictionary (“Cultural diversity,” 2016) as “The
existence of a variety of cultural or ethnic groups within a society.”
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Which of these is the fastest growing minority group in the United States?
a. Asians
b. Caucasians
c. Blacks
d. Hispanics
ANS: D
The U.S. Census Bureau (2014) estimates that minorities (anyone who is not a single-race
non-Hispanic White) will be the majority in America by 2044 as a result of both immigration
and growth rate. The nation’s racial and ethnic minority groups, especially Hispanics, are
growing more rapidly than the non-Hispanic White population, fueled by both immigration
and births.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Which of the following ethnic populations has seen the fastest growth?
a. African Americans
b. Iranians
c. Hispanics
d. Vietnamese
ANS: C
Results from the 2010 census show that racial and ethnic minorities accounted for 91.7% of
the nation’s growth since 200N0. M
Hispanics. URosSIt of
NGthat
TBi.ncC
reasMe, from 2000 to 2010 (56%), was due to
O
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Equity is the absence of avoidable differences among groups of people, whether those groups
are defined socially, economically, demographically, or geographically. Which group
formulated this definition?
a. World Health Organization
b. Affordable Care Act
c. Centers for Disease Control
d. Agency for Healthcare Research and Quality
ANS: A
According to the World Health Organization (2016), “Equity is the absence of avoidable or
remediable differences among groups of people, whether those groups are defined socially,
economically, demographically or geographically.”
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
7. Recognizing one’s own prejudices and learning about other people’s differences is the first
step toward:
a. cultural diversity.
b. multicultural competence.
c. social change.
d. valuing.
ANS: B
To reduce cross-cultural miscommunications and improve patient satisfaction, the
multicultural competence of health care practitioners needs to be improved. The first step
toward multicultural competence is to recognize one’s own prejudices and learn about other
people’s differences.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. A nurse believes that she should provide optimal care to all clients, regardless of their cultural
background. She is struggling with her emotions when caring for a client with a violent
criminal background. What would be the best course of action for this nurse?
a. Avoiding the client as much as possible but providing care
b. Identifying her biases but providing care
c. Requesting another patient assignment
d. Taking sick days while the patient is hospitalized
ANS: B
The first step toward multicultural competence is to recognize one’s own prejudices and learn
about other people’s differences. The problem is that many Americans are afraid to ask people
about their culture because oN heRiS
f tU deIaN
thG
atT“B
w.eC
doOnM
’t want to offend anyone.” The challenge
with this thinking is that if nurses do not ask about people’s differences, then the only option
is to make assumptions.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. Which of the following supports successful workplace diversity?
a. Being a “devil’s advocate”
b. Holding tight to one’s cultural values
c. Respect for differences
d. Withholding judgment of others
ANS: C
To reduce cross-cultural miscommunications and improve patient satisfaction, the
multicultural competence of health care practitioners needs to be improved. The first step
toward multicultural competence is to recognize one’s own prejudices and learn about other
people’s differences.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
10. According to the National Healthcare Quality and Disparities Report, which group has worse
access to health care in America, compared with Whites?
a. Hispanics
b. Asians
c. Blacks
d. American Indians
ANS: A
According to the 2014 National Healthcare Quality and Disparities Report (Agency for
Healthcare Research and Quality [AHRQ], 2015), “Historically, Americans have experienced
variable access to care based on race, ethnicity, socioeconomic status, age, sex, disability
status, sexual orientation, and residence location.” This study found that Blacks had worse
access to health care than Whites for about half of measures of access, Hispanics had worse
access to care than Whites for two-thirds of access measures, and Asians and American
Indians and Alaska Natives had worse access to care than Whites for about one-third of access
measures.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The variation among groups of people with respect to habits, values, preferences, beliefs,
taboos, and rules for behavior determined to be appropriate for individual and societal
interaction is known as:
a. bias.
b. diversity.
c. culture
d. stereotyping. NURSINGTB.COM
ANS: B
Culture refers to the variation among groups of people with respect to habits, values,
preferences, beliefs, taboos, and rules for behavior determined to be appropriate for individual
and societal interaction.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. What is the most modifiable factor in the provision of equitable health care?
a. Availability of services
b. Socioeconomic status
c. Care that is responsive to cultural needs
d. Education level
ANS: C
Health inequities are directly related to the existence of historical and current discrimination
and social injustice, and one of the most modifiable factors is the lack of culturally and
linguistically appropriate services, broadly defined as care and services that are respectful of
and responsive to the cultural and linguistic needs of all individuals.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
13. When nurses portray an attitude that their cultural group is superior to another, it is known as
practicing the concept of cultural:
a. diversity.
b. egocentrism.
c. ethnocentrism.
d. prejudice.
