Nursing Ethics and Advocacy Quiz
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Questions and Answers

Increased awareness in nursing primarily aims to enhance the ability to:

  • recognize and address actions contributing to unjust and unequal care. (correct)
  • strictly adhere to hospital policies and protocols.
  • reduce healthcare costs through efficient resource management.
  • implement advanced medical technologies in patient care.

    • The ANA's Nursing: Scope and Standards of Practice is primarily used by nurses to:

  • determine hospital budgets and allocate resources.
  • resolve legal disputes related to patient care.
  • examine and improve culturally sensitive care delivery. (correct)
  • guide the development of new medical technologies.

    • According to ANA's Standard 1 on Assessment, a nurse should explore a healthcare consumer's:

  • genetic predispositions to specific diseases.
  • compliance with prescribed medication regimens.
  • culture, values, preferences, and knowledge of their health situation. (correct)
  • past medical billing history and insurance coverage.

    • ANA's Standard 7 on Ethics emphasizes that nursing care should be provided to every person based on:

    <p>their worthiness of care, regardless of personal history or characteristics. (D)</p> Signup and view all the answers

    ANA's Standard 8 on Advocacy encourages nurses to consider which factors when addressing social determinants of health?

    <p>societal, political, economic, and cultural factors. (C)</p> Signup and view all the answers

    According to ANA's Standard 9, 'Respectful and Equitable Practice' includes a nurse's commitment to:

    <p>respecting consumer decisions without bias and engaging in lifelong learning about diverse cultures. (A)</p> Signup and view all the answers

    A health disparity is best described as a difference in health outcomes that is considered:

    <p>unfair and linked to social, economic, or environmental disadvantages. (C)</p> Signup and view all the answers

    Health disparities are characterized as being:

    <p>real, preventable, and present across diverse populations. (B)</p> Signup and view all the answers

    Which of the following is LEAST likely to be experienced by patients with lower health literacy?

    <p>Increased engagement in advanced care planning (C)</p> Signup and view all the answers

    How does the availability of green spaces and parks in a neighborhood MOST likely influence residents' health behavior?

    <p>It might encourage exercise and social interaction among neighbors. (D)</p> Signup and view all the answers

    What is a potential impact of a neighborhood with limited public transportation on an individual's health?

    <p>Reduced ability to access preventive healthcare services and employment (B)</p> Signup and view all the answers

    In what way can inadequate resources in elementary schools impact the health of children in a neighborhood?

    <p>By having a negative impact on the development of their foundational education (B)</p> Signup and view all the answers

    Which environmental factor, influenced by physical geography, is mentioned as having a direct impact on individual health?

    <p>The quality of the drinking water (A)</p> Signup and view all the answers

    What is the MOST significant reason for nurses to consider geography when assessing patient health?

    <p>To consider patient risk factors and health needs from a broader perspective (C)</p> Signup and view all the answers

    Which of the following scenarios BEST illustrates how neighborhood conditions can create health disparities?

    <p>A community with limited access to fresh produce leading to poor diet and health outcomes (B)</p> Signup and view all the answers

    What is the primary goal of Healthy People 2020?

    <p>To achieve health equity, eliminate disparities, and improve the health of all groups. (D)</p> Signup and view all the answers

    How might a nurse address the health needs of a patient from a neighborhood with high crime rates and limited public spaces?

    <p>By connecting them with community resources that promote indoor exercise and social support. (A)</p> Signup and view all the answers

    Which populations were given increased focus in Healthy People 2020?

    <p>The LGBTQIA populations, and those with special needs. (C)</p> Signup and view all the answers

    How do nurses minimize barriers to care?

    <p>Making conscious decisions to minimize all determinants of health conditions and factors. (A)</p> Signup and view all the answers

    What framework can nurses use to develop patient, family, and community interventions?

    <p>Healthy People framework and leading health indicators (D)</p> Signup and view all the answers

    What factor was found to increase the risk of hypertension in African American patients?

    <p>Lifetime discrimination leading to high stress levels (A)</p> Signup and view all the answers

    What is the main goal when nurses communicate with patients about healthcare plans?

    <p>To assist the patient in knowledge acquisition that will lead toward health-promoting behaviors. (D)</p> Signup and view all the answers

    What is the definition of health literacy?

    <p>The ability to read, understand, and use health information. (D)</p> Signup and view all the answers

    Which of the following is true about health literacy and general literacy?

    <p>A person can have a high literacy level but a low health literacy level. (C)</p> Signup and view all the answers

    What is the primary purpose of conducting regular assessments of community health assets and needs?

    <p>To plan and implement services that respond to the cultural and linguistic diversity of populations in the service area. (D)</p> Signup and view all the answers

    According to the material, what does effective partnership with the community involve in culturally and linguistically appropriate services (CLAS)?

