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Cultural Diversity in Health and Illness 9th Edition Spector Test Bank

ISBN-13: 978-0134413310

ISBN-10: 0134413318

 

Cultural Diversity in Health and Illness 9th Edition Spector Test Bank

ISBN-13: 978-0134413310

ISBN-10: 0134413318

 

 

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Cultural Diversity in Health and Illness, 9e (Spector)

Chapter 8   Health and Illness in Modern Health Care

 

1) What is considered to be a constant for any culture?

  1. Socialization into its traditions, language, and practices
  2. Ability for it to change quickly to adjust to new challenges
  3. Requirement that all members of the culture act the same
  4. Necessity for its members to be homogeneous in all their decisions

Answer:  1

Explanation:  1. Socialization into a culture’s traditions, language, and practices is a common thread for all cultures.

  1. Cultures gradually adjust to change and challenges in order to survive.
  2. There are many different behaviors within cultures.
  3. There are many variations within cultures about how decisions are made.

Cognitive Level:  Understanding

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Discuss the professional socialization of nurses, physicians, and other members of the healthcare delivery system.

 

2) What would a patient recognize as symbols of healthcare providers? Select all that apply.

  1. Stethoscope
  2. White lab coat
  3. Nurse’s cap
  4. White uniform

Answer:  1, 2, 3, 4

Explanation:  1. A stethoscope is used by many healthcare providers, and is a symbol of being a member of a health care profession.

  1. A white lab coat is worn by many healthcare providers, and is a symbol of being a member of a healthcare profession.
  2. A nurse’s cap is not worn as much today as it has in the past. However, it is a symbol of nursing, which is a healthcare profession.
  3. A white uniform is not worn as much today as it has in the past, but it remains a symbol of a healthcare professional.

Cognitive Level:  Analyzing

Patient Need:  Safe and Effective Care Environment

Patient Need Sub:  Management of Care

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Discuss the professional socialization of nurses, physicians, and other members of the healthcare delivery system.

 

3) Which are considered habits within the culture of healthcare? Select all that apply.

  1. Charting
  2. Using jargon
  3. Following the problem-solving method
  4. Being neat
  5. Hand washing

Answer:  1, 2, 3, 4, 5

Explanation:  1. Charting is considered to be a habit within the culture of healthcare.

  1. Using jargon is considered to be a habit within the culture of healthcare.
  2. Following the problem-solving method is considered to be a habit within the culture of healthcare.
  3. Neatness is considered to be a habit within the culture of healthcare.
  4. Hand washing is considered to be a mandatory habit within the culture of healthcare.

Cognitive Level:  Analyzing

Patient Need:  Safe and Effective Care Environment

Patient Need Sub:  Management of Care

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO01 – Discuss the professional socialization of nurses, physicians, and other members of the healthcare delivery system.

 

4) Which identifies a common complaint about contemporary U.S. healthcare providers?

  1. In general, healthcare providers are rigid to the Western system of healthcare.
  2. There are no variations in treatment for various medical diagnoses.
  3. Only Western care treatments should be insurance-reimbursable.
  4. Western medical practices and Eastern medicine practices cause fragmented care.

Answer:  1

Explanation:  1. In general, healthcare providers adhere rigidly to the modern allopathic or Western system of healthcare delivery.

  1. Healthcare providers do not believe there are no variations in treatment for various medical diagnoses.
  2. Health care providers do not believe only Western care treatments should be insurance-reimbursable.
  3. The blend of Western and Eastern medicine practices can provide a congruent, not fragmented, plan of care.

Cognitive Level:  Analyzing

Patient Need:  Physiological Integrity

Patient Need Sub:  Basic Care and Comfort

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO02 – Describe the “culture” of the healthcare providers.

 

5) What is an assumption about socialization into the healthcare culture?

  1. Effective treatment can only be done by educated and licensed professionals.
  2. The more technological the intervention, the greater benefit it yields.
  3. Interventions for health events must follow a prescribed protocol.
  4. Alternative complementary treatments have validity.

