ECPI 164 EXAM #2 QUESTIONS WITH
CORRECT ANSWERS
A nurse is caring for patients of diverse cultures in a community health clinic. Which
concepts will the nurse incorporate to guide the plan of care? Select all that apply.
A. The United States has become less inclusive of same-sex couples.
B. Cultural diversity is limited to people of varying cultures and races.
C. Cultural diversity is separate and distinct from health and illness.
D. People may be members of multiple cultural groups at one time.
E. Culture guides what is acceptable behavior for people in a specific group.
F. Cultural practices may evolve over time but mainly remain constant. - Answer-D.
People may be members of multiple cultural groups at one time., E. Culture guides what
is acceptable behavior for people in a specific group., F. Cultural practices may evolve
over time but mainly remain constant.
At the last staff meeting, the nurse manager discussed the organizational initiative to
improve provision of culturally competent care. During rounds, which behaviors
inconsistent with this goal require the manager to intervene? Select all that apply.
A. A staff nurse tells the AP that patients should not be given a choice, but should
shower or bathe daily.
B. A nurse asks the family of a patient who has died if they would like to wash their
loved one's body.
C. A nurse tells another nurse that Jewish dietary restrictions are just a way for them to
get special foods.
D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the
chaplain in residence.
E. A nurse obtains a translator to speak to the patient in their native language.
F. A nurse refuses to care for a married gay patient who is HIV positive because the
nurse is against same-sex marriage. - Answer-A. A staff nurse tells the AP that patients
should not be given a choice, but should shower or bathe daily., D. A Catholic nurse
insists that a patient diagnosed with terminal bladder cancer see the chaplain in
residence.
An ambulatory care nurse serving a large, culturally diverse population is planning a
free blood pressure screening clinic. Based on the nurse's understanding of racial
differences in health and illness, which groups will the nurse target for screening?
Select all that apply.
A. Native American people
B. African American people
C. Alaska Native people
D. Asian people
E. White people
F. Hispanic people - Answer-B. African American people, C. Alaska Native people, E.
White people
,A nurse is using the Explanatory Model of Health and Illness (ESFT) model to assess
how a patient from another culture views their diagnosis of chronic obstructive
pulmonary disease (COPD). What interview question is most appropriate to assess the
E aspect of this model?
A. How do you get your medications?
B. How does having COPD affect your lifestyle?
C. Are you concerned about the side effects of your medications?
D. Can you describe how you will take your medications? - Answer-B. How does having
COPD affect your lifestyle?
A nurse tells a patient, "tonight's menu selection is pork. I understand many people in
your culture do not eat pork; may I order something else for you?" When the patient
states they no longer observe this dietary practice, the nurse understands that the
patient has experienced what transition?
A. Cultural assimilation
B. Cultural imposition
C. Culture shock
D. Ethnocentrism - Answer-A. Cultural assimilation
The charge nurse overhears a nurse state, "That patient is 78 years old—too old to
learn how to change a dressing." How should the charge nurse respond?
A. "Please don't impose your view of the patient's culture on them."
B. "I wish you would try to demonstrate more cultural sensitivity."
C. "Try to be open to your patient's culture, to make the biggest impact."
D. "Grouping all older adults as having trouble learning is a form of stereotyping." -
Answer-D. "Grouping all older adults as having trouble learning is a form of
stereotyping."
A young Hispanic mother comes to the local clinic because her baby is sick. She
speaks only Spanish, and the nurse speaks only English. Which action should the nurse
take next?
A. Use short words and speak loudly
B. Obtain a medical interpreter
C. Explain why care cannot be provided
D. Provide instructions in writing - Answer-B. Obtain a medical interpreter
A nurse is interviewing a newly admitted patient from another culture. What question
best displays cultural sensitivity?
A. "Do you think you'll be able to eat the food we have here?"
B. "You do understand that we can't prepare special meals?"
C. "What types of food do you typically prepare for meals?"
D. "Could you make an exception on what food you eat while you are here?" - Answer-
C. "What types of food do you typically prepare for meals?"
, A nurse tells a new mother from Africa that she should not carry her infant in a sling
because bassinets are safer. The charge nurse suggests the nurse is displaying which
behavior?
