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Cultural Diversity in Health and Illness 8th Edition Spector Test Bank

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Cultural Diversity in Health and Illness 8th Edition Spector Test Bank

ISBN-13: 978-0132840064

ISBN-10: 0132840065

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Cultural Diversity in Health and Illness 8th Edition Spector Test Bank

ISBN-13: 978-0132840064

ISBN-10: 0132840065

 

 

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Free Nursing Test Questions:

 

Spector Cultural Diversity in Health and Illness, 8/E
Chapter 11

Question 1

Type: MCSA

What is the geographic origin of the majority of African Americans?

  1. West coast of Africa
  2. African interior
  3. Southern coast of Africa
  4. East coast of Africa

Correct Answer: 1

Rationale 1: The majority of African Americans have their ancestral roots on the west coast of Africa.

Rationale 2: The African interior was not an ancestral homeland for the present African American population.

Rationale 3: The southern coast of Africa was not a major ancestral homeland for the present African American population.

Rationale 4: The east coast of Africa was not the majority area for the present African American population.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO01 – Discuss the background of members of the Black population.

 

Question 2

Type: MCSA

What information about the socioeconomic status of Black Americans would the nurse keep in mind when discussing a Black patient’s home care needs after discharge from the hospital?

  1. A little over one-quarter of Black Americans live in poverty.
  2. About 20% of Black Americans live in poverty.
  3. About 30% of Black Americans live in poverty.
  4. About 50% of Black Americans live in poverty.

Correct Answer: 1

Rationale 1: Approximately 27.1% of the Black population lived in poverty in 2010.

Rationale 2: Approximately 27.1% of the Black population lived in poverty in 2010.

Rationale 3: Approximately 27.1% of the Black population lived in poverty in 2010.

Rationale 4: Over 50% of Black Americans live in urban areas surrounded by poverty, but in 2010, the proportion of those actually living in poverty was 27.1%.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO01 – Discuss the background of members of the Black population.

 

Question 3

Type: MCSA

From which area of Africa are immigrants that represent the group with the highest rate of US naturalization?

  1. Nigeria
  2. Sudan
  3. Somalia
  4. Niger

Correct Answer: 1

Rationale 1: Immigrants from Nigeria have the highest rate of US naturalization.

Rationale 2: Sudanese have the lowest rate of US naturalization among immigrants from Somalia, Nigeria, and Sudan.

Rationale 3: Among immigrants from NigeriaRemember,malia, and SudanRemember,malis have the second highest rate of US naturalization.

Rationale 4: US naturalization rates for immigrants from Niger as compared to immigrants from NigeriaRemember,malia, and Sudan are not known.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO02 – Discuss the demographic and new immigrant profiles of members of the Black population.

 

Question 4

Type: MCSA

What is a traditional Black belief regarding HEALTH?

  1. The mind, body, and spirit are not separated
  2. Health represents energy forces
  3. Represents a process rather than a state
  4. Believed to be influenced by ancestors

Correct Answer: 1

Rationale 1: HEALTH is a harmonious state with nature that does not separate the mind, body, and spirit.

Rationale 2: The nature of a person is viewed in terms of energy force rather than matter, but is not HEALTH.

Rationale 3: Life is a process rather than a state, but this does not define HEALTH.

Rationale 4: All things in the African belief influence one another, but key belief regarding HEALTH.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO03 – Describe the traditional definitions of HEALTH and ILLNESS of members of the Black population.

 

Question 5

Type: MCSA

Which is considered a traditional Black belief about illness?

  1. A state of disharmony
  2. A separation of body, mind, and spirit
  3. An alteration in the energy force
  4. Evil ancestral influence on the person

Correct Answer: 1

Rationale 1: A traditional Black belief about ILLNESS is that it is a state of disharmony with nature.

Rationale 2: A traditional Black belief about ILLNESS does not differentiate between body, mind, and spirit.

Rationale 3: Altering the energy force is not a traditional Black belief about ILLNESS.

Rationale 4: Ancestral influences are not considered a traditional Black belief about ILLNESS.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO03 – Describe the traditional definitions of HEALTH and ILLNESS of members of the Black population.

 

Question 6

Type: MCMA

A patient who is from the Black American culture recalls stories about a healer who was consulted for health problems. What are characteristics of the traditional Black healer?

Standard Text: Select all that apply.