Answer:  1

Explanation:  1. The healthcare culture paradigm assumes that effective treatment can only be given by those who are educated, licensed, and certified with appropriate credentials, and assigns little value to those who are not.

  1. Technology has been able to enhance treatments, but increased technology does not always yield the greater benefit.
  2. Protocols for treatments include interventions, but not all health events follow a prescribed protocol for them.
  3. The predominant healthcare culture is reluctant to acknowledge the role alternative complementary treatments can have as treatments.

Cognitive Level:  Analyzing

Patient Need:  Physiological Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO02 – Describe the “culture” of the healthcare providers.

 

6) In the current health care market, what will occur with healthcare expenditures per capita in the United States?

  1. Increase as part of the overall gross domestic product
  2. Match those of other Western countries
  3. Have the United States achieve the highest health status in the world
  4. Decrease as healthcare becomes available for all citizens

Answer:  1

Explanation:  1. U.S. healthcare expenditures increasingly account for a higher percentage of the gross domestic product than in earlier decades.

  1. In comparison to other Western countries, the United States has a higher ratio of healthcare expenditures.
  2. Despite increased healthcare expenditures, the United States does not have the highest worldwide health status.
  3. Healthcare expenditures will most probably increase if available healthcare becomes accessible to all citizens.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

7) How does the U.S. healthcare expenditure per person compare to other nations?

  1. Expenditures exceed those of other nations.
  2. Expenditures are equal with other nations.
  3. Expenditures are a fraction of the gross domestic product.
  4. Expenditures rank lower than those of other nations.

Answer:  1

Explanation:  1. U.S. healthcare expenditures per person exceed those of other nations.

  1. U.S. healthcare expenditures are not commensurate or equal with those of other nations.
  2. U.S. healthcare expenditures take up a large percentage of the gross domestic product.
  3. U.S. healthcare expenditures are not lower than those of other nations.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

8) According to the 2013 statistics, what was the infant mortality rate in the United States?

  1. 3.5/1000 live birth
  2. 7/1,000 live births
  3. 5.96/1,000 live births
  4. 6.9/1,000 live births

Answer:  1

Explanation:  1. According to the 2013 data, the United States had 5.96 infant deaths per 1000 live births.

  1. According to the 2013 data, the United States had 5.96 infant deaths per 1000 live births.
  2. According to the 2013 data, the United States had 5.96 infant deaths per 1000 live births.
  3. According to the 2013 data, the United States had 5.96 infant deaths per 1000 live births.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

9) The nurse is reviewing the contents of the Affordable Care Act to explain the changes in healthcare to a patient. What will the nurse include when teaching about the Act? Select all that apply.

  1. Small businesses will have tax credits for health insurance.
  2. Free preventive care will be provided.
  3. Health care quality and efficiency will improve.
  4. People with preexisting conditions can have healthcare insurance.

Answer:  1, 2, 3, 4

Explanation:  1. One change made through the Affordable Care Act is that small businesses will have tax credits for health insurance.

  1. One change made through the Affordable Care Act is that free preventive care will be provided.
  2. One change made through the Affordable Care Act is that healthcare quality and efficiency will improve.
  3. One change made through the Affordable Care Act is that people with preexisting conditions can have health insurance.

Cognitive Level:  Applying

Patient Need:  Safe and Effective Care Environment

Patient Need Sub:  Management of Care

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO03 – Compare the growth of the gross domestic product and national health care expenditures over time.

 

10) The nurse is caring for a pregnant patient who does not practice or follow the Western approach to medicine. What CULTURALCARE approach should the nurse suggest to support the patient during the pregnancy and delivery?

  1. Consider the use of a midwife.
  2. Follow daily practices to stay well.
  3. Schedule limited appointments with a medical doctor.
  4. Agree to having diagnostic studies to ensure the baby’s health.

Answer:  1

Explanation:  1. For patients who do not practice or follow Western approaches to medicine, the use of a midwife would be a good CULTURALCARE suggestion for the nurse to make to assist the patient during the pregnancy and delivery.

