Nursing- Final: NCLEX Questions
Chapter 5 correct answers Cultural
Diversity
1. A nurse is caring for patients of diverse cultures in a community health
Which characteristics of cultural diversity that exist in the United States
care facility.
should the
consider nurse
when planning culturally competent care? Select all
that
a. Theapply.
United States has become less inclusive of same-sex
couples.
b. Cultural diversity is limited to people of varying cultures
and
c. races. diversity is separate and distinct from health
Cultural
and
d. illness.
People may be members of multiple cultural groups at
one
e. time. guides what is acceptable behavior for people in a
Culture
specific
f. Cultural group.
practices may evolve over time but mainly remain constant.
correct answers
1. d, e, f. A person may be a member of multiple cultural, ethnic, and t
racial
one groups
time. a
Culture guides what is acceptable behavior for people in a
Cultural practices and beliefs may evolve over time, but they mainly remain
specific group.
constant
long as theyas satisfy a group's needs. The United States has become more
(not less) of same-sex couples. The definition of cultural diversity includes,
inclusive
but is not
limited to, people of varying cultures, racial and ethnic origin,
religion, language,
physical size, biological sex, sexual orientation, age, disability, ,
socioeconomic
occupational statusand geographic location. Cultural diversity,
status,
including culture,
ethnicity, and race, is an integral component of both health
and illness.
1. In order to provide culturally competent care, nurses must be alert to
sensitivity to diversity in the health care system. Which nursing actions are
factors inhibiting
examples
cultural of
imposition? Select all that
apply.
a. A hospital nurse tells a nurse's aide that patients should not be
given a choice
whether or not to shower or bathe
daily.
b. A nurse treats all patients the same whether or not they come from a
c. A nurseculture.
different tells another nurse that Jewish diet restrictions are just a way for
them
a to get
special tray of their favorite
foods.
d. A Catholic nurse insists that a patient diagnosed with terminal bladder
cancer see
chaplain in the
e. A nurse directs interview questions to an older adult's daughter even
residence.
though the
patient is capable of answering
them.
f. A nurse refuses to care for a married gay man who is HIV positive
becausesame-sex
against she is marriage. correct answers 1. a, d. Cultural imposition
occurs when
hospital nursea tells a nurse's aide that patients should not be given a choice
whether
not or
to shower or bathe daily, and when a Catholic nurse insists that a patient
diagnosed
with terminal bladder cancer see the chaplain in residence. Cultural
blindness occurs when a nurse treats all patients the same whether or not
culture.
they come Culture
from conflict occurs when a nurse ridicules a patient by telling
a different
another
that nurse
Jewish diet restrictions are just a way for Jewish patients to get a
special tray of
,their favorite foods. When a nurse refuses to respect an older adult's ability
to speakorfor
himself herself, or if the nurse refuses to treat a patient based on that
patient's sexual
orientation, the nurse is engaging in
stereotyping.
1. A nurse caring for culturally diverse patients in a health care provider's
officepatients
that is awareof certain cultures are more prone to specific disease
states than
general the
population. Which patients would the nurse screen for diabetes
mellitus
on based race? Select all that
the patient's
apply.
a. A Native American
patient
b. An African-American
patient
c. An Alaska
d. An Asian
Native
patient
e. A White
patient
f. A Hispanic patient correct answers 1. a, c, e, f. Native Americans,
Alaska Natives,
Hispanics, and Whites are more prone to developing diabetes
mellitus. African
Americans are prone to hypertension, stroke, sickle cell anemia, lactose
intolerance,
and keloids. Asians are prone to hypertension, liver cancer, thalassemia,
intoleranc
and lactose
e.
1. A nurse is using the ESFT model to understand a patient's conception of a
diagnosis
of chronic obstructive pulmonary disease (COPD). Which interview question
would appropriate
MOST be to assess the E aspect of this model—Explanatory model
of health
and
illness?
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? correct answers
ESFT model guides providers in understanding a patient's explanatory
1. b. The
model (a conception of her or his illness), social and environmental
patient's
factors,
and and fears
concerns, and also guides providers in contracting for therapeutic
Asking the questions: "How does having COPD affect your lifestyle?"
approaches.
explores the model, "How do you get your medications?" refers to the
explanatory
social and
environmental factor, "Are you concerned about the side effects of your
medications?"
addresses fears and concerns, and "Can you describe how you will
take your
medications?" involves therapeutic
contracting.
