Nurse as an advocate for providing cultural competent care

Question 1 The nurse is disappointed with not being able to provide educational materials in a non-English-speaking patient’s primary language.What can the nurse do to serve as an advocate when providing  culturally competent care?

1. Find or create materials to meet the patients’ needs.
2. Teach the patient in English.
3. Provide educational materials written in English.
4. Ask the physician to talk with the patient.

Question 2 A patient from a non-English-speaking culture comes into the health clinic seeking care. The nurse is unable to determine the patient’s primary language. What should the nurse do?

1. Notify Security

2. Encourage the patient to seek care elsewhere

3. Ask for help to determine the patient’s primary language

4. Contact a homeless shelter

Question 3 A health care organization provides care to individuals of whom 75% are from non-English-speaking cultures. When determining the languages to represent within the organization, on which will the organization focus?

Select all that apply.

1. Spanish

2. Chinese

3. French

4. German

5. Arabic

Question 4 The staff development instructor is planning a seminar that focuses on the variables leading to generational conflict. What will the instructor include in this content?

Select all that apply.

1. Decade of birth

2. Generation in the United States

3. Class

4. Language

5. Socialization

Question 5 The nurse is planning care for a group of patients from different cultural backgrounds. What aspects of the nurse will impact how the patients access and respond to health care services?

Select all that apply.

1. Cultural background

2. Heritage

3. Language

4. Role

5. Age

Question 6 The staff development educator is analyzing ways to incorporate cultural competency concepts in continuing education programs. How will the educator explain the concept of cultural competency to staff?

1. Philosophy

2. Condition

3. Theory

4. Fad

Question 7 A health care organization is planning continuing education for all staff on culturally and linguistically appropriate service delivery.Which category of culturally and linguistically appropriate services  in health care will this action support?

1. Fundamentals of culturally competent care

2. Speaking of culturally competent care

3. Structuring culturally competent care

4. Manage the dynamics of difference

Question 8 When a health care provider takes the time to learn the underlying background of a patient to provide the best possible health care, which type of cultural care is being provided?

1. Appropriate

2. Sensitive

3. Designated

4. Competent

Question 9 The Department of Nursing with a health care organization is planning steps that reflect the Joint Commission’s recommendations for cultural competence. What will the nursing department include in these steps?

Select all that apply.

1. Value diversity

2. Assess themselves

3. Manage difference

4. Acquire cultural knowledge

5. Hire staff from different cultures

Question 10 The staff nurse is identifying ways to communicate care needs for a patient from a non-English-speaking culture. How will the nurse use the tool within the Joint Commission monograph roadmap for hospitals to help with this need?

Select all that apply.

1. Access a checklist to use during the admission process.

2. Follow the steps in the assessment checklist.

3. Review the points during the phases of treatment.

4. Identify all of the steps needed for discharge.

5. Recognize ways to adapt to the patient’s culture.

Question 11 The nurse is planning care to address health care needs for a non-English-speaking patient and family. What would the nurse use as a guide for this care?

1. Checklist

2. Standardized care plan

3. Nursing textbook

4. Care map

Question 12 A health care organization is incorporating culturally and linguistically appropriate services into the strategic plan. In which areas of the plan will these services be reflected?

Select all that apply.

1. Goals

2. Policies

3. Operational plans

4. Management accountability

5. Internal audits

Question 13 The health care organization has made a conscious effort to provide linguistically appropriate services to its predominantly Hispanic population, incorporating within its staff members from different Spanish-speaking countries of Latin America. Which cultural care concept is this organization implementing?

1. Language proficiency

2. Cultural competence

3. Cultural sensitivity

4. Cultural appropriateness

Question 14 Which behavior of a health care provider exemplifies culturally competent care?

1. Delivering care that demonstrates understanding and application to the patient’s situation

2. Speaking the patient’s language.

3. Understanding some health traditions of the patient.

4. Knowledgeable of the patient’s cultural background.

Question 15 The nurse is planning the care for a patient from a non-English-speaking culture. Which terms would the nurse use that reflect cultural care?

Select all that apply.

1. Literacy

2. Refugee

3. Silence

4. Sacred times

5. Surgery

Question 16 The nurse is unable to locate an interpreter to support a patient from a non-English-speaking culture. The patient asks a family member to interpret for the staff. What would the nurse do to ensure culturally and linguistically appropriate services for this patient?

1. Use the family member as an interpreter until a non–family member can be located.

2. Write the questions down for the patient to answer.

3. Do nothing until an interpreter can be located.

4. Use sign language.

Question 17 The nurse practitioner is ensuring that an adequate amount of educational materials are printed in languages that reflect the patient population. What are the reasons for this health care provider treating a more diverse patient population?

Select all that apply.

1. Demographic changes

2. Participation in insurance programs

3. Reflects the nurse practitioner’s cultural background

4. The nurse practitioner is from a minority group.

5. The educational materials will teach the patient how to be healthy or ill.

Question 18 The nurse is completing a survey that includes questions about different aspects of cultural competence. What is the purpose of this survey?

1. Assessment of cultural competence

2. Manage the dynamics of difference

3. Value diversity

4. Institutionalize cultural knowledge

Question 19 Unlicensed assistive personnel (UAP) ask the nurse to explain the difference between cultural care and other types of care. What would the nurse say in response to the UAP?

1. It is holistic.

2. It is a fad.

3. It focuses on scientific theory.

4. It is a belief system.

Question 20 Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members?

1. Hire professional staff from different Spanish-speaking countries.
2. Ensure that all health care workers speak Spanish.
3. Ensure that all signage is posted in Spanish as well as English.
4. Ensure health services are in varying locations.