  1. Female
  2. Used herbs and roots to treat illnesses
  3. Practiced voodoo if followed folk medicine approaches
  4. Taught patients to limit the intake of food when ill
  5. Reminded patients to limit the use of laxatives

Correct Answer: 1,2,3

Rationale 1: The traditional Black healer was female.

Rationale 2: The traditional Black healer used herbs and roots to treat illnesses.

Rationale 3: If the traditional Black healer followed folk medicine approaches, voodoo might be practiced.

Rationale 4: The traditional Black healer did not teach patients to limit the intake of food when ill. A traditional Black belief about health maintenance is the regular intake of three nutritious meals each day.

Rationale 5: The traditional Black healer did not teach patients to limit the use of laxatives, since a traditional Black belief about health maintenance is the regular use of laxatives to keep the system open.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO03 – Describe the traditional definitions of HEALTH and ILLNESS of members of the Black population.

 

Question 7

Type: MCSA

What is an important component to protect HEALTH for the Black community?

  1. Eating three nutritious meals each day, including a hot breakfast
  2. Drinking hot tea when feeling ill
  3. Drinking orange juice every day
  4. Eating two small meals each day, but have a large dinner

Correct Answer: 1

Rationale 1: HEALTH is maintained with proper diet such as eating three nutritious meals each day, including a hot breakfast.

Rationale 2: Drinking hot tea is not a specific HEALTH protection practice for the Black community.

Rationale 3: Drinking orange juice is not a specific HEALTH protection practice for the Black community.

Rationale 4: Three nutritious meals are to be eaten each day, but the proportion and amount are not specified.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO04 – Describe the traditional methods of HEALTH maintenance and protection of selected communities of the Black population.

 

Question 8

Type: MCSA

Which health maintenance practice would a patient from the Black culture use to keep the system “open”?

  1. Take laxatives.
  2. Have massages.
  3. Participate in rooting and prayer.
  4. Wear amulets.

Correct Answer: 1

Rationale 1: Keeping a system “running” or open is an important component of maintaining HEALTH through laxatives.

Rationale 2: Massage is not part of the Black tradition for maintaining HEALTH.

Rationale 3: Rooting and prayer are elements of HEALTH restoration, not protection.

Rationale 4: Wearing amulets is not a HEALTH maintenance practice.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO04 – Describe the traditional methods of HEALTH maintenance and protection of selected communities of the Black population.

 

Question 9

Type: MCMA

The nurse is caring for an older patient of the Black culture. When assessing this patient, what will the nurse identify as traditional Black health protection practices?

Standard Text: Select all that apply.

  1. Ingesting cod liver oil
  2. Avoiding physicians
  3. Wearing copper or silver bracelets
  4. Taking an aspirin a day
  5. Eating chicken soup when ill

Correct Answer: 1,2,3

Rationale 1: In traditional Black culture, cod liver oil is taken to prevent colds.

Rationale 2: In traditional Black culture, a physician is not consulted routinely and is not generally regarded as the person to whom one goes for the prevention of disease.

Rationale 3: Copper or silver bracelets are believed to protect the wearer and indicate when the wearer is about to become ill.

Rationale 4: Taking an aspirin a day is not a traditional Black culture health protection activity.

Rationale 5: Eating chicken soup when ill is not a traditional Black culture health protection activity.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO04 – Describe the traditional methods of HEALTH maintenance and protection of selected communities of the Black population.

 

Question 10

Type: MCSA

Which is a preparation used in the spring of each year by individuals of the Black culture to protect HEALTH?

  1. Rubbing a sulfur and molasses preparation on the back
  2. Wearing asafetida around the neck
  3. Drinking blackstrap molasses
  4. Drinking cod liver oil weekly

Correct Answer: 1

Rationale 1: A sulfur and molasses preparation is rubbed up and down the back in the spring when it is felt people are more susceptible to illness.

Rationale 2: Asafetida is worn around the neck to prevent the contraction of contagious diseases.

Rationale 3: Blackstrap molasses is not among the HEALTH protection practices.

Rationale 4: Cod liver oil is taken to prevent colds, but is not restricted to the spring season.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO04 – Describe the traditional methods of HEALTH maintenance and protection of selected communities of the Black population.

 

Question 11

Type: MCMA

A patient from the Black culture recalls a family member making poultices to treat various illnesses. Which items would be used to create these poultices?

Standard Text: Select all that apply.

  1. Potatoes
  2. Cornmeal and peach leaves
  3. Onions
  4. Flaxseed
  5. Garlic

Correct Answer: 1,2,3,4

Rationale 1: It was believed that a potato poultice would destroy infections because as the potatoes mold, they produce penicillin.

