Question 1

Which of the following illustrates an appropriate category in a cultural assessment?

Accepted Answer

A) Family history 
B) Chief complaint 
C) Medical history 
D) Health-related beliefs 
A) Family history 
B) Chief complaint 
C) Medical history 
D) Health-related beliefs D

Question 2

Categories such as ethnicity,gender,and religion illustrate the concept of:

Accepted Answer

A) family. 
B) cultures. 
C) spirituality. 
D) subcultures. 
A) family. 
B) cultures. 
C) spirituality. 
D) subcultures. D

Question 3

In the majority culture of America,coughing,sweating,and diarrhea are symptoms of an illness.For some individuals of Mexican-American origin,however,these symptoms are a normal part of living.This is probably because Mexican-Americans:

Accepted Answer

A) have less efficient immune systems and are often ill. 
B) consider these symptoms a part of normal living,not symptoms of ill health. 
C) come from Mexico and coughing is normal and healthy there. 
D) are usually in a lower socioeconomic group and are more likely to be sick. 
A) have less efficient immune systems and are often ill. 
B) consider these symptoms a part of normal living,not symptoms of ill health. 
C) come from Mexico and coughing is normal and healthy there. 
D) are usually in a lower socioeconomic group and are more likely to be sick. B

Question 4

The term subculture is used:

Accepted Answer

A) to fit as many people into the majority culture as possible. 
B) to define small groups of people who do not want to be identified with the larger culture. 
C) to single out groups of people who suffer differential and unequal treatment as a result of cultural variations. 
D) to identify fairly large groups of people with shared characteristics that are not common to all members of a culture. 
A) to fit as many people into the majority culture as possible. 
B) to define small groups of people who do not want to be identified with the larger culture. 
C) to single out groups of people who suffer differential and unequal treatment as a result of cultural variations. 
D) to identify fairly large groups of people with shared characteristics that are not common to all members of a culture.

Question 5

One aspect of society's value orientation concerns the dimension of time.An example of a person with "present" time value orientation would be:

Accepted Answer

A) a patient with a total hip replacement who has not been able to plan for discharge. 
B) a patient with leukemia who continually seeks the latest medication and treatments. 
C) a patient who feels loss after an amputation but is looking forward to finding out about prosthetic limbs. 
D) a newly diagnosed diabetic who seeks a consultation with a medicine man who can contact ancestral spirits for guidance. 
A) a patient with a total hip replacement who has not been able to plan for discharge. 
B) a patient with leukemia who continually seeks the latest medication and treatments. 
C) a patient who feels loss after an amputation but is looking forward to finding out about prosthetic limbs. 
D) a newly diagnosed diabetic who seeks a consultation with a medicine man who can contact ancestral spirits for guidance.

Question 6

Which statement is an appropriate component of one's spirituality?

Accepted Answer

A) Belief in the worship of God or gods 
B) Attendance at a specific church 
C) A personal effort to find purpose and meaning in life 
D) Closely tied to one's ethnic background 
A) Belief in the worship of God or gods 
B) Attendance at a specific church 
C) A personal effort to find purpose and meaning in life 
D) Closely tied to one's ethnic background

Question 7

Which of the following examples illustrates the concept of a cultural taboo?

Accepted Answer

A) Belief that illness is a punishment of sin 
B) Trying prayer before seeking medical help 
C) Refusing to accept blood products as part of treatment 
D) Stating that a child's birth defect is the result of the parents' sins 
A) Belief that illness is a punishment of sin 
B) Trying prayer before seeking medical help 
C) Refusing to accept blood products as part of treatment 
D) Stating that a child's birth defect is the result of the parents' sins

Question 8

The largest and fasting growing population in the United States is:

Accepted Answer

A) Hispanics 
B) Blacks 
C) Asians 
D) American Indians 
A) Hispanics 
B) Blacks 
C) Asians 
D) American Indians

Question 9

The first step in understanding the health care needs of another person is:

Accepted Answer

A) identifying the meaning of health to the other person. 
B) understanding one's own heritage-based cultural values,beliefs,attitudes,and practices relevant to health and illness. 
C) understanding how the health care delivery system works. 
D) being knowledgable about the person's social background. 
A) identifying the meaning of health to the other person. 
B) understanding one's own heritage-based cultural values,beliefs,attitudes,and practices relevant to health and illness. 
C) understanding how the health care delivery system works. 
D) being knowledgable about the person's social background.

