(Test Bank) Community and Public Health Nursing

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Nursing

Test Bank

9th Edition

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Test Bank for Community and Public Health Nursing, The downloadable file consists of 167 pages, and the total size of the file is 1.11 MB. Purchase now only for highly discounted price.

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Community and Public Health Nursing 9th Edition Test Bank 1. After teaching a group of nursing students about the similarities and differences between public health and community health, identification of which of the following as a core public health function would indicate the need for additional teaching? A) Assessment B) Policy development C) Assurance D) Sanitation 2. The nurse is preparing a presentation to a local group about community health practice. Which of the following would the nurse include as most important? A) A focus on the use of technological skills to promote client health B) Focus on health promotion and prevention of health problems C) Emphasis of care being provided to individuals rather than families or groups D) Independent practice with occasional interaction with other health providers 3. The term “health” can be described in many different ways. A community health nurse would view health as which of the following? A) The absence of disease B) The potential to lead a productive life C) An environment free of toxins D) A holistic state of well -being 4. A group of community health nursing students design a health education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of which of the following? A) Health promotion B) Treatment of disorders C) Rehabilitation D) Evaluation 5. After discussing the leading health indicators with a class, which condition if stated by the class as one of these indicators suggests that the class has understood the information? A) Cardiac disease B) Mental health C) Sedentary lifestyle D) Maternal health care 6. The nurse is working with a “community of solution.” Which of the following would the nurse expect to find? A) A health problem affecting the group B) Common goal binding members together C) Sharing of a similar goal D) Locational boundaries 7. A group of students are reviewing material for a test on populations, communities, and aggregates. Which of the following indicates that the students understand these concepts? A) Members of a population share a sense of belonging. B) Communities and populations are types of aggregates. C) Individuals of a community are loosely connected. D) Members of an aggregate share a strong bond. 8. While interviewing a client, which of the following st atements would a nurse identify as reflecting an objective dimension of health? A) “I'm feeling better since I started taking that medication.” B) “Life is pretty good right now, except for an occasional upset stomach.” C) “I'm able to wash myself in the mornings with just a bit of help.” D) “Sometimes when I wake up, I don't even want to face the day.” 9. When employing a population -oriented focus, the community health nurse would do which of the following? A) Assess the groups' relationships, looking for a common need B) Consider the members individually, looking for similarities C) Focus on the geographical area of the population D) Promote the groups' dependency for improving health 10. Which of the following activities would be associated with a community health nurse? Select all that apply. A) Examining infants in a city well-baby clinic B) Caring for elderly stroke victims in their homes C) Providing emergency care in an acute care facility D) Carrying out epidemiologic research E) Participating in health policy analysis 11. Which of the following would a community health nurse identify as a community of common interest? A) The global community B) Small rural town in a northern state C) National professional organization D) Counties addressing water pollution 12. A community health nurse is preparing a presentation for a group of nursing students about community health nursing. Which of the following descriptions about community health nursing would the nurse most likely include in the presentation? A) Focusing on addressing continuous needs B) Working with the client as an equal partner C) Engaging in tertiary prevention as the priority D) Encouraging clients to reach out to the nurse 13. A community health nurse is working with other members of a team who will be implementing a citywide immunization program. The nurse is coordinating the services and addressing the needs of the population groups to ensure which of the following? A) Involvement of the community B) Client participation C) Continuity of service D) Plan for follow -up 14. The community health nurse is developing a plan of primary prevention activities. Which of the following might the nurse include? Select all that apply. A) Teaching high school students about safer -sex practices B) Encouraging older adults to install safety devices in the bathroom C) Providing regular immunization programs for communicable diseases D) Participating in cholesterol screening programs