- Information
- AI Chat
HA1 - Test bank for chapter 2
Health Assessment 1 (RN 200)
Unitek College
Preview text
TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS Chapter 02: Cultural Assessment Jarvis: Physical Examination and Health Assessment, 8th Edition MULTIPLE CHOICE 1. The nurse is reviewing the characteristics of culture. Which statement is correct regarding the development of culture? a. Learned through language acquisition and socialization b. Genetically determined on the basis of racial background c. A nonspecific phenomenon and is adaptive but unnecessary d. Biologically determined on the basis of physical characteristics ANS: A Culture is a complex phenomenon that includes attitude, beliefs, norms, roles, and values learned from birth through the processes of language acquisition and socialization. It is not biologically or genetically determined and is learned the individual. It is a universal phenomenon and is important because a culture defines health and illness, identifies when treatment is needed and which treatment is acceptable, and informs a person of how symptoms are expressed and which symptoms are important. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 2. During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which statement correctly reflects one of the characteristics of culture? a. Static and unchanging NURSINGKING b. Members share similar physical characteristics. c. Members share a common geographic origin and religion. d. Adapted to specific conditions environmental and technical factors ANS: D Culture has four basic characteristics, one of which is that it is adapted to specific conditions environmental and technical factors and to the availability of natural resources. The other three characteristics are: (1) learned from birth through the processes of language acquisition and (2) shared all members of the cultural and (3) dynamic and ever changing. Culture is not static and unchanging but is dynamic and ever changing. Members of a culture do not necessarily share similar physical characteristics. Sharing similar physical characteristics refers to race. Members of a culture do not necessarily share a common geographic origin and religion. Sharing a common geographic origin and religion refers to ethnicity. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Psychosocial Integrity 3. During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating specific and distinct knowledge, beliefs, customs, and skills acquired members of a reflects which term? a. Norms b. Culture c. Ethnicity NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS d. Assimilation ANS: B The culture that develops in any given society is unique, encompassing all of the knowledge, beliefs, customs, and skills acquired members of the society. The other terms do not fit the given definition. Norms refers to the typical or usual. Ethnicity refers to a social group that may possess shared traits, such as common geographic origin, migratory status, religion, language, values, traditions, or symbols and food preferences. Assimilation refers to taking on the characteristics of the dominant culture. DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: Psychosocial Integrity 4. The nurse is discussing the term subculture with a student nurse. Which statement the nurse would best describe subculture? a. as many people as possible into the majority b. small groups of people who do not want to be identified with the larger c. out groups of people who suffer differential and unequal treatment as a result of cultural d. fairly large groups of people with shared characteristics that are not common to all members of a ANS: D Within cultures, groups of people share different beliefs, values, and attitudes. Differences occur because of ethnicity, religion, education, occupation, age, and gender. When such groups function within a large culture, they are referred to as subcultural groups. Fitting as many people as possible into NURSINGKING the majority culture, identifying small groups of people who do not want to be identified with the larger culture, and singling out groups of people who suffer differential and unequal treatment as a result of cultural variations do not describe a subculture. A subculture is a group of people with a culture that share some different beliefs, values, or attitudes than the majority of the larger culture. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 5. When reviewing the demographics of ethnic groups in the United States, the nurse recalls that which is the largest and fastest growing population? a. Asian b. Hispanic c. American Indian d. African ANS: B Hispanics are the largest and fastest growing population in the United States, followed African Asians, two or more races, American Indians and Alaska natives, and other groups. DIF: Cognitive Level: Remembering (Knowledge) NURSINGKING MSC: Client Needs: General TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS Ethnicity pertains to a social group that may possess shared traits such as common geographic origin, migratory status, religion, language, values, traditions, or symbols and food preferences. Culture is dynamic, ever changing, and learned from birth through the processes of language acquisition and socialization. Religion is the belief in a higher power. Ethnicity pertains to a social group within the social system that claims to have variable traits, such as a common geographic origin, migratory status, religion, race, language, values, traditions, symbols, or food preferences. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 9. The nurse is comparing the concepts of religion and spirituality. Which statement describes an appropriate component of spirituality? a. Belief in and the worship of God or gods b. Being closely tied to ethnic background c. Attendance at a specific church or place of worship d. A connection with something larger than oneself and belief in transcendence ANS: D Spirituality refers to a connection with something larger than oneself and a belief in transcendence. The other responses do not apply to spirituality. Belief in and the worship of God or gods and attendance at a specific church or place of worship apply to religion. Being closely tied to ethnic background is not a concept of spirituality or religion. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity NURSINGKING 10. A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college studies. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept? a. Integration b. Assimilation c. Biculturalism d. Heritage consistency ANS: B Assimilation is a unidirectional, linear process moving from unacculturated to acculturated in which a person develops a new cultural identity and becomes like members of the dominant culture. Integration and biculturalism are bidirectional and bidimensional inducing reciprocal change in both cultures and maintain in aspects of the original culture in ethnic identity. There is nothing in the question to indicate that she has maintained aspects of her original culture and states that her family and friends would hardly recognize her. Nothing in the questions refers to aspects of heritage consistency, or the degree to which she has retained her culture. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 11. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment? NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS a. b. c. d. you is your you have a history of heart many years have you lived in the United ANS: D Asking questions about a country of ancestry, years in the United States, etc. allows the nurse to assess a heritage. Simply asking about religion, smoking history, or health history does not reflect heritage. Simply asking about religion, smoking history, or health history does not reflect heritage. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 12. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness? a. Holistic b. Biomedical c. Naturalistic d. Magicoreligious ANS: B Among the biomedical explanations for disease is the germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions. The naturalistic, or holistic, perspective holds that the forces of nature must be kept in natural balance. The magicoreligious perspective holds that supernatural forces dominate and cause illness orNURSINGKING health. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 13. An woman is experiencing diarrhea, which is believed to be or What should the nurse recognize that the woman may likely to try to treat it? a. Foods that are or b. Readings and Eastern medicine meditations c. High doses of medicines believed to be d. No treatment because diarrhea is an expected part of life ANS: A Yin foods are cold and yang foods are hot. Cold foods are eaten with a hot illness, and hot foods are eaten with a cold illness. The other explanations do not reflect the theory. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 14. Many Asians believe in the theory, which is rooted in the ancient Chinese philosophy of Tao. Which statement most accurately reflects this view of a. A person is able to work and produce. b. A person is happy, stable, and feels good. c. All aspects of the person are in perfect balance. NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS b. Has given up her belief in naturalistic causes of disease c. May also be seeking the assistance of a shaman or medicine man d. Will need extra help in dealing with her illness and may be experiencing a crisis of faith ANS: C Members of the American Indian culture often seek the care of a shaman or medicine man in addition to help from Western medicine. Some, such as those of or American Indian origins, may believe that the cure is incomplete unless the body, mind, and spirit are also healed (although the division of the person into parts is a Western concept). Oftentimes patients of a different culture, especially if there is a language barrier, do not comply with prescribed treatments. Seeking the care of a biomedical or scientific health care provider does not mean the patient has given up her belief in naturalistic causes of disease as they often seek the care of folk healing to complement the biomedical treatment. American Indians typically believe the naturalistic view of illness, not the magicoreligious theory, so the nurse should not anticipate that the patient is having a crisis of faith. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 18. An older woman with traditional beliefs has been admitted to an inpatient care unit. When admitting this patient, what would a culturally sensitive nurse do? a. Contact the hospital administrator about the best course of action. b. Arrange for a shaman for her, because requesting one herself is not culturally appropriate. c. Further assess the cultural beliefs and offer the patient assistance in contacting a curandero orNURSINGKING priest if she desires. d. Ask the family what they would like to do because traditionally give control of decision making to their families. ANS: C A health care provider should not assume an understanding of a culture but should ask about cultural beliefs that may impact the health care provided, such as health practices and religious beliefs. Some people may believe that the cure is incomplete unless the body, mind, and spirit are also healed so may seek help from folk or religious healers in addition to biomedical or scientific health care. Members of the culture often seek care of curandero or priest. The nurse should conduct a cultural assessment of the patient to learn about her cultural beliefs that may impact the health care provided, not contact the hospital administrator. The nurse should not arrange for a folk healer before finding out the beliefs on health care practices and also a Shaman is the typical folk healer for a American Indians. The nurse should not ask the family their preferences, but the patient herself. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 19. A man who recently found out his wife has cancer enters the hospital with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects the best course of action? a. The nurse should focus on psychosomatic complaints. b. The nurse should focus on performing a full cardiac assessment. NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS c. The nurse should send him home with instructions to contact his physician. d. The nurse should perform both physical and psychosocial assessments. ANS: D Wide cultural variations exist in the manner in which certain symptoms and disease conditions are perceived, diagnosed, labeled, and treated. sometimes convert experiences or states into bodily symptoms (e., complaining of cardiac symptoms because the center of emotion in the Chinese culture is the heart). However, the nurse should not assume that his physical symptoms are a manifestation of experience and should perform both physical and psychosocial assessments. Although sometimes convert mental experiences or states into bodily symptoms (e., complaining of cardiac symptoms because the center of emotion in the Chinese culture is the heart), the nurse should not assume that it is psychosomatic problem. Thus, the nurse should not send the client home with instructions to call his physician or solely focus on either psychosomatic complaints or a physical assessment, but should assess both. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Psychosocial Integrity 20. Symptoms, such as pain, are often influenced a cultural heritage. Which of the following is a true statement regarding pain? a. attitudes toward their pain are unrelated to their own experiences with pain. b. Nurses need to recognize that many cultures practice silent suffering as a response to pain. c. A area of clinical practice will most likely determine his or her assessment NURSINGKING of a pain. d. A years of clinical experience and current position are strong indicators of his or her response to patient pain. ANS: B Silent suffering is a potential response to pain in many cultures. The assessment of pain needs to be embedded in a cultural context. The other responses are not correct. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 21. The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain? a. All patients will behave the same way when in pain. b. Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain. c. Cultural norms have very little to do with pain tolerance, because pain tolerance is always biologically determined. d. A expression of pain is largely dependent on the amount of tissue injury associated with the pain. ANS: B NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS 24. A woman has recently moved to the United States with her husband. They are living with the sister until they can get a home of their own. When company arrives to visit with the sister, the woman feels suddenly shy and retreats to the back bedroom to hide until the company leaves. She explains that her reaction to guests is simply because she does not know how to speak What is this woman likely experiencing? a. Culture shock b. Cultural taboos c. Cultural unfamiliarity d. Culture disorientation ANS: A Culture shock is a term used to describe the state of disorientation or inability to respond to the behavior of a different cultural group because of its sudden strangeness, unfamiliarity, and incompatibility with the perceptions and expectations. The other terms are not correct. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Psychosocial Integrity 25. After a symptom is recognized, the first effort at treatment is often Which of the following statements is true about a. recognized as valuable most health care b. ineffective and may delay more effective c. less expensive than biomedical d. the accessibility of ANS: D NURSINGKING After a symptom is identified, the first effort at treatment is often The availability of medications, the relatively high literacy level of Americans, and the influence of the internet and mass media in communicating information to the general population have contributed to the high percentage of cases of Health care providers are recognizing the value of a wide variety of alternative, complementary, and traditional interventions. Many such as medications are effective. is not always less expensive. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 26. The nurse is reviewing the theory of health and illness. Which statement best describes the basic tenets of this theory? a. The causation of illness is based on supernatural forces that influence the humors of the body. b. Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body. c. The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual. d. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body. ANS: D NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS The theory of health and illness is based on the four humors of the body: blood, phlegm, black bile, and yellow bile. These humors regulate the basic bodily functions, described in terms of temperature, dryness, and moisture. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors. The other statements are not correct. The theory of health and illness is based on the four humors of the body: blood, phlegm, black bile, and yellow not on supernatural forces influencing them. Herbs, medicines, spiritual connectedness, and social aspects of the individual are not any of the four humors in the theory. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Psychosocial Integrity 27. When providing culturally competent care, nurses must incorporate cultural assessments into their health assessments. Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient? a. you of the Christian b. you want to see a medicine c. often do you seek help from medical d. cultural or spiritual beliefs are important to ANS: D The nurse needs to assess the cultural beliefs and practices of the patient. American Indians may seek assistance from a medicine man or shaman, but the nurse should not assume this. An question regarding cultural and spiritual beliefs is best used initially when performing a cultural assessment. DIF: Cognitive Level: Analyzing (Analysis) NURSINGKING MSC: Client Needs: Psychosocial Integrity 28. During a class on cultural practices, the nurse hears the term cultural taboo. Which statement illustrates the concept of a cultural taboo? a. Trying prayer before seeking medical help. b. Believing that illness is a punishment of sin. c. Refusing to accept blood products as part of treatment. d. Stating that a birth defect is the result of the sins. ANS: C Cultural taboos are practices that are to be avoided, such as receiving blood products, eating pork, and consuming caffeine. The other answers do not reflect cultural taboos. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity 29. The nurse should recognize that categories such as ethnicity, gender, and religion illustrate which concept? a. Family b. Cultures c. Spirituality d. Subcultures ANS: D NURSINGKING TEST BANK FOR PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS 1. The nurse is asking questions about a health beliefs. Which questions are appropriate? (Select all that apply.) a. is your definition of b. your family have a history of c. do you describe d. did your mother do to keep you from getting e. you ever had any f. do you keep yourself ANS: A, C, D, F The questions listed are appropriate questions for an assessment of a health beliefs and practices. The questions regarding family history and surgeries are part of the physical history, not the health beliefs. Questions regarding family history and surgeries are not part of a health beliefs, but are part of the physical history. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Psychosocial Integrity NURSINGKING NURSINGKING
HA1 - Test bank for chapter 2
Course: Health Assessment 1 (RN 200)
University: Unitek College
This is a preview
Access to all documents
Get Unlimited Downloads
Improve your grades
