1. Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members?
a. Hire health care professionals from different Spanish-speaking countries.
b. Ensure that all health care workers speak Spanish.
c. Ensure that all signage is posted in Spanish as well as English.
d. Ensure health services are in varying locations.
2. On which criterion would the Human Resources manager focus when identifying interpreters to support the care of patients with limited English proficiency?
a. Be of the same ethnic background of the patients
b. Availability of family members
c. Proficient in health language terminology
d. Be on 24-hour call
3. a. Ensure grievances are resolved
b. Plan and implement culturally and linguistically appropriate services
c. Plan for culturally appropriate continuing education for the staff
d. Develop partnerships with community members
4. During an assessment, the nurse asks the patient to describe her current health status. In what context will the patient most likely explain her health?
b. Personal experience
d. Impact on family
5. The nurse desires to become more culturally competent when providing care to patients from
non-English-speaking cultures. Which action would the nurse take to achieve this self-
a. Attend a festival from a different culture.
b. Find a seminar on cultural competence.
c. Talk to people from different cultures.
d. Commit to a time-consuming journey.
6. The staff development educator is analyzing ways to incorporate cultural competency concepts in continuing education programs. How will the educator explain the concept of cultural competency to staff?
7. A patient from a non-English-speaking culture comes into the health clinic seeking care. The
nurse is unable to determine the patient’s primary language. What should the nurse do?
a. Ask for help to determine the patient’sprimary language.
b. Encourage the patient to seek care elsewhere.
c. Notify Security.
d. Contact a homeless shelter.
8. The nurse is planning care to address health care needs for a non-English-speaking patient
and family. What would the nurse use as a guide for this care?
a. Nursing textbook
b. Standardized care plan
d. Care map
9. A patient’s parish priest arrives to the care area to visit the patient and provide communion.
What impact does the priest’s visit have on the patient’s health?
a. Reinforces distinctiveness
b. Reinforces acculturation
c. Offers support and provides positive expectation
d. Reinforce assimilation
10. An older patient tells the nurse about being born in a different country and having visited the
home country many times throughout the years. The nurse realizes that the patient is explaining which aspect of culture?
b. Religious preference
d. Heritage consistency
11. A group of nurses talking are overheard using jargon that is consistent with the nursing
profession. Which behavior are the nurses demonstrating?
a. Heritage consistency
12. A seminal event in the boomer generation that can still elicit comments today is the
a. “Do you remember Pearl Harbor?”
b. “Where were you when John F. Kennedy was shot?”
c. “What were you doing on September 11, 2001?”
d. “How did the Challenger tragedy affect you?”
13. A patient from a different culture tells the nurse about eating specific foods during
pregnancy and after childbirth to ensure a healthy mother and infant. Which cultural
phenomena does this behavior exemplify?
a. Environmental control
b. Social organization
c. Time orientation
d. Biological variation
14. Why does the nurse stop and think before implementing touch when providing care to a
patient from a different culture?
a. Impacts time orientation
b. Influences environmental control
c. Influences the patient’s personal space
d. Alters social organization
15. Prior to caring for a Native American patient, the nurse reviews the diseases that are more
prevalent in this culture. What is the nurse taking into consideration when caring for this
a. Biological variation
b. Environmental control
c. Social organization pattern
d. Component of heritage consistency
16. The nurse learns that a patient from a different culture does not know the names of the
people who are candidates running in the next general election. What assumption can be
made about this assessment finding?
a. The patient cannot read.
b. The patient is heritage consistent.
c. The patient is hard of hearing.
d. The patient does not have a high school education.
17. While completing demographics for a new admission, the nurse notes that there are separate
categories for race and Hispanic origin. What influenced this change to occur in demographic data reporting?
a. Better differentiates categories within the African-American group
b. The number of people identified as non-White was increasing out of proportion to the
c. Identifies which health plans the patient is eligible to enroll in
d. Federal guidelines written in 1997 separated race and Hispanic origin as two separate
18. While shifts in the population profile are occurring, what is an important consideration to
address in health care?
a. Cultural health needs of varying groups must be considered.
b. Health care needs to be streamlined for consistent care delivery.
c. More physicians need to be trained to deliver health care.
d. Health care providers need to be younger to care for an aging population.
19. Between the 2000 Census and 2010 Census, what is the most notable statistic about the
total United States population?
a. The population age shift moved towards 18 years and younger.
b. The Asian population increased to become the second-largest minority group in the United States.
c. The U.S. population was over 308 million in 2010.
d. The population shift went from a White majority to White minority status.
20. According to the 2010 Census, 40.3 million people are aged 65 and over. What are the
long-term implications for the health of this group?
a. Providing health care that is focused on gerontological needs
b. Developing medications to prolong life at any cost
c. Providing health insurance for all age groups
d. Developing systems to provide health care only to those older citizens who remain healthy
21. Which criterion limits access to health care?
a. Employment opportunities
b. No public transportation
c. Transition programs for newly arrived legal residents
d. Advocacy groups for immigrants
22. Why would a patient who has a higher income generally have better health outcomes?
a. Have better access to health care
b. Have better job skills
c. Can afford private transportation
d. Can afford private insurance
23. A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that
eligibility for this program is determined by:
a. Employment history
b. Family size
c. Geographic address
d. Low-income guidelines
24. Which definition of health would the nurse most likely use when assessing a patient’s thinking about health?
a. Having a harmonious, balanced relationship with nature
b. Not having any discernible illness or disease
c. Being in a state of physical, mental, and social well-being
d. The ability to get up and go to work each day
25. Which statement exemplifies how a nursing student views health?
a. Must share the client’s views of health and illness
b. Forces clients to accept the medical definitions of health
c. Entered the health care profession with a culturally based concept of health
d. Accepts the prevailing definition of health and applies it to individual clients
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