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Nursing:
doi: 10.1097/01.NURSE.0000431039.75689.f2
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Reaching for cultural competence

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For more than 22 additional continuing education articles related to cultural competency topics, go to NursingCenter.com/CE.

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INSTRUCTIONS Reaching for cultural competence

TEST INSTRUCTIONS

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* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is June 30, 2015.

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Reaching for cultural competence

GENERAL PURPOSE: To provide nurses with information about cultural competence in healthcare. LEARNING OBJECTIVES: After reading the article and taking this test, you should be able to: 1. Define culture and cultural competence. 2. Describe the importance of providing culturally competent care. 3. Explain how to deliver culturally competent care.

1. By definition, a person's culture is

a. dynamic and ever-changing.

b. based on psychology, not physiology.

c. determined only by race and language.

d. determined by genetic inheritance.

2. Which state does not have a “majority minority” population?

a. North Carolina

b. California

c. New Mexico

d. Texas

3. Which of the following is true of cultural competence?

a. It's achieved after an intensive one-time learning experience.

b. It's the belief that every person deserves fair and equal healthcare access.

c. It involves teaching patients the healthcare organization's rules.

d. It requires patients and families to respect caregivers.

4. Accurate assessment of a patient's cultural practices and beliefs

a. should occur once during the initial admission assessment.

b. ensures that patients are assigned to caregivers of a similar culture.

c. provides a basis for culturally competent care.

d. isn't possible in today's culturally complicated world.

5. Culturally competent care plans

a. improve patient satisfaction rather than health outcomes.

b. can be standardized for each ethnicity.

c. demonstrate an understanding that each person is unique.

d. place the values of the family above those of the individual.

6. In 2013, racial and ethnic minorities compose about what percentage of the U.population?

a. 16%

b. 36%

c. 50%

d. 63%

7. Health disparities affecting minorities may be related to all of the following except

a. stressful life conditions.

b. low health literacy.

c. language barriers.

d. reliance on primary healthcare providers.

8. According to the OMH, the use of family to translate for LEP patients is

a. encouraged to decrease the patient's anxiety.

b. discouraged except in the case of parents or spouses.

c. acceptable if the patient gives informed consent.

d. considered discrimination and a confidentiality violation.

9. The new Joint Commission safety standards for patient-centered communication include specific requirements for

a. patient access to professional medical interpreters at an affordable cost.

b. healthcare information that's understandable to each patient.

c. including any cultural practice requested by a patient.

d. having a qualified medical interpreter on staff 24 hours a day.

10. Providing culturally sensitive care to all patients requires that each caregiver

a. critically reflect on his or her own cultural biases, attitudes, and assumptions.

b. be assigned to patients whose culture most closely matches his or her own.

c. complete one education program on cultural competence in the workplace.

d. ask family members to interpret patients' questions and complaints for them.

11. When speaking with a LEP patient, the culturally competent nurse will

a. communicate in English as much as possible while a close family member assists.

b. watch the interpreter closely to ensure accurate communication.

c. avoid asking the patient to repeat information when using an interpreter.

d. ask the patient what language he or she uses and prefers.

12. About what percentage of people living in the United States speaks a language other than English at home?

a. 5%

b. 10%

c. 15%

d. 20%

13. When assessing pain, a culturally competent caregiver recognizes that

a. the patient's verbal response always provides the most significant data.

b. how patients demonstrate pain is often related to their culture.

c. direct eye contact is always important to establish trust.

d. nonverbal behaviors are important only if a patient has dysphasia.

14. Title VI of the Civil Rights Act of 1964 does not prohibit discrimination based on

a. race.

b. color.

c. national origin.

d. age.

15. Which question should the culturally competent nurse avoid asking?

a. What tests are prohibited?

b. What do you most need from your nurses?

c. How much control do you have over your future health?

d. Do you understand that if you follow our instructions, you'll recover faster?

16. Patient advocacy occurs when caregivers support the inclusion of cultural practices that

a. they consider neutral or efficacious.

b. conform with standard hospital care.

c. may harm the patient but won't affect other patients.

d. don't violate their own personal values.

17. Which statement about culture brokers is not correct?

a. They belong to the facility's ethics committee.

b. They bridge the gap between people of different cultures.

c. They can negotiate consensus between patients and the healthcare team.

d. They act as “middlemen” who navigate between differing perspectives.

18. When delivering culturally competent care to LEP patients, the caregiver always

a. maintains direct eye contact.

b. offers the use of professional medical interpreters.

c. uses soothing therapeutic touch to express concern.

d. uses metaphors to explain unfamiliar medical concepts.

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