A patient from the mexican heritage relates

1. A patient from the Mexican heritage relates using a curandero for health care needs. What are the characteristics of this type of healer?

  • a. Considered to be a religious figure
  • b. Was born as a healer
  • c. Taught the ways of healing through herbs
  • d. All of the above.

2. In the Mexican health care system, what is the scope of practice of the partera?

  • a. The care given is confined to the pregnant woman
  • b. Only provides physical care
  • c. Acts alone without doing other consultations or referrals
  • d. Does not participate in labor and delivery

3. During a medical history with a patient from Puerto Rico, what preparations will the nurse need to include?

  • a. Those obtained from a botanica
  • b. Those obtained from a botanical center
  • c. Those obtained from a healer
  • d. Those obtained from a pharmacy

4. Which is a dilemma encountered by health care providers when trying to accommodate a patient of the Mexican culture’s desire to maintain hot and cold food preferences?

  • a. Avoiding all foods that contain certain spices
  • b. Understanding which foods the patient considers hot and cold
  • c. Obtaining the unusual foods native to a Mexican patient’s diet
  • d. Ensuring that all medications are taken with specific foods

5. Where might a patient of Puerto Rican heritage seek help when experiencing signs of a mental illness?

  1. Milagros
  2. Curanderismo
  3. Santeria
  4. Partera

Unit 4 Examination

HCA 340 Cultural Diversity in Health & Illness

6. What is a significant factor when caring for health problems of patients within the Hispanic culture?

  • a. Lack of Spanish-speaking health care providers impeding appropriate care delivery
  • b. Failure to highlight common chronic diseases among Hispanics in local media
  • c. Overall population is young with a high birthrate compared to the general population
  • d. Use of folk remedies creating cultural dissonance with the medical establishment

7. What would the combination of a young population, high birthrates, and lower socioeconomic status contribute to in the Hispanic population?

  • a. Higher incidence of births to women under age 18
  • b. Lower birth weight infants
  • c. Higher percentage of first trimester prenatal care
  • d. Higher infant mortality rate

8. Which health problem does the nurse identify as being a higher risk for the patient from the Hispanic culture when compared to the general population?

  • a. Septicemia
  • b. Unintentional injuries
  • c. Chronic lower respiratory diseases
  • d. Alzheimer’s disease

9. What would the nurse infer about the incidence of lung cancer being lower among Hispanic women versus that of the general population?

  • a. Hispanic women are not genetically predisposed to lung cancer.
  • b. Hispanic women are healthier than the general population.
  • c. Hispanic women have better preventive health practices.
  • d. Hispanic women are less likely to smoke.

10. What might a patient of German descent used to treat a stomachache?

  • a. Drink peppermint tea
  • b. Stop eating for at least 24 hours
  • c. Take black draught
  • d. Eat chicken soup

11. Which actions might a patient of German descent use to treat a cough?

  • a. Rub goose fat on the chest
  • b. Eating honey and milk
  • c. Drinking rum
  • d. All of the above.

Unit 4 Examination

HCA 340 Cultural Diversity in Health & Illness

12. When caring for a postoperative wound at home, what would a patient of German descent tend to use? 

  • a. Kerosene
  • b. Iodine
  • c. Salves and liniments
  • d. Onion compresses

13. For what would a patient of German descent use cloves?

  • a. Headache
  • b. Rheumatism
  • c. Toothache
  • d. Fever

14. What would a patient of Italian descent tell the nurse is the cause of pneumonia?

  • a. Moving air in the form of drafts
  • b. Eating food that was not nutritious
  • c. Improper balance of fluids
  • d. Not dressing properly

15. What will the nurse assess as an important component of healing for a patient of Italian descent?

  • a. Religious faith in God
  • b. Use of garlic and olive oil in tonics
  • c. Wearing black when a family member is ill
  • d. Eating pasta at every meal

16. What will a patient of Polish descent tell the nurse is used to treat a cough?

  • a. Taking garlic oil
  • b. Goose grease rubbed on the throat
  • c. Drinking hot lemonade with whiskey
  • d. A mustard plaster on the chest

17. What will a patient of Polish descent use to treat a burn?

  • a. Aloe vera
  • b. Salt pork
  • c. Carbolic salve
  • d. Turpentine and liniment

Unit 4 Examination

HCA 340 Cultural Diversity in Health & Illness

18. For what would a patient of Polish descent tell the nurse that paregoric is used?

  • a. Gas
  • b. Diarrhea
  • c. Indigestion
  • d. Cramps

19. In which ways does the current United States health care system create barriers to individuals from different cultures?

  • a. Expectation to select a physician from a list
  • b. Cost of treatments and tests
  • c. Violation of cultural beliefs and practices
  • d. All of the above.

20. How would the use of patient advocates bridge the gap of inadequate numbers of health care providers representing culturally diverse population groups?

  • a. Speak to patients in their native language
  • b. Coordinate services to meet the patients’ needs
  • c. Resolve problems
  • d. All of the above.

21. The health care administrator is identifying ways to improve communication with non-English- speaking patients. Which languages would the administrator target as being spoken by hospital employees?

  • a. Russian
  • b. Chinese
  • c. Spanish
  • d. None of the above.

22. The nurse is experiencing collisions when attempting to improve cultural competency. What types of collisions is this nurse experiencing?

  • a. Meeting dense cultural barriers
  • b. Sabotaged efforts
  • c. Unexpected hills
  • d. a and b only

23. Two nurses are overhead talking about their experiences with cultural competency. Which experience would be considered an unexpected positive event?

  • a. Deep love of life and people
  • b. Role of a healer within a culture
  • c. Learning a foreign language
  • d. Being an advocate for funding

Unit 4 Examination

HCA 340 Cultural Diversity in Health & Illness

24. What self-observation does the nurse make that indicates that the nurse is “on the road” to cultural competency?

  • a. Socialized by society
  • b. Individual culture and religion
  • c. Adhering to ways to protect health that are consistent with the dominant culture
  • d. Avoiding the use of amulets

25. What action would a nurse take to learn more about the different cultures represented in the community?

  • a. Walk through the community
  • b. Prepare a guide sheet with a list of herbs
  • c. Recognize hot-cold imbalances
  • d. Recognize folk diseases

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