Fundamentals of Nursing Exam 1
(Chapter 9)
What is C-LARA? - -C- Claim
L- Listen
A- Affirm
R- Respond
A- Add
-Which of the following are considered social determinants of health? (Select
all that apply) - -- Lack of primary health care providers in a zip code
- Poor-quality public school education that prevents a person from
developing adequate reading skills.
- Lack of affordable health insurance
- Employment opportunities that do not provide paid vacation or sick leave.
-Which of the following changes can help create a more inclusive
environment for lesbian, gay, bisexual, and transgender patients? (Select all
that apply) - -- Explicitly including sexual orientation and gender identity
into nondiscrimination policies.
- Reflecting art that reflects LGBT community.
- Modifying health care forms to provide opportunities for gender identity
and sexual orientation. disclosure
- Ensuring access to unisex or single-stall bathrooms
-Which of the following are examples of problems with the health care
system that contribute to health disparities? (Select all that apply) - -- A
health care provider assumes that the patient missed two appts because the
patient does not care about his or her health and does not acquire about the
reasons for missed visits
- A community hospital lacks an adequate staff of social workers who are
able to ensure patients' access to resources they need to take care of their
health.
- A hospital discharges a patient without ensuring that the patient has a
primary care provider and has a follow-up appointment.
- A nurse uses a family member as an interpreter to explain the patient's
meds
- The hospital conducts quality improvement without stratifying data by race,
ethnicity , language, socioeconomic status, sexual orientation, and other
axes of social group identities.
-What is the mnemonic for RESPECT? - -R- Rapport
E- Empathy
S- Support
, P- Partnership
E- Explanations
C- Cultural Competence
T- Trust
-A patient is admitted through the emergency department after a serious
car accident. The nurse assesses the patient and quickly learns that he
speaks little English. Spanish is his primary language. The nurse speaks
some Spanish. Which interventions would be appropriate at this time?
(Select all that apply) - -- The nurse requests a professional interpreter
- The nurse determines the interpreter's qualifications and makes sure that
the interpreter can speak the patient's dialect.
- The nurse uses short sentences to explain the treatments provided in the
ED.
- The nurse directs questions to the patient by looking at the patient instead
of at the interpreter
-A new nurse is caring for a hospitalized obese patient who is homeless. This
is the first time the patient has been admitted to the hospital, and the
patient is scheduled for surgery. Which of the following is a universal skill
that will help the nurse work effectively with this patient? - -- The nurse asks
the patient " Tell me about the main problems with your health from not
having a home"
-Which statement made by a new graduate nurse about the teach-back
technique requires intervention and further instruction by the nurse's
preceptor? - -"After teaching a patient how to use an inhaler, I need to use
the Teach Back technique to test my patient's understanding."
-In the United States, there has never been a president of Asian or Hispanic
culture. This is an example of: - -Marginalization
-A nurse has worked in a home health agency for a number of years. She
goes to visit a patient who has diabetes and who lives in a public housing
facility. This is the first time the nurse has cared for the patient. The patient
has four other family members who live with her in the one-bedroom
apartment. Which of the following, based on Campinha-Bacote's (2002)
model of cultural competency, is an example of cultural awareness? - -The
nurse silently reflects about how her biases regarding poverty can influence
how she assesses the patient
-What is under inclusion? - -A group has been overlooked in research and
the design of interventions
-What is Social equality? - -Groups have unequal access to resources,
services and positions
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