HCA340 Cultural Diversity In Health & Illness

HCA340 Cultural Diversity In Health & IllnessHCA UNIT 31. The nurse is observing a healing ceremony performed by people of the American Indian culture. What is a characteristic of this ceremony?a. Soundb. Quietc. Herbal teasd. Hallucinogenic plants2. A patient of the American Indian culture tells the nurse that the medicine man is consulted when an illness develops. How does a person become a medicine man?a. Know the interrelationships between people, the earth, and the universeb. Understand the ways of plants and animalsc. Perform special ceremoniesd. All of the above.3. What is the difference between the modern physician and the medicine man when determining the cause of an illness?a. The medicine man looks for the physical cause of the problemb. The medicine man looks for the spiritual cause of the problemc. The medicine man studies the patient’s past medical history to determine the cause of the illnessd. The medicine man studies the dietary practices of the person being seen4. In which American Indian tribe are meditation and herbs used to create a trance to provide the vision of the evil that causes an illness?a. Hopib. Siouxc. Navajod. Cherokee5. Which Navajo American Indian divination method will women practice to diagnose the cause of a disease?a. Singingb. Listeningc. Motion in the handd. Stargazing6. What is the purpose of sand paintings when diagnosing illness in the Navajo American Indian culture?a. Creates symbolic representations of the client and familyb. Ensures that appropriate payment is made by the familyc. Provides an atmosphere of calm for the medicine mand. Determines the cause and treatment of the illness7. The nurse is conducting a medication history with a patient from the Oneida American Indian culture. Which remedies would the nurse include as part of this history?a. Witch hazelb. Comfreyc. Skunk oild. All of the above.8. A patient that is of the American Indian culture is waiting to be seen in a non-Indian Health Service facility. What concern might this patient have about receiving health care through this route?a. Conflict between his or her perception of the illness and what the physician diagnosesb. Easier to receive medical care through emergency departments rather than private physiciansc. Receive better health care from mainstream medical servicesd. Concern that medical insurance won’t cover all the medical costs9. Which action would the nurse take when assessing a patient of American Indian culture?a. Remaining quiet and recognizing the importance of nonverbal communication to seek informationb. Asking detailed questions regarding the presenting symptomsc. Asking indirect questions about the reason for seeking health cared. Ensuring that no one beyond the medical provider and the client discuss what has brought the client to seek care10. Which is a concept of holism in traditional Chinese medicine?a. Integration of the body with the external environmentb. Energy fields that create health or diseasec. Local pathology as separate from the bodyd. Harmonic balance that creates illness11. Which action would a patient, who practices Ayurvedic medicine, take to reestablish harmony and balance in the body?a. Sit in the sunb. Speak to a doctorc. Yogad. Ingest a substance to cleanse the body of substances that cause disease12. The nurse is planning care for a group of community members who follow Ayurveda medicine. What beliefs about this form of health care would the nurse need to keep in mind while planning this care?a. All things in the universe are joined together.b. Human beings contain elements that can be found in the universe.c. All people are born in a state of balance.d. All of the above.13. A patient of the Asian culture tells the nurse that an alteration in yin and yang will lead to disease. Which variable can affect the body’s yin and yang?a. Clothingb. The weatherc. Social classd. Improper food preparation14. Why does the Chinese physician focus on palpating a patient’s pulse?a. It is considered the storehouse of the blood.b. It indicates a specific treatment.c. It can help to cure a patient.d. It determines the time of death.15. A belief of Ayurvedic medicine is the concept of doshas. What is a characteristic of this concept?a. Combine space and air to control nutritional preferencesb. Blend fire and water to balance mental capacitiesc. Are constantly formed and reformed by food, activity, and bodily processesd. Use water and earth to regulate hormonal balance16. While assessing the health history of a patient who is an Asian/Pacific Islander, what will the nurse identify as a leading cause of death for people from this culture?a. Malignant neoplasmsb. Influenza and pneumoniac. Alzheimer’s diseased. Chronic lower respiratory diseases17. Why does poor health continue to occur among immigrant Asian populations?a. Poor working environments and crowded living conditionsb. Refusal of Western medicine to treat Asian immigrantsc. Inability to tolerate Western medicationsd. Low number of health care workers of Asian origin18. How would a patient from the Black culture treat poison ivy?a. Sprinkling crushed bluestone powder on the affected areab. Placing a mixture of garlic, onions, and parsley on the sitec. Placing clay in a dark leaf over the affected aread. Rubbing Vicks Vaporub on the area19. In the Black culture, what would be used to treat colds?a. Sassafras teab. Hot lemon water with honeyc. Hot toddy made of tea, honey, lemon, peppermint, and alcohold. All of the above.20. Why are folk remedies still used today in the Black community?a. Tradition of quality care and treatment by healersb. Acknowledgement of the African heritagec. Rituals associated with folk remediesd. Close proximity of hospitals in the community21. What would be a benefit of following the African food tradition of geophagy?a. Dirt is high in calciumb. Pica is an accepted cultural practicec. Red clay is rich in irond. Starch is sweet and dry22. For which reasons might a patient of the Black culture and of the Muslin religion refuse insulin to treat diabetes mellitus?a. Because any injectable medication is forbiddenb. If it has a pork basec. Because it implies the person has not led a holy lifed. During Ramadan23. Which is a health statistic of significance to Black or African Americans when compared to all races?a. A lower incidence of breast cancerb. Lower percentages of low birth weight infantsc. A lower crude birth rated. Lower male death rates from homicide24. Who does the nurse recognize as being the leading authority figure within the Black familial structure?a. Femaleb. Ministerc. Maled. Oldest adult child25. Why would some patients of the Black culture resent using health clinics for care?a. Prescription medications are given out only to those seen first.b. Cheaper accessible health care is regarded as demeaning.c. A day’s work may be lost in waiting to be seen by a physician.d. There are not enough clinics to focus on Black health problems.