1. The nurse practitioner sees patients in a community clinic that is
located in a
predominately White neighborhood. After performing assessments on the
majority visiting
patients of the the clinic, the nurse notes that many of the minority groups
living
the within
neighborhood have lost the cultural characteristics that made them
different.
the term forWhatthisis
process?
a. Cultural
assimilation
b. Cultural
imposition
c. Culture
shock
d. Ethnocentrism correct answers 1. a. When minority groups live within a
dominant
group, many members lose the cultural characteristics that once made them
different in
,a process called assimilation. Cultural imposition occurs when one person
believes that
everyone should conform to his or her own belief system. Culture shock
occurs when
person a in a different culture perceived as strange, and
is placed
ethnocentrism
belief is the beliefs, and practices of one's own cultural
that the ideas,
group areor
superior, best,
most preferred to those of other
groups.
1. A nurse states, "That patient is 78 years old—too old to learn how to
change a What is the nurse
dressing."
demonstrating?
a. Cultural
imposition
b.
Clustering
c. Cultural
competency
d. Stereotyping correct answers 1. d. Stereotyping is assuming that all
members
group are of a This is not an example of cultural competence nor is the
alike.
nurse
her imposing
culture on the patient. Clustering is not an applicable
concept.
1. A young Hispanic mother comes to the local clinic because her baby is
sick.
speaksSheonly Spanish and the nurse speaks only English. What is the
appropriate
nursing
intervention?
a. Use short words and talk more
loudly.
b. Ask an interpreter for
help.
c. Explain why care can't be
provided.
d. Provide instructions in writing. correct answers 1. b. The nurse
should ask an
interpreter for help. Many facilities have a qualified interpreter who
understands
health the
care system and can reliably provide assistance. Using short
words, talking
loudly, and providing instructions in writing will not help the nurse
communicate
patient. with this
Explaining why care can't be provided is not an acceptable choice
because
nurse the
is required to provide care; also, since the patient doesn't speak
English, she
won't understand what the nurse is
saying.
1. A nurse is interviewing a newly admitted patient. Which question is
culturally
considered
sensitive?
a. "Do you think you will be able to eat the food we
have
b. "Dohere?"
you understand that we can't prepare special
meals?"
c. "What types of food do you eat for
meals?"
d. "Why can't you just eat our food while you are here?" correct answers
1. c. Asking
patients what types of foods they eat for meals is culturally
sensitive. The
questions are culturally
other
insensitive.
1. A nurse is telling a new mother from Africa that she shouldn't carry her
baby in afrom
created slinga large rectangular cloth. The African woman tells the nurse
that
in everyone carries babies this way. The nurse believes that bassinets
Mozambique
are saferThis
infants. for nurse is displaying what
cultural
a. bias?
Cultural
imposition
b.
Clustering
c. Cultural
competency
, d. Stereotyping correct answers 1. a. The nurse is trying to impose her
belief thatare preferable to baby slings on the African mother—in spite of
bassinets
the factwomen
African that have safely carried babies in these slings
for years.
1. A nurse is teaching a novice nurse how to provide care for patients in
a culturally
diverse community health clinic. Although all these actions are
recommended,
one is MOST basic which
to providing culturally
competent
a. Learning care?
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 correct answers
1. c. In all
aspects of nursing, it is important to treat each patient as an individual. This
is also
in true culturally competent care. This basic objective can be
providing
accomplished
learning by
the predominant language in the community, researching the
patient's
and culture,the influence of family on the
recognizing
patient's life.
Chapter 6 correct answers Values, Ethics, and
Advocacy
1. A nurse caring for patients in the intensive care unit develops values from
experience
to form a personal code of ethics. Which statements best describe this
process?
all that Select
apply.
a. People are born with
values.
b. Values act as standards to guide
behavior.
c. Values are ranked on a continuum of
importance.
d. Values influence beliefs about health and
illness.
e. Value systems are not related to personal codes of
conduct.
f. Nurses should not let their values influence patient care. correct answers
1. b, c,isd.
value aA belief about the worth of something, about what matters,
which acts
standard toas a one's behavior. A value system is an organization of
guide
values
each is in whichalong a continuum of importance, often leading to a
ranked
personal A
conduct. code
person's
of values influence beliefs about human needs, health, and
illness; the
practice of health behaviors; and human responses to illness. Values guide
thenursing
of practice care. An individual is not born with values; rather, values are
formed during
lifetime a
from information from the environment, family,
and culture.
1. A pediatric nurse is assessing a 5-year-old boy who has dietary
modifications
to his diabetes. related
His parents tell the nurse that they want him to value
good nutritional
habits, so they decide to deprive him of a favorite TV program when he
becomes
after theyangrydeny him foods not on his diet. This is an example of what
mode of value
transmissio
n?
a.
Modeling
b.
Moralizing
c. Laissez-
faire
d. Rewarding and punishing correct answers 1. d. When rewarding and
punishing
used are
to transmit values, children are rewarded for demonstrating values held
and punished for demonstrating unacceptable values. Through modeling,
by parents
children learn
