Deck 6: Transcultural Caring Inquiry: Awareness, Understanding, and Choice

Question 1

A person who, according to anthropologists, is one of the most powerful roles when negotiating between two or more people from diverse cultures is known as _________.

A) An existential advocate
B) A culture broker
C) An ombudsman
D) A facilitator

Answer 1

A culture broker

Question 2

________________________ illuminates how we ought to live and practice nursing when we relate to others who may be different than ourselves.

A) Transcultural caring competency
B) Transcultural caring communication
C) Transcultural caring context
D) Transcultural caring dynamics

Answer 2

Transcultural caring competency

Question 3

For the second time in a week, May and Jenny are called into the nursing director's office. May has worked on the floor for 12 years and never seemed to have a problem with her coworkers. Jenny has been a nurse for a year, working on May's floor for a month. According to May, Jenny is quick to make decisions and always looking for ways to "do things better." Jenny thinks that May doesn't take her job seriously. She also believes that May is more concerned about the chain of command than she is about advocating for the patient. Jenny prides herself on her fierce dedication to her patients. Based on this scenario, which generation does Jenny likely belong to?

A) Generation X
B) Veteran
C) Generation Y
D) Baby Boomer

Answer 3

Generation Y

Question 4

What question would the nurse ask a patient of a different cultural background when attempting to enhance the patient history and physical examination?

A) Would you like me to contact a family member?
B) Do you understand what has happened to you?
C) What do you think may help or benefit you?
D) Do you prefer a private room?

Question 5

____________________ organize our perception of reality by imposing order onto disorder in our experience.

A) Symbols
B) Rituals
C) Systems
D) Ideologies

Question 6

People of different cultures embrace different health-care practices to deal with their health and needs. Nurses in the United States predominantly practice the western model; however, they may be exposed to eastern models during the course of their career and should be acknowledged. Which of the following is an example of an eastern model of health care?

A) Empirical science
B) Integration
C) Nanotechnologies
D) Bioenergetics

Question 7

After a battery of tests, Bob Martin was faced with deciding whether or not to take his wife off of life support. A decision conference was held that included Mr. Martin, his in-laws, Mr. Martin's adult children, as well as various health-care professionals involved in Mrs. Martin's care. At first, the Martin family and Mrs. Martin's parents talked about Mrs. Martin and the various conversations they had with her leading up to her present state. Health-care professionals presented Mrs. Martin's family members with the reality of Mrs. Martin's condition, along with their experiences of similar cases and the latest research that pertained to her present condition, all of which indicated that Mrs. Martin would never regain consciousness and that the machines and medications were keeping her alive. The discussion then shifted to details about the future Mrs. Martin and the family faced should they not begin the process of ending life support. Even though everyone was in agreement that ceasing life-sustaining measures was the best decision, the realization of losing Mrs. Martin and the impact the loss would have on their lives was starting to sink in. Mr. Martin wondered, "How can I go on without her?" Mrs. Martin's parents thought, "Parents are never supposed to bury their child." The Martin children were doubly devastated by losing their mother and that their children would grow up without their grandmother. Using your knowledge of transcultural caring inquiry, choose the option(s) that demonstrate(s) the knowledge-in-process, communicative spiritual-ethical caring of transcultural caring inquiry. (Select all that apply.)

A) Mr. Martin's decision of whether to take his wife off life support
B) Mrs. Martin's family and health-care providers sharing conversations they'd had with her
C) Family members realizing the impact Mrs. Martin's death will have on their lives
D) Health-care providers sharing experience, research, and requirement of life-support
E) The family understanding that ending life-support was the best decision

Question 8

How can the sociocultural aspect of spiritual-ethical caring be utilized in nursing practice? (Select all that apply.)

A) To determine intergenerational relationships
B) To determine how family is communicating with the patient (e.g., via Facebook, Skype, etc.)
C) To determine the ethnic foundation of the patient, family, or significant others
D) To determine if the patient or family member has served in the military or is a veteran
E) To determine how the universal environment, including the hospital influences the patient

Question 9

George is teaching a Transcultural Caring course and has given his students a journal prompt in order to reveal how they understand the concept of practical wisdom. What examples or explanations of practical wisdom should George find when evaluating the student response to the prompt, "Practical wisdom … ?" (Select all that apply.)

A) Practical wisdom is the co-creative emergence that embodies awareness, understanding, and choice in the nurse-patient relationship.
B) Practical wisdom is the practical insight and knowledge that helps the nurse know what's required in a given situation.
C) Practical wisdom facilitates understanding of how a patient arrives at a choice and how the nurse and patient will transform.
D) Practical wisdom determines how the information sphere will reshape human reality and changes our sense of self and our relationships.
E) Practical wisdom reveals values of an individual that are expressed openly, often providing clues to understanding why certain beliefs exist.

Question 10

After learning that the United States provided more allocation of funds for health care to prisoners than their own indigenous people, Thomas felt compelled to make a difference. Immediately upon receiving his license to practice nursing, he moved to a remote area of Arizona to work at a Navajo health clinic. Thinking he would make a difference with his newly acquired nursing skills, Thomas quickly realized that one of his most important tasks was ensuring tribal members had clean water to drink. Which aspects of transcultural caring would help Thomas cope with and understand his new position at the clinic? (Select all that apply.)

A) Fairness within an understanding of cultural dynamics
B) Compassion through love in response to suffering
C) Need with right action or justice
D) Capturing the dynamic of patterns of culture
E) Progression toward psychological adjustment

Question 11

History, ethnicity, and the cultural or geographical contexts play a significant role in the evolution of class care in health-care organizations. Professional behaviors of those entrusted with the care of various social classes must be monitored. Which of the following examples illustrate those at risk for receiving substandard care due to their perceived class? (Select all that apply.)

A) Single mothers
B) Homosexual patients
C) Uninsured patients
D) Immigrants
E) Frequent ER patients

Question 12

While once considered heroic and admirable by other countries, an anti-American sentiment is spreading throughout the world. The change in feeling toward the United States is largely due to the perception of ethnocentric behaviors. What examples can be found in present-day American culture that would indicate reasons for this change in feeling? (Select all that apply.)

A) Intolerance for values, languages and cultures of others
B) Global influence toward nations and human rights
C) Promotion of democratic principles
D) Export of violent American-made films
E) Reversing legal policies that allow for freedom of religion

Question 13

When using any of the tools in the transcultural caring relationship, which of the following points should be considered? (Select all that apply.)

A) Determine language or interpreter needs
B) Interact in a mutually collaborative manner
C) Identify the patient's ethnic foundation
D) Respond lovingly in authentic presence
E) Communicate spiritual-ethical caring