Quiz 14: Diversity in Health and Illness


B Explanation: If the patient has the knowledge needed to make changes but does not, something is inhibiting the patient's ability or willingness to make the change.The nurse would be wise to assess for things that are keeping the patient from changing.Asking the patient whether he or she really wants to make changes will most likely sound challenging to the patient and might result in the patient's being defensive.More education is not the key unless the patient does not have enough information.Patients do learn in different ways, and tailoring the education to the patient's strengths is a good idea, but in this case, the nurse needs to determine whether something is keeping the patient from making the needed changes.

C Explanation: Culture can be defined in multiple ways.In general, most definitions encompass socially inherited and shared beliefs, practices, habits, customs, language, and rituals.It shapes how people view their world and how they function within that world.It can transcend generations.The one unifying theme in defining culture is that it is learned.Much of what we believe, think, and act is attributable to culture.Hence one's culture can profoundly determine what is perceived as health versus illness.

D Explanation: Paternalism refers to the presumption that health care providers know more about the patient's health needs than the patient does.