  1. Following daily practices to stay well may be helpful to the nonpregnant patient. The pregnant patient will need some type of intervention to assist during the delivery.
  2. The patient does not follow or practice Western medical approaches to health care. This option would be in direct violation of the patient’s desires.
  3. The use of technology is a practice of Western medicine and may not be an appropriate CULTURALCARE suggestion for the patient who does not follow or practice this approach to health care.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO09 – Compare and contrast modern medical care and CULTURALCARE.

11) A patient tells the nurse that the Affordable Care Act will not be helpful, since the patient cannot afford to pay for health insurance. What should the nurse say in response to this patient?

  1. It will provide tax credits to those who need help buying health insurance.
  2. Health insurance will need to be obtained through an employer.
  3. It focuses on the healthcare needs of the elderly.
  4. It will cause most Americans’ taxes to increase.

Answer:  1

Explanation:  1. The Affordable Care Act is designed to make health insurance affordable by providing tax credits to those who need help with buying insurance.

  1. This is not the case with the Affordable Care Act. It does not matter if a person gets health benefits through an employer. This Act is designed to provide better control of decisions about health insurance coverage.
  2. This is not the case with the Affordable Care Act. It is designed to make health insurance affordable for all, and does ensure for free preventive care. There are provisions to address seniors on Medicare and senior preventive care.
  3. The Affordable Care Act is projected to reduce premium costs for millions of families, and represents the largest middle-class tax cut for health insurance in history.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

12) The cost of prescription medications, an indicator of healthcare costs, has skyrocketed from $2.7 million in 1960 to $271.1 billion in 2013. What would be a reason for the increase in prescription medication costs?

  1. Technology costs associated with new drug development
  2. Health insurance covers all medication costs
  3. People want more prescription medications for all of their illnesses.
  4. The majority of prescription medications are used by an increasingly aging population.

Answer:  1

Explanation:  1. Technology associated with new drug development has contributed to the skyrocketing costs of prescription medications.

  1. Health insurance does not cover all medication costs. It depends on the health insurance policy.
  2. The use of prescription medications for illnesses has increased, but it is a generalization to assume that people want more prescription medications for illnesses.
  3. The population is aging, but this group does not account for the majority of prescription medications used.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

13) What are issues surrounding the shifting of healthcare coverage from the private sector to the public sector, and now back to the private sector? Select all that apply.

  1. Technology has exploded.
  2. Soaring cost of health care
  3. Blindly covering costs of services
  4. Families being left bankrupt
  5. Improvement in care quality

Answer:  1, 2, 3, 4

Explanation:  1. The explosion of technology is an issue that will impact health care coverage back to the private sector.

  1. The soaring cost of health care is an issue that will impact health care coverage back to the private sector.
  2. Blindly covering the costs of services is an issue that will impact health care coverage back to the private sector.
  3. The cost of health care has left some families bankrupt, or finding that they have to choose between care or financial insolvency.
  4. There is no documentation to support that care quality has improved with the shifting of healthcare coverage back to the private sector.

Cognitive Level:  Analyzing

Patient Need:  Safe and Effective Care Environment

Patient Need Sub:  Management of Care

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

14) The nurse is reviewing the costs associated with providing care for specific health problems in 2006. Which health problems cost the most to treat at that time? Select all that apply.

  1. Respiratory intubation and mechanical ventilation
  2. Percutaneous transluminal coronary angioplasty (PTCA)
  3. Cardiac pacemaker
  4. Spinal fusion
  5. Knee arthroplasty

Answer:  1, 2, 3

Explanation:  1. Respiratory intubation and mechanical ventilation cost the healthcare industry $15,729 million in 2006.

  1. PTCA cost the health care industry $13,327 million in 2006.
  2. Cardiac pacemakers, cardioverters, and defibrillators cost the healthcare industry $8,693 million in 2006.
  3. Spinal fusion cost the healthcare industry $7,670 million in 2006.
  4. Knee arthroplasty cost the healthcare industry $7,920 million in 2006.

Cognitive Level:  Analyzing

Patient Need:  Physiological Integrity

Patient Need Sub:  Reduction of Risk Potential

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO03 – Summarize the costs of healthcare in the United States.

 

15) What was the focus of healthcare during the early part of the twentieth century? Select all that apply.

