Question 1

The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.

Accepted Answer

assimilation
The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called assimilation.

Question 2

Which statement regarding cultural diversity can be used as a basis for caregiving?

Accepted Answer

A)  Silence should always be interpreted as an indication of the patient's dissatisfaction with care. 
B)  Rules regarding the appropriate amount of eye contact vary among cultures. 
C)  Personal space requirements are similar for all cultures. 
D)  The germ theory of illness is universally accepted. 
A)  Silence should always be interpreted as an indication of the patient's dissatisfaction with care. 
B)  Rules regarding the appropriate amount of eye contact vary among cultures. 
C)  Personal space requirements are similar for all cultures. 
D)  The germ theory of illness is universally accepted. B

Question 3

A nursing instructor is working with a Native-American student nurse.When the student is late for the first clinical day,the instructor states,"I'm not surprised she's late; Native-American students are always late." The instructor's statement is an example of

Accepted Answer

A)  prejudice. 
B)  stereotyping. 
C)  ethnocentrism. 
D)  discrimination. 
A)  prejudice. 
B)  stereotyping. 
C)  ethnocentrism. 
D)  discrimination. B

Question 4

How would a culturally competent care plan differ from a standard care plan?

Accepted Answer

A)  It would contain adaptations that recognize the patient's cultural preferences. 
B)  It would follow the legal mandates for providing care regardless of culture. 
C)  It would provide information about nonjudgmental behaviors to use. 
D)  It would focus on the nurse's values, assumptions, and health beliefs. 
A)  It would contain adaptations that recognize the patient's cultural preferences. 
B)  It would follow the legal mandates for providing care regardless of culture. 
C)  It would provide information about nonjudgmental behaviors to use. 
D)  It would focus on the nurse's values, assumptions, and health beliefs.

Question 5

Which statement by a nurse demonstrates cultural competence?

Accepted Answer

A)  "Without knowledge of cultural diversity, misunderstandings arise between patient and nurse." 
B)  "Nurses who assume care for persons of different cultures need to assume those beliefs as their own in order to give good care." 
C)  "Women of most cultures have adopted assertive communication." 
D)  "Traditional healing practices should not be combined with Western medicine to treat a patient." 
A)  "Without knowledge of cultural diversity, misunderstandings arise between patient and nurse." 
B)  "Nurses who assume care for persons of different cultures need to assume those beliefs as their own in order to give good care." 
C)  "Women of most cultures have adopted assertive communication." 
D)  "Traditional healing practices should not be combined with Western medicine to treat a patient."

Question 6

A behavior to avoid when interacting with a person of a different culture is

Accepted Answer

A)  diversity. 
B)  acculturation. 
C)  stereotyping. 
D)  behavior based on unbiased attitudes. 
A)  diversity. 
B)  acculturation. 
C)  stereotyping. 
D)  behavior based on unbiased attitudes.

Question 7

A patient tells the nurse that she is accustomed to adhering to a strict schedule for meals and sleep.The nurse reports that the patient

Accepted Answer

A)  follows clock time. 
B)  lives on linear time. 
C)  is obsessive-compulsive. 
D)  will complain if medications and treatments are not performed on time. 
A)  follows clock time. 
B)  lives on linear time. 
C)  is obsessive-compulsive. 
D)  will complain if medications and treatments are not performed on time.

Question 8

The nurse sets a goal to avoid stereotyping culturally diverse patients.Which of the following measures will help the nurse attain this goal?

Accepted Answer

A)  Automatically apply all information known about a culture to patients of that cultural group. 
B)  Assume that all individuals from Southeast Asia practice Buddhism. 
C)  Refer to textbook information about cultural groups to predict individual behavior. 
D)  Gather information about how the patient believes illness can best be treated. 
A)  Automatically apply all information known about a culture to patients of that cultural group. 
B)  Assume that all individuals from Southeast Asia practice Buddhism. 
C)  Refer to textbook information about cultural groups to predict individual behavior. 
D)  Gather information about how the patient believes illness can best be treated.

Question 9

Patient A,who has terminal cancer,and Patient B,who has a bladder infection,share a hospital room.Neither patient is a member of the majority culture of the area.Patient A is quiet and rarely acknowledges pain.Patient B cries and moans loudly much of the day.What understanding will help the nurse provide culturally sensitive care for both patients?

Accepted Answer

A)  The better educated the person, the less likely the person is to openly express pain. 
B)  A mentally unstable person is more likely to be noisy about pain sensations. 
C)  People respond to the sensation of pain in culturally determined ways. 
D)  People who distrust health care workers tend to be silent about their pain. 
A)  The better educated the person, the less likely the person is to openly express pain. 
B)  A mentally unstable person is more likely to be noisy about pain sensations. 
C)  People respond to the sensation of pain in culturally determined ways. 
D)  People who distrust health care workers tend to be silent about their pain.