at health fairs E) Providing skin testing for tuberculosis for children over 1 year of age F) Working with a group testing water samples for contamination 15. A community health nurse works to ensure the greatest good for the greatest number of people by applying which of the following? A) Secondary prevention activities B) Autonomy C) Justice D) Utilitarianism 16. When working in the community, the community health nurse adapts the teaching plan to ensure that the population understands the basic information provided. This addresses which of the following? A) Self-care B) Health disparities C) Health literacy D) Episodic needs 17. A group of nursing students have participated in a class discussion about the health continuum. Which statement by the group indicates that t hey have understood the information? A) The distinction between health and illness is well demarcated. B) Illness refers to a state of being relatively unhealthy. C) The term “health” is limited to reflect an individual's state. D) Treatment of acute conditions reflects the current focus of health care. 18. A community health nurse is involved in a project to evaluate the health of a city. Which of the following findings would suggest that the city would most likely need additional programs? A) Citizens are actively involved in the city's department of recreation and after-school programs. B) A project to build affordable housing developments and communities is nearing completion. C) Approximately one third of the people are unemployed due to the recen t closure of an automobile factory. D) Several new recreational facilities for adults and children have been built. 19. Which of the following would be the priority for the community health nurse to address when dealing with policymakers about the development of community health programs? A) Research -based best practices B) Population's makeup C) Amount of services to be provided D) Scarcity of resources 20. After a class that described the differences between acute care nursing and community health nursing, which statement by the class about community health nurses indicates successful teaching? A) Use a reactive approach B) Seek potential health problems C) Concentrate on the illness end of the continuum D) Emphasize curative care Answer Key 1. D 2. B 3. D 4. A 5. B 6. A 7. B 8. C 9. A 10. A, B, D, E 11. C 12. B 13. C 14. A, B, C 15. D 16. C 17. B 18. C 19. A 20. B Page 1 1. A group of students are reviewing the various historical events associated with the evolution of community health nursing in preparation for a test. They identify the time from 1970 to the present as the era known as community health nursing based on the understanding that which of the following influences contributed most to this change? A) The settings and the nurses delivering health care in the community B) Decisions made by the American Nurses Association C) Decisions made by physicians in a variety of community settings D) The demand to eliminate the word “public” from health services 2. Before the mid-1800s, early home care nursing was best recognized by which of the following? A) Technical advances with the Industrial Revolution making major changes B) Care provided by family members, friends, and religious groups in the home C) Accomplishments stemming from the work of Florence Nightingale D) Formal organization of visiting nurses to provide care to the sick poor 3. The community health nurse is preparing a presentation for a group of nursing students about the societal influences on the development of community health nursing. Which of the following would the nurse include? Select all that apply. A) Advances in technology B) Increased focus on cause of illness C) Limited access to education D) Increased number of women entering nursing E) Consumer demand for quality services 4. After a class discussion about the contributions of Lillian Wald to the advancement of community health nursing, which of the following if stated by the class indicates that the discussion was effective? A) Establishment of family -centered nursing and outreach services in New York City at the turn of the 20th century B) Use of clean and safe nursing care practices to soldiers during the Crimean War in the 1850s C) Assistance to high-risk populations experiencing tropical diseases in Central America and the Caribbean in the late 1800s D) Creation of home nursing services in London, marking the beginning of district nursing in the 1860s 5. A prospective nursing student is interested in working in community health nursing after graduation. Which type of education would be most appropriate for this student to choose? A) Diploma program Page 2 B) Associate degree C) Baccalaureate degree D) Graduate degree 6. Community health nursing has a long history of contributing to the health of populations. Which of the following forms of service would the nurse identify as being most recent? A) Voluntary home nursing care for the sick poor via district nursing B) Use of the term “public health nursing” C) Lay and religious groups providing care to the sick poor in their homes D) Focus on populations, with community health nursing seen as a specialty field 7. The following are events that occurred during the evolution of community health nursing. Place them in the proper sequence from earliest to most recent. A. National Organization for Public Health Nursing formed B. American Birth Control League founded C. Frontier Nursing Service established D. Henry Street Settlement created E. Friendly Visitors Volunteers organized F.     