ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 2 Questions
Question 1 of 5
Which of the following statements represents a health inequity currently experienced in Canada?
Correct Answer: B
Rationale: Suicide rates are five to seven times higher among Indigenous youth than among non-Indigenous youth. Suicide rates among Indigenous youth are among the highest in the world, at 11 times the national average. Smoking rates are more than two times higher among the three Indigenous groups than among the non-Indigenous population. Individuals from higher income neighbourhoods undergo preventive health screening more than those from lower income neighbourhoods. Recent immigrants are less likely to have a primary care physician than Canadian-born individuals.
Question 2 of 5
An elderly Asian Canadian patient tells the nurse that she has lived in Canada for 50 years. The patient speaks English but lives in a predominantly Asian neighbourhood. Which of the following actions is most appropriate for the nurse?
Correct Answer: B
Rationale: Further assessment of the patient's health care preferences is needed before making further plans for culturally appropriate care. The other responses indicate stereotyping of the patient, based on ethnicity, and would not be appropriate initial actions.
Question 3 of 5
When caring for an Indigenous patient, which of the following actions is the best initial approach in relation to eye contact for the nurse to take?
Correct Answer: B
Rationale: Eye contact varies greatly among and within cultures so the nurse's initial action is to assess the patient's use of eye contact. Although nurses are often taught to maintain direct eye contact, patients who are Asian, Arab, or Indigenous may avoid direct eye contact and consider direct eye contact disrespectful or aggressive. Looking directly at the patient or avoiding eye contact may be appropriate, depending on the patient's individual cultural beliefs. The nurse should assess the patient, rather than asking family members about the patient's beliefs.
Question 4 of 5
The nurse is caring for Indigenous patients in a community clinic setting. Which of the following would the nurse include when developing strategies to decrease health care disparities?
Correct Answer: D
Rationale: Health care disparities are due to stereotyping, biases, and prejudice of health care providers; the nurse can decrease these through staff education. The other strategies also may be addressed by the nurse but will not directly impact health disparities.
Question 5 of 5
Which of the following question formats is the most appropriate for the nurse to ask when communicating with a patient that has limited English proficiency?
Correct Answer: D
Rationale: When communicating with a patient that has limited English proficiency the best questions to ask are ones that are in simple language a couple of words, plain simple terms, such as 'Are you in pain?' Asking about tiredness and discomfort in the same sentence should be avoided - ask one item at a time and use the term 'pain,' not discomfort. Asking the patient 'are you alright' is vague and will elicit a yes or no answer. 'You have taken your pills, right' is accusatory and should be avoided.