Which of the following statements about ethnic minorities in the United States is accurate?
It is estimated that the percentage of ethnic minorities will decrease during the next 30 years
It is estimated that ethnic minorities will increase to one in two by 2050
The increasing population of refugees has been a significant contributor to the increase in ethnic minorities
The increasing population of ethnic minorities has helped decrease the health disparities faced by this population
A person states, “My grandmother is the decision maker in our family.” Which of the following is being described by the person?
Culture
Race
Ethnicity
Values
The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman’s decision to schedule this exam?
Cultural values
Value orientation
Which of the following actions demonstrates a health care professional providing culturally competent care?
Encouraging the person to take medications as prescribed
Asking the person to describe his folk healing methods
Demonstrating the proper way to administer an insulin injection
Assisting the person with discussing his health problems with the family
Which of the following nurses is most likely to provide culturally competent care?
A nurse who recognizes and accepts cultural diversity
A nurse who is knowledgeable in disease-specific epidemiology and treatment efficacy for different population groups
A nurse who provides ethnocentric care in emergency scenarios where time matters
A nurse who assists diverse populations to integrate into the mainstream culture
A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?
You should have told me that the current treatments were helping your pain
Tell me more about your treatments from the acupuncturist
Tell me why you decided not to continue with your treatment plan
You should not be seeing an acupuncturist while receiving professional care
When providing an educational session about the Arab American population, which of the following information would be included?
The largest groups of Arab Americans were refugees in the 1960s
The largest groups of Arab Americans are from Palestine and Iraq
Members of the Arab American population are most likely to live in rural communities
Members of the Arab American population are more likely to have college degrees than Americans at large
A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
This ethnic culture tends to be future oriented
Religion plays an important role in this culture
Traditional cultural practices are infrequently used during a health crisis
Members of this culture tend to have smaller families
A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
Provide instructions to the child’s father
Encourage the parents to bring other siblings into the clinic for screening.
Schedule multiple educational sessions for the child and family.
Watch for nonverbal gestures by the adults to indicate understanding
An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?
The child will get a good education
According to law, all children must go to school.
The child can get health care at school
Exposure to different cultures in school will enhance socialization
Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
Asian American and Pacific Islanders
Arab American
Hispanic American
Native American
The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by
lack of access to preventive health care services
low numbers of minority health care providers.
the practice of folk medicine
increased infant mortality rates in African American populations
A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?
The church is the only place where prayer can be performed.
The church serves as a social support for its members
The church is the place where the family meets on a weekly basis
The church serves as a site for folk healing practices
Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?
American Indian/Alaska Native Americans
Asian Americans
Latino/Hispanic Americans
Black/African Americans
A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation?
Hispanic Americans value keeping balance and harmony with the earth
The oldest male is the decision maker in African American families.
Native Americans are present oriented, taking one day at a time
The hot and cold concept of disease is part of the Arabic-American culture
A family has recently become homeless. Which of the following factors most likely contributed to this situation?
Being from an ethnic minority background
Declining rates of poverty
Having multiple chronic illnesses
Being unable to find affordable housing
A health care professional is caring for an individual who is homeless. Which of the following considerations should be made?
The prevalence of substance abuse is much lower among the homeless population than the general population
The prevalence of HIV/AIDS is much lower among the homeless population than the general population
The percentage of the population who has health insurance is much lower among the homeless than the general population
The percentage of the population who has limited access to medical care is much lower among the homeless than the general population
A health care professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care?
Considering the cost of the purchasing medications
Determining the pharmacy where medications will be obtained
Obtaining insurance that will pay for the follow-up care
Finding supportive housing for the individual
A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional?
Homelessness should be addressed by improving financial assistance programs.
Homelessness should be of concern to everyone in the neighborhood
Homelessness should be addressed by encouraging job growth in the area
Homelessness should be of concern to major retailers and commerce in the area
What is the main focus of the National Institutes of Health (NIH)?
Addressing and reducing health disparities
Outlining nationwide health promotion and disease prevention
Protecting minority populations through development of health policies
Supporting communities in addressing health disparities
A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative?
The National Institute on Minority Health and Health Disparities
The Centers for Disease Control and Prevention
The Office of Minority Health
The National Institutes of Health
Which of the following best demonstrates the practice of transcultural nursing?
Using previous knowledge about ethnic minority cultures to plan care
Adapting nursing care to meet the need of a person from an ethnic minority
Requesting an interpreter when caring for a person from an ethnic minority
Attending a presentation about cultural diversity
A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement?
The care recipient will have adverse complications from using this form of medicine
The care recipient may be using meditation, acupuncture, or another therapy
The care recipient will soon be returning to his or her native country for further treatment
The care recipient does not agree with the current professional care medication regimen
A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience?
Improved coping skills and social support
Increased understanding of religious differences
Decreased pain and improved healing
Decreased use of Western medicine
Which of the following individuals will most likely experience a disparity in health and health care? (Select all that apply.)
African American man
Unemployed woman
White middle-aged man
Single white woman
A health care professional is providing culturally competent care. Which of the following actions is being performed by the professional? (Select all that apply.)
Recognizing and accepting cultural diversity
Respecting the patient’s values, beliefs, and expectations
Understanding the pathophysiology of disease processes
Providing health care services that are respectful of the individual’s cultural beliefs
A health care provider is discussing the importance of receiving routine preventive care with a Hispanic family who has recently immigrated to the United States. Which of the following would best describe why they may be disinterested in receiving professional care? (Select all that apply.)
Lack of folk remedies
Lack of interpreter services
Lack of health insurance
Lack of family support
A nurse is developing a continuing education program about strategies to work with culturally diverse populations for health care professionals in the community. Which of the following organizations would provide information that could be included in this presentation? (Select all that apply.)
The American Nurses Association
Sigma Theta Tau International
The National League for Nursing
The American Association of Colleges of Nursing