Industrial nursing began in the United States 8. At which time did the focus of district nursing broaden to include the health and welfare of the general public? A) Beginning of 20th century B) Late 19th century C) Prior to the 1850s D) By the early 1970s 9. A community health nurse applies causal thinking by performing which of the following? A) Using computer -based programs for client education B) Engaging in video conferencing to share research findings C) Identifying multiple factors associated with promoting wellness D) Developing a plan to address the rapid increase in the older adult population 10. A community health nurse who is teaching a group of nursing students about the various societal influences on community health nursin g is explaining the effects of the consumer movement. Which of the following student responses would lead the nurse to determine that the teaching was successful? A) Individuals are considered passive members of the health care team. B) Consumers are demanding more coordinated, comprehensive care. Page 3 C) People are expecting community health nurses to develop new programs. D) Consumers are seeking care from a variety of care providers. 11. Which of the following most accurately reflects the response of community health nursing to economic forces? A) Decreased competition with other community health service providers B) Reduction in available programs and services C) Development of new services for generating revenue D) Switch to a more illness -oriented philosophy for service 12. A community health nurse desires to attain a tenure -track position at a local university to teach community health nursing. Which of the following would this nurse need? A) Certification B) Master's degree C) Doctoral degree D) Nurse practitioner license 13. When reviewing the Industrial Revolution as it relates to the evolution of community health nursing, which of the following would be most important? A) Lower mortality rates B) Control of diseases C) Decrease in mental illness D) Poor institutional conditions 14. A group of nursing students are studying for an examination on influential nursing leaders involved in the advancement of community health nursing. The students demonstrate that they are prepared for the examination when they identify which person as the first community health nurse in the United States? A) Frances Root B) Mary Robinson C) Mary Seacole D) Reba Thelin 15. Which factor was the most significant feature associated with district nursing? A) Caring for the sick B) Teaching hygiene and cleanliness C) Preventing illness D) Gathering statistical data Page 4 16. In their early stages, district nursing was sponsored by which of the following? A) Religious organizations B) Private philanthropy C) Contributions D) Public funding 17. A student is planning a presentation about the evolution of public health nursing. As part of the presentation the student would identify which person as being the first one to use the term “public health nursing”? A) Jessie Sleet B) Lillian Wald C) Lina Rogers D) Margaret Sanger 18. The NLN first required baccalaureate nursing programs to include public health content for accreditation at which time? A) 1912 B) 1944 C) 1946 D) 1963 19. Which of the following would characterize the public health stage of community health nursing? A) Voluntary health agencies emphasizing disease prevention B) Family is considered the primary unit of care C) Service is provided to the sick poor population D) Primary health care as the key to health for all 20. A community health nurse is engaging in activities at the primary prevention level. Which activities would this include? Select all that apply. A) Conducting research on health outcomes B) Participating in policy formation C) Promoting aggregate -level interventions D) Fostering nurse involvement on community boards E) Acting in an expanded service role to promote increased influence F) Assisting with obtaining funds for a community health program Page 5 Answer Key 1. A 2. B 3. A, B, E 4. A 5. C 6. D 7. E, D, F, A, B, C 8. A 9. C 10. B 11. C 12. D 13. D 14. A 15. B 16. A 17. B 18. D 19. B 20. A, B, F Page 1 1. A community health nurse has collected data for several months on the birthweights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role? A) Collaborator B) Manager C) Researcher D) Clinician 2. A nurse in a community health nursing setting works with police officers, social workers, health educators, and other nurses to promote the health of clients. The nurse is acting in which role? A) Clinician B) Educator C) Researcher D) Collaborator 3. A community health nurse is involved in education, screening, referral, and support for the individuals of a specific religious congregation. The nurse is practicing in