Chapter 23: Culture and Public Health Nursing

Chapter 23: Culture and Public Health Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is developing new policies in the unit to increase cultural competence and sensitivity. The nurse decides to reference the core competencies developed by the Quad Council, and explain how the first skill, ____, is crucial to all nursing practice.

A.	Acting in a sensitive manner with people of diverse backgrounds
B.	Identifying the role that social determinants of health play in health care
C.	Recognizing the importance of diversity in health care
D.	Understanding factors contributing to diversity

 

 

ANS:  A

Objective: 3. Compare the difference between cultural competency and cultural humility.

1. 564

Heading: United States: Cultural Norms and Values > Regional Cultural Norms and Values

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Diversity; Nursing Roles; Management

Difficulty: Moderate

	Feedback
A	Acting in a sensitive manner with people of diverse backgrounds is the first core competency listed by the Quad Council. All nurses should be proficient in this skill.
B	Identifying the role that socially determinants of health play in health care is one of the core competencies developed by the Quad Council. The first one, however, is that all nurses should act in a sensitive manner with people of diverse backgrounds.
C	Recognizing the importance of diversity in health care is one of the core competencies developed by the Quad Council. The first one, however, is that all nurses should act in a sensitive manner with people of diverse backgrounds.
D	Understanding the factors that contribute to diversity is one of the core competencies developed by the Quad Council. The first one, however, is that all nurses should act in a sensitive manner with people of diverse backgrounds.

 

 

PTS:   1                    CON:  Diversity | Nursing Roles | Management

 

2. A public health nurse (PHN) is moving from his or her hometown in the Northeastern United States to a new position in Southern California. When beginning the local community assessments, what might the PHN notice about how the environment affects regional culture?

A.	People living in the colder Northeast climate are more likely to socialize around outdoor experiences.
B.	Clothing styles are very similar.
C.	Food choices in Southern California tend to be lighter and revolve around fresh produce.
D.	None of the above

 

 

ANS:  C

Objective: 1. Recognize the impact of culture on health promotion in populations, groups, and individuals.

1. 564

Heading: United States: Cultural Norms and Values > Regional Cultural Norms and Values

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis [Analyzing]

Concept: Assessment; Promoting Health; Diversity

Difficulty: Moderate

	Feedback
A	This is incorrect. People living in colder climates tend to socialize around indoor activities and experiences.
B	This is incorrect. Clothing styles and needs are different between the two regions due to climate and weather differences.
C	This is correct. Food choices in Southern California tend to be lighter (calorically), with a greater focus on fresh fruits and vegetables.
D	This is incorrect. Food choices in Southern California tend to be lighter (calorically), with a greater focus on fresh fruits and vegetables.

 

 

PTS:   1                    CON:  Assessment | Promoting Health | Diversity

 

3. A nurse is speaking with a new group of student nurses about the importance of developing cultural humility, not just cultural competence. How does the nurse suggest that the students begin to develop cultural humility?

A.	Study as much as they can about other cultures
B.	Nothing–it will become second nature as they progress in their career.
C.	Perform cultural self-assessments regularly.
D.	Perform cultural assessments on every patient they encounter.

 

 

ANS:  C

Objective: 3. Compare the difference between cultural competency and cultural humility.

1. 564-565

Heading: United States: Cultural Norms and Values > Cultural Competency and Cultural Humility

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Diversity; Nursing Roles

Difficulty: Moderate

	Feedback
A	Cultural humility is a process of understanding that the multitude of cultures makes it too difficult to understand or study each and every one.
B	Cultural humility is a process of understanding that the multitude of cultures makes it too difficult to understand each and every one. To develop cultural humility, it is important to perform a cultural self-assessment regularly.
C	Cultural humility is a process of understanding that the multitude of cultures makes it too difficult to understand each and every one. To develop cultural humility, it is important to perform a cultural self-assessment regularly.
D	Cultural humility is a process of understanding that the multitude of cultures makes it too difficult to understand each and every one. To develop cultural humility, it is important to perform a cultural self-assessment regularly.

 

 

PTS:   1                    CON:  Diversity | Nursing Roles

 

4. A nurse is looking to educate women in the community about women’s health issues. After performing a community assessment, the nurse decides to target young women by holding informal and fun seminars for small groups. Where should the nurse consider holding these seminars?

A.	The local library
B.	Nail and hair salons
C.	The town community center
D.	Local parks

 

 

ANS:  B

Objective: 4. Use cultural assessment skills to design effective primary, secondary, and tertiary interventions for populations, families, and individuals.

1. 564-565

Heading: United States: Cultural Norms and Values > Cultural Competency and Cultural Humility

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Critical Thinking; Promoting Health; Female Reproduction

Difficulty: Difficult

	Feedback
A	When speaking with women about sexual or reproductive health, it should be done somewhere where they feel safe and comfortable. A library may be a little too public or conservative for such a seminar.
B	A nail or hair salon is a great place for these informal and fun seminars. They are locations where women typically feel comfortable going, and they aren’t usually frequented by men. There’s also motivation for women to show up.
C	When speaking with women about sexual or reproductive health, it should be done somewhere where they feel safe and comfortable. A town community center may be a little too public for such a seminar.
D	When speaking with women about sexual or reproductive health, it should be done somewhere where they feel safe and comfortable. A park may be a little too public for such a seminar.

 

 

PTS:   1

CON:  Assessment | Critical Thinking | Promoting Health | Female Reproduction