Question 1

As a nurse manager,you have to be effective in managing a culturally diverse staff.Which of the following attributes of a nurse manager would assist you in addressing the cultural needs of your staff?

Accepted Answer

A)  Stereotyping of others
B)  Respect for others
C)  Positive reinforcement
D)  Knowledge about your staff
E)  Age biasF) Disrespect for others B,C,D

Question 2

Serena,RN,complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking.In responding to Serena,you consider that differences across cultures that are relevant to this situation include

Accepted Answer

A)   eye contact.
B)   personal space.
C)   harassment.
D)   expressions of feeling. B

Question 3

Within the deaf community,there is considerable disagreement about the use of SEE (Signed Exact English)and ASL (American Sign Language).This is indicative of

Accepted Answer

A)   dominant versus nondominant behaviours.
B)   the need to recognize diversity within groups.
C)   the effect of cross-culturalism.
D)   how language separates subgroups. B

Question 4

Cultural diversity is the term used to describe a vast range of cultural differences.Events have symbolic meanings for the nurse manager and the staff.The event that would be most likely to provide symbolic meaning to a nurse manager and staff is

Accepted Answer

A)   the formation of a task force to commemorate a New Year's celebration in the Western tradition.
B)   a project to provide Christmas gifts to the children in a daycare program.
C)   celebration of National Nurses' Week with the focus on cultural care.
D)   the formation of a task force to develop a poster for the unit depicting religions of the world.

Question 5

In coaching Monique to become more culturally sensitive when a patient has requested a smudge ceremony at the bedside,you suggest which of the following?

Accepted Answer

A)   "Explain to Jim that there is no smoking in the hospital."
B)   "Inform Jim that fires are not allowed in the hospital."
C)   "Insist that he give you his tobacco because it is unhealthy for him."
D)   "Ask him what he means by a 'smudge ceremony' and what meaning it has for him."

Question 6

The nurse manager of a unit is asked by a family member of a dying Inuit patient if it is possible to for the patient's eight-member family to recite the rosary by the patient's bedside.The manager responds affirmatively.The nurse manager is most likely exhibiting behaviour related to

Accepted Answer

A)   acculturation.
B)   ethnocentricity.
C)   cultural diversity.
D)   cultural sensitivity.

Question 7

According to Leininger (2002),"cultural imposition" is a major concern in nursing because nurses have a tendency to impose their values,beliefs,and practices on people of other cultures.The discussion topic most likely to be without cultural imposition would be

Accepted Answer

A)   abortion.
B)   wound management.
C)   blood transfusion.
D)   advance directives.

Question 8

A 66-year-old native Chinese patient,hospitalized for a myocardial infarction,asks the nurse manager about seeing his "acupuncture doctor" for treatment of his migraine headache.The best response to this patient would be

Accepted Answer

A)   "How long have you been using acupuncture treatment?"
B)   "Do you think acupuncture relieves your pain satisfactorily?"
C)   "What have you told your heart specialist about your migraines and treatment?"
D)   "Have you tried nonprescription pain medication or been given a prescription drug for your headaches?"

Question 9

One of the staff nurses on your unit makes the comment,"All this time I thought Mary was Black.She says she is Jamaican." The best response would be

Accepted Answer

A)   "Who cares what she is?"
B)   "What did you think when you learned she was Jamaican?"
C)   "Why did you assume she was Black?"
D)   "We have never had a Jamaican on this unit before."

Question 10

A new graduate registered nurse joins your unit.After a few weeks,she complains about some of her peers on the unit and compares their practices negatively to what she learned in her nursing program.She also is vocal about how she has learned so much here that she did not in her program.She is best described as

Accepted Answer

A)   having cultural sensitivity.
B)   experiencing cultural diversity.
C)   experiencing cultural marginality.
D)   experiencing acculturation.

Question 11

During managers' meetings,Lindsay is surprised by the forthrightness of male managers.She finds that,during discussions,she would be more likely to say

Accepted Answer

A)   "I wonder if we should consider changing our policy on performance appraisals? What do you think?"
B)   "Sean, your approach to appraisal is completely off track and does not reflect available evidence."
C)   "The system that has been developed needs to be implemented. We have already spent enough time in discussion."
D)   "Forget about change in this policy. It is fine as it is."

Question 12

The nurse manager for a unit's culturally diverse staff creates a staff-development program so that the professional nursing staff members can enhance their understanding of cultures on the basis of published literature.The literature reveals that what characteristics are inherent in a culture?

Accepted Answer

A)   It develops over time.
B)   It maintains a strong work ethic.
C)   It changes easily.
D)   It develops quickly.

Question 13

During performance appraisal,you praise Xia for her attention and care to nursing details.You suggest that her care would be further enhanced by greater acknowledgement of patients' feelings.Xia bursts into tears and leaves the office.Later,you learn that in Xia's culture,criticism is perceived as akin to failure.You reflect on how you could modify your approach in the future to acknowledge different cultural interpretations of feedback.Your response is indicative of

Accepted Answer

A)   bias.
B)   cultural awareness.
C)   cultural diversity.
D)   ethnocentricity.

Question 14

Individuals living with asthma who also live in poverty are much less likely to seek early care than to go to emergency rooms for assistance.This example reflects

Accepted Answer

A)   stereotyping.
B)   cultural diversity.
C)   ethnocentricity.
D)   transcultural care.

Question 15

Rajib,RN,asks you,a senior staff member,how your mother (a patient on another unit)is doing.This question reflects

Accepted Answer

A)   lack of concern for your cultural orientation.
B)   lack of understanding about his role.
C)   caring and concern for you.
D)   how individuals in his culture relate to persons in authority.

Question 16

At Health Centre XYZ,staff members on the rehabilitation unit have a head nurse who is intolerant of error and publicly chides anyone who makes a mistake.Over time,the rules on the unit dictate that mistakes are hidden and that areas of concern related to the functioning of the unit are discussed in privacy and are never openly discussed during periodic meetings.New staff members are quickly made to realize that silence is expected.The situation described is an example of

Accepted Answer

A)   ethnicity.
B)   work environment.
C)   work culture.
D)   marginalization.

Question 17

Recognizing that the Aboriginal candidate's lack of eye contact is different from her own,the non-Aboriginal nurse is exhibiting

Accepted Answer

A)   acculturation.
B)   cultural sensitivity.
C)   ethnocentrism.
D)   transculturalism.

Question 18

Because an increasing number of Aboriginal patients are being admitted,a nurse manager designs a staff-development program for her staff to help them understand Aboriginal culture.A nurse should understand that culture is determined by which of the following?

Accepted Answer

A)   Behaviour
B)   Love for people
C)   Shared vision
D)   Rapid time passage

Question 19

Which of the following enables people to make sense of situations that they may encounter that differ from their circle of familiarity?

Accepted Answer

A)   Paradox
B)   Prejudices
C)   Power.
D)   Position

Question 20

Monique,one of your registered nurses,tells you that she cannot understand why Jim,an Aboriginal patient,wants to have a smudge ceremony.Monique's response is based on her

Accepted Answer

A)   cultural marginality.
B)   circle of familiarity.
C)   cultural understanding.
D)   acculturation.

Exam 10: Cultural Diversity in Health Care