ANS: C
Ethnocentrism is characterized or based on an attitude that one’s own cultural group is
superior to another.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
14. A White nurse from the United States is assigned to care for a Vietnamese woman who speaks
little English, had a baby 2 months ago, and is 1 day postoperative after fibroid removal. The
nurse knows that traditional Vietnamese women will avoid drinking or eating “sour” foods
such as lime Jell-O or other citrus types of liquids after surgery. She confirms her patient’s
values and beliefs. The nurse is exhibiting characteristics of:
a. cultural competence.
b. ethnic sensitivity.
c. stereotyping.
d. nonjudgmental behavior.
ANS: A NURSINGTB.COM
To reduce cross-cultural miscommunications and improve patient satisfaction, the
multicultural competence of health care practitioners needs to be improved. The first step
toward multicultural competence is to recognize one’s own prejudices and learn about other
people’s differences.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Basic Care and Comfort
15. This generational cohort currently dominates the U.S. workforce. They have grown up with
little economic competition. Efficiency, teamwork, quality, and service have thrived under
their leadership. This generational cohort is known as:
a. baby boomers.
b. Generation X.
c. Internet Generation.
d. Mature Generation.
ANS: A
The baby boomers, born between 1946 and 1964, currently dominate the U.S. workforce.
They have grown up with little economic competition outside the United States. Efficiency,
teamwork, quality, and service have thrived under their leadership.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
16. This generational cohort was the first generation of latchkey kids who had to be resourceful at
an early age. They are skeptical of traditional practices and beliefs. They strive for a balanced
life. This group is known as:
a. baby boomers.
b. Generation X.
c. Internet Generation.
d. Mature Generation.
ANS: B
Generation X members, born between 1965 and 1980, were the first generation of latchkey
kids who had to be resourceful at an early age. They are skeptical of traditional practices and
beliefs. They strive for a balanced life.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
17. A patient from the Philippines has been admitted to the ICU after a motor vehicle accident.
The patient has a very large group of family and friends wanting to visit, hold vigils, and
provide meals to the visitors and staff. This is an example of:
a. inflexible attitude
b. ambiguity
c. ethnocentrism
d. collectivism
ANS: D
Collectivism is a tightly knit N
socR
ietalIfraG
mewBo.rkCwhMere people are integrated into cohesive
U S N T O
and strong in-groups, often extended families, to look after them in exchange for
unquestioning loyalty. Nurses from collectivist cultures tend to look to the team before taking
action. The most collectivist culture on Hofstede’s scale is Guatemala at 6, China is 20, and
the Philippines is 32. It’s not unusual with patients from collectivist cultures to have large
groups of relatives and friends visit at the same time, which can create challenges for nursing
staff to accommodate, especially in crowded shared rooms.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
18. Eliminating can be accomplished through access to high-quality care,
promoting patient-centered care and maintaining accurate data to monitor the quality of care
provided.
a. diversity
b. cultural incompetence
c. health disparities
d. miscommunication
ANS: C
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
Principles of eliminating racial and health disparities include providing insurance coverage
and access to high-quality care, promoting a diverse health care workforce, delivering
patient-centered care, maintaining accurate, complete race and ethnicity data to monitor
disparities in care, and setting measurable goals for improvement of quality of care.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
19. Members of a generation who are linked through shared life experiences in their formative
years are known as:
a. baby boomers.
b. generational markers.
c. generation gaps.
d. cohorts.
ANS: D
Generational groups are categorized into cohorts. These cohorts are members of a generation
who are linked through shared life experiences in their formative years.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
20. A 17-year-old male has presented to the emergency department with appendicitis. He speaks
English, but his mother speaks Spanish. The mother needs to consent for the surgery since the
patient is a minor. The doctor determines that the consent is not needed due to the emergent
nature of the case. If the doctN
orUpR
roScI dsGw
eeN TiB
th.
ouCt O
obMtaining consent, he may face:
a. cultural competence.
b. linguistic competence.
c. miscommunication concerns.
d. liability claims.
ANS: D
The National Center for Cultural Competence (n.d.a) noted that health professionals who lack
cultural and linguistic competency can be found liable under tort principles in several areas
such as treatment in the absence of informed consent. In addition, providers may be presumed
negligent if an individual is unable to follow guidelines because they conflict with his or her
beliefs and the provider neglected to identify and try to accommodate the beliefs.
