1. One of the results of the 2005 Hurricanes Katrina and Rita in Louisiana has been an increase in the influx of Spanish-speaking workers. Incorporating cultural and linguistic competence to meet the health needs of this population would include
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a. having health care professional staff from different Spanish-speaking countries at health care facilities.
b. ensuring health services are in varying locations.
c. ensuring that all signage is posted completely in Spanish.
d. having all health care workers speak Spanish.
2. A mechanism health care organizations need to incorporate into their strategic plan for culturally and linguistically appropriate services includes
a. goals, policies, accountability and oversight mechanisms addressing these services.
b. partnerships with community agencies.
c. mechanisms for client service reimbursement.
d. staff con? ict resolution policies.
3. Kwanzaa was created in the 1960s to raise awareness and pride for the African- American community. While its tenets can be applied to all people, this particular celebration was developed to celebrate a specific
a. social class.
d. cultural group.
4. Parish Nursing is an aspect of nursing that is becoming more utilized. One of the bases of parish nursing is the premise that
a. it is easier to provide health services to a de? ned religious community.
b. a faith community has an impact on the health of its members.
c. illness is prevented through parish nursing.
d. members of a religion follow de? ned health practices.
5. After the Vietnam War, many Vietnamese immigrated to the United States and settled in areas where they could maintain many of the cultural customs and traditions of Vietnam, including festivals, Saturday schools to educate the children in the Vietnamese language and planting communal gardens. This is an example of
a. heritage consistency.
d. religious preference.
6. A seminal event in the boomer generation that can still elicit comment today is the question
a. ”How did the Challenger tragedy affect you?”
b. ”Where were you when John F. Kennedy was shot?”
c. ”Do you remember Pearl Harbor?”
d. ”What were you doing on September 11, 2001?”
7. A complaint of the boomer generation about the following generations regards work ethic. The “nester” generation born between 1979 and 1984 is more likely to embrace an ethic
a. of employer loyalty.
b. seeking to fit their lifestyle.
c. seeking maximum financial gain.
d. loyal to one’s skills in the marketplace.
8. The best outcome for health care facilities incorporating cultural care into their practices is
a. increased numbers of clients seeking care at these facilities.
b. improved health outcomes for the clients at these facilities.
c. better health care provided by the facility’s staff.
d. increased reimbursement by insurance companies for provided health services.
9. An important consideration when making a home health visit to a client is to:
a. give a general idea of when the visit will be made.
b. bring a gift to the client’s home on the initial visit.
c. just show up at the client’s home.
d. inform the client the approximate time the visit will be made.
10. Certain cultures place emphasis on eating speci? c foods during pregnancy and after childbirth to ensure a healthy mother and infant. This cultural phenomena is an example of
a. time orientation.
b. environmental control.
c. biological variation.
d. social organization.
11. Touch is an important component of nursing, but using it without understanding the client’s cultural background can be a violation of their
a. social organization.
b. environmental control.
c. space and territoriality.
d. time orientation.
12. Before doing any teaching it is important the client understands what is being taught. The most effective method to determine if the client understands any health teaching is by
a. ask the client if they understand what was said in the teaching.
b. speaking slowly and carefully to the client.
c. having the client repeat back what was said in his/her own words.
d. interpreting the client’s facial gestures.
13. Native Americans have a higher susceptibility to diabetes than other population groups within the United States. This is considered a(n)
a. biological variation.
b. component of heritage consistency.
c. social organization pattern.
d. environmental control.
14. While the Census Bureau has placed race as a sociopolitical construct, placing oneself into a racial category can still present a challenge. Those who consider themselves “Creole” would be more likely to place themselves into the category labeled
c. Black or African American.
d. Hispanic or Latino.
15. While shifts in the population profile are occurring, what is an important consideration to address in health care?
a. More physicians need to be trained to deliver health care.
b. Cultural health needs of varying groups must be considered.
c. Health care providers need to be younger to care for an aging population.
d. Health care needs to be streamlined for consistent care delivery.6
16. With the percentage of the 65+ population greatest among White non-Hispanics in the 2000 Census, health planning needs would indicate
a. there is no need to increase manufacture of childhood immunizations.
b. cultural accommodations for other minority groups can be decreased.
c. planning needs for other segments of the population can be revised downwards.
d. this population will have greater demands on the health care system as they age.
17. Twelve percent of the population in 2000 was age 65 or over. Long-term implications for health for this group include
a. developing systems to provide health care only to those older citizens who remain healthy.
b. providing health care that is focused on gerontological needs.
c. providing health insurance for all age groups.
d. developing medications to prolong life at any cost.