Question 10

In the hot/cold theory,illnesses are believed to be caused by hot or cold entering the body.Which of the following patients' conditions is most consistent with a "cold" condition?

Accepted Answer

A) A diabetic patient with renal failure 
B) A teenager with an abscessed tooth 
C) A child with symptoms of itching and a rash 
D) An elderly male with gastrointestinal discomfort 
A) A diabetic patient with renal failure 
B) A teenager with an abscessed tooth 
C) A child with symptoms of itching and a rash 
D) An elderly male with gastrointestinal discomfort

Question 11

Culture has four basic characteristics.Which statement correctly reflects one of these characteristics?

Accepted Answer

A) Cultures are static and unchanging despite changes around them. 
B) Cultures are never specific,which makes them hard to identify. 
C) Culture is most clearly reflected in a person's language and behavior. 
D) Culture adapts to specific environmental factors and available natural resources. 
A) Cultures are static and unchanging despite changes around them. 
B) Cultures are never specific,which makes them hard to identify. 
C) Culture is most clearly reflected in a person's language and behavior. 
D) Culture adapts to specific environmental factors and available natural resources.

Question 12

When providing culturally competent care,nurses must incorporate cultural assessment into their health assessment.Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an elderly American Indian patient?

Accepted Answer

A) "Are you of the Christian faith?" 
B) "Do you want to see a medicine man?" 
C) "How often do you seek help from medical providers?" 
D) "What cultural or spiritual beliefs are important to you?" 
A) "Are you of the Christian faith?" 
B) "Do you want to see a medicine man?" 
C) "How often do you seek help from medical providers?" 
D) "What cultural or spiritual beliefs are important to you?"

Question 13

There are a variety of healing beliefs and practices used by numerous subcultural groups in the United States.Which statement best explains why it is important for the nurse to be aware of alternative healing practices?

Accepted Answer

A) Many of these practices will interfere with the medical model of treatment. 
B) Western medicines will interact with folk remedies and cause an adverse reaction for the patient. 
C) The patient and family can be educated regarding the ineffectiveness of folk healing methods. 
D) Many folk remedies are harmless and can be used in conjunction with Western medical practices and treatments. 
A) Many of these practices will interfere with the medical model of treatment. 
B) Western medicines will interact with folk remedies and cause an adverse reaction for the patient. 
C) The patient and family can be educated regarding the ineffectiveness of folk healing methods. 
D) Many folk remedies are harmless and can be used in conjunction with Western medical practices and treatments.

Question 14

Which of the following is the best definition of spirituality?

Accepted Answer

A) A personal search to discover a supreme being 
B) An organized system of beliefs concerning the cause,nature,and purpose of the universe 
C) A belief that each person exists forever in some form,such as a belief in reincarnation or the afterlife 
D) That which arises out of each person's unique life experience and his or her personal effort to find purpose in life 
A) A personal search to discover a supreme being 
B) An organized system of beliefs concerning the cause,nature,and purpose of the universe 
C) A belief that each person exists forever in some form,such as a belief in reincarnation or the afterlife 
D) That which arises out of each person's unique life experience and his or her personal effort to find purpose in life

Question 15

Which of the following culture-bound syndromes is more common among North Americans?

Accepted Answer

A) Bulimia 
B) Evil eye 
C) Empacho 
D) Low blood 
A) Bulimia 
B) Evil eye 
C) Empacho 
D) Low blood

Question 16

A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college degree.She now dresses like her peers and says that her family "back home" would hardly recognize her.This illustrates:

Accepted Answer

A) assimilation. 
B) heritage consistency. 
C) biculturalism. 
D) acculturation. 
A) assimilation. 
B) heritage consistency. 
C) biculturalism. 
D) acculturation.

Question 17

Which of the following statements illustrate proper cultural care? Select all that apply.

