Deck 8: Achieving Cultural Competence in Community Health Nursing

Question 1

Which event best describes a cultural encounter?

A) Sharing significant assessment findings with members of a racial minority
B) Visiting the native land of the clients served at a community health center
C) Telephoning the priest at a Hispanic church to discuss the health issues of a client
D) Learning about traditional healing practices from an American Indian client

Answer 1

Learning about traditional healing practices from an American Indian client

Question 2

A nurse is observing behaviors that may be defined by culture. Which of the following is the nurse most likely to observe?

A) Speaking a dialect of a language in a local region
B) Standing when an older adult gets on the bus to give him or her a seat
C) Immigrating to the United States and seeking work
D) An organizational structure of a cultural group

Answer 2

Standing when an older adult gets on the bus to give him or her a seat

Question 3

To meet a client's needs, it is sometimes necessary to integrate into the client's care a culturally relevant practice that lacks scientific utility. Which term describes this action?

A) Cultural accommodation
B) Cultural awareness
C) Cultural preservation
D) Cultural repatterning

Answer 3

Cultural accommodation

Question 4

Which statement about the nursing workforce is true?

A) The nursing workforce is overwhelmingly white.
B) The number of minority nurses meets the needs of the country's demographics.
C) The nursing workforce is becoming increasingly diverse with increasing minorities.
D) Immigrants and refugees make up a large part of the nursing workforce in some areas.

Question 5

A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?

A) Be aware of one's own culture.
B) Become familiar with traditional practices of the immigrants.
C) Try to see things from the immigrant's viewpoint.
D) Learn to speak the language of the immigrant population.

Question 6

Which statement accurately describes a large portion of foreign-born residents of the United States?

A) They tend to live in major metropolitan areas.
B) Most reside in rural areas.
C) Few have a high school education.
D) They are refugees and non-immigrants.

Question 7

A client shares with the nurse that her grandparents immigrated to the United States from Germany. Which of the following best describes what she has disclosed?

A) Multiculturalism
B) Ethnicity
C) Race
D) Culture

Question 8

A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?

A) Legal immigrant
B) Lawful permanent resident
C) Refugee
D) Unauthorized immigrant

Question 9

A nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?

A) Respect individuals from different cultures and value diversity.
B) Immerse himself or herself in different cultures.
C) Design care for special ethnic groups.
D) Give explicit instructions to avoid client decision making.

Question 10

A nurse implements nursing interventions considering the uniqueness of the person's culture. Which of the following best describes this action?

A) Cultural diversity
B) Cultural knowledge
C) Cultural competence
D) Cultural awareness

Question 11

A nurse states that the client has exhibited an explicit cultural behavior. Which of the following has the nurse most likely observed?

A) Verbal communication
B) Body language
C) Use of titles
D) Perception of health and illness

Question 12

A nurse is unable to provide culturally competent care to a population within the community. Which of the following is an effect of this type of care?

A) Enhanced communication
B) Increased cost of health care
C) Achievement of health indicators
D) Improvement in client compliance

Question 13

A visitor from Japan comes to the United States for a 2-week vacation. Which of the following best describes this person?

A) Non-immigrant
B) Refugee
C) Legal immigrant
D) Lawful permanent resident

Question 14

A Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?

A) Cultural accommodation
B) Cultural repatterning
C) Culture brokering
D) Cultural awareness

Question 15

Which of the following statements about race is true?

A) In the United States, children of biracial parents are usually assigned the race of the father.
B) Ethnicity and race are synonymous terms.
C) Individuals may be of the same race but of different cultures.
D) No social significance is usually placed on race.

Question 16

A nurse wants to obtain information on the alternative methods of health care used by a 45-year-old female Hispanic client. Who would be the best person to ask about this?

A) The husband of the client
B) A community leader of the ethnic group
C) The client herself
D) The religious leader of the ethnic group

Question 17

A nurse demonstrates cultural desire to provide culturally competent care. Which of the following actions would be taken by the nurse?