18. A hurdle immigrants face coming to a new country is
a. rejecting their old customs in favor of new customs.
b. having their children learn the customs of the new country.
c. finding their own cultural group in the new country.
d. learning a new way of life that differs from their former way of life.
19. In 1970, the highest percentage of foreign-born legal permanent residents becoming citizens came from Europe. What is true today? The majority of foreign-born legal permanent residents are from
b. Mexico, China, and the Philippines.
d. South America.
20. Many people who come to the United States to live seek to get a “green card.” The green card
a. confers automatic U.S. citizenship.
b. legally restricts the holder from becoming a citizen.
c. defines the person as being in the country unlawfully.
d. allows the person legal permanent residency.
21. When seeking permanent U.S. citizenship, legal permanent residents take a naturalization exam that questions them on
a. knowing the Pledge of Allegiance.
b. being able to recite or sing the national anthem.
c. elements of the U.S. government.
d. the Congressional district they live in.
22. Among the very real concerns for all residents of the United States, citizens and legal permanent residents, is the rise in undocumented people entering the country. What impact is this having on health care?
a. Increased numbers of undocumented people are straining health care resources.
b. The rise in undocumented people is contributing to the rise in exotic and rare diseases in the country.
c. There is a concern that undocumented people will lead to bioterrorist attacks.
d. Health insurance is being given to all people in the country ensuring universal coverage.
23. One recognized deterrent to poverty is
a. the presence of two parents in a family structure.
b. not needing to have housing assistance.
c. not needing to utilize food stamps.
d. living in a household of a male income earner.
24. While income is not a restrictor for engaging in health-promoting behaviors, higher income improves them through
a. living in better housing.
b. membership in health clubs in suburban areas.
c. increasing opportunities through nutrition and access to facilities.
d. access to better jobs.
25. Many people and groups have provided definitions of health, but the most widely used definition is that from
c. Murray and Zenter.
d. WHO (World Health Organization
26. As people progress through a health profession education program, definitions of health become
a. easier to explain to others.
b. aligned with the client seeking care.
c. more abstract and technical.
d. well articulated and understandable.
27. In attempting to define health, what can occur?
a. Listing categories of health will enable understanding of health.
b. Ambiguity is resolved when health definitions are discussed.
c. Terms and meanings can be challenged by others.
d. A full acceptance can be achieved by all parties.
28. Health status and determinants are used to
a. account for health care expenditures.
b. enforce legislation pertaining to health.
c. determine federal dietary guidelines.
d. measure the health of a nation.
29. Healthy People 2010 represents
a. health policies providing monetary incentives to states who reach the benchmark goals by 2010.
b. a plan to improve the health of everyone in the United States in the ? rst decade of this century.
c. mandated legislation that will result in a healthier population by 2010.
d. a monitoring system evaluating the health of all citizens.
30. As with the many variant definitions of health, illness also has many meanings. Illness and the sick role assigned to it are legitimized by
a. the insurance company that pays for the illness treatment.
b. the person having the illness.
c. the health care profession that diagnoses the illness.
d. society’s view of the illness.
31. Among the sick role components is the
a. mandate of appearing ill and suffering from the illness.
b. necessity of taking medications and staying in bed.
c. exemption from performance of certain normal social obligations.
d. refusal to look to other sources of health care treatments beyond those prescribed.
32. During the stage of patient status, it is expected that
a. symptoms are being experienced, leading to a diagnosis.
b. the patient do all they can do to recover from their illness.
c. the illness is now socially recognized and identified.
d. the person shifts into the role as it is determined by society.
33. Assuming the sick role according to Suchman means the person
a. is aware that something is wrong and responds emotionally.
b. seeks scientific confirrmation that something is wrong.
c. seeks help and shares the problem with family and friends.
d. goes under the control of a physician who plans a treatment of care.
34. A person who has cancer may have followed this illness trajectory:
a. presenting symptoms, followed by treatment and recovery.
b. acute illness, unstable status, deterioration, and recovery.
c. diagnosis, treatment, unstable status, death.
d. presenting symptoms, followed by diagnosis and treatment.
35. When Suchman divides the illness experience into its various stages, the medical care contact stage implies the person is
a. cognitively and physically aware that something is wrong.
b. under medical control and following a prescribed treatment protocol.
c. seeking scientific c rather than lay diagnosis in order to interpret what it all means.
d. seeking help and information from family and friends. 10
36. While HEALTH is considered a balance of the person, ILLNESS would be considered
a. the imbalance of one’s being in and outside the world.
b. actual symptomatology physically manifested.
c. part of the human condition that all must experience.
d. the absence of elements that contribute to health.