Rationale 2: It was believed that when cornmeal and peach leaves ferment, an antiseptic is produced to destroy bacteria.

Rationale 3: It was believed that an onion poultice would heal infections.

Rationale 4: It was believed that a flaxseed poultice would treat an earache.

Rationale 5: Garlic is not identified as an item used to create a poultice in the Black culture.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 12

Type: MCSA

During a home visit with a patient from the Black culture, the patient’s older family member is preparing items to help with chest congestion. What is the older family member preparing?

  1. Hot camphorated oil and warm flannel
  2. Salt pork
  3. Raw onions
  4. Sugar and turpentine

Correct Answer: 1

Rationale 1: Hot camphorated oil is rubbed on the chest and covered with a warm flannel to relieve congestion.

Rationale 2: Salt pork is placed on a rag for treating cuts and wounds.

Rationale 3: Raw onions are used to break a fever.

Rationale 4: Ingesting sugar and turpentine is used to cure worms.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 13

Type: MCSA

How would a patient from the Black culture treat poison ivy?

  1. Sprinkling crushed bluestone powder on the affected area
  2. Placing a mixture of garlic, onions, and parsley on the site
  3. Placing clay in a dark leaf over the affected area
  4. Rubbing Vicks Vaporub on the area

Correct Answer: 1

Rationale 1: Bluestone is a mineral that, when crushed into a powder and sprinkled on the affected area, can prevent inflammation and poison ivy.

Rationale 2: Garlic, onions, and parsley are used as an expectorant for colds.

Rationale 3: Clay in a dark leaf is a treatment for a sprained ankle.

Rationale 4: Vicks Vaporub is used to treat colds and congestion.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 14

Type: MCMA

In the Black culture, what would be used to treat colds?

Standard Text: Select all that apply.

  1. Sassafras tea
  2. Hot lemon water with honey
  3. Hot toddy made of tea, honey, lemon, peppermint, and alcohol
  4. Garlic
  5. Nine drops of turpentine

Correct Answer: 1,2,3

Rationale 1: Sassafras tea is frequently used to treat colds in the Black culture.

Rationale 2: Hot lemon water with honey is frequently used to treat colds in the Black culture.

Rationale 3: Hot toddies are used to treat colds in the Black community.

Rationale 4: Garlic is not used to treat colds in the Black community. Garlic may be used as an expectorant for chest congestion or to place on an ill person to remove evil spirits.

Rationale 5: Nine drops of turpentine are believed to be a contraceptive after intercourse in the Black community and not used to treat a cold.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 15

Type: MCSA

Why are folk remedies still used today in the Black community?

  1. Tradition of quality care and treatment by healers
  2. Acknowledgement of the African heritage
  3. Rituals associated with folk remedies
  4. Close proximity of hospitals in the community

Correct Answer: 1

Rationale 1: Folk medicine practitioners have a tradition of quality care and fair treatment of patients, which accounts for the faith placed in these practices.

Rationale 2: Folk remedies are not used as an acknowledgement of African heritage.

Rationale 3: Rituals are not associated with folk remedies.

Rationale 4: Hospital location does not impact the use of folk remedies in members of the Black community who are close or not close to hospitals.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 16

Type: MCMA

A patient of the Black culture tells the nurse about family members in Louisiana who practice voodoo and prepare gris-gris. What are examples of good gris-gris?

Standard Text: Select all that apply.

  1. Love powder
  2. Love oil
  3. Luck water
  4. Flying devil oil
  5. Black cat oil

Correct Answer: 1,2,3

Rationale 1: Love powder is a good gris-gris and is made with powder scented with perfume.

Rationale 2: Love oil is a good gris-gris and is made from olive oil and gardenia perfume.

Rationale 3: Luck water is good gris-gris and is made from ordinary water that is colored for a specific need, such as red, yellow, or blue.

Rationale 4: Flying devil oil is not good gris-gris and is made from olive oil with red coloring and cayenne pepper.

Rationale 5: Black cat oil is not good gris-gris and is made from machine oil.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 17

Type: MCMA

While in the home of a patient from the Black culture, the nurse notes the presence of many pictures of saints along one area of the living room wall. Recalling the practice of voodoo, which saints would be represented?

Standard Text: Select all that apply.

  1. Saint Michael
  2. Saint Anthony de Padua
  3. Saint Mary Magdalene
  4. The Virgin Mary
  5. Saint Gabriel

Correct Answer: 1,2,3,4

Rationale 1: Saint Michael is believed to assist in the conquest of enemies.

