Question 1

A client from an Asian background responds to the nurse's discharge instructions by nodding and smiling. How should the nurse interpret this response?&#10;A)The client understands the information and will be very compliant when discharged.&#10;B)The client really does not understand the instructions and has no intention of following them at home.&#10;C)It is a way of showing respect for the nurse's authority and avoiding confrontation.&#10;D)All friendly and happy Asian clients express themselves this way.

Accepted Answer

In some Asian cultures, nodding and smiling can be a way of showing respect for authority and avoiding confrontation, but it does not necessarily indicate understanding or agreement with the information given. The nurse should assess the client's understanding of the instructions using other methods, such as teach-back or written materials in the client's native language.

Question 2

Which statement accurately describes minority nurses in the United States?&#10;A)They mirror the ethnic composition of the country as a whole.&#10;B)They compose about 10% of all nurses.&#10;C)They are increasing in numbers proportionate to the general population.&#10;D)They are expected to outnumber nonminority nurses by the year 2080.

Accepted Answer

Minority nurses currently compose about 10% of all nurses in the United States. None of the other statements are accurate - minorities in nursing do not mirror the ethnic composition of the country as a whole, their numbers are not increasing proportionate to the general population, and they are not projected to outnumber nonminority nurses by 2080.

Question 3

When do subcultures develop?&#10;A)Life in the country of origin becomes too difficult.&#10;B)People marry people from other cultures.&#10;C)Members of the group do not accept all the values of their dominant culture.&#10;D)Cultural expressions become primarily conscious.

Accepted Answer

Subcultures develop when members of a group do not fully accept all the values, norms, and beliefs of their dominant culture. They may adopt different perspectives, lifestyles, language, clothing styles, music, and other cultural expressions that distinguish them from the mainstream culture. This may happen due to various reasons such as generational differences, ethnic identity, political or religious beliefs, social marginalization, or artistic expression. Therefore, subcultures are alternative or oppositional forms of cultural identity that emerge within a larger society, but have their own unique practices and meanings.

Question 4

Select the term used for an oversimplified belief, conception, or opinion about another person or group based on a limited amount of information.&#10;A)Judgment&#10;B)Stereotype&#10;C)Bias&#10;D)Prejudice

Accepted Answer

A stereotype is a fixed or oversimplified idea about a particular group or person. It is formed without any firsthand knowledge or experience and is often based on biased and distorted information. Stereotypes involve assumptions about the characteristics, traits, behaviors, and values of a group or individual that are often inaccurate and damaging.

Question 5

Identify the outcome that is usually excluded from the purposes of cultural beliefs and practices.&#10;A)Explanation of unusual or unpredictable events&#10;B)Protection of the group members from harm&#10;C)Expression of religious beliefs&#10;D)Revelation of beliefs to strangers

Accepted Answer

The revelation of beliefs to strangers is not typically a purpose of cultural beliefs and practices, as these beliefs and practices are often deeply tied to the identity and cohesion of a particular group, and may not be easily understood or appreciated by outsiders. Adherence to cultural beliefs and practices may sometimes be used as a means of expressing identity or signaling membership in a particular group to outsiders, but this is typically a secondary or incidental purpose rather than a primary one.

Question 6

Identify the elements included in the primary characteristics of cultural diversity.&#10;A)Socioeconomic status and education&#10;B)Skin color and gender&#10;C)Occupation and residence&#10;D)Sexual orientation and language

Accepted Answer

The primary characteristics of cultural diversity generally include aspects related to one's identity or culture, such as race/ethnicity, sexual orientation, and language. Therefore, option D is the best choice as it includes examples from this category. The other options, while important factors that can contribute to diversity, are not typically considered primary characteristics of cultural diversity.

Question 7

What is the most important factor in obtaining an accurate cultural assessment of a client?&#10;A)Using a comprehensive assessment tool&#10;B)Establishing a warm, trusting relationship&#10;C)Using a translator&#10;D)Asking pointed questions about the client's beliefs and values

Accepted Answer

While using a comprehensive assessment tool and asking pointed questions about beliefs and values can be helpful, establishing a warm and trusting relationship is the most important factor in obtaining an accurate cultural assessment. This is because clients may be more likely to disclose information about their culture and beliefs if they feel comfortable and trust their healthcare provider. Using a translator can also be helpful if the client is more comfortable expressing themselves in a different language.