A. Cultural imposition
B. Clustering
C. Cultural competency
D. Stereotyping - Answer-A. Cultural imposition
A community organization includes provision of culturally competent care in their
mission. Which action has the organization set as a priority?
A. Learning the predominant language of the community
B. Obtaining significant information about the community
C. Treating each patient at the clinic as an individual
D. Recognizing the importance of the patient's family - Answer-C. Treating each patient
at the clinic as an individual
A surgeon will not attempt a life-saving repair of a ruptured aneurysm unless the patient
agrees to receive blood transfusions. Although receiving blood products is against the
patient's religious beliefs, the surgeon ordered four units of packed red blood cells.
What action will the nurse take first?
A. Administer the blood transfusion
B. Call the patient's family and ask them to reason with the patient
C. Discuss obtaining a court order to save the patient's life
D. Maintain the patient's comfort and support their decision - Answer-D. Maintain the
patient's comfort and support their decision
A nurse caring for patients in the intensive care unit develops values from their
experiences when forming a personal code of ethics. Which statements correctly guide
this process? Select all that apply.
People are born with values.
A. Values act as standards to guide behavior.
B. Values are ranked on a continuum of importance.
C. Values influence beliefs about health and illness.
D. Value systems are not related to personal codes of conduct.
E. Nurses should not let their values influence patient care. - Answer-B. Values are
ranked on a continuum of importance., C. Values influence beliefs about health and
illness., D. Value systems are not related to personal codes of conduct.
The parent of a young school-age child wants them to learn about healthy dietary
choices related to diabetes. Which method of value transmission would be most
helpful?
A. Depriving the child of their favorite toy when they consume foods not on their diet
B. Lecturing the child on the merits of healthy and unhealthy food choices
C. Allowing the child to experiment and discuss the outcomes on their blood glucose
CORRECT ANSWERS
A nurse is caring for patients of diverse cultures in a community health clinic. Which
concepts will the nurse incorporate to guide the plan of care? Select all that apply.
A. The United States has become less inclusive of same-sex couples.
B. Cultural diversity is limited to people of varying cultures and races.
C. Cultural diversity is separate and distinct from health and illness.
D. People may be members of multiple cultural groups at one time.
E. Culture guides what is acceptable behavior for people in a specific group.
F. Cultural practices may evolve over time but mainly remain constant. - Answer-D.
People may be members of multiple cultural groups at one time., E. Culture guides what
is acceptable behavior for people in a specific group., F. Cultural practices may evolve
over time but mainly remain constant.
At the last staff meeting, the nurse manager discussed the organizational initiative to
improve provision of culturally competent care. During rounds, which behaviors
inconsistent with this goal require the manager to intervene? Select all that apply.
A. A staff nurse tells the AP that patients should not be given a choice, but should
shower or bathe daily.
B. A nurse asks the family of a patient who has died if they would like to wash their
loved one's body.
C. A nurse tells another nurse that Jewish dietary restrictions are just a way for them to
get special foods.
D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the
chaplain in residence.
E. A nurse obtains a translator to speak to the patient in their native language.
F. A nurse refuses to care for a married gay patient who is HIV positive because the
nurse is against same-sex marriage. - Answer-A. A staff nurse tells the AP that patients
should not be given a choice, but should shower or bathe daily., D. A Catholic nurse
insists that a patient diagnosed with terminal bladder cancer see the chaplain in
residence.
An ambulatory care nurse serving a large, culturally diverse population is planning a
free blood pressure screening clinic. Based on the nurse's understanding of racial
differences in health and illness, which groups will the nurse target for screening?
Select all that apply.