  1. Treatment of infectious diseases
  2. Maternal and child health
  3. Implementing Medicare
  4. Reducing the impact of HIV/AIDS
  5. Discovery of external cardiac pacing

Answer:  1, 2

Explanation:  1. Infectious diseases were pandemic, and treatments were being discovered.

  1. The main health strategy at this time was focused on maternal and child health because of the large number of new immigrants.
  2. Medicare was not implemented until the 1960s.
  3. HIV/AIDS was not a disease during the early part of the twentieth century.
  4. External cardiac pacing was not discovered until the 1960s.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO04 – Identify trends in the development of today’s modern healthcare system.

 

16) What was the impact of infrastructure on the healthcare industry in the middle of the twentieth century?

  1. Development of the foundation for today’s costly tests and treatments
  2. Restriction of public immunizations and medications for communicable diseases
  3. Social policy planning for health care expenditures
  4. Decrease of hospital building and local resources for health care

Answer:  1

Explanation:  1. The massive infrastructure buildup of the mid-twentieth century resulted in the building of hospitals, development of vaccines, and the development of resources that enabled tests and treatments to be carried out, which laid the groundwork for today’s diagnostic tests and treatments.

  1. The development of vaccines led to public immunizations against contagious diseases such as polio.
  2. Social planning policy for healthcare expenditures was a feature of the mid-twentieth century.
  3. Hospital building increased during this time as a result of the Hill-Burton Act.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO04 – Identify trends in the development of today’s modern healthcare system.

 

17) What impact did social and health policy have on the healthcare system in the latter part of the twentieth century?

  1. Exploding healthcare costs and the challenges to reform and control them
  2. The majority of healthcare being paid for through government subsidies
  3. Affordable healthcare for all citizens
  4. Healthcare costs decreasing as a result of social and health policy

Answer:  1

Explanation:  1. Social and health policy contributed to rapidly rising health costs with the challenge at the end of the twentieth century to reform healthcare and contain costs.

  1. Social and health policies resulted in government subsidizing health care through Medicare and Medicaid, but this was not the majority of healthcare.
  2. Affordable healthcare for all citizens was not achieved in the latter part of the twentieth century.
  3. Healthcare costs rose, not fell, in the latter part of the twentieth century, in part as a result of social and health policy.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO04 – Identify trends in the development of today’s modern healthcare system.

 

18) What was the goal of healthcare reform efforts in the 1990s?

  1. Making healthcare affordable, comprehensive, and accessible
  2. Allocating health resources based on priority needs
  3. Providing government-subsidized healthcare
  4. Ensuring all citizens had health insurance

Answer:  1

Explanation:  1. Healthcare reforms of the 1990s were initiated with the goal of making healthcare affordable, comprehensive, and accessible to all.

  1. Allocation of healthcare resources based on priority needs was not the goal of the 1990s healthcare reforms.
  2. Healthcare reforms were not undertaken to provide government-subsidized healthcare.
  3. The goal was not so much for all citizens to have health insurance, but to make sure healthcare was affordable and accessible.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO04 – Identify trends in the development of today’s modern healthcare system.

 

19) What would be a reason why a person with sickle cell disease does not receive adequate care and pain control during a crisis?

  1. There may be subtle racism exhibited toward those with sickle cell disease.
  2. Physicians are not familiar with the trajectory of a pain crisis.
  3. The person isn’t aware that appropriate care for a pain crisis exists.
  4. The person may not explain their symptoms appropriately.

Answer:  1

Explanation:  1. The majority of people affected with sickle cell disease are African American. There may be residuals of racial prejudice as part of the organizations’ policy.

  1. Physicians are familiar with the trajectory of pain crisis in sickle cell disease.
  2. People with sickle cell disease who experience pain crises will seek care.
  3. People experiencing a pain crisis in sickle cell disease are able to describe their symptoms.

Cognitive Level:  Analyzing

Patient Need:  Physiological Integrity

Patient Need Sub:  Physiological Adaptation

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO05 – Describe problems within the healthcare system.

