Chapter 2: Health Disparities and Culturally Competent Care

Chapter 2: Health Disparities and Culturally Competent Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. The nurse obtains information about all these areas during the health interview for a new
patient. Which area will be the focus of patient teaching?
a. Age and gender
b. Hispanic/Latino ethnicity
c. Family history of diabetes
d. Refined carbohydrate intake
ANS: D
Behaviors are strongly linked to many health care problems. The patient’s carbohydrate
intake is a behavior that the patient can change. The other information will be useful as
the nurse develops an individualized plan for improving the patient’s health, but will not
be the focus of patient education.
DIF: Cognitive Level: Application REF: 20-21 TOP: Nursing Process:
Planning
MSC: NCLEX: Health Promotion and Maintenance
2. When developing strategies to decrease health care disparities, the nurse working in a
clinic located in a neighborhood with many Vietnamese individuals will include
a. improving public transportation.
b. obtaining low-cost medications.
c. updating equipment and supplies for the clinic.
d. educating staff about Vietnamese health beliefs.
ANS: D
Health care disparities are due to stereotyping, biases, and prejudice of health care
providers; the nurse can decrease these through staff education. The other strategies also
may be addressed by the nurse but will not impact health disparities.
DIF: Cognitive Level: Application REF: 21-23 | 32 TOP: Nursing Process:
Planning
MSC: NCLEX: Health Promotion and Maintenance
3. Which information will the nurse need to collect when assessing the health status of a
community?
a. Average income of community members
b. Morning traffic patterns in the community
c. Median life expectancy for the community
d. Occupations of individuals in the community
ANS: C
Test Bank 2-2
Health status is the aggregate of all health measures for individuals in a community and
includes data such as life expectancy, birth and death rates, and mortality from various
diseases. Although income, traffic patterns, and occupations are factors that impact a
community’s health status, they are not health measures.
DIF: Cognitive Level: Comprehension REF: 20-21
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
4. A family member of an elderly Hispanic patient admitted to the hospital tells the nurse
that the patient has traditional beliefs about health and illness. The best action by the
nurse is to
a. avoid asking any questions unless the patient initiates conversation.
b. ask the patient whether it is important that cultural healers are contacted.
c. explain the usual hospital routines for meal times, care, and family visits.
d. obtain further information about the patient’s cultural beliefs from the daughter.
ANS: B
Because the patient has traditional health care beliefs, it is appropriate for the nurse to ask
whether the patient would like a visit by a curandero(a) or other cultural healers. There is
no cultural reason for the nurse to avoid asking the patient questions, and questions may
be necessary to obtain necessary health information. The patient (rather than the
daughter) should be consulted about personal cultural beliefs. The hospital routines for
meals, care, and visits should be adapted to the patient’s preferences rather than
expecting the patient to adapt to the hospital schedule.
DIF: Cognitive Level: Application REF: 26
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity