G5 - Quiz, Flashcards & Trivia

1. It has been projected that the cultural group presenting the greatest growth rate among the older adult population will be the:

A. African-Americans

B. Asian/Pacific Island Americans

C. Native Americans

D. Hispanic Americans

ANS: D
The number of older Hispanic adults in the United States is growing faster than any other group. In 2000, Hispanic Americans made up 5% of the older adult population. By the year 2050, it is anticipated that Hispanic Americans will make up 17 million by 2050, or 19.8% of all the older adult population in the United States. Although there has been an overall growth in all ethnic groups of older adults in the United States, the Hispanic American group has grown fastest

Explanation

ANS: D
The number of older Hispanic adults in the United States is growing faster than any other group. In 2000, Hispanic Americans made up 5% of the older adult population. By the year 2050, it is anticipated that Hispanic Americans will make up 17 million by 2050, or 19.8% of all the older adult population in the United States. Although there has been an overall growth in all ethnic groups of older adults in the United States, the Hispanic American group has grown fastest

2. Ethnocentrism is defined as:

A. an understanding of another’s cultural beliefs and practices

B. a conflict that occurs when an individual interacts with another whose beliefs differ from his own

C. application of limited knowledge about one person with characteristics specific to another person

D. a belief that one’s ethnic group is superior to that of another

ANS: D
A belief that one’s ethnic group is superior to that of another is the definition of ethnocentrism. Ethnocentrism does not involve an understanding of the beliefs of others. A conflict that occurs when an individual interacts with another whose beliefs differ from his own is the definition of cultural conflict. Application of limited knowledge about one person with characteristics specific to another person is the definition of stereotyping.

Explanation

ANS: D
A belief that one’s ethnic group is superior to that of another is the definition of ethnocentrism. Ethnocentrism does not involve an understanding of the beliefs of others. A conflict that occurs when an individual interacts with another whose beliefs differ from his own is the definition of cultural conflict. Application of limited knowledge about one person with characteristics specific to another person is the definition of stereotyping.

3. A paper on culture and illness would be likely to include the statement that:

A. Culture is the same as ethnicity

B. Ethnic groups always share common geographic origin and religion

C. Ethnicity involves recognized traditions, symbols and literature

D. Most members of an ethnic group exhibit identical cultural traits

ANS: C
Ethnicity is a complex phenomenon including traditions, symbols, literature, folklore, food preferences, and dress. It is a shared identity. Ethnicity is more than just culture. It is social differentiation based on culture. Even within ethnic groups, there is considerable diversity.

Explanation

ANS: C
Ethnicity is a complex phenomenon including traditions, symbols, literature, folklore, food preferences, and dress. It is a shared identity. Ethnicity is more than just culture. It is social differentiation based on culture. Even within ethnic groups, there is considerable diversity.

4. Regarding health care disparities, it is true that older adults of color have:

A. equal risk factors for vulnerability as do all older adults

B. equal risk factors for vulnerability as do the young adults of color

C. increased risk factors for vulnerability if they are female

D. an increase in risk factors for vulnerability if care is provided by public facilities

ANS: C
Older females of color have an added risk factor for vulnerability (gender) than do males of the same age and ethnic group. Ethnicity is an added factor for vulnerability. Age is an additional risk factor for vulnerability. Health care disparities are found across a wide range of clinical settings.

Explanation

ANS: C
Older females of color have an added risk factor for vulnerability (gender) than do males of the same age and ethnic group. Ethnicity is an added factor for vulnerability. Age is an additional risk factor for vulnerability. Health care disparities are found across a wide range of clinical settings.

5. Select the true statement regarding cohort effect:

A. Birth cohort is important in understanding how one experiences a world event

B. Each individual within a cohort experiences events in a similar manner

C. Cohort effect would likely cause brothers to share the same expectation for treatment

D. All generations share a similar perspective on life events

ANS: A
Groups of people born within the same decade may share a common historical context. This is important in understanding how one experiences a world event. Although cohort effect is important in understanding historical context, it does not negate individuality. Not all individuals are the same. Different groups of people may have a different world perspective based on experiences of major world events.

Explanation

ANS: A
Groups of people born within the same decade may share a common historical context. This is important in understanding how one experiences a world event. Although cohort effect is important in understanding historical context, it does not negate individuality. Not all individuals are the same. Different groups of people may have a different world perspective based on experiences of major world events.

6. The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN model to direct the assessment process when: Select all that apply.

A. Recognizing that the client’s hands are clenched as she answers the assessment questions

B. Asking the client to describe what he thinks will help him feel better

C. Explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion

D. Acknowledging that the client has a different view of the appropriate treatment

ANS: A, B, C, D
The LEARN Model implements active listening to both the client’s verbal and non-verbal communication as a means of obtaining insight into the client’s perspective of their medical problem. This model also encourages the nurse to recognize that the perceptions may differ and to explain the differences in perceptions to the client. The model advocates arriving at a mutually agreed upon treatment plan rather than encouraging the client to surrender personal autonomy in the decision-making.

Explanation

ANS: A, B, C, D
The LEARN Model implements active listening to both the client’s verbal and non-verbal communication as a means of obtaining insight into the client’s perspective of their medical problem. This model also encourages the nurse to recognize that the perceptions may differ and to explain the differences in perceptions to the client. The model advocates arriving at a mutually agreed upon treatment plan rather than encouraging the client to surrender personal autonomy in the decision-making.

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