A. Native American people
B. African American people
C. Alaska Native people
D. Asian people
E. White people
F. Hispanic people - Answer-B. African American people, C. Alaska Native people, E.
White people
,A nurse is using the Explanatory Model of Health and Illness (ESFT) model to assess
how a patient from another culture views their diagnosis of chronic obstructive
pulmonary disease (COPD). What interview question is most appropriate to assess the
E aspect of this model?
A. How do you get your medications?
B. How does having COPD affect your lifestyle?
C. Are you concerned about the side effects of your medications?
D. Can you describe how you will take your medications? - Answer-B. How does having
COPD affect your lifestyle?
A nurse tells a patient, "tonight's menu selection is pork. I understand many people in
your culture do not eat pork; may I order something else for you?" When the patient
states they no longer observe this dietary practice, the nurse understands that the
patient has experienced what transition?
A. Cultural assimilation
B. Cultural imposition
C. Culture shock
D. Ethnocentrism - Answer-A. Cultural assimilation
The charge nurse overhears a nurse state, "That patient is 78 years old—too old to
learn how to change a dressing." How should the charge nurse respond?
A. "Please don't impose your view of the patient's culture on them."
B. "I wish you would try to demonstrate more cultural sensitivity."
C. "Try to be open to your patient's culture, to make the biggest impact."
D. "Grouping all older adults as having trouble learning is a form of stereotyping." -
Answer-D. "Grouping all older adults as having trouble learning is a form of
stereotyping."
A young Hispanic mother comes to the local clinic because her baby is sick. She
speaks only Spanish, and the nurse speaks only English. Which action should the nurse
take next?
A. Use short words and speak loudly
B. Obtain a medical interpreter
C. Explain why care cannot be provided
D. Provide instructions in writing - Answer-B. Obtain a medical interpreter
A nurse is interviewing a newly admitted patient from another culture. What question
best displays cultural sensitivity?
A. "Do you think you'll be able to eat the food we have here?"
B. "You do understand that we can't prepare special meals?"
C. "What types of food do you typically prepare for meals?"
D. "Could you make an exception on what food you eat while you are here?" - Answer-
C. "What types of food do you typically prepare for meals?"
, A nurse tells a new mother from Africa that she should not carry her infant in a sling
because bassinets are safer. The charge nurse suggests the nurse is displaying which
behavior?
A. Cultural imposition
B. Clustering
C. Cultural competency
D. Stereotyping - Answer-A. Cultural imposition
A community organization includes provision of culturally competent care in their
mission. Which action has the organization set as a priority?
A. Learning the predominant language of the community
B. Obtaining significant information about the community
C. Treating each patient at the clinic as an individual
D. Recognizing the importance of the patient's family - Answer-C. Treating each patient
at the clinic as an individual
A surgeon will not attempt a life-saving repair of a ruptured aneurysm unless the patient
agrees to receive blood transfusions. Although receiving blood products is against the
patient's religious beliefs, the surgeon ordered four units of packed red blood cells.
What action will the nurse take first?
A. Administer the blood transfusion
B. Call the patient's family and ask them to reason with the patient
C. Discuss obtaining a court order to save the patient's life
D. Maintain the patient's comfort and support their decision - Answer-D. Maintain the
patient's comfort and support their decision
A nurse caring for patients in the intensive care unit develops values from their
experiences when forming a personal code of ethics. Which statements correctly guide
this process? Select all that apply.
People are born with values.
A. Values act as standards to guide behavior.
B. Values are ranked on a continuum of importance.
C. Values influence beliefs about health and illness.
D. Value systems are not related to personal codes of conduct.
E. Nurses should not let their values influence patient care. - Answer-B. Values are
ranked on a continuum of importance., C. Values influence beliefs about health and
illness., D. Value systems are not related to personal codes of conduct.
The parent of a young school-age child wants them to learn about healthy dietary
choices related to diabetes. Which method of value transmission would be most
helpful?
A. Depriving the child of their favorite toy when they consume foods not on their diet
B. Lecturing the child on the merits of healthy and unhealthy food choices
C. Allowing the child to experiment and discuss the outcomes on their blood glucose