Additionally, if a provider proceeds with treatment or an intervention based on
miscommunication due to poor quality language assistance, he or she and his or her
organization may face increased civil liability exposure.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. Culturally competent organizations benefit from meeting the diverse health care needs of the
population it serves. What are the social benefits to the organization? (Select all that apply.)
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
a. Increases mutual respect.
b. Increases community participation.
c. Meets regulatory guidelines.
d. Assists patient and families in their care.
e. Increases cost savings.
ANS: A, B, D
Becoming culturally competent has social, health, and business benefits for health care
organizations, according to a report from the Equity of Care initiative and the American
Hospital Association’s Health Research & Educational Trust and Hospitals in Pursuit of
Excellence. Becoming a Culturally Competent Health Care Organization (Health Research &
Educational Trust, 2013) outlined 16 benefits of organizations’ ability to meet the health care
needs of patients with diverse backgrounds, grouped into three broad categories of social,
health, and business benefits. Social benefits include increases mutual respect and
understanding between patient and organization, increases trust, promotes inclusion of all
community members, increases community participation and involvement in health issues,
assists patients and families in their care, and promotes patient and families responsibilities
for health.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. When communicating health information with diverse populations, miscommunication and
misunderstanding can lead to: (Select all that apply.)
a. cultural competence.
b. malpractice claims.
c. informed consent. NURSINGTB.COM
d. errors.
e. increased cost.
ANS: B, C, D, E
The literature illustrates the vital role communication plays in avoiding cases of malpractice
due to diagnostic and treatment errors. When communicating with culturally and linguistically
diverse populations, the opportunity for miscommunication and misunderstanding increases,
which subsequently increases the likelihood of errors. These errors, in turn, can cost millions
of dollars in liability or malpractice claims.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. There are three major issues in cross-cultural communication. They are: (Select all that
apply.)
a. ambiguity.
b. ethnocentrism.
c. inflexible attitude.
d. collectivism.
e. negotiation.
ANS: A, B, C
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
Research shows that there are three major issues in cross-cultural communication: ambiguity,
inflexible attitude, and ethnocentrism.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. In order to make a positive contribution to care of patients, it is critical that nurses recognize
which of the following aspects of culture? (Select all that apply.)
a. Culture of the clinician
b. Culture of the patient and family
c. Spiritual beliefs of the clinician
d. Culture of co-workers
e. Spiritual beliefs of the patient
ANS: A, B, D
In order to make a positive contribution to the effective treatment of patients, it is critical that
nurses or clinicians first recognize that they are dealing with a multiplicity of cultures. They
include the clinician’s own culture, the culture of the patient and patient’s family, the culture
of co-workers, and the health care institution’s culture.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Which of these are true regarding millennials in the work environment? (Select all that apply.)
a. They need clear definitions of outcomes.
b. They thrive on deadlines.NURSINGTB.COM
c. Most enjoy working on their own.
d. They struggle with multitasking.
e. They lack problem-solving skills.
ANS: A, B, C
Millennials have astonishing multitasking skills. They are problem solvers who grew up in a
flourishing economy. Most enjoy the liberty of working on their own in a style that favors
their work ethic. Millennials have learned that their presence is in demand. To thrive, they
need clear definitions of outcomes, resources to do what needs to be done, and a deadline
(Hendricks & Cope, 2013).
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
6. The nurse manager of a nursing unit is a White, female working with a high percentage of
Middle Eastern nursing staff. Which of these statements are true about the communication and
leadership style of a low-context culture? (Select all that apply.)
a. Rules are clear and tend to be followed.
b. Low-context cultures require extensive, detailed explanations.
c. Verbal communication is less explicit.
d. Decisions are made in face-to-face conversations.
e. Decisions are focused around tasks.
NURSINGTB.COM
, Leadership and Nursing Care Management 6th Edition Huber Test Bank
ANS: A, B, E
From a global perspective, the cultural context of the Western world is low context. In places
such as North America and Western Europe, the explicit verbal or written message carries the
meaning. Low-context cultures require extensive detailed explanations, information, and
contracts because they are making up for the context that may be missing in a given situation.
Decisions are focused around tasks and activities that need to be accomplished. Rules are very
clear and tend to be followed precisely.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
NURSINGTB.COM
NURSINGTB.COM
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