Question 8

What indicates that a nurse has achieved cultural synergy?&#10;A)Learning about another culture's beliefs and customs&#10;B)Selectively including the values, customs, and beliefs of other cultures into his or her own worldview&#10;C)Ability to use the knowledge that he or she has obtained about other cultures to provide culturally competent care&#10;D)Rejecting his or her own culture and adopting new cultural practices from a different culture

Accepted Answer

Cultural synergy occurs when an individual integrates aspects of different cultures into their own worldview, enhancing their understanding and interaction with diverse groups without rejecting their own culture.

Question 9

What can generally be excluded from the common causes for noncompliance among culturally diverse clients?&#10;A)Use of treatments that are similar to traditional treatments&#10;B)Lack of external symptoms of disease&#10;C)Inconvenient or painful treatments&#10;D)Lack of external support from family members or close friends

Accepted Answer

The use of treatments similar to traditional treatments may actually increase compliance among culturally diverse clients, as they may feel more comfortable with familiar and culturally relevant treatments.

Answer: B
 Lack of external symptoms of disease may lead to noncompliance among any clients, regardless of cultural background, but it is not a common cause specific to culturally diverse clients.

Answer: C
 Inconvenient or painful treatments are a common cause of noncompliance among all clients, regardless of cultural background, but it is not specific to culturally diverse clients.

Answer: D
 Lack of external support from family members or close friends may be a common cause of noncompliance among some culturally diverse clients, as cultural values may place a high importance on familial and community support. However, it is not a definitive cause of noncompliance among all culturally diverse clients.

Question 10

Identify the phenomenon that occurs when individuals coming to the United States from other countries cling tenaciously to their traditional cultural practices and languages.&#10;A)Acculturation&#10;B)Cultural diversity&#10;C)Melting pot&#10;D)Multiculturalism

Accepted Answer

Multiculturalism refers to the coexistence of diverse cultures, where culture includes racial, religious, or cultural groups and is manifested in customary behaviors, cultural assumptions and values, patterns of thinking, and communicative styles. When individuals maintain their traditional cultural practices and languages upon moving to a new country, it aligns with the principles of multiculturalism, which emphasizes the preservation and appreciation of cultural differences within a society.

Question 11

Which is an accurate statement about the expressions of culture?&#10;A)They are primarily unconscious.&#10;B)They become more evident as a person ages.&#10;C)They are usually written down in formal documents.&#10;D)They have little to do with a group's values.

Accepted Answer

The answer of Which is an accurate statement about the...

Question 12

Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.

Accepted Answer

The answer of Developed from a long-term process and based...

Question 13

What would identify a person who is demonstrating heritage consistency?&#10;A)Accepting all the elements of the dominant culture and attempting to fit in as much as possible&#10;B)Rejecting the dominant culture and clinging to the traditional ways of behavior&#10;C)Going along with the dominant culture during the workday but reverting to his or her own cultural practices when at home&#10;D)Refusing to learn the language of the dominant culture

Accepted Answer

The answer of What would identify a person who is...

Question 14

A woman of Mexican-American background who is in labor asks that her husband not be allowed in the delivery room and that he not see the baby until after the baby has had his or her initial bath. How can the nurse best respond to this request?

A)Insist that it is the hospital policy for the husband to be present during the delivery.
B)Explain that the first hour after the birth of the baby is the most critical to promote bonding.
C)Honor the request by recognizing that these are the cultural norms of the client.
D)Ask the husband if he is willing to wait in the waiting room until the delivery is completed.

Accepted Answer

The answer of A woman of Mexican-American background who is...

Question 15

What indicates that a nurse has developed cultural awareness?&#10;A)Recognizes and values all aspects of a client's culture&#10;B)Learns about the client's cultural background&#10;C)Understands her or his own cultural actions&#10;D)Uses a cultural assessment tool with all clients

Accepted Answer

The answer of What indicates that a nurse has developed...

Deck 22: Cultural Diversity