Chapter 2: Health Disparities And Culturally Competent Care

Front 1

The nurse is obtaining a health history from a new patient. Which data will be the focus of patient teaching?

Back 1

Saturated fat intake

Front 2

The nurse works in a clinic located in a community with many Hispanics. Which strategy, if implemented by the nurse, would decrease health care disparities for the Hispanic patients?

Back 2

Teach clinic staff about Hispanic health beliefs.

Front 3

What information should the nurse collect when assessing the health status of a community?

Back 3

Most common causes of death

Front 4

The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Which action by nurse is most appropriate?

Back 4

Ask the patient whether it is important that cultural healers are contacted.

Front 5

The nurse is caring for an Asian patient who is being admitted to the hospital. Which action would be most appropriate for the nurse to take when interviewing this patient?

Back 5

Avoid eye contact with the patient.

Front 6

A female staff nurse is assessing a male patient of Arab descent who is admitted with complaints of severe headaches. It is most important for the charge nurse to intervene if the nurse takes which action?

Back 6

The nurse sits down at the bedside and closes the privacy curtain.

Front 7

The nurse cares for a patient who speaks a different language. If an interpreter is not available, which action by the nurse is most appropriate?

Back 7

Use simple gestures to demonstrate meaning while talking to the patient.

Front 8

The nurse plans care for a hospitalized patient who uses culturally based treatments. Which action by the nurse is best?

Back 8

Coordinate the use of folk treatments with ordered medical therapies.

Front 9

The nurse is caring for a newly admitted patient. Which intervention is the best example of a culturally appropriate nursing intervention?

Back 9

Ask permission before touching a patient during the physical assessment.

Front 10

A staff nurse expresses frustration that a Native American patient always has se

Back 10

Ask about the nurse’s personal beliefs about family support during hospitalization.

Front 11

An older Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate?

Back 11

Ask the patient about any special cultural beliefs or practices.

Front 12

The nurse plans health care for a community with a large number of recent immigrants from Vietnam. Which intervention is the most important for the nurse to implement?

Back 12

Tuberculosis screening

Front 13

When doing an admission assessment for a patient, the nurse notices that the patient pauses before answering questions about the health history. Which action by the nurse is most appropriate?

Back 13

Wait for the patient to answer the questions.

Front 14

Which strategy should be a priority when the nurse is planning care for a diabetic patient who is uninsured?

Back 14

Follow evidence-based practice guidelines.

Front 15

A Hispanic patient complains of abdominal cramping caused by empacho. Which action should the nurse take first?

Back 15

Ask the patient what treatments are likely to help.

Front 16

The nurse performs a cultural assessment with a patient from a different culture.Which action by the nurse should be taken first?

Back 16

Ask the patient about any affiliation with a particular cultural group.

Front 17

The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in the patients. To correct this health disparity, which action should the nurse take first?

Back 17

Assess the perceptions of community members about the care at the clinic.

Front 18

The nurse is performing an admission assessment for a non-English speaking patient who is from China. Which actions could the nurse take to enhance communication(select all that apply)?

Back 18

1.Use an electronic translation application.2. Use a telephone-based medical interpreter.3. Wait until an agency interpreter is available.