eQuizShow

1. Culture is something that is external to us. True OR False   

Ans: False

2. Making the assumption that people behave in certain ways as a result of their culture is a process known as what term?

Ans: Culturalism

3. In healthcare culture is viewed as a relational aspect of ourselves that changes with time depending on our history, gender, social context, professional identity, etc. Based on that statement what perspective is culture being defined from?

Ans: Critical Cultural Perspective

4. Which of the statements below gives an accurate description of an ethnic group?

a) A community maintained by different cultures.

b) A community maintained by a shared heritage, culture, language or religion.

c) A community that is of the same race and speak the same language.

d) A community that shares ancestry, language, religion and race. 

Ans: B

5. Nurse G returned to the nursing station after completing an assessment of Mrs. L. She voiced her concern to Nurse B sharing that it was awkward asking Mrs. L. questions because she would not look her in the eyes at all. Nurse B waved it off and said, “Just ignore her, all of our Chinese patients are like that.” What term would you use to describe Nurse B’s response?

Ans: Discrimination 

6. Cultural Sensitivity reflects the idea that professionals of healthcare should be sensitive to people’s values, beliefs, customs and practices. True OR False 

Ans: True

7. Cultural safety is being used in healthcare to ensure that care provided takes into consideration the social, political, economical, and historical positions of groups within society. Which of the following is one of the main principles of cultural safety.

a) How members of a group are treated within the healthcare system is not more important than the cataloguing of culturally specific practices.

b) A patient’s health status is not shaped by components of their cultural, economic or social positions.

c) Nurses must reflect on their own personal and cultural histories as well as their values, assumptions and beliefs when providing patient care, and must avoid imposing their beliefs and assumptions on others.

d) None of the above.   

Ans: C

8. Health inequality refers to the inequalities in health that are unnecessary and avoidable, and differences that are considered unfair and unjust. True OR False

Ans: False – That is the definition of Health Inequity 

9. Natural Health products is an umbrella term that encompasses individual therapies and healthcare approaches such as traditional Chinese Medicine, homeopathy, therapeutic massage and relaxation therapy. True OR False

Ans: False – That is Complementary and Alternative Healthcare.

10. When considering guidelines for clinical practice, which of the following are important for culturally safe health assessments?

a) Working to build trust.

b) Engaging through listening.

c) Conveying respect for differences.

d) Paying attention to the context of people’s lives.

e) All of the Above 

f) A, C & D only

Question 1:

 Please select the key features that apply to Interpersonal Partner Violence:

A) Patient safety fist- always beginning with attention to patients emotional, cultural and physical safety

B) Making connections- knowing and connecting with a range of resources and services that health care providers can facilitate access to

C) Offering more than a band-aid solution- shifting from focusing on disclosure of abuse to being responsible to individual’s needs.

D) Doing no harm- ensuring that healthcare responses do not disempower, demean or elevate level of danger

E) All of the above options are correct

F) A, B and D are correct choices

Question 2: 

Approximately 50 % of all women have experienced some form of abuse. The more isolated victims are more vulnerable.

True                                                                                  False

Answer 2:

True is correct answer

Question 3: 

What impact does domestic violence have on children who are not physically abused?

A) Lower cognitive skills

B) Risk of running away

C) Difficulty in social interactions

D) Confidence

E) A, B and C are correct  

F) A, C and D are correct

 Answer 3:

The correct answer is E) Lower cognitive skills, Risk of running away, and Difficulty in social interaction.

Question 4: 

A 6 years old girl is brought to the walk in clinic in her neighborhood for symptoms of Urinary Tract Infection (UTI). The nurse’s assessment reveals bruises on the child’s genitals and the rectal area. The mother reports that she left her daughter with her boyfriend the night before while she worked the night shift, the nurses first priority with this client is to:

A) Obtain a urine sample to confirm UTI

B) Teach the mother about symptoms and treatment of UTIs

C) Report the suspected child abuse to the social services

D) Assess the child for other health problems.

Answer 4:

The correct answer is option C) Report the suspected child abuse to the social services. The child’s initial examination shows signs of sexual abuse that must be reported. The other responses of gathering further data and teaching will be later priority.

Question 5:

The screening for Domestic Violence should incorporate which environmental factors?

A) Private setting

B) Ask partner to leave during some part of the exam “This is our policy.”

C) Being biased and unsupportive of the victim

D) A and C are correct options

E) A and B are correct options

Answer 5:  

The choices A and B are correct answers.

Question 6:

Please select the appropriate examples of emotional/psychological abuse from the ones provided below?

A) Victim is blamed for everything    B) Lying, breaking promises

C) Driving fast and recklessly to frighten and intimidate

D) Initiation of hugging and other forms of affection after an episode of physical abuse towards an individual

E) A, B and C are correct                 F) A, B, C and D are correct

Answer 6:

The correct option is F) A, B, C and D

Question 7:

A nurse is assessing the family of a child brought into the emergency department with severe injuries. What behavior by the parents might indicate child abuse?

A)  Encouraging the child to explain his own injuries

B) Providing a detailed description of the events before injuries

C) Having a panic- stricken and anxious attitude

D) Having a delay in seeking treatment for child’s injuries

Question 8: 

A nurse is interviewing Julia, who has experienced both physical and psychological abuse by her common-law husband, Derrick. Which of the following statements indicates greatest need for more teaching about abuse?

A)  ‘‘Now that I have left Derrick, I don’t need to worry.”

B) “I have left him twice before, and I know there are many things that draw me back. Derrick can be so charming.”

C) “I know it is not the case, but I feel like the abuse was my fault. That is what Derrick has repeatedly told me anyway.”

D) “I worry about my children that he will try to take them away from me.”

