Question 1

In coaching Sarah (Question 24),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 and what meaning it has for him." D

Question 2

At Health Center XYZ,staff members on the rehab 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 tub rooms 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. C

Question 3

A new graduate RN 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. C

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 a:

Accepted Answer

A)   Task force formed to commemorate a New Year's celebration in the Western tradition.
B)   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)   Task force to develop a poster for the unit depicting religions of the world.

Question 5

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 6

Within the deaf culture,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 behaviors.
B)   The need to recognize diversity within groups.
C)   The impact of cross-culturalism.
D)   How language separates subgroups.

Question 7

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 to say:

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."

Question 8

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

Accepted Answer

A)   Stereotyping.
B)   Cultural diversity.
C)   Ethnocentricity.
D)   Transcultural care.

Question 9

Sarah,one of your RNs,tells you that she can't understand why Jim,an Aboriginal patient,wants to do a smudge.Sarah's response is based on her:

Accepted Answer

A)   Cultural marginality.
B)   Circle of familiarity.
C)   Cultural understanding.
D)   Acculturation.

Question 10

As a nurse manager,you have to be effective in managing a culturally diverse staff.Which of the following nurse manager attributes 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 bias

Question 11

In designing programs through your institution to address the health needs of Hispanics in your community,you most likely would develop programs related to:

Accepted Answer

A)   Diabetes.
B)   Cardiovascular disease.
C)   Cancer.
D)   Asthma.

Question 12

In caring for a patient from an East Indian culture,the staff expresses frustration that many people are in the room at any one time,which interferes with care.As the nurse manager,you provide leadership in understanding that this behavior of the family and friend network reflects:

Accepted Answer

A)   Lack of understanding of the seriousness of the patient's illness.
B)   Lack of communication between family members.
C)   The social organization of friendships and family networks in East Indian culture.
D)   Lack of caring about the hospital environment by the friends and family.

Question 13

Maintaining a culturally diverse staff is an important function of a nurse manager who works in the hospital of a large medical center.Based on the US Bureau of Labor Statistics Bulletin 2307,which cultural group had the lowest percentage of employment as registered nurses in the United States?

Accepted Answer

A)   Caucasians
B)   Asians/Pacific Islanders
C)   Blacks
D)   Hispanics

Question 14

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

Accepted Answer

A)   Develops over time.
B)   Maintains a strong work ethic.
C)   Changes easily.
D)   Develops quickly.

Question 15

Rajib,RN,asks you,a senior staff member,about your mother,who is a patient on another unit.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

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

Accepted Answer

A)   Acculturation.
B)   Ethnocentricity.
C)   Cultural diversity.
D)   Cultural sensitivity.

Question 17

When interviewing a candidate for a nursing position who has an Aboriginal background,you recognize that the candidate's lack of eye contact reflects the candidate's:

Accepted Answer

A)   Lack of confidence.
B)   Professional behavior.
C)   Cultural sensitivity.
D)   Ethnicity.

Question 18

According to Leininger,"cultural imposition" is a major concern in nursing because nurses have a tendency to impose their values,beliefs,and practices on those 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 19

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

Accepted Answer

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

Question 20

As a nurse manager,you notice that Maria,a Hispanic nurse aide,is visibly upset.When you ask her if something is wrong,she becomes tearful and says,"Why is it that when John and I work together in giving patients care,he jokes about my being "a little fat Mexican"? The nurse manager's best response is,"Do you think he:

Accepted Answer

A)   Is sensitive to your culture?"
B)   Wants to learn more about you?"
C)   Has been hurt and wants to hurt others?"
D)   Is stereotyping you without thinking?"

Exam 9: Cultural Diversity in Health Care

In coaching Sarah (Question 24) ,you suggest which of the following?