ATI PN MATERNAL NEWBORN PROCTORED EXAM

1. A nurse is assessing population groups for the risk of suicide requiring medical attention. Which

group should the nurse monitor mostclosely?

a. Young bisexuals

b. Young caucasians
c. Asian Americans
d. African-Americans

ANS: A
Gay, lesbian, and bisexual young people have a significantly increased risk for
depression, anxiety, suicide attempts, and substance use disorders, being 4 times as
likely as their straight peers to make suicide attempts that require medical
attention. Caucasian youth, Asian Americans, and African-Americans are not as
likely to attempt suicide resulting in medical attention.
2. A nurse is assessing a patient’s ethnohistory. Which question should the nurse
ask?
a. What language do you speak at home?

b. How different is your life here from back home?

c. Which caregivers do you seek when you are sick?
d. How different is what we do from what your family does when you are sick?

ANS: B
An ethnohistory question is the following: How different is your life here from
back home? Caring beliefs and practice questions include the following: Which
caregivers do you seek when you are sick and How different is what we do from
what your family does when you are sick? The language and communication is the
following: What language do you speak at home?
3. A nurse is teaching patients about health care information. Which patient will
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 the nurse assess closely for health literacy?
a. A patient 35 years old

b. A patient 68 years old

c. A patient with a college degree
d. A patient with a high-school diploma

ANS: B
About 9 out of 10 people in the United States experience challenges in using health
care information. Patients who are especially vulnerable are the elderly (age 65+),
immigrants, persons with low incomes, persons who do not have a high-school
diploma or GED, and persons with chronic mental and/or physical health
conditions. A 35-year-old patient and patients with high-school and college
education are not identified in the vulnerable populations.

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4. A nurse works at a hospital that uses equity-focused quality improvement.

Which strategy is the hospital using?

a. Document staff satisfaction.

b. Focus on the family.

c. Implement change on a grand scale.
d. Reduce disparities.

ANS: D
Organizations can implement equity-focused quality improvement by recognizing
disparities and committing to reducing them. Staff diversity is a priority for
equity-focused quality improvement, not staff satisfaction. While the family is
important, the focus is on the patients. Organizations should start by
implementing a change on a small scale (pilot testing), learning from each test,
and refining the intervention through performance improvement cycles (e.g., plan,
do, study, and act).
 5. A nurse is providing care to a culturally diverse population. Which action

indicates the nurse is successful in the role of providing culturally congruent

care?
a. Provides care that fits the patient’s valued life patterns and set of meanings

b. Provides care that is based on meanings generated by predetermined criteria

c. Provides care that makes the nurse the leader in determining what is needed
d. Provides care that is the same as the values of the professional health care
system

ANS: A
The goal of transcultural nursing is to provide culturally congruent care, or care that
fits the person’s life patterns, values, and system of meaning. Patterns and meanings
are generated from people themselves, rather than from predetermined criteria.
Discovering patients’ cultural values, beliefs, and practices as they relate to nursing
14

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 A&E I Comprehensive Testbank
and health care requires you to assume the role of learner (not become the leader)
and to partner with your patients and their families to determine what is needed to
provide meaningful and beneficial nursing care. Culturally congruent care is
sometimes different from the values and meanings of the professional health care
system.
6. A nurse is assessing the patient’s meaning of illness. Which area of focus by the
nurse is priority?
a. On the way a patient reacts to disease

b. On the malfunctioning of biological processes

c. On the malfunctioning of psychological processes
d. On the way a patient reacts to family/social interactions

ANS: A
To provide culturally congruent care, you need to understand the difference between
disease and illness. Illness is the way that individuals and families react to disease,
whereas disease is a malfunctioning of biological or psychological processes. The
way a patient interacts to family/social interactions is communication processes and
family dynamics.
MULTIPLE RESPONSE
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
areas will the nurse focus on to become competent? (Select all that apply.)
a. Cultural skills

b. Cultural desire
c. Cultural transition

d. Cultural knowledge
15
e. Cultural encounters
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ANS: A, B, D, E
Campinha-Bacote’s model of cultural competency has five interrelated
components: cultural awareness; cultural knowledge; cultural skills; cultural
encounters; and cultural desire. Cultural transition is not a component of this
model.
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R”

in RESPECT. Which actions should the nurse take? (Select all that apply.)
a. Connect on a social level.

b. Help the patient overcome barriers.

c. Consciously attempt to suspend judgment.

d. Stress that they will be working together to address problems.

e. Know limitations in addressing medical issues across cultures.

ANS: A, C
The “R” in RESPECT stands for rapport and includes the following
behaviors: connect on a social level; seek the patient’s point of view; and
consciously attempt to suspend judgment. The “S” stands for support and
includes the behavior of helping the patient overcome barriers. The “P” stands
for partnership and includes the following behaviors: be flexible with regard
to issues of control and stress that you will be working together to address
medical problems. The “C” stands for cultural competence and includes the
behavior of knowing your limitations in addressing medical issues across
cultures.