Question 10

Mrs.X is a patient from South Korea.She has never experienced Western medical care.She is hospitalized with hepatitis C.Which measures will lead to successful negotiation of a treatment plan with this culturally diverse patient?

Accepted Answer

A)  Encourage the patient to explain her views about the cause of illness. 
B)  Explain the biomedical point of view of the health problem. 
C)  Support beliefs and practices the patient sees as helpful and that do no harm. 
D)  Realize that it is impossible to prevent a patient's use of harmful health practices. 
A)  Encourage the patient to explain her views about the cause of illness. 
B)  Explain the biomedical point of view of the health problem. 
C)  Support beliefs and practices the patient sees as helpful and that do no harm. 
D)  Realize that it is impossible to prevent a patient's use of harmful health practices.

Question 11

A patient who utilizes the biomedical health belief system would be most likely to respond to interventions by a/an

Accepted Answer

A)  diviner. 
B)  shaman. 
C)  herbalist. 
D)  physician. 
A)  diviner. 
B)  shaman. 
C)  herbalist. 
D)  physician.

Question 12

Culver suggests that regardless of one's specific environment,two essential environmental needs are evident for each person.The nurse can correctly identify these needs as

Accepted Answer

A)  diversion and recreation. 
B)  emotional and spiritual support. 
C)  body alignment and activity. 
D)  oxygen and safety. 
A)  diversion and recreation. 
B)  emotional and spiritual support. 
C)  body alignment and activity. 
D)  oxygen and safety.

Question 13

A student nurse asks,"Does ethnocentrism have any negative consequences?" The most accurate reply is based on the understanding that

Accepted Answer

A)  discrimination is the basis for ethnocentrism and prejudice. 
B)  ethnocentrism may give rise to prejudice, which may result in discrimination. 
C)  prejudice has no relationship to ethnocentrism and discrimination. 
D)  ethnocentrism has only positive consequences associated with ethnic pride. 
A)  discrimination is the basis for ethnocentrism and prejudice. 
B)  ethnocentrism may give rise to prejudice, which may result in discrimination. 
C)  prejudice has no relationship to ethnocentrism and discrimination. 
D)  ethnocentrism has only positive consequences associated with ethnic pride.

Question 14

Which of the following is an example of the process of socialization?

Accepted Answer

A)  The student nurse assesses the needs of a patient who is a member of another culture. 
B)  The student nurse learns how to think and act like a nurse. 
C)  The student nurse uses cultural bias when evaluating the beliefs of a diverse culture. 
D)  The student nurse demonstrates ethnocentrism related to health-illness beliefs. 
A)  The student nurse assesses the needs of a patient who is a member of another culture. 
B)  The student nurse learns how to think and act like a nurse. 
C)  The student nurse uses cultural bias when evaluating the beliefs of a diverse culture. 
D)  The student nurse demonstrates ethnocentrism related to health-illness beliefs.

Question 15

A Native American patient keeps a small bunch of feathers on the over-the-bed table.They are in the way whenever the nurse serves a tray or sets up equipment for a treatment.A culturally competent action would be to

Accepted Answer

A)  throw them away while the patient is sleeping. 
B)  move them to a place where they won't be in the way. 
C)  leave them where the patient wishes to place them. 
D)  ask why there are a bunch of feathers in a hospital room. 
A)  throw them away while the patient is sleeping. 
B)  move them to a place where they won't be in the way. 
C)  leave them where the patient wishes to place them. 
D)  ask why there are a bunch of feathers in a hospital room.

Question 16

The codes of ethics of practical/vocational nursing organizations include the expectation that nurses will

Accepted Answer

A)  attempt to educate individuals of diverse cultures in the American way. 
B)  provide care regardless of race, creed, or cultural background. 
C)  utilize stereotypes in selecting best nursing care practices. 
D)  ignore cultural uniqueness and provide the same care to all patients. 
A)  attempt to educate individuals of diverse cultures in the American way. 
B)  provide care regardless of race, creed, or cultural background. 
C)  utilize stereotypes in selecting best nursing care practices. 
D)  ignore cultural uniqueness and provide the same care to all patients.

Question 17

Recently a community has experienced an influx of individuals from Afghanistan.What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?

Accepted Answer

A)  Provide handouts and patient teaching materials in appropriate languages. 
B)  Hold meetings in the community to explain the Afghan culture. 
C)  Provide reference guides about Far Eastern cultures to all nursing staff. 
D)  Utilize the cookbook method of learning to accommodate this immigrant group. 
A)  Provide handouts and patient teaching materials in appropriate languages. 
B)  Hold meetings in the community to explain the Afghan culture. 
C)  Provide reference guides about Far Eastern cultures to all nursing staff. 
D)  Utilize the cookbook method of learning to accommodate this immigrant group.

