3.b, d, e
4.a, b, f
5.a, c, d, eDEVELOPING YOUR KNOWLEDGE BASE
FILL-IN-THE-BLANKS
1.Keloid formation
2.Subculture
3.Ethnicity
4.Ethnocentrism
5.Sickle cell anemia
6.Cultural blindness
7.Culture shock
8.Stereotyping
MATCHING EXERCISES
1.b 2.c 3.g 4.a 5.a
6.c, d 7.e 8.c 9.f 10. d
SHORT ANSWER
1.Sample answers:
a. Investigate bus routes from patient’s home;
check if medical services are available within
walking distance; see if insurance will cover
transportation to and from medical services.
b.Boil water before using it; check with social serv-
ices to see if they can provide any necessary serv-
ices for patient.
c. Refer patient to drug and alcohol counseling
service.
2.Sample answers:
a.Reassure the patient that the “granny” woman
is an important part of her recovery and attempt
to contact this person. Include the “granny”
woman’s assessment in medical history of patient.
b.Ask family members to allow patient to answer
questions; reassure them that their input is
also important and that they can add any infor-
mation they feel is necessary at the end of the
interview.
c. Find out what herb the patient has been taking
and its efficacy, and check with the physician to
determine whether the patient can still take this
herb. Explain the prescribed medications to the
patient and how they will alleviate her
symptoms.
3.Answers will vary with student’s experiences.
4.Sample answers:
a.The number of female-headed households is
increasing as a result of divorce, abandonment,
unmarried motherhood, and changes in
abortion laws. Many households depend on two
incomes for economic survival, and a single
woman supporting a household is at a financial
disadvantage.
b.Most older adults live on fixed incomes, which
often do not keep up with inflation. Many, par-
ticularly widows, are on the borderline of
poverty or have already slipped into poverty.c. In many cases, poverty is passed from generation
to generation. This is true in such groups as
migrant farm workers, families living on welfare,
and people who live in isolated areas of
Appalachia.
REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Sample Answers
1.How might the nurse respond to Ms. Dorvall’s
request for a Haitian folk healer?
In order to provide culturally competent care, the
nurse honors Ms. Dorvall’s request and arranges a
meeting with the folk healer. Prior to the meeting,
the nurse researches the Haitian culture in order
to properly prepare the room and patient for the
visit. The nurse reassesses the patient following
the visit and documents the findings in the patient
record.
2.What would be a successful outcome for this patient?
Ms. Dorvall verbalizes that the folk healer relieved her
anxiety regarding the healing of her leg and states her
desire to continue with the nursing care plan.
3.What intellectual, technical, interpersonal, and/or
ethical/legal competencies are most likely to bring
about the desired outcome?
Intellectual: knowledge of Haitian cultural health-
care practices gained from research
Interpersonal: formation of a caring relationship
with the patient that encompasses the patient’s
beliefs and values
Ethical/Legal: careful documentation of patient
goals and outcomes
4.What resources might be helpful for Ms. Dorvall?
Research materials on the Haitian culture, commu-
nity servicesCHAPTER 3
PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.a 2.c 3.c 4.d 5.a
6.b
ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
1.a, b, d, f
2.b, c, e
3.c, f
4.a, b, e
5.b, d, e
6.c, d, e
Chart/Exhibit Questions
1.Physical dimension
2.Emotional dimension
3.Intellectual and spiritual dimension
4.Environmental dimension
5.Sociocultural dimensionCopyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:ANSWER KEY 329
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