ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 7 Questions
Question 1 of 5
When reviewing a hospitals current policy framework, which of the following actions has the potential to improve the overall level of culture competence?
Correct Answer: D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, such as the number, frequency, and length of visits. Eliminating written information from staff members identification badges is unnecessary and of little benefit. Cultural competence does not require a reduction in the use of English. Promoting members of minority groups to higher profile positions on the sole basis of ethnicity would be unethical.
Question 2 of 5
What outcome should you prioritize when planning this education?
Correct Answer: A
Rationale: The concept of culturally competent care applies to health care institutions, which must develop culturally sensitive policies and provide a climate that fosters the provision of culturally competent care by nurses. Nurses must learn to acknowledge and adapt to diversity among their colleagues in the workplace. This is not necessarily dependent on nurses examining their own cultures. Because patients needs vary widely, care is not equal. Evaluating cultural awareness in others does not necessarily enhance ones own cultural competence.
Question 3 of 5
What factor should the nurse consider in light of the patients sustained high blood pressure?
Correct Answer: B
Rationale: Biologic variations can be highly significant, particularly in the use of antihypertensives in African American patients. This is more likely than culturally mediated views on medication adherence, symptom-free diseases, or diet.
Question 4 of 5
What aspect of Leiningers theory is the nurse addressing?
Correct Answer: B
Rationale: Culture care restructuring or repatterning refers to professional actions and decisions that help patients reorder, change, or modify their lifestyles toward new, different, or more beneficial health care patterns. The other listed options are not part of Leiningers theory.
Question 5 of 5
What is the best way for the nurse to interact with a patient who has a different cultural perspective on space and distance?
Correct Answer: A
Rationale: If the patient appears to position himself or herself too close or too far away, the nurse should consider cultural preferences for space and distance. Ideally, the patient should be permitted to assume a position that is comfortable to him or her in terms of personal space and distance. Older adults do not share a common perspective on personal space. A distance of 10 to 12 feet is not normally necessary. Close proximity can be interpreted as being invasive by some individuals.