which setting? A) Occupational health nursing B) Faith community nursing C) School nursing D) Residential institution nursing 4. A community health nurse is engaging in assurance activities. Which of the following would best explain these activities? A) Gathering and analyzing information that will affect the health of the people to be served B) Providing leadership in helping community groups to meet their needs, often involving changes in and additions to existing laws C) Being involved in activities to make certain that necessary services are being provided to the community D) Accessing relevant data that enable identification of strengths, weaknesses, and needs within the community 5. A community health nurse is interviewing for employment. The interviewer describes some of the typical activities that the nurse would be involved in, such as making home visits to families, holding immunization clinics for infants and children, and setting up flu -shot clinics for elders. The interviewer is describing which role? A) Educator B) Advocate Page 2 C) Clinician D) Manager 6. When fulfilling the function of assessment, which of the following would be most important for the community health nurse to do? A) Secure the trust of clients B) Gather appropriate information C) Interact with key community leaders D) Use a variety of assessment tools 7. A community health nurse is reviewing his schedule for the day. Included in his activities are planning client care, leading a staff conference, and supervising a new staff member. This nurse is fulfilling which role? A) Advocate B) Manager C) Collaborator D) Researcher 8. The community health nurse is engaging in the core function of policy devel opment. With which the activities would the nurse most likely be involved? A) Monitoring health status to identify community health problems B) Teaching communities about important health issues C) Linking individuals to needed personal health services D) Ensuring that a competent health care workforce is available 9. A community health nurse is assuming the role of a manager. Which function would be most important for the nurse to address first? A) Planning B) Organizing C) Leading D) Controlling 10. While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family obtain health insurance coverage. The nurse also gives the family a list of pharmacies where they can get their prescriptions filled. The nurse is acting in which role? A) Educator B) Leader C) Clinician D) Advocate Page 3 11. Which of the following differentiates the home setting for community health nursing from other settings? A) The nurse acts primarily as an educator. B) The client is viewed within his or her environment. C) Technologically advanced care is limited. D) The home is being used less frequently today. 12. After teaching a group of students about the various settings for community health nursing, the instructor determines that this teaching was successful when the students identify which of the following as an example of an ambulatory service setting? A) Preschool B) Halfway house C) Continuing care center D) Family planning clinic 13. A nursing student is interviewing a community health nurse about the various roles the nurse assumes and the skills and behaviors necessary to perform each role. Which of the following would the community health nurse identify as being essential to the role of an advocate? Select all that apply. A) Assertiveness B) Ability to plan C) Ability to negotiate D) Risk-taking E) Holistic view F) Questioning attitude 14. A community health nurse works in a busy community health nursing practice. Today the nurse is devoting the day to the educator role. With which of the following activities would the nurse be involved? Select all that apply. A) Planning seven home visits B) Work ing on a new curriculum for high-risk teens C) Meeting with colleagues to discuss organizational changes in the office D) Ordering pamphlets over the Internet to be used in a parenting class E) Tabulating data from surveys distributed to elders during a flu-shot clinic F) Going to social services to speak up for a family in her caseload 15. A community health nurse is collaborating with local community leaders to prepare a community disaster plan. Which function is the nurse fulfilling? A) Research B) Assurance Page 4 C) Policy development D) Assessment 16. A community health nurse is devoting the day to being a manager. Which of the following activities are part of this role? Select all that apply. A) Orienting three new community health nurses in the agen cy B) Attending a strategy meeting for a new service the community will be offering C) Working with a team to direct a smoking cessation program D) Investigating an outbreak of salmonella in the community E) Tabulating the findings of a study exploring immunization practices among teens F) Reviewing staff evaluations to assist with planning future in-services 17. Which of the following best exemplifies the attributes of a community health nurse in the researcher role? A) Gaining the trust and respect of staff members B) Interpreting abstract ideas so others can understand C) Implementing a staff development program for a technique D) Evaluating the possible causes and effects of a situation 18. After teaching a group of students about the changing roles of the community health nurse in the occupational setting, the instructor determines that the students need additional teaching when they state which of the following? A) Occupational health nurses are increasing their role as employee advocates. B) Health education is a key function of the occupational health nurse. C) There is a greater emphasis on the occupational health nurse's role as a clinician. D) Collaboration with other health care providers fosters the offering of better services. 