Rationale 2: Saint Anthony de Padua is believed to bring luck.

Rationale 3: Saint Mary Magdalene is believed to support love.

Rationale 4: The Virgin Mary is believed to prevent illness.

Rationale 5: Saint Gabriel is not identified as a saint with particular significance in those who follow or practice voodoo.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 18

Type: MCSA

What would be a benefit of following the African food tradition of geophagy?

  1. Red clay is rich in iron.
  2. Pica is an accepted cultural practice.
  3. Dirt is high in calcium.
  4. Starch is sweet and dry.

Correct Answer: 1

Rationale 1: Red clay is rich in iron and eating it actually has a beneficial nutritional effect.

Rationale 2: Pica is not an accepted cultural practice, though it continues today.

Rationale 3: Dirt is not high in calcium.

Rationale 4: Starch is sweet and dry, but has no nutritional benefit.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO05 – Describe the traditional methods of HEALING of selected communities of the Black population.

 

Question 19

Type: MCSA

For which reasons might a patient of the Black culture and of the Muslin religion refuse insulin to treat diabetes mellitus?

  1. If it has a pork base
  2. Because any injectable medication is forbidden
  3. Because it implies the person has not led a holy life
  4. During Ramadan

Correct Answer: 1

Rationale 1: The Muslim religion bans pork in any form. If the insulin has a pork base, a Muslim may refuse to take it.

Rationale 2: Injectable medications are not forbidden in Islam.

Rationale 3: Diabetes is a disease and having it does not imply a sinful life in Islam.

Rationale 4: Medications are not forbidden during Ramadan.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 20

Type: MCMA

The nurse is preparing to conduct a health history with a patient of the Black culture. On which health problems will the nurse focus when conducting this assessment?

Standard Text: Select all that apply.

  1. Sickle cell anemia
  2. Kidney disease
  3. Lung cancer
  4. Prostate cancer
  5. Arthritis

Correct Answer: 1,2,3,4

Rationale 1: Sickle cell anemia is caused by a genetically inherited trait that leads to deformed red blood cells.

Rationale 2: The number of Blacks living with end-stage renal disease is nearly four times that of Whites.

Rationale 3: Blacks have a higher occurrence of lung cancer when compared to Whites.

Rationale 4: Blacks have a higher occurrence of prostate cancer when compared to Whites.

Rationale 5: There are no specific statistics about the incidence of arthritis in members of the Black community.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 21

Type: MCSA

Which is a health statistic of significance to Black or African Americans when compared to all races?

  1. A lower incidence of breast cancer
  2. Lower percentages of low birth weight infants
  3. A lower crude birth rate
  4. Lower male death rates from homicide

Correct Answer: 1

Rationale 1: As compared to all races, Black or African American women have a lower rate of breast cancer occurrence.

Rationale 2: Black or African Americans have higher percentages of low birth weight infants.

Rationale 3: Black or African Americans have a higher crude birth rate.

Rationale 4: Black or African American men have a higher death rate from homicide.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 22

Type: MCMA

A patient of the Black American culture is diagnosed with cancer. In addition to cancer, what are other leading causes of death for patients of this culture?

Standard Text: Select all that apply.

  1. Heart disease
  2. Cerebrovascular disease
  3. Diabetes mellitus
  4. Septicemia
  5. Alzheimer’s disease

Correct Answer: 1,2,3,4

Rationale 1: In 2004, heart disease was identified as the leading cause of death for people who are Black or African.

Rationale 2: In 2004, cerebrovascular disease was identified as the third leading cause of death for people who are Black or African.

Rationale 3: In 2004, diabetes mellitus was identified as the fourth leading cause of death for people who are Black or African.

Rationale 4: In 2004, septicemia was identified as the tenth leading cause of death for people who are Black or African.

Rationale 5: In 2004, Alzheimer’s disease was not identified as a leading cause of death for people who are Black or African.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 23

Type: MCSA

Who does the nurse recognize as being the leading authority figure within the Black familial structure?

  1. Female
  2. Minister
  3. Male
  4. Oldest adult child

Correct Answer: 1

Rationale 1: The Black familial structure is matriarchal.

Rationale 2: Strong church affiliations are important in the Black family structure but are not the source of the family’s leading authority figure.

Rationale 3: The male is not the leading authority figure in the Black family and many families are headed by female single parents.