Question 18

Which statement about culture will help the nurse implement culturally competent care?

Accepted Answer

A)  Each culture measures other cultures using its own ways as the norm. 
B)  Culture is primarily based on genetic inheritance. 
C)  Stereotypes about cultures can be accepted as true. 
D)  Cultural diversity is based entirely on race. 
A)  Each culture measures other cultures using its own ways as the norm. 
B)  Culture is primarily based on genetic inheritance. 
C)  Stereotypes about cultures can be accepted as true. 
D)  Cultural diversity is based entirely on race.

Question 19

Mrs.Lee tells the nurse who asks why she ate so little of the food on her tray that her condition requires "hot" foods,so she ate only the "hot" foods on the tray.The nurse notices that several items the patient left on the tray were served hot,and several of the foods the patient ate were served cold.The nurse should

Accepted Answer

A)  tell the dietary department to make sure Mrs. Lee's foods are hot when served. 
B)  check Mrs. Lee's menu choices and change choices from cold entrees to hot entrees. 
C)  tell Mrs. Lee that no hospital food service serves entrees as hot as she may fix at home. 
D)  ask Mrs. Lee to make a list of foods she believes would help her condition. 
A)  tell the dietary department to make sure Mrs. Lee's foods are hot when served. 
B)  check Mrs. Lee's menu choices and change choices from cold entrees to hot entrees. 
C)  tell Mrs. Lee that no hospital food service serves entrees as hot as she may fix at home. 
D)  ask Mrs. Lee to make a list of foods she believes would help her condition.

Question 20

The nurse who states,"I believe in the uniqueness and value of human beings" is basing care on the philosophy of

Accepted Answer

A)  civil liberties. 
B)  individual worth. 
C)  American heritage. 
D)  the American Health Care System Code. 
A)  civil liberties. 
B)  individual worth. 
C)  American heritage. 
D)  the American Health Care System Code.

Exam 16: Cultural Uniqueness, Sensitivity, and Competence

The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.

Which statement regarding cultural diversity can be used as a basis for caregiving?

A nursing instructor is working with a Native-American student nurse.When the student is late for the first clinical day,the instructor states,"I'm not surprised she's late; Native-American students are always late." The instructor's statement is an example of

How would a culturally competent care plan differ from a standard care plan?

Which statement by a nurse demonstrates cultural competence?

A behavior to avoid when interacting with a person of a different culture is

A patient tells the nurse that she is accustomed to adhering to a strict schedule for meals and sleep.The nurse reports that the patient

The nurse sets a goal to avoid stereotyping culturally diverse patients.Which of the following measures will help the nurse attain this goal?

Mrs.X is a patient from South Korea.She has never experienced Western medical care.She is hospitalized with hepatitis C.Which measures will lead to successful negotiation of a treatment plan with this culturally diverse patient?

A patient who utilizes the biomedical health belief system would be most likely to respond to interventions by a/an

Culver suggests that regardless of one's specific environment,two essential environmental needs are evident for each person.The nurse can correctly identify these needs as

A student nurse asks,"Does ethnocentrism have any negative consequences?" The most accurate reply is based on the understanding that

Which of the following is an example of the process of socialization?

A Native American patient keeps a small bunch of feathers on the over-the-bed table.They are in the way whenever the nurse serves a tray or sets up equipment for a treatment.A culturally competent action would be to

The codes of ethics of practical/vocational nursing organizations include the expectation that nurses will

Recently a community has experienced an influx of individuals from Afghanistan.What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?

Which statement about culture will help the nurse implement culturally competent care?

The nurse who states,"I believe in the uniqueness and value of human beings" is basing care on the philosophy of

The Adult Learner: Hints to Succeed

Time Management: Making Time Work for You

Learning Methods and Skills: How Do You Learn?

Using Your Methods and Skills: Studying and Testing

Learning During School: Using Available Resources

Personal Health Promotion: A Role Model for Patients

How Practical/Vocational Nursing Evolved: 1836 to Present

Critical Thinking: A Lifelong Journey

Nursing Process: Your Role

Nursing Theory,Research,and Evidence-Based Practice

Ethics Applied to Nursing: Personal vs.Professional Ethics

Nursing and the Law: What Are the Rules?

Straightforward Communication: Instructors, Coworkers, and Patients

Assertiveness: Your Responsibility

The Health Care Team: Where the Practical/Vocational Nurse Fits In

Spiritual Needs, Spiritual Caring, and Religious Differences

Health Care Settings: Potential Job Sites

Health Care System: Financing, Issues, and Trends

Leadership Skills

LPN/LVN Charge Nurse Skills: Management, Including Assignment and Delegation

Finding a Job: What Works, and What Doesn’t

The NCLEX-PN Examination

Future Career Decisions: Choosing What Is Right for You

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