 

20) A patient is seeking a second level of care for a health problem. What types of healthcare providers are found at this level? Select all that apply.

  1. Obstetricians
  2. Hospitalists
  3. Surgeon
  4. Neurologist
  5. Rehabilitation

Answer:  1, 2, 3, 4

Explanation:  1. The second level of healthcare is the specialist. such as an obstetrician.

  1. The second level of healthcare is the specialist. such as the hospitalist.
  2. The second level of healthcare is the specialist. such as the surgeon.
  3. The second level of healthcare is the specialist. such as the neurologist.
  4. The third level of care is delivered within hospitals that provide inpatient care and services, such as rehabilitation.

Cognitive Level:  Applying

Patient Need:  Physiological Integrity

Patient Need Sub:  Basic Care and Comfort

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO06 – Describe the amazing maze of healthcare.

 

21) A patient is unable to access healthcare. What are the reasons for this barrier to healthcare? Select all that apply.

  1. Lack of money
  2. No health insurance
  3. Lack of transportation
  4. No primary care physicians
  5. Lack of time

Answer:  1, 2, 3, 4

Explanation:  1. Access to healthcare could be hindered by the lack of money.

  1. Access to healthcare could be hindered by the lack of health insurance.
  2. Access to healthcare could be hindered by the lack of transportation to get to a place where healthcare is delivered.
  3. Access to healthcare could be hindered by a lack of primary care physicians available to provide care.
  4. The lack of time is not identified as a reason for hindering a patient’s ability to access healthcare.

Cognitive Level:  Analyzing

Patient Need:  Safe and Effective Care Environment

Patient Need Sub:  Management of Care

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO07 – Describe barriers to health care.

 

22) A patient is a migrant farm worker. Which barrier would exist for this patient to access healthcare if needed?

  1. Language
  2. Homelessness
  3. Racism
  4. Access

Answer:  1

Explanation:  1. Many guest workers/migrant farm workers come from Mexico and Central America. If there are no interpreters available, language can be a potential barrier for health care, even if it is provided.

  1. Farm workers are provided housing, so technically they are not homeless, even if the housing conditions are substandard.
  2. Racism is not so much a factor in this case–language is the greater barrier.
  3. Health care specific to farm workers is provided where they are working.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO07 – Describe barriers to health care.

 

23) What would be a barrier to healthcare for a person who lives in a rural area?

  1. Transportation
  2. Education
  3. Insurance
  4. Technology

Answer:  1

Explanation:  1. Transportation presents a potential barrier to someone in a rural area, as healthcare is not as plentiful as it is in more urban areas, and rural areas do not tend to have public transportation.

  1. Education is not a barrier to health care in rural areas.
  2. While people living in rural areas tend to be less likely to have health insurance, this isn’t necessarily a barrier to health care.
  3. Technology is present, and not a barrier to health care for those in rural areas.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO07 – Describe barriers to health care.

 

24) Why would a patient of limited income find technology as a barrier to accessing health care?

  1. Inability to afford, desire, or utilize what technology offers as tests or treatments
  2. Difficulty understanding the results obtained as a result of technology
  3. Limited benefits due to age
  4. Lack of accessing the various diagnostic technological treatments

Answer:  1

Explanation:  1. Technology in healthcare is expensive, and a person may not be able to afford, want, or utilize what technology offers as part of diagnostic tests or treatments.

  1. Understanding results obtained through technological tests or treatments can be a factor of education, not of technology itself.
  2. All ages can benefit from the various technologies in healthcare, but this does not mean that technology needs to be used at any age for any reason.
  3. Access is the ability to enter a system. A patient of limited income would not be able to afford the technological treatments for care.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO07 – Describe barriers to health care.

 

25) The nurse is reporting a patient care situation to the authorities. In which situations would the practice of medicine and the law overlap? Select all that apply.

  1. Immunizations
  2. Sanitation
  3. Abortion
  4. Euthanasia
  5. Medication distribution

Answer:  1, 2, 3, 4

Explanation:  1. In public health law, medicine and the law overlap to provide and support the need for immunizations to prevent the onset of preventable diseases.

