Question 1. One of the results of the 2005 Hurri

20 Jun Question 1. One of the results of the 2005 Hurri

Question
1. One of the results of the 2005 Hurricanes Katrina and Rita in Louisiana has

been an increase in the in? ux of Spanish-speaking workers. Incorporating

cultural and linguistic competence to meet the health needs of this popula-

tion 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 strate-

gic 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 speci? c

a. social class.

b. religion.

c. ethnicity.

d. cultural group.

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

a. heritage consistency.

b. acculturation.

c. socialization.

d. religious preference.

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

a. of employer loyalty.

b. seeking to ? t their lifestyle.

c. seeking maximum ? nancial 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

a. time orientation.

b. environmental control.

c. biological variation.

d. social organization.

11. Touch is an important component of nursing, but using it without under-

standing the client’s cultural background can be a violation of their

a. social organization.

b. environmental control.

c. space and territoriality.

d. time orientation.

12. Before doing any teaching it is important the client understands what is

being taught. The most effective method to determine if the client under-

stands 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 popula-

tion groups within the United States. This is considered a(n)

a. biological variation.

b. component of heritage consistency.

c. social organization pattern.

d. environmental control.

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

a. White.

b. Asian.

c. Black or African American.

d. Hispanic or Latino.

15. While shifts in the population pro? le 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-His-

panics in the 2000 Census, health planning needs would indicate

a. there is no need to increase manufacture of childhood immunizations.

b. cultural accommodations for other minority groups can be decreased.

c. planning needs for other segments of the population can be revised

downwards.

d. this population will have greater demands on the health care system as

they age.

17. Twelve percent of the population in 2000 was age 65 or over. Long-term

implications for health for this group include

a. developing systems to provide health care only to those older citizens who

remain healthy.

b. providing health care that is focused on gerontological needs.

c. providing health insurance for all age groups.

d. developing medications to prolong life at any cost.

18. A hurdle immigrants face coming to a new country is

a. rejecting their old customs in favor of new customs.

b. having their children learn the customs of the new country.

c. ? nding their own cultural group in the new country.

d. learning a new way of life that differs from their former way of life.

19. In 1970, the highest percentage of foreign-born legal permanent residents

becoming citizens came from Europe. What is true today? The majority of

foreign-born legal permanent residents are from

a. Asia.

b. Mexico, China, and the Philippines.

c. Europe.

d. South America.

20. Many people who come to the United States to live seek to get a “green

card.” The green card

a. confers automatic U.S. citizenship.

b. legally restricts the holder from becoming a citizen.

c. de? nes the person as being in the country unlawfully.

d. allows the person legal permanent residency.Final Examination

HCA 340 Cultural Diversity in Health and Illness

7

21. When seeking permanent U.S. citizenship, legal permanent residents take a

naturalization exam that questions them on

a. knowing the Pledge of Allegiance.

b. being able to recite or sing the national anthem.

c. elements of the U.S. government.

d. the Congressional district they live in.

22. Among the very real concerns for all residents of the United States, citizens

and legal permanent residents, is the rise in undocumented people entering

the country. What impact is this having on health care?

a. Increased numbers of undocumented people are straining health care

resources.

b. The rise in undocumented people is contributing to the rise in exotic and

rare diseases in the country.

c. There is a concern that undocumented people will lead to bioterrorist at-

tacks.