Chapter 14 CULTURALCOMPETENCY

Chapter 14   CULTURALCOMPETENCY

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) What does the nurse assess as demographic and social disparities among the poor and non-White minorities in the United States? Select all that apply:

1. Uneven distribution of health care services
2. Housing
3. Employment
4. Education
5. Diet

Answer:  1, 2, 3, 4

Explanation:  1. Healthcare services are unevenly distributed in the United States, and the poor and non-White minorities do not receive the care that they need.

2. Demographic and social disparities among poor and non-White minorities in the United States include housing.
3. Demographic and social disparities among poor and non-White minorities in the United States include employment.
4. Demographic and social disparities among poor and non-White minorities in the United States include education.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Discuss the rationale for becoming CULTURALLYCOMPETENT.

2) In which ways does the current United States healthcare system create barriers to individuals from different cultures? Select all that apply:

1. Expectation to select a physician from a list
2. Cost of treatments and tests
3. Violation of cultural beliefs and practices
4. Limited representation of cultural minority groups within health care professions

Answer:  1, 2, 3, 4

Explanation:  1. It is a frustrating experience to be forced to select a physician from a list without any experience or knowledge about the physicians.

2. Another barrier to healthcare is the financial burden imposed by treatments and tests.
3. Different cultures have different beliefs about healthcare. What may appear as commonplace for United States citizens may be viewed as a violation in a different culture. Examples include drawing blood and obtaining a Pap smear.
4. The number of cultural minority groups represented within healthcare professions is imbalanced.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

3) How would the use of CULTURALLYCOMPETENT patient advocates bridge the gap of inadequate numbers of healthcare providers representing culturally diverse population groups? Select all that apply:

1. Speak to patients in their native language.
2. Coordinate services to meet the patients’ needs.
3. Resolve problems.
4. Ensures compliance with prescribed treatment.
5. Reduce the cost of healthcare.

Answer:  1, 2, 3

Explanation:  1. The CULTURALLYCOMPETENT patient advocate can speak to the patient in the language that is understood and in a manner that is acceptable.

2. CULTURALLYCOMPETENT advocates are able to coordinate medical, nursing, social, and educational services to meet the patients’ needs as patients perceive them.
3. In settings where CULTURALLYCOMPETENT advocates are employed, some problems may be resolved to the convenience of both the healthcare member and the patient.
4. Having CULTURALLYCOMPETENT patient advocates does not ensure that diverse patients will comply with prescribed treatment.
5. Having CULTURALLYCOMPETENT patient advocates does not ensure that the cost of healthcare for diverse patients will be reduced.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Planning

4) The healthcare administrator is identifying ways to improve communication with non-English-speaking patients. Which languages would the administrator target as being spoken by hospital employees? Select all that apply:

1. Chinese
2. French
3. Italian
4. Russian
5. Spanish

Answer:  2, 3, 5

Explanation:  1. The more common languages should be spoken by at least some of the professional people who staff hospitals, depending on the location. Chinese is not considered a common language in many parts of the United States.

2. The more common languages, including French, should be spoken by at least some of the professional people who staff hospitals.
3. The more common languages, including Italian, should be spoken by at least some of the professional people who staff hospitals.
4. The more common languages, including French, Italian, and Spanish, should be spoken by at least some of the professional people who staff hospitals. Russian is not considered a common language.
5. The more common languages, including Spanish, should be spoken by at least some of the professional people who staff hospitals.

Cognitive Level:  Applying

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Implementation