ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 7 : Overview of Transcultural Nursing Questions
Question 1 of 5
When interacting with patients and families, of what must the nurse be cognizant?
Correct Answer: D
Rationale: Because the nursepatient interaction is the focal point of nursing, nurses should consider their own cultural orientation when conducting assessments of patients and their families and friends. The nurses health is relevant, but secondary. Similarly, the institutional culture is not a priority. Acculturation is not actively promoted by the nurse.
Question 2 of 5
Which of the following variables are known to underlie health disparities? Select all that apply.
Correct Answer: A,B,C
Rationale: Many reasons are cited for these disparities, including low socioeconomic status, health behaviors, limited access to health care because of poverty or disability, environmental factors, and direct and indirect manifestations of discrimination. Other causes include lack of health insurance; overdependence on publicly funded facilities; and barriers to health care, such as insufficient transportation, geographic location (not enough providers in an area), cost of services, and the low numbers of minority health care providers. Male gender and a patients allergy status are not identified as contributors to health disparities.
Question 3 of 5
How can this goal be best accomplished?
Correct Answer: A
Rationale: Nursing programs are exploring creative ways to promote cultural competence and humanistic care in nursing students, including offering multicultural health studies in their curricula. Enhancing the content of community nursing classes would not necessarily achieve this goal. Matching students to patients from other cultures is often impractical and applicants are not screened by their cultural competence.
Question 4 of 5
When attempting to foster positive and therapeutic nursepatient interactions, the nurse should recognize that these interactions are primarily dependent on what variable?
Correct Answer: C
Rationale: Nursepatient interactions, as well as communications among members of a multicultural health care team, are dependent on the ability to understand and be understood. Nursepatient interactions are not dependent on the knowledge of patient tendencies during illness, the nurses ability to work with a multicultural health care team, or cultural diversity among the staff on the unit.
Question 5 of 5
What aspects of patient care may be most influenced by diverse cultural perspectives?
Correct Answer: D
Rationale: Many aspects of care may be influenced by the diverse cultural perspectives held by health care providers, patients, families, or significant others. One example is the issue of informed consent and full disclosure. The other aspects of care can also be influenced by cultural differences, but most often to a lesser degree.