    <p>Partnering with the community to design, implement, and evaluate policies, practices, and services. (C)</p> Signup and view all the answers

    Why is it important for healthcare organizations to create culturally and linguistically appropriate conflict and grievance resolution processes?

    <p>To identify, prevent, and resolve conflicts or complaints in a way that respects diverse cultural norms and communication styles. (B)</p> Signup and view all the answers

    Why should healthcare organizations communicate their progress in implementing and sustaining CLAS to stakeholders, constituents, and the general public?

    <p>To foster greater understanding, trust, and engagement with diverse communities, demonstrating a commitment to equitable healthcare. (D)</p> Signup and view all the answers

    What is the central tenet of Transcultural Nursing?

    <p>Nurses must acknowledge cultural differences and engage patients to improve their experience and reduce bias. (B)</p> Signup and view all the answers

    What is the significance of cultural awareness in nursing practice?

    <p>It recognizes how culture influences an individual's values, beliefs, and worldviews, and respects these differences. (A)</p> Signup and view all the answers

    According to Leininger's Transcultural Nursing model, what is the central link between the human being (patient) and the nurse (provider of care)?

    <p>The concept of caring within the context of culture. (B)</p> Signup and view all the answers

    In Leininger's Culture Care Diversity and Universality Theory, what foundational element is crucial for nurses to understand before caring for patients?

    <p>Individual patterns, beliefs, practices, and personal expressions of the patients. (C)</p> Signup and view all the answers

    What is the primary reason for nurses to consider patients' cultural values and beliefs in healthcare?

    <p>To provide patient-centered care that respects individual perspectives on health and illness. (D)</p> Signup and view all the answers

    When encountering cultural health beliefs different from conventional healthcare, what is the most appropriate initial nursing action?

    <p>Explore and understand the patient's beliefs and practices regarding health and illness. (A)</p> Signup and view all the answers

    What is a recommended approach for healthcare providers regarding patients' use of alternative therapies?

    <p>Acknowledge and respect the patient's choice to use alternative therapies. (D)</p> Signup and view all the answers

    What is the primary purpose of performing a cultural assessment on patients?

    <p>To gather specific information about a patient's cultural beliefs and practices to individualize care. (C)</p> Signup and view all the answers

    Which aspect of 'biological variations' is most pertinent to consider when prescribing medication?

    <p>Differences in medication metabolism and response based on genetic and physiological factors. (A)</p> Signup and view all the answers

    Beyond nutritional needs, what other significant role does food play in cultural contexts, as described in the text?

    <p>A symbol of security, acceptance, socialization, and an expression of love. (A)</p> Signup and view all the answers

    What should nurses prioritize when learning about different cultures to avoid missteps in patient care?

    <p>Asking individual patients about their specific beliefs and practices instead of relying on stereotypes. (C)</p> Signup and view all the answers

    When a patient expresses grief in a way that differs from the nurse's expectations, what is the most culturally competent approach for the nurse to take?

    <p>Inquire about and respect the patient's cultural practices and beliefs related to grieving. (D)</p> Signup and view all the answers

    What is the primary goal of culturally congruent dietary counseling?

    <p>To reduce health risks and enhance a sense of well-being by adapting dietary practices to a patient's culture. (C)</p> Signup and view all the answers

    Which of the following questions is most appropriate for a nurse to ask when assessing a patient's dietary practices from a cultural competency perspective?

    <p>What food practices are important to your social identity? (C)</p> Signup and view all the answers

    A patient who is Hindu adheres to a strictly vegetarian diet due to their traditional beliefs. How should the nurse approach dietary counseling for this patient?

    <p>Respect the patient's vegetarian diet and provide counseling that aligns with their cultural and religious beliefs. (C)</p> Signup and view all the answers

    During an assessment, a patient mentions they avoid certain foods due to religious reasons. What action should the nurse prioritize?

    <p>Document the patient's dietary restrictions and understand the reasons behind them. (D)</p> Signup and view all the answers

    What information is most important for the nurse to teach to a client when focusing on patient preferences?

    <p>The basics of a balanced nutritional intake that takes into account the patient's cultural and personal preferences. (D)</p> Signup and view all the answers

    What could be an outcome of a health care provider implementing culturally congruent dietary suggestions?

    <p>Better overall well-being of the client. (C)</p> Signup and view all the answers

    A nurse requests a medical interpreter to follow Mrs. Liu as both an inpatient and outpatient. What is the primary purpose of this consistency?

    <p>To ensure a consistent translation of medical information, establish trust, and assess Mrs. Liu's health literacy needs. (B)</p> Signup and view all the answers

    The case study highlights the importance of an interprofessional team meeting for Mrs. Liu. What is the main goal of this meeting in the context of cultural competence?

