1. A patient from the Mexican heritage relates using a curandero for health care needs. What are the characteristics of this type of healer?
- a. Considered to be a religious figure
- b. Was born as a healer
- c. Taught the ways of healing through herbs
- d. All of the above.
2. In the Mexican health care system, what is the scope of practice of the partera?
- a. The care given is confined to the pregnant woman
- b. Only provides physical care
- c. Acts alone without doing other consultations or referrals
- d. Does not participate in labor and delivery
3. During a medical history with a patient from Puerto Rico, what preparations will the nurse need to include?
- a. Those obtained from a botanica
- b. Those obtained from a botanical center
- c. Those obtained from a healer
- d. Those obtained from a pharmacy
4. Which is a dilemma encountered by health care providers when trying to accommodate a patient of the Mexican culture’s desire to maintain hot and cold food preferences?
- a. Avoiding all foods that contain certain spices
- b. Understanding which foods the patient considers hot and cold
- c. Obtaining the unusual foods native to a Mexican patient’s diet
- d. Ensuring that all medications are taken with specific foods
5. Where might a patient of Puerto Rican heritage seek help when experiencing signs of a mental illness?
- Milagros
- Curanderismo
- Santeria
- Partera
Unit 4 Examination
HCA 340 Cultural Diversity in Health & Illness
6. What is a significant factor when caring for health problems of patients within the Hispanic culture?
- a. Lack of Spanish-speaking health care providers impeding appropriate care delivery
- b. Failure to highlight common chronic diseases among Hispanics in local media
- c. Overall population is young with a high birthrate compared to the general population
- d. Use of folk remedies creating cultural dissonance with the medical establishment
7. What would the combination of a young population, high birthrates, and lower socioeconomic status contribute to in the Hispanic population?
- a. Higher incidence of births to women under age 18
- b. Lower birth weight infants
- c. Higher percentage of first trimester prenatal care
- d. Higher infant mortality rate
8. Which health problem does the nurse identify as being a higher risk for the patient from the Hispanic culture when compared to the general population?
- a. Septicemia
- b. Unintentional injuries
- c. Chronic lower respiratory diseases
- d. Alzheimer’s disease
9. What would the nurse infer about the incidence of lung cancer being lower among Hispanic women versus that of the general population?
- a. Hispanic women are not genetically predisposed to lung cancer.
- b. Hispanic women are healthier than the general population.
- c. Hispanic women have better preventive health practices.
- d. Hispanic women are less likely to smoke.
10. What might a patient of German descent used to treat a stomachache?
- a. Drink peppermint tea
- b. Stop eating for at least 24 hours
- c. Take black draught
- d. Eat chicken soup
11. Which actions might a patient of German descent use to treat a cough?
- a. Rub goose fat on the chest
- b. Eating honey and milk
- c. Drinking rum
- d. All of the above.
Unit 4 Examination
HCA 340 Cultural Diversity in Health & Illness
12. When caring for a postoperative wound at home, what would a patient of German descent tend to use?
- a. Kerosene
- b. Iodine
- c. Salves and liniments
- d. Onion compresses
13. For what would a patient of German descent use cloves?
- a. Headache
- b. Rheumatism
- c. Toothache
- d. Fever
14. What would a patient of Italian descent tell the nurse is the cause of pneumonia?
- a. Moving air in the form of drafts
- b. Eating food that was not nutritious
- c. Improper balance of fluids
- d. Not dressing properly
15. What will the nurse assess as an important component of healing for a patient of Italian descent?
- a. Religious faith in God
- b. Use of garlic and olive oil in tonics
- c. Wearing black when a family member is ill
- d. Eating pasta at every meal
16. What will a patient of Polish descent tell the nurse is used to treat a cough?
- a. Taking garlic oil
- b. Goose grease rubbed on the throat
- c. Drinking hot lemonade with whiskey
- d. A mustard plaster on the chest
17. What will a patient of Polish descent use to treat a burn?
- a. Aloe vera
- b. Salt pork
- c. Carbolic salve
- d. Turpentine and liniment
Unit 4 Examination
HCA 340 Cultural Diversity in Health & Illness
18. For what would a patient of Polish descent tell the nurse that paregoric is used?
- a. Gas
- b. Diarrhea
- c. Indigestion
- d. Cramps
19. In which ways does the current United States health care system create barriers to individuals from different cultures?
- a. Expectation to select a physician from a list
- b. Cost of treatments and tests
- c. Violation of cultural beliefs and practices
- d. All of the above.
20. How would the use of patient advocates bridge the gap of inadequate numbers of health care providers representing culturally diverse population groups?
- a. Speak to patients in their native language
- b. Coordinate services to meet the patients’ needs
- c. Resolve problems
- d. All of the above.
21. The health care administrator is identifying ways to improve communication with non-English- speaking patients. Which languages would the administrator target as being spoken by hospital employees?
- a. Russian
- b. Chinese
- c. Spanish
- d. None of the above.
22. The nurse is experiencing collisions when attempting to improve cultural competency. What types of collisions is this nurse experiencing?
- a. Meeting dense cultural barriers
- b. Sabotaged efforts
- c. Unexpected hills
- d. a and b only
23. Two nurses are overhead talking about their experiences with cultural competency. Which experience would be considered an unexpected positive event?
- a. Deep love of life and people
- b. Role of a healer within a culture
- c. Learning a foreign language
- d. Being an advocate for funding
Unit 4 Examination
HCA 340 Cultural Diversity in Health & Illness
24. What self-observation does the nurse make that indicates that the nurse is “on the road” to cultural competency?
- a. Socialized by society
- b. Individual culture and religion
- c. Adhering to ways to protect health that are consistent with the dominant culture
- d. Avoiding the use of amulets
25. What action would a nurse take to learn more about the different cultures represented in the community?
- a. Walk through the community
- b. Prepare a guide sheet with a list of herbs
- c. Recognize hot-cold imbalances
- d. Recognize folk diseases
Jermaine Byrant
Nicole Johnson
OVER
RATING
YEARS
