HCA340 FINAL EXAM/HCA340 FINAL EXAM
Question
1. One of the results of the 2005 Hurricanes Katrina and Rita in Louisiana has been an increase in the influx of Spanish-speaking workers. Incorporating cultural and linguistic competence to meet the health needs of this population would include
a. having health care professional staff from different Spanish-speaking countries at health care facilities.
b. ensuring health services are in varying locations.
c. ensuring that all signage is posted completely in Spanish.
d. having all health care workers speak Spanish.
2. A mechanism health care organizations need to incorporate into their strategic plan for culturally and linguistically appropriate services includes
a. goals, policies, accountability and oversight mechanisms addressing these services.
b. partnerships with community agencies.
c. mechanisms for client service reimbursement.
d. staff con? ict resolution policies.
3. Kwanzaa was created in the 1960s to raise awareness and pride for the African- American community. While its tenets can be applied to all people, this particular celebration was developed to celebrate a specific
4. Parish Nursing is an aspect of nursing that is becoming more utilized. One of the bases of parish nursing is the premise that
a. it is easier to provide health services to a de? ned religious community.
b. a faith community has an impact on the health of its members.
c. illness is prevented through parish nursing.
d. members of a religion follow de? ned health practices.
5. After the Vietnam War, many Vietnamese immigrated to the United States and settled in areas where they could maintain many of the cultural customs and traditions of Vietnam, including festivals, Saturday schools to educate the children in the Vietnamese language and planting communal gardens. This is an example of
6. A seminal event in the boomer generation that can still elicit comment today is the question
a. ”How did the Challenger tragedy affect you?”
b. ”Where were you when John F. Kennedy was shot?”
c. ”Do you remember Pearl Harbor?”
d. ”What were you doing on September 11, 2001?”
7. A complaint of the boomer generation about the following generations regards work ethic. The “nester” generation born between 1979 and 1984 is more likely to embrace an ethic
b. seeking to fit their lifestyle.
c. seeking maximum financial gain.
d. loyal to one’s skills in the marketplace.
8. The best outcome for health care facilities incorporating cultural care into their practices is
a. increased numbers of clients seeking care at these facilities.
b. improved health outcomes for the clients at these facilities.
c. better health care provided by the facility’s staff.
d. increased reimbursement by insurance companies for provided health services.
9. An important consideration when making a home health visit to a client is to:
a. give a general idea of when the visit will be made.
b. bring a gift to the client’s home on the initial visit.
c. just show up at the client’s home.
d. inform the client the approximate time the visit will be made.
10. Certain cultures place emphasis on eating speci? c foods during pregnancy and after childbirth to ensure a healthy mother and infant. This cultural phenomena is an example of
11. Touch is an important component of nursing, but using it without understanding the client’s cultural background can be a violation of their
12. Before doing any teaching it is important the client understands what is being taught. The most effective method to determine if the client understands any health teaching is by
a. ask the client if they understand what was said in the teaching.
b. speaking slowly and carefully to the client.
c. having the client repeat back what was said in his/her own words.
d. interpreting the client’s facial gestures.
13. Native Americans have a higher susceptibility to diabetes than other population groups within the United States. This is considered a(n)
b. component of heritage consistency.
c. social organization pattern.
14. While the Census Bureau has placed race as a sociopolitical construct, placing oneself into a racial category can still present a challenge. Those who consider themselves “Creole” would be more likely to place themselves into the category labeled
15. While shifts in the population profile are occurring, what is an important consideration to address in health care?
a. More physicians need to be trained to deliver health care.
b. Cultural health needs of varying groups must be considered.
c. Health care providers need to be younger to care for an aging population.
d. Health care needs to be streamlined for consistent care delivery.6
16. With the percentage of the 65+ population greatest among White non-Hispanics i
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