    <p>To develop a discharge plan that addresses Mrs. Liu's care needs, taking into account her cultural background and health literacy. (B)</p> Signup and view all the answers

    Flashcards

    Culturally Sensitive Care

    Care that respects and incorporates a patient's cultural beliefs and practices.

    Standard 1: Assessment

    Explores a consumer's culture, values, and healthcare knowledge.

    Standard 5B: Health Teaching

    Uses methods tailored to a consumer's beliefs and abilities in health promotion.

    Standard 7: Ethics

    Ensures respectful, person-centered care for everyone, regardless of background.

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    Health Disparity

    A health difference associated with social, economic, or environmental disadvantages.

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    Social Determinants of Health

    Conditions in which people are born, grow, live, and work that affect health.

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    Standard 9: Respectful Practice

    Respects consumer decisions and engages in lifelong cultural learning.

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    Standard 10: Communication

    Demonstrates humility and professionalism while ensuring effective communication.

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    Healthy People 2020

    A national initiative aimed at improving health equity and eliminating disparities.

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    Health Disparities

    Differences in health outcomes among different populations based on various factors.

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    Social Determinants of Health (SDOH)

    Conditions that affect a person's health, such as socioeconomic status, education, and environment.

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    Health Literacy

    The ability to read, understand, and use health information effectively.

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    Evidence-Based Interventions

    Strategies based on research that improve health outcomes and address literacy needs.

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    Hypertension and Discrimination

    African Americans facing lifetime discrimination report higher hypertension risks.

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    Patient Education Sessions

    Interactions aimed at enhancing patients' understanding of their health and treatments.

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    Cultural Values in Health

    Patients' beliefs affecting health practices and treatments.

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    Alternative Therapies

    Non-conventional treatments used alongside traditional healthcare.

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    Biological Variations

    Genetic and physiological differences affecting health responses.

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    Cultural Assessments

    Evaluating cultural beliefs and practices of patients.

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    Patient Grief Expression

    Cultural ways in which individuals show sorrow and loss.

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    Nutritional Practices

    Food choices based on cultural beliefs and health significance.

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    First Response to Illness

    Initial actions taken by patients when feeling unwell.

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    Healthcare Seeking Behavior

    How and where patients look for medical help.

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    Impact of Geography

    Geography influences health outcomes and disparities.

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    Neighborhood Influence

    A person's neighborhood can impact their health and lifestyle choices.

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    Health Information Access

    Patients with low literacy are less likely to seek health info online.

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    Public Transportation Access

    Limited transport affects access to work and healthcare.

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    School Quality

    Quality of local schools can affect children's education and health.

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    Environmental Health

    Quality of air and water influences diseases and health risks.

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    Culturally Congruent Dietary Counseling

    Dietary advice tailored to a patient's cultural practices and beliefs.

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    Sociocultural Influences on Diet

    Factors like traditions that shape food choices and dietary practices.

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    Importance of Balance in Diet

    A variety of foods is essential for health and cultural respect.

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    Dietary Restrictions

    Limitations on food intake due to health or cultural beliefs.

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    Social Eating Events

    Cultural gatherings where food plays a key role in celebration.

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    Assessment of Patient's Diet

    Evaluating a patient’s eating habits and preferences.

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    Biological Variations in Diet

    Differences in dietary needs based on genetics or health.

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    Role of Medical Interpreter

    An interpreter helps bridge communication in healthcare settings.

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    Community Health Assessment

    Regular evaluations of community health resources and needs.

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    Cultural and Linguistic Appropriateness

    Services designed to respect cultural and language diversity.

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    Conflict Resolution Processes

    Methods to identify and resolve cultural grievances.

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    Transcultural Nursing

    Nursing that recognizes and respects cultural differences in patients.

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    Cultural Awareness

    Acknowledgment of how culture affects individual beliefs and values.

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    Transcultural Nursing Model

    Madeline Leininger's framework linking care with cultural context.

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    Culture Care Diversity and Universality Theory

    Theory emphasizing knowledge of individual patient beliefs and practices.

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    Humanistic Care

    Care focused on understanding and supporting the patient's experience.

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    Study Notes

    Introduction

    • The ethnic and racial composition of the United States is changing, requiring culturally inclusive and sensitive nursing care for all populations.
    • Cultural competence in healthcare involves knowledge, skills, and abilities to provide care congruent with patient's beliefs and practices.
    • Nurses must avoid ethnocentrism and remain free of bias to optimize patient relationships and maximize quality care.
    • Ethnicity, culture, race, bias, identity, and inclusion affect nurses' judgment and behaviors, influencing culturally appropriate care.
    • Person-centered care respects cultural, linguistic, and social/environmental needs of patients and family members.
    • Nurses need essential skills for cross-cultural and diverse patient populations, including self-awareness of personal biases and stereotypes.
    • Eliminating racial/ethnic disparities in healthcare is necessary; nurses must develop care congruent with social justice and human rights.

