NUR 370 CLAS

A nurse provides linguistically appropriate services by:

• Ensuring clients have access to low-cost interpreting services

• Drawing pictures of discharge instructions for those with limited English proficiency

• Ensuring interpreters are trained and competent for health care interpreting

• Encouraging the client's attempts to speak English with their health care provider

A nurse is conducting a training for community health workers about culture. A community health worker demonstrates an accurate understanding of cultural identity by making which of the following statements?

• People primarily identify with only one cultural group, like race/ethnicity or age

• The influence of cultural identity on health decreases as people age

• A person's cultural identity is shaped by numerous experiences that intersect and overlap

• Culture is a single overarching belief that unites all people of the same social group.

A nurse believes that Hispanic clients who place a coin on the umbilicus of a newborn for good fortune are not intelligent. The nurse is lacking which element of cultural competence?

• Cultural humility.

• Cultural knowledge.

• Cultural skill.

• Cultural encounter.

A nurse learns that a client immigrated from mainland China four years ago and now lives and works in Chinatown in Boston. To understand the client's level of acculturation, the nurse will assess:

• Where the client sends their paycheck each week

• The client's type of employment

• The number of relatives who remain in mainland China

• The extent to which the client has adopted American cultural practices

A nurse takes a social justice perspective to advocating for cultural competence in health care. Which argument will the nurse make?

• Culturally competent care reduces health care costs.

• Malpractice lawsuits are lessened when care is culturally competent.

• Culturally competent care is required for accreditation.

• Culturally competent care is ethically important to achieve health equity.

A group of nurses create a guidebook of common cultural values and practices of cultural groups in the local region. How should the nurses use the information in the guidebook in their care?

• To create a client care plan based on cultural practices in the guidebook.

• To identify potential cultural assessment questions for culturally sensitive care.

• To use as a tool to teach clients about their cultural heritage

• To make care decisions based on common cultural practices

A public health nurse is teaching a nursing student about working with interpreters. Which statement made by the student demonstrates accurate understanding of best practices in working with interpreters?

• The nurse should always maintain eye contact with the interpreter.

• The nurse should ask about any side conversations between the client and interpreter.

• A client should be encouraged to bring a trusted friend or family member to interpret.

• The nurse should insist the interpreter use correct medical terminology

Which statement made by a policymaker indicates a need for further education about health literacy?

• People with low health literacy experience greater preventable hospitalizations

• About 90% of the US population has less than proficient health literacy

• People with low health literacy are high consumers of preventive care services

• Younger adults tend to have better health literacy than adults aged 65 and older

A nurse is caring for a Mexican client whose family has set up a small shrine in her hospital room to celebrate the Dia De Los Muertos holiday. Given that there is no harm or medical benefit associated with this practice, which culturally competent nursing intervention should the nurse apply?

• Cultural preservation

• Cultural accommodation

• Cultural repatterning

• Cultural brokering

What is the first step a nurse should take to overcome a cultural conflict with a client?

• Explain the nurse's perception of the problem

• Listen with empathy to the client's perspective

• Recommend treatment options based on the client's cultural values

• Acknowledge and discuss similarities and differences in the nurse's and client's perspectives