19. A community health nurse is working as a lobbyist for health legislation for AIDS research at the state capitol. This nurse is practicing in which setting? A) Faith community B) Ambulatory service C) Residential institution D) Community at large 20. Of all the nursing roles assumed by community health nurses, which role must be assumed in every situation? A) Researcher B) Manager C) Leader D) Clinician Page 5 Page 6 Answer Key 1. C 2. D 3. B 4. C 5. C 6. A 7. B 8. B 9. A 10. D 11. B 12. D 13. A, C, D 14. B, D 15. B 16. A, B, F 17. D 18. C 19. D 20. B Page 1 1. A community health nurse is applying the value of equity in decision making with clients. Which of the following best describes this value? A) Forming, revising, and pursuing personal life plans B) Promoting clients' health and sense of well-being C) Fulfilling one's desires over those of others D) Treating similar cases in the same fair fashion 2. A community health nurse discovers that a bill in the legislature would eliminate a state law that currently funds health promotion services for low -income children. Which action at the primary level of prevention would be most appropriate? A) Advocate for an amendment to the passed law to allow some funding for children to remain B) Once the bill has passed, seek private resources to support funding of health promotion services for low -income children C) Gather a group of health professionals to volunteer to provide the health promotion services eliminated by the passed bill D) Advocate through active lobbying against the bill and gather community support 3. After teaching a class on ethical principles, the instructor determines that the class needs additional instruction when they identify which of the following as an ethical principle? A) Respect B) Autonomy C) Morality D) Justice 4. When working with clients, a communit y health nurse promotes their self - concept and health -promoting behaviors. The nurse is attempting to achieve which outcome? A) A value system B) Prescriptive -proscriptive beliefs C) Individual autonomy D) Values clarification 5. A nursing instructor is preparing a teaching plan for a class comparing evidence - based practice and critical thinking. Which of the following would the instructor include? A) Evidence -based practice and critical thinking are polar opposites. B) Both involve problem clarification of central concepts. C) Critical thinking must occur before evidence -based practice begins. D) Problem exploration is unique to evidence -based practice. Page 2 6. A nurse is planning a research study to answer a clinical question. Which of the following would be most appropriate for a qualitative research approach? A) Evaluating the reported cases of complications after varicella immunization B) Determining the use of complementary and alternative health care by middle -aged adults in rural areas C) Ascertaining the effect of using calming music on older adults with dementia in extended care facilities D) Assessing the emotional responses and feelings of individuals requiring isolation due to a highly communicable illness 7. After identifying an area of interest and formulating a research question, which of the following would the nurse do next? A) Choose a research design B) Review the literature C) Select a conceptual model D) Obtain approval from the appropriate board 8. When reviewing the literature for relevant research studies, the nurse focuses on studies that form the foundation of evidence -based practice. The nurse is reviewing which type of research design? A) Quasi -experimental B) Nonexperimental C) Randomized controlled trials D) Descriptive 9. The nurse is analyzing research data to determine the generalizability of the findings. The nurse researcher would use which of the following? A) Descriptive statistics B) Inferential statistics C) Construct validity D) Test–retest reliability 10. A community health nurse is preparing to communicate the findings of a recent research study to other community health nurses. Which of the following would be important for the nurse to remember? A) The report should focus on the positive findings of the study. B) Verification of the hypothesis is the most crucial aspect. C) Inconclusive results should be included in the report. D) The study's outcome determines the information to report. Page 3 11. Application of nursing research results to community health nursing practice is essential. Which of the following must occur first before results can be applied? A) Be informed about research findings B) Demonstrate skill in examining research reports C) Assess abstracts of relevant research studies D) Check if the study was funded by a drug company 12. After teaching a class on values, which of the following if stated by the class indicates the need for additional teaching? A) Some values are descriptive, while other are evaluative. B) Keeping a promise is an example of a terminal value. C) Values persist, remaining relatively stable over time. D) Certain values have more importance than others. 