Deck 24: Assessing Culture

Question 1

The nurse asks a patient from a different culture about seat belt use when in a motor vehicle. Where will the nurse document this when conducting a cultural assessment?

A) Family roles and organization
B) Workforce issues
C) Biocultural ecology
D) Healthcare practices

Answer 1

Healthcare practices

Question 2

The nurse is assessing a patient's nutritional intake as part of the cultural assessment. Which question is more appropriate for the nurse to include in this process?

A) "Do you have any specific food rituals?"
B) "Who prepares the meals in your home?"
C) "Do you take daily vitamins?"
D) "What type of reaction do you experience with your food allergy?"

Answer 2

"Do you have any specific food rituals?"

Question 3

Which will the nurse monitor when assessing the effects of temporal relationships on communication?

A) Differences between social time versus clock time
B) Use of eye contact
C) Use of facial expressions
D) Expectations for greetings by healthcare providers

Answer 3

Differences between social time versus clock time

Question 4

When assessing inhabited localities and topographies for a patient of a different culture, which questions will the nurse ask?

A) "What type of climate are you used to living in?"
B) "What value to you place in education?"
C) "What types of occupations are common?"
D) "What was the motivation for emigrating?"

Question 5

Which question is appropriate when assessing family roles and priorities of a patient from a different culture?

A) "What are the developmental tasks for your children?"
B) "How should I address your spouse during healthcare visits?'
C) "What is your language of choice?"
D) "Is eye contact frowned upon in your culture?"

Question 6

Which will the nurse assess during the healthcare practices portion of the cultural assessment?

A) Level of activity
B) Dietary intake
C) Alcohol consumption
D) Skin color

Question 7

The nurse manager hires a staff nurse who immigrated to the United States several years ago. Which workplace issue can the nurse manager expect based on the new nurse's immigration status?

A) Possible language barrier
B) Gender role issues
C) Problems with developmental tasks
D) Alternative lifestyle issues

Question 8

Which questions are appropriate for the nurse to ask when assessing head of household and gender roles for a patient from another culture?

A) "What are your family goals and priorities?"
B) "Does your extended family play a role in healthcare decision making?"
C) "How do you gain social status in your culture?"
D) "How will your role in the family change when your children leave home?"

Question 9

Which will the nurse include when assessing for high-risk behaviors during the cultural assessment process?

A) Disease processes
B) Health conditions
C) Biological variations
D) Recreational drug use

Question 10

Which is an appropriate question to ask a patient of another culture when assessing communication?

A) "Who is considered the head of your household?"
B) "What are some of your gender roles during this time of your life?"
C) "How would you like your healthcare providers to address you?"
D) "Does your culture practice a caste system?"

Question 11

The labor and delivery nurse is admitting a patient from a different culture who is in labor with her first child. Which question is most appropriate when conducting the cultural assessment for this patient?

A) "When did you seek prenatal care?"
B) "Do you take prenatal vitamins?"
C) "Can a male nurse or physician provide care to you?"
D) "Do you want an epidural for pain management?"

Question 12

The nurse is providing care to a terminally ill patient from a different culture. Which question is most appropriate for the nurse to ask regarding patient-specific culturally-based death rituals?

A) "How do people in your culture react to the death of a family member?"
B) "Are people in your culture expected to show grief or remain stoic?"
C) "What is the meaning of afterlife in your culture?"
D) "Which specific practices should I be aware of when you pass?"

Question 13

Which topic will the nurse include when assessing family roles and organization as part of the cultural assessment process?

A) Temporal relationships
B) Taboo behaviors
C) Skin color variations
D) Diseases and conditions

Question 14

The nurse is assessing culture issues related to autonomy within the workforce. Which should the nurse monitor during this assessment?

A) Subordinate control
B) Acculturation
C) Education
D) Healthcare practices

Question 15

The nurse is conducting a communication assessment for a patient from a different culture. Which will the nurse assess as part of this process?

A) Head of household
B) Gender roles
C) Name format
D) Family priorities

Question 16

The nurse is assessing spirituality as part of the cultural assessment for a hospitalized patient. Which question is most appropriate when assessing religious practices and the use of prayer?

A) "What gives meaning to your life?"
B) "Is prayer one way in which you feel fulfilled?"
C) "Who or what is a source of strength for you?"
D) "Is there any connection between your beliefs and healthcare practices?"

