Chapter 02 Emerging Populations and Health

Chapter 02  Emerging Populations and Health

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following statements about ethnic minorities in the United States is accurate?
a.
It is estimated that the percentage of ethnic minorities will decrease during the next 30 years.
b.
It is estimated that ethnic minorities will increase to one in two by 2050.
c.
The increasing population of refugees has been a significant contributor to the increase in ethnic minorities.
d.
The increasing population of ethnic minorities has helped decrease the health disparities faced by this population.

ANS: B
It is estimated that the number of ethnic minorities will increase to one in two by 2050. In 2010, it was estimated that 33% of the population was from an ethnic minority. The increasing population of immigrants has been a significant contributor to the increasing populations of major ethnic groups. The increasing populations of ethnic groups is one factor that is producing disparities in health status and access of the health care system.

DIF: Cognitive Level: Understand (Comprehension) REF: p. 24

2. A person states, “My grandmother is the decision maker in our family.” Which of the following is being described by the person?
a.
Culture
b.
Race
c.
Ethnicity
d.
Values

ANS: A
Culture, as an element of ethnicity, refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. The term “ethnicity” encompasses more than a cultural practice, which is what is being described by the person; it focuses on differences in meanings, values, and ways of living. Race is associated with power and indexes the history or ongoing imposition of one’s group’s authority above another. Values are beliefs about the worth of something and serve as standards that influence behavior and thinking.

DIF: Cognitive Level: Analyze (Analysis) REF: p. 24

3. The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman’s decision to schedule this exam?
a.
Race
b.
Ethnicity
c.
Cultural values
d.
Value orientation

ANS: C
Cultural values guide actions and decision-making that facilitates self-worth and self-esteem. They shape human behaviors and determine what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, and where and from whom they will seek health care. Race is associated with power and indexes the history or ongoing imposition of one’s group’s authority above another. Ethnicity focuses on differences in meanings, values, and ways of living. Value orientations reflect the personality type of a particular society.

DIF: Cognitive Level: Apply (Application) REF: p. 24

4. Which of the following actions demonstrates a health care professional providing culturally competent care?
a.
Encouraging the person to take medications as prescribed
b.
Asking the person to describe his folk healing methods
c.
Demonstrating the proper way to administer an insulin injection
d.
Assisting the person with discussing his health problems with the family

ANS: B
It is very important for health care providers to be aware of how people interpret their health issues or illnesses to be capable to provide culturally competent care. A culturally competent health care professional should be able to consistently and thoroughly recognize and understand the differences in his or her culture and that of the patient or client, to respect the person’s values and beliefs, and adjust the approach of delivering care to meet each person’s needs and expectations. Asking the person to describe his folk healing methods is the only action that demonstrates the health care professional seeking input from the person into the care that is received.

DIF: Cognitive Level: Analyze (Analysis) REF: p. 26

5. A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?
a.
“You should have told me that the current treatments were helping your pain.”
b.
“Tell me more about your treatments from the acupuncturist.”
c.
“Tell me why you decided to not to continue with your treatment plan.”
d.
“You should not be seeing an acupuncturist while receiving professional care.”

ANS: B
Through a culturally sensitive assessment process, nurses can determine what specific remedies individuals are using and whether their continued use would interfere with the prescribed method. The nurse asking the person to describe the treatments from the acupuncturist allows the nurse to learn this information. The other responses demonstrate an ethnocentric perspective by the nurse, viewing the treatments from the acupuncturist as inferior to professional care.

DIF: Cognitive Level: Analyze (Analysis) REF: p. 26