13. Which of the following would the community health nurse do first when making an ethical decision? A) Engage in critical thinking B) Choose a value C) Identify isolated values D) Clarify one's values 14. After a class discussion on moral evaluations, which characteristic if identified by the class would lead the instructor to determine that the discussion has been effective? A) There is specificity that applies to an individual person. B) A special place is given to a person's own welfare. C) Other values cannot override the moral evaluation. D) The evaluation is one that an individual can understand. 15. A community health nurse is faced with an ethical dilemma. Which question should the nurse ask first when deciding how to resolve the dilemma? A) “What ethical principles should be given priority?” B) “What are the client's rights and duties?” C) “What are some alternative courses of action?” D) “What are the ethical principles involved here?” 16. A community health nurse obtains a client's informed consent for care. This is derived from which value? A) Self-interest B) Well -being Page 4 C) Equity D) Self-determination 17. A community health nurse is working to support programs to encourage preschool immunizations. The nurse is using which ethical principle? A) Beneficence B) Autonomy C) Nonmaleficence D) Justice 18. A community health nurse working with a group of families who come to a local community hea lth care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center. Three months have passed and the nurse still has not instituted the child care program. The nurse has violated which ethical principle? A) Veracity B) Fidelity C) Justice D) Respect 19. A community health nurse is weighing the costs of services against real client benefits. This nurse is demonstrating which of the following? A) Respect B) Equity C) Well -being D) Self-determination 20. A group of students are reviewing for an examination on values. Identification of which of the following as an instrumental value indicates the need for continued study? A) Spiritual salvation B) Confidentiality C) Honesty D) Promise keeping Page 5 Answer Key 1. D 2. D 3. C 4. C 5. B 6. D 7. B 8. C 9. B 10. C 11. A 12. B 13. D 14. C 15. B 16. D 17. A 18. B 19. C 20. A Page 1 1. As a community health nurse, you overhear a colleague say, “I don't understand why the Yangs take their young teenage daughters to the Hmong New Year celebration and have them play these matchmaking games. The girls meet boys every day as school and they are too young to be looking for husbands.” Which of the following would be the most appropriate response? A) “The Yangs are very different from us; maybe in time we can convince them that their practices are not right.” B) “Every culture has its differences; I think it's valuable that the Yangs are keeping their cultural practices alive.” C) “I know what you mean, I was thinking the same thing. You wouldn't catch me doing something similar with my teens.” D) “I feel sorry for those girls; they must feel funny in those cultural costumes. Let's talk to the parents and tell them how teens in America feel about such things.” 2. The population that community health nurses serve in the United States is changing. Because of population shifts, nurses must become sensitive to the cultural differences and language differences among new community members. Which minority group currently represents the largest group? A) African -Americans B) Hispanic -Americans C) Asian -Americans D) American Indians 3. When applying the principles of transcultural nursing, which of the following must the nurse do first? A) Cultivate cultural sensitivity B) Develop cultural awareness C) Learn the client's group culture D) Demonstrate respect for culture 4. As part of a class presentation, a nursing instructor describes the characteristics shared by all cultures. Which description of culture being “tacit” indicates that the teaching was successful? A) Culture is mostly unexpressed. B) Cultures do not remain static. C) Culture is a functional and integrated whole. D) Patterns of cultural behavior are acquired. 