Question 17

The nurse educator is teaching a group of students how biocultural ecology can affect nursing care. Which student statement indicates understanding of the information presented?

A) "It is important to be aware of skin color variations when conducting an assessment of a patient who is from another culture."
B) "It is important to be aware of potential communication issues when conducting an assessment of a patient who is from another culture."
C) "It is important to know whether there are any issues related to eye contact when caring for someone of a different culture."
D) "It is important to know who makes the healthcare decisions when providing care for someone of a different culture."

Question 18

Which should the nurse consider in terms of dominant language and dialect when preparing to assess a patient from a different culture?

A) Usual volume and tone of speech
B) Ability to share thoughts and feelings
C) Usual amount of eye contact
D) Acceptable means of standing and greeting outsiders

Question 19

The nurse is conducting a psychosocial assessment for a patient who is having difficulty finding a job. Which question is most appropriate for the nurse to explore with this patient?

A) "Is your level of education affected by your immigration status?"
B) "Is your lifestyle an issue for being able to relate to your co-workers?"
C) "Does your social status affect your ability to perform your duties?"
D) "Are you having difficulty with gender roles at your job?"

Question 20

Which will the nurse assess during the biocultural ecology portion of the cultural assessment?

A) Communication patterns
B) Gender roles
C) Health conditions
D) Dialect

Question 21

The nurse is preparing to care for a patient from a different culture. Which will the nurse research regarding the patient's dominant language and dialect?

A) Contextual speech patterns
B) Practice and meaning of touching
C) Preferred spatial distances when talking one-on-one
D) Use of direct eye contact

Question 22

The nurse is assessing the patient's biocultural ecology during the cultural assessment. Which topics will the nurse include in this particular assessment? Select all that apply.

A) Skin color
B) Biological variations
C) Diseases
D) High-risk behaviors
E) Nutrition

Question 23

A nurse is preparing to provide care to a patient from a different culture. Which question is most appropriate when assessing the patient's reason for migration?

A) "How would you describe the typical climate where you are from?"
B) "What value does your culture place in education?"
C) "Why did you decide to immigrate to the United States?"
D) "What are common occupations for people of your culture?"

Question 24

Which will the nurse assess when focusing on the patient's healthcare practices during a cultural assessment?

A) Health-seeking beliefs and behaviors
B) Traditional care
C) Biomedical care
D) Status of healthcare providers

Question 25

The nurse is assessing the influence of culture on pregnancy and childbearing practices. Which topic is appropriate for the nurse to include in this cultural assessment?

A) Fertility practices
B) Responses to death and grief
C) Common foods and food rituals
D) Use of prayer

Question 26

The nurse is providing care to a homosexual patient who is from a different culture. Which question should the nurse include when conducting a cultural assessment for this patient?

A) "How many sexual partners have you been with in the last year?"
B) "Do you practice safer sex?"
C) "Have you been tested for HIV?"
D) "How is your sexual orientation viewed in your country?"

Question 27

The nurse is assessing healthcare practices of a patient from a different culture. Which question is appropriate for the nurse to ask when assessing responsibility for health care?

A) "What predominant believes influence healthcare practice?"
B) "Is the focus of acute care practice curative or fatalistic?"
C) "Are there cultural beliefs and practices related to pain that influence interventions?"
D) "Do you have restrictions to the acceptance of blood transfusions?"

Question 28

The nurse is assessing cultural responses to death when providing care to a terminal patient from a different culture. Which questions are appropriate for the nurse to include in this specific assessment? Select all that apply.

A) "How does your culture typically show grief?"
B) "How do you expect your family to react when you pass?"
C) "What is the meaning of an afterlife?"
D) "What specific practices would you like implemented when disposing of your body?"
E) "What mourning practices do you anticipate from your family members?"

Question 29

The nurse is assessing common foods and food rituals as part of the nutritional cultural assessment. Which questions will the nurse ask the patient? Select all that apply.

A) "What specific foods do you eat?"
B) "Do you have any specific preparation practices when it comes to meals?"
C) "Do you participate in any specific food rituals?"
D) "Do you have any food intolerances that run in your family?"
E) "Do you have any nutritional deficiencies that run in your family?"

Question 30

Which is a common language barrier that can occur for people of different cultures who work in the healthcare field?

A) Misinterpreting eye contact
B) Issues with personal space
C) The meaning of touch
D) Concrete interpretation of English expressions