A) Relying on a textbook for information about an ethnic group
B) Bringing a translator to the local community clinic
C) Taking Spanish classes in the evening at a local college
D) Judging others using his or her own cultural values

Question 18

A nurse is working with a population that exhibits a large amount of diversity. The nurse recognizes that skin color of individuals within this population is an example of what?

A) Multiculturalism
B) Ethnicity
C) Race
D) Culture

Question 19

The Refugee Act of 1980 had what effect on refugees who were immigrating into the United States?

A) Allowed specific provisions for refugees from Southern and Eastern Europe.
B) Provided a uniform procedure for refugees to be admitted into the United States.
C) Permitted refugees to set up communities in or around major metropolitan areas.
D) Allowed refugees access to "green cards" allowing them to work in the United States.

Question 20

A nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors. Which of the following is being demonstrated by the nurse?

A) Cultural accommodation
B) Cultural awareness
C) Cultural preservation
D) Cultural repatterning

Question 21

A city council discusses how former city laws promoted segregation in the community years ago. Which of the following was being demonstrated when segregation occurred?

A) Prejudice
B) Cultural imposition
C) Racism
D) Stereotyping

Question 22

The nurse labels a patient an alcoholic because of his or her ethnicity. Which of the following best describes this action by the nurse?

A) Stereotyping
B) Prejudice
C) Racism
D) Ethnocentrism

Question 23

A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client. Which term best describes the nurse's action?

A) Cultural accommodation
B) Culture brokering
C) Cultural preservation
D) Cultural repatterning

Question 24

A nurse is planning a refugee outreach clinic at the neighborhood health center. Which of the following considerations should be made by the nurse to provide culturally competent care? (Select all that apply.)

A) Their own background, beliefs, and knowledge may be significantly different from those of the people receiving care.
B) Language barriers may interfere with efforts to provide assistance.
C) Certain risk factors may be present for a given population.
D) Certain groups may use nontraditional healing practices.
E) Introduction of the American culture will be an important part of the encounter.

Question 25

The tendency to ignore all differences between cultures and to act as though the differences do not exist is identified by what term?

A) Cultural conflict
B) Culture shock
C) Cultural blindness
D) Cultural imposition

Question 26

A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?

A) Ethnocentrism
B) Cultural imposition
C) Racism
D) Stereotyping

Question 27

In the Vietnamese culture, individuals may focus on wishes and memories of their ancestors and look to them to provide direction for current situations. Which of the following types of cultural variations is being demonstrated?

A) Communication
B) Personal space
C) Social organization
D) Perception of time

Question 28

Hispanics tend to believe that the needs of the family take priority over those of the individual. Which of the following types of cultural variations is being demonstrated?

A) Communication
B) Personal space
C) Social organization
D) Environmental control

Question 29

A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right career choice. Which of the following terms best describes how the nurse is feeling?

A) Cultural conflict
B) Cultural relativism
C) Culture shock
D) Culture brokering

Question 30

A nurse will be using an interpreter during a client encounter. Which of the following considerations should be made by the nurse? (Select all that apply.)

A) It is appropriate to use family members as interpreters.
B) Written materials should be available in the client's primary language.
C) Observe the interpreter's gestures to assure client understanding.
D) The gender, age, and educational level of the interpreter should be evaluated.
E) The nurse should face the interpreter when speaking.

Question 31

A client comes into the clinic and reports visiting an acupuncturist for pain. The nurse suggests taking pain medication instead. Which of the following best describes the action taken by the nurse?

A) Cultural conflict
B) Cultural blindness
C) Cultural relativism
D) Cultural imposition

Question 32

Asians may perceive illness as disharmony with other forces and that medicine is only able to relieve the symptoms rather than cure the disease. They may look to naturalistic solutions and acupuncture to resolve or cure health problems. Which of the following types of cultural variations is being demonstrated?

A) Communication
B) Personal space
C) Social organization
D) Environmental control

Question 33

Research has shown that Asian men tend to have a greater sensitivity than white Europeans to codeine, and they experience significantly weaker effects from the drug. Which of the following types of cultural variations is being demonstrated?

A) Biological variations
B) Personal space
C) Social organization
D) Perception of time