Deck 4: Social, Cultural, and Religious Influences on Child Health Promotion

Question 1

The nurse is taking a history on a low-income Hispanic toddler. The parent tells the nurse that occasional diarrhea is treated with "azogue," a mercury compound commonly used in the parent's native Mexico. The nurse should recognize which of the following about this remedy?

A)It is harmless.
B)It is dangerous.
C)It has a scientific basis.
D)It has importance in certain religious practices.

Answer 1

It is dangerous.

Question 2

The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse. The best explanation for this, considering cultural differences, is that the parent does which of the following?

A)Feels responsible for her child's illness
B)Feels inferior to nurse
C)Is embarrassed to seek health care
D)Is showing respect for nurse

Answer 2

Is showing respect for nurse

Question 3

The nurse observes that the families who do not show up for scheduled clinic appointments are usually from minority cultural groups. The best explanation for this is that these families often differ from the dominant culture because they:

A)Lack education.
B)Avoid health care.
C)Are more forgetful.
D)View time differently.

Answer 3

View time differently.

Question 4

Health beliefs vary among the cultural groups living in the United States. The belief that health is "a state of harmony with nature and the universe" is common in which of the following cultures?

A)Japanese
B)African American
C)Native American
D)Hispanic American

Question 5

Children are taught the values of their culture through observation and feedback, relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which of the following factor(s) may be culturally determined. (Select all that apply.)

A)Degree of competition
B)Racial variation
C)Determination of status
D)Social roles
E)Geographic boundaries

Question 6

Which of the following terms best describes the emotional attitude that one's own ethnic group is superior to others?

A)Culture
B)Ethnicity
C)Superiority
D)Ethnocentrism

Question 7

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist, and vegetarians." The nurse's best intervention is to:

A)Order the child a meatless tray.
B)Ask a Buddhist priest to visit.
C)Explain that hospital patients are exempt from dietary rules.
D)Help grandparent understand that meat provides protein needed for healing.

Question 8

In which of the following cultural groups is good health considered to be a balance between yin and yang?

A)Asians
B)Australian aborigines
C)Native Americans
D)African-American blacks

Question 9

A young child from Mexico is hospitalized for a serious illness. The father tells the nurse that the child is being punished by God for being bad. The nurse should recognize that this is:

A)A health belief common in this culture.
B)An early indication of potential child abuse.
C)A misunderstanding of the family's common beliefs.
D)A belief common when fortune-tellers have been used.

Question 10

A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jello, popsicles, and juices are left. Which of the following would best explain this?

A)Parent is trying to feed child only what child likes most.
B)Parent is trying to restore normal balance through appropriate "hot" remedies.
C)Hispanics believe the "evil eye" enters when a person gets cold.
D)Hispanics believe an innate energy called "chi" is strengthened with eating soup.

Question 11

Currently, the fastest growing segment of the homeless population in the United States consists of which of the following?

A)Families
B)"Runaway" adolescents
C)Migrant farm workers
D)Individuals with mental disorders

Question 12

The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this is which of the following?

A)Child abuse
B)Cultural practice to rid the body of disease
C)Cultural practice to treat enuresis or temper tantrums
D)Child discipline measure common in the Vietnamese culture

Question 13

Which of the following (after the family) is most likely to have the greatest influence on providing continuity between generations?

A)Race
B)Social class
C)Government
D)Schools

Question 14

Maria is a Spanish-speaking 5-year-old who has started kindergarten in an English-speaking school. Crying most of the time, she appears helpless and unable to function in this new situation. The best explanation for this is which of the following?

A)Lacks adequate culture for attending school
B)Lacks the maturity needed in school
C)Is experiencing culture shock
D)Is experiencing minority group discrimination

Question 15

Research is being done on the development of assets in children. A community that is supportive of children has which of the following external assets.

A)Unstructured environments
B)Social competencies
C)Empowerment
D)Allows the child to set expectations of behavior

Question 16

Which of the following is a frequent health problem of migrant children and adolescents in the United States?

A)Suicide
B)Diabetes
C)Tuberculosis
D)Cardiovascular disease

Question 17

Which of the following terms best describes a group of people who share a set of values, beliefs, practices, social relationship, law, politics, economics, and norms of behavior?

A)Race
B)Culture
C)Ethnicity
D)Social group

Question 18

When minority groups immigrate to another country, a certain degree of cultural/ethnic blending occurs through the involuntary process of:

A)Acculturation.
B)Ethnocentrism.
C)Cultural shock.
D)Cultural sensitivity.