Davis Advantage for Maternal Child Nursing Care 3rd Edition Scannell Test Bank
Chapter 1: Core Concepts of Maternal and Pediatric Health Care Across the
Continuum
MULTIPLE CHOICE
- A nurse wishes to improve their cultural sensitivity while working with patients. Which action
- Demonstrate good knowledge of different cultural health beliefs
- Effectively respond to the needs of people of different cultures
- Interact respectfully with patients who have differing health beliefs
- Recognize that they will never be the expert in other cultures
by the nurse would best indicate progress toward this goal?
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum
Objective: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
- Cultural competence is the ability to interact effectively with people of different
- Cultural competence is the ability to interact effectively with people of different
- Cultural sensitivity is a way of approaching people who hold health beliefs different
- Cultural humility is the recognition that one will never master all information about
cultures and requires a certain level of knowledge about those cultures.
cultures and requires a certain level of knowledge about those cultures.
from one’s own. A nurse with this characteristic is respectful of and open to others.
another culture.
- A nurse manager is evaluating staff members on their cultural competence. Which action best
- Attends workshops on cultural diversity and health practices
- Participates in community health events with minority populations
- Plans care with the family members within their cultural beliefs
- Uses family members as interpreters to make them feel important 1 / 4
demonstrates this characteristic?
ANS: C
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum
Objective: #.
Page: 16
Heading: Table 1.2 Strategies and Measures to Improve Maternal Health
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Evaluation [Evaluating]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
- Attending workshops is a good way to learn about diverse cultures, but this action is
- Participating in community events with diverse populations can increase cultural
- The culturally sensitive nurse can understand and respond to the needs of
- Nurses should use professional interpreters when needed.
too limited in scope to demonstrate cultural competence.
knowledge, but this action is too limited in scope to demonstrate cultural competence.
individuals and families from different cultures. This nurse plans interventions with a solid knowledge of the values and practices of the members of the culture. Being open, listening to the family, and involving them in care demonstrates respect, unifies the nurse–patient relationship, and will motivate the patient (and family) to make positive health changes.
- A patient wishes to use complementary therapy when managing a chronic health condition.
- Advise the patient that stopping medical treatment may cause it to worsen.
- Inform the patient that there are no complementary therapies for this condition.
- Investigate herbs that can be substituted for prescription drugs.
- Suggest the patient add massage therapy to the medical regimen.
Which action by the nurse is most appropriate?
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing] 2 / 4
Concept: Promoting Health
Difficulty: Moderate
Feedback
- Because the patient is asking about complementary therapy, there is no need to
- There are always complementary therapies that can be added to a medical regimen.
- Substituting herbs for prescription medication is an example of alternative therapy.
- Complementary therapy is nontraditional medical treatment used together with
warn them of the effects of stopping treatment.
conventional medical treatment. Adding massage to the medical regimen is an ex- ample of using complementary therapy.
- A nurse is working with a family that uses multiple complementary and alternative medicine
- Allow the family to continue these practices as desired.
- Assess how these practices reflect religious beliefs.
- Inform the family that most of these practices do not work.
- Provide evidence-based information about the therapies.
(CAM) modalities. What action by the nurse is best?
ANS: D
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum
Objective: #.
Page: 18
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Family; Promoting Health
Difficulty: Moderate
Feedback
- Although the nurse cannot stop the family from using CAM, they should not pass
- A culturally competent nurse will assess how religious and spiritual beliefs affect
- Many CAM practices have demonstrated benefit, so telling the family they don’t
- The nurse working with individuals or families who use CAM practices should
up the opportunity to provide and discuss information about CAM.
health-care practices, but the nurse needs to advocate for the patient/family by providing solid information.
work is false information.
respect the beliefs, values, and desires of the patient. The nurse should encourage families to make decisions regarding CAM practices based on evidence and research into their effects. The nurse can best assist in this by providing and 3 / 4
discussing information.
- A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar. What
- Call for a professional interpreter to translate information.
- Pattern voice tone and eye contact after the patient’s behaviors.
- Talk slowly and deliberately using simple language and cues.
- Use nonverbal communication as much as possible with the patient.
action by the nurse will best promote effective communication?
ANS: B
Chapter: Chapter 1 Core Concepts of Maternal and Pediatric Health Care Across the Contin- uum
Objective: #.
Page: 13
Heading: Cultural Practices
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Diversity; Critical Thinking
Difficulty: Difficult
Feedback
- There is no indication that this patient does not speak English, so using an
- In the situation where the nurse is unfamiliar with the patient’s culture, the nurse
- There is no indication that this patient does not speak English, so talking slowly
- There is no indication that this patient does not speak English, so using mostly
interpreter is inappropriate.
should pattern verbal and nonverbal communication after the patient’s own style.
using simple language is inappropriate.
nonverbal communication is inappropriate.
- A nurse manager expects all employees to be patient advocates. Which nursing action best
- Arranging a family–physician conference to clarify treatment plans
- Encouraging treatment options based on personal beliefs and values
- Giving contact information for governmental assistance agencies
- Working on a political campaign to reduce poverty in the state
- / 4
demonstrates this nursing role?