  1. Public health laws and medicine overlap in the area of sanitation to reduce the onset of disease.
  2. The law and medicine overlap in the case of abortion. The law supports the use of abortion and medicine provides the abortion. However, some health insurance policies do not cover this service.
  3. The law and medicine overlap in the case of euthanasia. The definition of death has changed over the years and with technological improvements, the courts often have to intervene to help make the decisions to stop life support efforts.
  4. Medication distribution is not an area where the law and medicine overlap.

Cognitive Level:  Analyzing

Patient Need:  Safe and Effective Care Environment

Patient Need Sub:  Management of Care

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO08 – Identify the factors that determine medicine to be an institution of social control.

 

26) What causes medicine—the modern healthcare system—to be identified as an “institution of social control”?

  1. Placing attention on health issues that are considered preventable diseases.
  2. Debating the issues of who has the right to stop medical treatment
  3. Limiting the use medications
  4. Limiting the use of technology

Answer:  1

Explanation:  1. Social control emerges when health education advice, such as stop smoking, is ignored.

  1. The right to stop medical treatment is a personal issue.
  2. Modern medicine can control what medications are available for legal consumption.
  3. Modern medicine can control what technological tests and treatments can be used.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO08 – Identify the factors that determine medicine to be an institution of social control.

 

27) Which is the philosophy of CULTURALCARE?

  1. Holistic care is predicated on cultural HEALTH traditions and needs.
  2. Sufficient money, technology, and science are used to cure.
  3. Premature death must be avoided.
  4. Disease and injury are avoided through health promotion and maintenance.

Answer:  1

Explanation:  1. The philosophy of CULTURALCARE is that holistic care is predicated on HEALTH traditions and the client/family/community needs and situation.

  1. Modern medical care assumes that sufficient money, technology, and science will provide a cure or remedy.
  2. Modern medicine seeks to prevent premature death.
  3. Health promotion and maintenance in modern medicine will prevent disease and injury.

Cognitive Level:  Understanding

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO09 – Compare and contrast modern medical care and CULTURALCARE.

 

28) How would the nurse practicing CULTURALCARE define health?

  1. Balance of the person both within and in the outside world
  2. Absence of illness and disease
  3. Experience of well-being and integrity of the mind and body
  4. Use of science and technology to cure disease

Answer:  1

Explanation:  1. The balance of the person both within one’s being and in the outside world characterizes the definition of HEALTH in CULTURALCARE.

  1. The absence of illness and disease can be a definition of health.
  2. The experience of well-being with integrity of mind and body is the medical definition of health.
  3. Using science and technology to cure disease is characteristic of the medical model.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO09 – Compare and contrast modern medical care and CULTURALCARE.

 

29) How does modern medical care differ from CULTURALCARE in the medicalization of life?

  1. Application of the medical model and technologies to problems thought of as medical in nature
  2. Application of knowledge to the entire sociocultural and health/HEALTH context of patients
  3. Acknowledging treatment may not yield a better quality of life
  4. Non-recognition of a patient’s heritage in treatment regimens.

Answer:  2

Explanation:  1. Modern medical practices focus on utilizing the medical model of care for all problems.

  1. Applying knowledge to the sociocultural and health context of patients is an aspect of CULTURALCARE.
  2. Modern medicine has an assumption that treatment will produce a better quality of life.
  3. The application of a given patient’s heritage and HEALTH traditions in care is a characteristic of CULTURALCARE.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO09 – Compare and contrast modern medical care and CULTURALCARE.

 

30) During a health history, the patient describes methods of restoring her HEALTH that are synonymous with CULTURALCARE. Which activity would the patient practice to restore her HEALTH?

  1. Agree to radical treatments
  2. Use herbal preparations.
  3. Complete recommended diagnostic tests.
  4. Participate in human experimentation.

Answer:  2

Explanation:  2. Herbal preparations are used to restore HEALTH in ethnocultural traditional care.

  1. The use of radical treatments is a method to restore health in modern medical care.
  2. Participating in human experimentation is a method to restore health in modern medical care.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO09 – Compare and contrast modern medical care and CULTURALCARE.

 

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