Keiser NUR3655 Week 3 Quiz

Question 1

A dark-skinned patient completes the health history
questionnaire, which states that he identifies himself as Black American?
According to Giger and Davidhizar’s Transcultural Assessment Model, which
culture group could this patient belong to?

Black,
African American, or “person of color”

Jamaican
or other Caribbean nation of origin

Nigeria
or other African nation of origin

Any of
the above

Question 2

When caring for a patient from the Hispanic/Latino culture,
a nurse would know that the patient respects the nurse’s knowledge and position
by which action?

Shaking
the nurse’s hand

Giving
the nurse a big hug

Avoiding
direct eye contact

Ensuring
direct eye contact

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Question 3

Which of the following cultures views birth control methods
other than rhythm as unacceptable because of their religious Catholic beliefs?

Hispanic

Mexican

Puerto Rican

South American

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Question 4

Which of the following responses might be expected from a
Hispanic/Latino patient in pain?

Verbal and loud ensuring pain medication from the nurse

Stoic, therefore less likely
be to acknowledged by the nurse

Assertively requesting pain medication when needed

Quiet which allows the nurse to ask the patient repeatedly
if they want pain medication

Question 5

The major assumption within traditional African beliefs is
that a person’s health or illness is directly influenced by her or his
___________________ with nature.

Concordance or Discordance

Agreement or Disagreement

Harmony or Disharmony

Balance and Imbalance

Question 6

Blacks Americans in the U.S. experience higher rates of
mortality than any other racial or ethnic group in relation to heart disease,
cancer and cerebrovascular disease. This indicates that _________________.

Blacks
Americans enjoy greater health and fewer healthcare disparities than White
Americans.

Black
Americans suffer more from these problems than White Americans, which indicates
a healthcare disparity.

White
Americans suffer more from unequal access to healthcare resources than Black
Americans.

Black
Americans must engage in unhealthy lifestyles despite a focus on preventative
care.

5 points

Question 7

Racial disparities between the White and Black population
have continued to improve; however, large disparities in ______________ among
the Black population persists.

Infant mortality

Smallpox infection

Influenza mortality

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Question 8

Which of the following languages are spoken by Black
Americans in the United States?

English and various African languages

French

Spanish

All of the above

None, there are no differences

Question 9

A novice nurse assumes care of a patient in which the
medical record section for “race/ethnicity” has been left blank.
Which action by the nurse would be best indicated?

No action is needed as it does not affect the patient’s
care.

Ask the patient how he/she prefers to be identified.

Ask the patient’s physician to avoid offending the patient.

Continue with the routine plan of care because you know that
the social worker will collect this information prior to discharge.

Question 10

The U.S census data reveals remarkable growth of the Black
American population in the United States. This is attributed to:

the birthrate among Blacks who are U.S. citizens.

immigration from Central and South America.

the high birthrate among immigrants from Africa and the
Caribbean.

immigration from Africa, Latin America the Caribbean.

Question 11

Which of the following barriers do Mexican American cultures
experience when utilizing the United States healthcare system?

Lack of access to adequate healthcare insurance

Lack of access or transportation to receive medical
treatment

If Illegal or undocumented, do not quality for Medicare or
Medicaid

All of the above

Question 12

Which of the following is a major obstacle that some Black
Americans believe causes unfair treatment by health care providers?

Religious practices

The way English is spoken

Confrontational communication

Cultural insensitivity

Question 13

A nurse is doing an admission assessment on a patient who
states her illness is a result from a “spell”. The nurse understands that:

convincing the patient that a medical doctor will be able to
treat and cure her will be challenging.

discovering pharmaceutical equivalents of the herbal
remedies the patient normally uses is not readily available on formulary.

finding a Catholic priest on short notice who is willing to
counteract the “hex” will be difficult to find.

determining the correct diagnostic code for “hex” to enter
into the CDC paperwork will be difficult to obtain.

Question 14

Many in the Black American community believe in the use of
folk medicine practitioners instead of Western medicine practitioners because:

folk medicine clinics are more accessible and are cheaper.

there is a perceived increased level of trust and fairness.

it is required by their religious beliefs.

it is recommended by most insurance companies.

Question 15

The Black American culture has a long tradition for the
promotion of health and prevention of illness, which relies on their folk
medicine. As a result, this can lead to a negative consequences including:

Not enough money contributed to the modern healthcare
system.

A delay in seeking treatment with increased severity at
diagnosis

Insufficient disease prevention care

B and C only

Question 16

The number of people living in the U.S. has grown from about
5 million to more than 300 million since the 1800s. At that time Blacks made up
20 percent of the U.S. population however today they make up approximately 13
percent of the total population. From this information we can determine that
the black population:

has stayed the same relative to the overall population but
decreased overall.

has decreased as a percentage of the population but
increased overall.

has increased as a percentage of the population but
decreased overall.

stayed relatively the same as the population has grown.

Question 17

A patient from the Hispanic/Latino culture is anxious and
fearful of upcoming surgery and a possible cancer diagnosis. Applying what you
know about the Hispanic/Latino culture, what nursing considerations do you
recognize for this culture group when implementing a plan of care?

Ask the patient about his/her spiritual or religious beliefs
and incorporate beliefs in plan of care (if not contraindicated).

Avoid family inclusion in the treatment plan, as it will
promote noncompliance of treatment.

Assess the need for pain medication less frequently as
Hispanic/Latinos have a higher pain threshold.

A & C only

Question 18

The largest population of undocumented aliens from
Hispanic/Latinos origin currently living in the United States originate from:

Puerto Rico

Peru

Guatemala

Mexico

Question 19

Which of the following cultures views health and illness
with a synergistic point of view through the continuum of the mind, body and
spirit?

African
American

Hispanic/Latino

White
American

Eastern
European

Question 20

The largest minority group in the United States is:

Asian

Mexican

Latino/Hispanic

African
American

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