Chapter 18 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 18 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCMA

A community health nurse is learning about the REACH initiative and has decided to implement community education on this approach. What topics should the nurse include in this education?

Standard Text: Select all that apply.

1. Child and adult immunizations
2. Cardiovascular disease
3. Chronic lower respiratory disease
4. Stroke
5. Infant mortality

Correct Answer: 1, 2, 5

Rationale 1: REACH: Racial and Ethnic Approaches to Community Health is an initiative of the Centers for Disease Control and Prevention. Topics within the REACH initiative include child and adult immunizations.

Rationale 2: REACH: Racial and Ethnic Approaches to Community Health is an initiative of the Centers for Disease Control and Prevention. Topics within the REACH initiative include cardiovascular diseases.

Rationale 3: REACH: Racial and Ethnic Approaches to Community Health is an initiative of the Centers for Disease Control and Prevention. Chronic lower respiratory disease is not a topic within the REACH initiative.

Rationale 4: REACH: Racial and Ethnic Approaches to Community Health is an initiative of the Centers for Disease Control and Prevention. Stroke is not a topic within the REACH initiative.

Rationale 5: REACH: Racial and Ethnic Approaches to Community Health is an initiative of the Centers for Disease Control and Prevention. Topics within the REACH initiative include infant mortality.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3. Describe the role of federal agencies and initiatives regarding the provision of culturally responsive health care.

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 279

Question 2

Type: MCSA

A new graduate nurse is working in a busy emergency department of a hospital, situated in a culturally diverse area of the city. In striving to be culturally sensitive, what should the nurse do?

1. Try to learn about the attitudes toward health care and traditions of the different cultures in that area.
2. Understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills.
3. Possess the underlying background knowledge that will provide these clients with the best possible health care.
4. Continuously strive to be culturally competent.

Correct Answer: 1

Rationale 1: Cultural sensitivity implies that nurses possess some basic knowledge of and constructive attitudes toward the health traditions observed among the diverse cultural groups found in the setting in which they are practicing.

Rationale 2: To understand and attend to the total context of the client’s situation, using knowledge, attitudes, and skills, is a general nursing expectation and does not address cultural sensitivity directly.

Rationale 3: To possess the underlying background knowledge that will provide these clients with the best possible health care is a general nursing expectation and does not address cultural sensitivity directly.

Rationale 4: Becoming culturally competent is an ongoing process in which an individual develops along a continuum until diversity is accepted as a norm and the nurse has acquired greater understanding and capacity in a diverse environment.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 6. Differentiate culturally influenced approaches to healing and treatment..

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 288

Question 3

Type: MCSA

A client is the child of an African American father and Asian American mother. The client has been exposed to cultural foods, traditions, and customs from both parents throughout life. What term should the nurse use to describe this client’s cultural development?

1. Diversity
2. Subculture
3. Multicultural
4. Cultural sensitivity

Correct Answer: 3

Rationale 1: Diversity refers to the fact or state of being different.

Rationale 2: A subculture is usually composed of people who have a distinct identity yet are related to a larger cultural group.

Rationale 3: Multicultural is used to describe a person who has multiple patterns of identification or crosses several cultures, lifestyles, and sets of values.

Rationale 4: Nurses demonstrate cultural sensitivity when they possess some basic knowledge of and constructive attitudes toward the health traditions observed among the diverse cultural groups found in a setting in which they are practicing.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1. Describe concepts related to culture such as race, ethnicity, and acculturation.

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 277