5. A community health nurse is working with several Native American groups in Arizona. Which of the following would the nurse be most likely to find? A) The value of competition B) Respect for advancing age and elders Page 2 C) Focus of living on the future D) Frequent discussions 6. A community health nurse working a large metropolitan city has a large Asian - American client base. Which of the following would the nurse be least likely to find in this population? A) Belief that illness results from a body imbalance B) Reliance on Western medical practices C) Use of traditional self-care practices D) A focus on patriarchal family structures 7. A community health nurse implements a plan of care that combines aromatherapy and acupuncture with medication therapy and surgery. The nurse is applying which of the following? A) Holistic health care B) Folk medicine care C) Herbalistic health care D) Integrated health care 8. While providing care to a community group, a community health nurse provides culturally sensitive care by avoiding which of the following? A) Ethnocentrism B) Ethnorelativism C) Enculturation D) Ethnicity 9. A community health nurse is providing care to several cultural groups in the community. When providing transcultural nursing, which of the following would be the priority? A) Examining one's own culture carefully and recognizing that alternative viewpoints are possible B) Recognizing that cultural values, beliefs, and practices influence people's health and lifestyles C) Obtaining health -related information about a cultural group concerning their values, belief s, and practices D) Actively and attentively listening to show respect while learning about other cultures 10. While visiting an Asian -American family in their home, the community health nurse inspects the skin of the 3-year-old child and notices a bruise -like lesion on the child's abdomen. The mother states that the child has been experiencing Page 3 diarrhea for 2 days. Which of the following would the nurse do next? A) Report the family to the local child abuse agency B) Recognize this as a normal skin variation C) Question the family about the use of cupping D) Obtain a blood test for clotting function 11. The community health nurse is working in the health department of a major city that has a large Hispanic/Latino population. Which of the followin g would the nurse need to integrate into the plan of care for this population? A) View of the female as superior to the male B) Importance of an extended cohesive family C) Males as the binding force of the family D) Adherence to strict time schedules 12. A group of nursing students are studying for a test about various cultural communities. The students demonstrate that they understand the material when they identify which cultural group as believing in predestination? A) Hispanic/Latinos B) African -Americans C) Muslims D) Native Americans 13. When developing an in-service program for a group of community health nurses about culture, which of the following would the presenter expect to include? A) Subcultures exist in heterogeneous cultural groups. B) Intra ethnic variations reflect a group's cultural diversity. C) Ethnicity has a major impact on the effectiveness of health care. D) Ethnocentric attitudes are key to working with different cultures. 14. A community health nurse is assessing a family during a home visit. The nurse is examining the mother, who is pregnant with her second child. The nurse asks the mother to raise her arms above her head. The mother replies, “I can't do this because it will cause the umbilical cord to strangle the baby.” The nurse interprets this statement as reflecting which of the following? A) Home remedy B) Herbalism C) Folk medicine D) Alternative therapy 15. A community health nurse is developing health promotion programs for a local community that consists predominantly of African -Americans. Which of the Page 4 following areas would be a priority for health promotion with this group? A) Cardiac health B) Respiratory care C) Mental health D) Skin care 16. When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which of the following must the nurse do first? A) Prepare to teach clients about the limits and benefits of cultural health practices B) Assess the client or family adequately to ascertain their belief system and choices C) Individualize caregiving for the client within his or her culture D) Be knowledgeable about health care practices and choices 17. A community health nurse is providing care to a Muslim family. Which of the following would be most important for the nurse to integrate when providing care to this family? A) Rules are stricter for boys than for girls. B) Modest dressing is key for both men and women. C) Most Arabic women work outside the home. D) Most adhere to the three tenets of Islam. 18. When working with immigrant groups in community health care, which of the following would be least appropriate for the community health nurse to do? A) Permit ample time for interviewing to allow time to evaluate beliefs B) Develop educational programs to correct misconceptions C) Assume that the client has a basic understanding of health issues D) Ensure an appropriate interpreter for communication if needed 19. When describing culture as “shared,” which of the following would be most accurate? A) It is acquired, not inherited. B) It is a product of aggregate behavior. C) It is interrelated and interdependent. D) It undergoes change. 20. A community health nurse is providing care to an Asian -American family who believe that a member's current illness is due to an excess of yin. The nurse would expect the family to avoid which foods? A) Rice B) Eggs