Answer 8:

The correct answer is A) “Now that I have left Derrick, I don’t need to worry.” The period of time a victim leaves a relationship is the most dangerous time; having left, the victim is in greatest danger in many ways. It often takes several times before a person leaves an abuser for good; the honeymoon phase can cloud the better judgment of the victim involved in the cycle of violence. Often victims are afraid that their abusers will attempt to sabotage custody of their children and often feel guilty. These other issues are later priorities to address than the immediate danger one must realize when first leaving an abuser.

Question 9: 

Amy is diagnosed with posttraumatic disorder (PTSD) at an outpatient mental health clinic after being raped while walking her dog in a public park. She received counselling and support to address the trauma, but three month later, Amy returns to the clinic with concerns that she continues to experience fear, feeling of loss of control, and helplessness. Which nursing intervention is most appropriate for Amy at this time?

A) Allow the client time to heal and reassure her that “it takes time”

B)  Explore the meaning of the traumatic event with Amy, asking “What happened and what has changed?

C) Suggest a sleep medication, as prescribed, to restore a normal sleep-wake cycle, reminding Amy that “without proper sleep, recovery would be difficult.’’

D) Recommend a high-protein, low fat diet, suggesting to Amy that without energy boosting nutrition, recovery will take longer.’’

Answer 9:

The right answer is B) Explore the meaning of the traumatic event with Amy, asking “What happened and what has changed?  A client who has experienced abuse and subsequent trauma needs encouragement to examine and understand the meaning of traumatic event and consequent losses. Without this critical examination, symptoms may worsen, and the client may become 

depressed or anxious or engage in self-destructive behaviors such as substance abuse. Without this exploration of meaning, the client will not heal, no matter how much time passes.  Behavioral techniques, such as sleep and nutritional management, may be helpful, and a physician may even prescribe sleeping medication. However, the most immediate intervention for the nurse is to assess client’s understanding of the event and encourage this dialogue. Specific diet and sleep medications would only be indicated if sleep and diet were problematic for the client and her recovery.

Question 10:

 Of the following, which clinical condition meets the requirement for involuntary admission?

A) A person who requests admission because he is scarred by his suicidal thoughts and seriousness of his plan

B) A person who lives alone and has delusions and auditory hallucinations and is unable to follow through on employment opportunities

C) A single parent who leaves her minor children at home all night while she goes out drinking

D) A man who threatens to kill his wife

Answer 10:

 The right answer is D) A man who threatens to kill his wife. The criteria for the involuntary admission include dangerousness to oneself or others, unwillingness to seek treatment, and serious and acute mental illness. The man threatening to kill his wife meets this criteria, but the person who has suicidal thoughts and is seeking admission does not. A patient with delusions who is unable to work may live a safe and productive life without hospitalization. A neglectful parent should seek social support services and be reported (as neglect constitutes a type abuse) but does not meet the criteria for an involuntary admission.

Question 11: 

The nurse is aware that an adult who is sexually or physically abuses a child:

A) Is most likely a stranger to the child.

B) Is most likely known to the child.

C) Is doing so with the knowledge of the parents.

D) Was not abused him- or herself as a child.

Answer 11: 

The right answer is B) Is most likely known to the child. Adult abusers are most often known to the child and family and are often in position of trust.

Question 12:

 When admitting to the psychiatric unit with major depression, Ann reports to nursing staff that she does not want the hospital to release any information about her care or stay to anyone in her family because she has a family member who has been abusive. When the alleged abusive family member calls the unit demanding information about Ann, the correct nursing response would be:

A) “I’m sorry, I cannot give any information. Goodbye.”

B) “To protect the confidentiality of our clients, we cannot give you information about whether your relative is receiving treatment here.”

C) “ Ann is not receiving any calls.”

D) ‘’Your family member did not sign a release so that information can be shared with you, so I am not at liberty to report.”

Answer 12:

The right answer is B) “To protect the confidentiality of our clients, we cannot give you information about whether your relative is receiving treatment here.” Clients have the right to have their confidentiality respected. Both answer A and B do not breech confidentiality, but answer B is more respectful and diplomatic about the issue of confidentiality in the hospital.

Question 13:

Emily is 13-year old young woman who is brought to the emergency department by her aunt due to the suicide attempt. During the interview, nurse finds that Emily has been doing poorly in school, is engaging in high risk sexual behavior with older boys at school, and has a history of running away from home to stay with her aunt. The nurse should make it priority to assess for:

A) Pregnancy                                                        C) Parental neglect

B) Sexual abuse                                                     D) Sexually transmitted disorders

Answer 13:

The correct answer is B) Sexual abuse. The assessment findings of sexual behavior, suicide attempt, and running away from home are indicators of possible sexual abuse. Assessment of neglect, sexually transmitted disease, and pregnancy are all important but are secondary to the urgent assessment of possible sexual abuse.

Question 14:

The shaken baby syndrome can incorporates which of the following symptoms/characteristics:

A) An acute, chronic injury that has inadequate, inconsistent, evolving or no explanation

B) A severe head injury allegedly the result of a short fall or minor trauma

C) Subdural hemorrhage, retinal hemorrhage, or rib, skull, metaphyseal fracture

D) An unexplained symptomatic head injury in a child who was well when last seen

E) A, C and D 

F)   A, B, C and D 

Answer 14: 

The correct option is F) A, B, C and D

Answer 15:

The correct answer is A.  A child learns trust by having his needs met in infancy. A child who has been maternally deprived is unlikely to have developed trust. Some cognitive delay may be expected with prolonged hospitalization, but with appropriate care in hospital, cognitive milestones should ultimately be met. These children frequently develop relationships with primary caregivers in place of the mother and father. While, studies do not address past experiences