    Ethnicity, Race, Identity, Culture, and Cultural Belief System

    • Race and ethnicity are related but different concepts used to categorize people and establish personal and group identity.
    • Race refers to shared features like skin color, facial features, and hair type.
    • The U.S. Census Bureau defines five categories for racial identification.
    • Ethnicity is related to race but refers to a perception of belonging to cultural groups, including cultural customs and rituals.
    • Hispanics/Latinx are of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish cultural origins, regardless of race.

    Discrimination and Ethnicity

    • Discrimination is unfair and damaging action against individuals or groups due to their beliefs, lifestyle, traditions, or preferences.
    • Racism is a system inhibiting equity, dignity, and respect for individuals or groups, creating disadvantage and harm.
    • Ethnicity and race are distinct; ethnicity is a sense of belonging to one or more ethnic groups with a commitment to cultural customs and rituals.
    • Data may include Hispanic/Latinx origin (cultural origin), as well as racial makeup, and these are used in healthcare data.

    Cultural Competence, Humility, Awareness, and Sensitivity

    • Cultural competence, humility, awareness, and sensitivity are interconnected but distinct, enabling nurses to provide culturally appropriate care.
    • Cultural competence is the ability to effectively deliver culturally and linguistically tailored healthcare services.
    • Cultural humility involves a lifelong self-reflection and critique of one's own biases and privileges, enabling inclusiveness and equity in care.
    • Cultural awareness recognizes that all patients have unique perspectives and beliefs, shaping the view of care experiences.
    • Cultural sensitivity respects diverse cultural values, beliefs, and behaviors in a manner respectful and constructive for both patient and nurse.

    Cultural Humility

    • Cultural humility means embracing a lifelong commitment to self-evaluation, self-critique, and self-reflection to acknowledge one's own biases and privileges while remaining open to creating relationships that improve patient interactions.

    Cultural Awareness

    • Cultural awareness refers to recognizing that personal beliefs and values influence views of patients and health in general.
    • Cultural humility reflects a willingness to learn and understand different cultures.

    Cultural Sensitivity

    • Cultural sensitivity is a combination of understanding, thoughtfulness, and kindness, contributing to inclusiveness and equity in interactions and actions.

    Time Orientation

    • Time orientation varies based on cultures, impacting expectations around scheduling and interactions.
    • The perception of time is reflected in how flexible or rigid schedules are for appointments and social events.
    • Assessing patients’ values regarding the past, present, and future is vital for planning and delivering culturally competent care.

    Social Organization

    • Social organization includes family structures (nuclear, single-parent, extended, LGBTQIA) and wider community contexts (community groups, military, religious associations).
    • The structure of the household influences the way decisions are made about healthcare, financial affairs, childcare, and family interactions.
    • Family members providing support in decision-making about healthcare is crucial to consider.

    Environmental Control

    • Environmental control recognizes cultural differences in perceptions of control over health, beliefs about illness, and preferences for alternative or traditional therapies.
    • This aspect of cultural assessment involves understanding the patient and family's environment.
    • Patients often use complementary or alternative therapies alongside conventional medicine.

    Biological Variations

    • Biological variations, involving genetics, physiology, medication metabolism, and nutritional practices, are important considerations for individualized care.
    • Recognizing variations in nutritional practices, food choices, and medical responses is critical in culturally competent care.

    Health Disparities and Equity

    • Health disparities represent unfair or unequal differences in health outcomes based on factors like race, ethnicity, gender, sexual identity, socioeconomic status, and geography, influenced by social determinants of health (SDOH).
    • Addressing these disparities requires culturally sensitive, equitable, and inclusive interventions.

    Social Determinants of Health (SDOH)

    • SDOH refer to conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health outcomes and risks.
    • Examples include levels of economic stability, education, social community context, health access, and environmental influences.

    Cultural Competence Models

    • Cultural competence models offer a framework for evaluating the knowledge, skills, and attitudes of nurses to provide culturally sensitive care.
    • Models like the Transcultural Nursing Model, developed by Leininger, emphasize the importance of knowing the patient in a way that takes into account context.

    Patient Care

    • The nurse should use culturally appropriate communication strategies.
    • Use respectful and appropriate communication.
    • Obtain accurate information.
    • Maintain proper physical distances.
    • Avoid judgment or stereotyping.
    • Use interpreters as necessary.

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    Cultural Competence in Nursing Care PDF

    Description

    Test your knowledge on the American Nurses Association (ANA) standards of practice, especially focusing on ethics, assessment, and advocacy in nursing. This quiz covers topics such as health disparities, social determinants of health, and the impact of community resources on patient care. Prepare to enhance your understanding of nursing responsibilities and ethical practices.

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