Rationale 4: The oldest adult child is not the leading authority figure in the Black family.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 24

Type: MCSA

Why would some patients of the Black culture resent using health clinics for care?

  1. A day’s work may be lost in waiting to be seen by a physician.
  2. Cheaper accessible health care is regarded as demeaning.
  3. Prescription medications are given out only to those seen first.
  4. There are not enough clinics to focus on Black health problems.

Correct Answer: 1

Rationale 1: A day’s work and pay may be lost by having to be at a clinic early enough to be seen and then waiting a long time to be seen by a physician.

Rationale 2: Accessible and cheaper health care is not viewed as demeaning.

Rationale 3: There is no evidence that prescription medications are given only to those who are seen first.

Rationale 4: The concern is more about the number of health clinics available, rather than a lack of those that focus on Black health problems.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 25

Type: MCSA

Why would a clinic nurse cautiously discuss birth control with a patient from the Black culture?

  1. It may be viewed by the patient as a way to limit community growth.
  2. It would hinder the patient’s socioeconomic status.
  3. It does not work on members of the Black community.
  4. It is not recognized as a method to space children.

Correct Answer: 1

Rationale 1: Birth control is regarded by some in the Black community as a form of genocide to limit community growth.

Rationale 2: Birth control can be a mechanism to improve socioeconomic status. If birth numbers are limited, the family income will be less stretched.

Rationale 3: Birth control does work on members of the Black community.

Rationale 4: Birth control is a recognized method to space children.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 26

Type: MCSA

During the examination of a patient from the Black culture, how will the nurse recognize pallor?

  1. Absence of underlying red tones
  2. Palpate the skin
  3. Check the sclera
  4. Slow blood return

Correct Answer: 1

Rationale 1: The absence of underlying red tones is an indication of skin pallor for a Black person.

Rationale 2: Pallor is not detected through palpation.

Rationale 3: Checking the sclera is used for determining jaundice.

Rationale 4: A slow blood return may indicate cyanosis.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 27

Type: MCSA

How would the nurse document scars that form at a wound site that grow beyond the normal boundaries of a wound in a patient from the Black culture?

  1. Keloid
  2. A pigmentary disorder
  3. Pseudofolliculitis
  4. Melasma

Correct Answer: 1

Rationale 1: Keloids are scars that form at a wound site and grow beyond normal boundaries, often elevated, enlarged, and irregularly shaped.

Rationale 2: Pigmentary disorders appear as light or dark spots and not as scars.

Rationale 3: Pseudofolliculitis is caused by shaving too closely.

Rationale 4: Melasma is discoloration to the face, usually seen during pregnancy.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 28

Type: MCSA

How often would the nurse plan to wash the hair of a patient from the Black culture?

  1. As needed
  2. After it has been oiled
  3. Only when dry
  4. Daily to maintain oiliness

Correct Answer: 1

Rationale 1: Black hair care does not require that hair be shampooed on a daily or regular basis; only when needed.

Rationale 2: Black hair should be oiled after it is dry from shampooing.

Rationale 3: Black hair should not be shampooed when dry.

Rationale 4: Black hair should not be shampooed daily to avoid drying out the hair.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 29

Type: MCSA

What should be done if a patient from the Black culture practices aspects of folk medicine while also receiving Western treatment?

  1. Integrate the two treatments.
  2. Discourage folk medicine practices.
  3. Consult the minister to give approval.
  4. Choose which treatment option they prefer.

Correct Answer: 1

Rationale 1: Every effort should be made to integrate folk medicine treatments with Western medicine to respect the person’s beliefs and practices.

Rationale 2: Folk medicine practices should not be discouraged. That can show disrespect to the person.

Rationale 3: A person’s minister is not required to give approval for practicing folk medicine.

Rationale 4: The person should not be made to choose between the treatments as it can cause the person distress.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO06 – Describe current health care problems of members of the Black population.

 

Question 30

Type: MCSA

Which health profession has the highest percentage of Black or African Americans?

  1. Podiatry
  2. Nursing
  3. Optometry
  4. Dentistry

Correct Answer: 1

Rationale 1: Podiatry school enrollment for Black or African Americans is 10.7%.

Rationale 2: As of 2008, 5.4% of registered nurses in the United States were Black.

Rationale 3: Optometry school enrollment for Black or African Americans is approximately 3.1%.

Rationale 4: Dentistry school enrollment for Black or African Americans is approximately 5.9%.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO07 – Describe demographic disparity as it is seen in health manpower distribution of the Black population as represented in the health care delivery system.

 

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