Accepted Answer

A) Examine the patient within the context of your own cultural health and illness practices. 
B) Select questions that are not complex. 
C) Ask questions rapidly. 
D) Touch patients within the cultural boundaries of their heritage. 
E) Pace questions throughout the physical examination. 
A) Examine the patient within the context of your own cultural health and illness practices. 
B) Select questions that are not complex. 
C) Ask questions rapidly. 
D) Touch patients within the cultural boundaries of their heritage. 
E) Pace questions throughout the physical examination.

Question 18

Symptoms,such as pain,are often influenced by a person's cultural heritage.Which of the following is a true statement in regard to pain?

Accepted Answer

A) Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. 
B) The ethnic background of a patient is important in a nurse's assessment of that patient's pain. 
C) A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain. 
D) A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain. 
A) Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. 
B) The ethnic background of a patient is important in a nurse's assessment of that patient's pain. 
C) A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain. 
D) A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain.

Question 19

A woman brings her 15-month-old son in for a well-child visit.When asked questions about his pattern of behaviors and appetite,she seems at a loss for answers.What is the nurse's best response?

Accepted Answer

A) Contact social services because she may be neglecting her son. 
B) Determine whether she is the primary provider of care for her son. 
C) Assume that she knows her son's habits and may be hiding something unusual. 
D) Discuss with her how important it is to observe growth and development patterns to see a delay early. 
A) Contact social services because she may be neglecting her son. 
B) Determine whether she is the primary provider of care for her son. 
C) Assume that she knows her son's habits and may be hiding something unusual. 
D) Discuss with her how important it is to observe growth and development patterns to see a delay early.

Question 20

After a symptom is recognized,the first effort at treatment is often self-care.Which statement is true with regard to self-care?

Accepted Answer

A) Self-care is not recognized as valuable by most health care providers. 
B) Self-care is usually ineffective and may delay more effective treatment. 
C) Self-care is always less expensive than biomedical alternatives. 
D) Self-care is influenced by the accessibility of over-the-counter medicines. 
A) Self-care is not recognized as valuable by most health care providers. 
B) Self-care is usually ineffective and may delay more effective treatment. 
C) Self-care is always less expensive than biomedical alternatives. 
D) Self-care is influenced by the accessibility of over-the-counter medicines.

Exam 3: Cultural Competence: Cultural Care

Which of the following illustrates an appropriate category in a cultural assessment?

Categories such as ethnicity,gender,and religion illustrate the concept of:

In the majority culture of America,coughing,sweating,and diarrhea are symptoms of an illness.For some individuals of Mexican-American origin,however,these symptoms are a normal part of living.This is probably because Mexican-Americans:

The term subculture is used:

One aspect of society's value orientation concerns the dimension of time.An example of a person with "present" time value orientation would be:

Which statement is an appropriate component of one's spirituality?

Which of the following examples illustrates the concept of a cultural taboo?

The largest and fasting growing population in the United States is:

The first step in understanding the health care needs of another person is:

In the hot/cold theory,illnesses are believed to be caused by hot or cold entering the body.Which of the following patients' conditions is most consistent with a "cold" condition?

Culture has four basic characteristics.Which statement correctly reflects one of these characteristics?

When providing culturally competent care,nurses must incorporate cultural assessment into their health assessment.Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an elderly American Indian patient?

There are a variety of healing beliefs and practices used by numerous subcultural groups in the United States.Which statement best explains why it is important for the nurse to be aware of alternative healing practices?

Which of the following is the best definition of spirituality?

Which of the following culture-bound syndromes is more common among North Americans?

A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college degree.She now dresses like her peers and says that her family "back home" would hardly recognize her.This illustrates:

Which of the following statements illustrate proper cultural care? Select all that apply.

Symptoms,such as pain,are often influenced by a person's cultural heritage.Which of the following is a true statement in regard to pain?

A woman brings her 15-month-old son in for a well-child visit.When asked questions about his pattern of behaviors and appetite,she seems at a loss for answers.What is the nurse's best response?

After a symptom is recognized,the first effort at treatment is often self-care.Which statement is true with regard to self-care?

Critical Thinking in Health Assessment

Developmental Tasks and Health Promotion Across the Life Cycle

The Interview

The Complete Health History

Mental Status Assessment

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Pain Assessment: the Fifth Vital Sign

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

Functional Assessment of the Older Adult

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