Deck 4: Transcultural Context for Transcultural Nursing

Question 1

________________, including the virtual structure, relates to what humans create for survival and progress.

A) Linguistic structure
B) Technological structure
C) Education structure
D) Health-care structure

Answer 1

Technological structure

Question 2

Views of transcultural context have changed throughout the years. Using the philosophical perspective of science, which response correctly describes the first metaphysical perspective?

A) The properties of parts were understood by the dynamics of the whole.
B) The mind and matter was considered one in the same.
C) The dualistic nature of matter and mind led the ideas of metaphysical perspective.
D) The capacity of a force was emphasized, highlighting matter and energy.

Answer 2

The capacity of a force was emphasized, highlighting matter and energy.

Question 3

When culture, which is always dynamic, is developed, co-created, and enhanced by human beings in relationship, it becomes _______.

A) Symbolic
B) Assimilated
C) Transcultural
D) Universal

Answer 3

Transcultural

Question 4

Forty-two years ago, Dr. Clyde Sorrel opened his medical practice in the town of Clinton, Oklahoma. He was retiring and wanted to sell his practice. Despite having a population just under 10,000, Clinton's diversity index was second only to Oklahoma City, the state capital. Dr. Sorrel ultimately decided to sell the practice to Dr. Janet Livens. Although Dr. Livens was not a "local," she seemed the most interested in the people of Clinton and clearly appreciated the diverse population of the small town. Understanding that news travels fast in small communities, Dr. Sorrel suggested they contact the local newspaper and set up an interview to introduce Dr. Livens to the community. In order to support and reassure and help to develop trust with the people of Clinton, what should Dr. Livens first consider before creating a communication plan?

A) Order an updated demographic study to prepare for the various cultures represented in Clinton.
B) Offer to speak at a Clinton Chamber of Commerce meeting to get a feel for the town.
C) Seek to understand how information is clustered and how people network.
D) Plan an open house inviting citizens through Twitter, e-vites, and a Facebook event.

Question 5

Mike, a 14-year-old male patient was recovering in the hospital after receiving multiple gunshot wounds to his arm, chest, and abdomen. His young life had been less than ideal after his mother died from a drug overdose six months ago. His father had been in prison since he was baby, so his grandmother became his legal guardian. A very religious woman who described herself as "old-school," she told the nurse that Mike was a good boy and was very helpful to her around the house, even giving her money sometimes that he earned in the evenings by doing "odd jobs." Which of the following would have the greatest level of influence on Mike's identity, particularly as it relates to his current condition?

A) Virtual communities
B) Kin and family
C) A local gang
D) Socioeconomic strata

Question 6

__________________ philosophy is well grounded in the new metaphysic where the person and nature are considered one.

A) Taylor's
B) Nightengale's
C) Rodgers'
D) Leininger's

Question 7

Most forms of multiculturalism specifically recognize formerly marginalized groups to ensure their rights as citizens, sometimes granting collective rights as groups. This concept of managed multiculturalism can take many forms. Indicate your understanding of managed multiculturalism by choosing examples. (Select all that apply.)

A) Providing tax breaks for Americans who are married and have children
B) Increased legal and tribal rights for Native Americans of the United States
C) Passing laws to ensure bilingualism for all Canadians
D) Giving territorial rights to the Inuit people of Canada to their own northern territory
E) Preservation of self-determination for all citizens in Mexico

Question 8

In the year 2200, man has finally conquered Mars and is in the process of preparing for colonization. People from all over the world of different cultures, languages, values and backgrounds are going to live in the new colony. As the Director of Colonization, your most important role is to strategize on how best to approach developing the new "Martian culture." In short, you and your team are to answer the question, "How should the Martian colonists live together as a shared humanity that has similar as well as disparate values?" (Select all that apply.)

A) Modeling the most successful countries and using their systems of values and beliefs
B) Utilizing the emerging processes that come about during colonization
C) Taking advantage of the cultural variety and different ethic characteristics
D) Creating a specific set of guidelines to be followed by all colonists
E) Developing a screening system to ensure that the strongest DNA profiles are represented.

Question 9

Personhood, or the identity of a person, is defined through relationships, self-awareness or consciousness of the other as related to oneself. With this understanding, identify examples of personhood. (Select all that apply.)

A) Living grounded in caring
B) Connecting with the universe
C) Creating strong family structures
D) Having a caring partner
E) Being whole and complete in the moment.

Question 10

Transcultural context illuminates the interrelationship between the person and the other. Given an understanding of transcultural context, what is meant by "the other?" (Select all that apply.)

A) Language
B) Nature
C) The cosmos
D) An idea
E) The internet

Question 11

After analyzing 65 attributes of 80 different countries, on January 23, 2018, U.S. News and World Report published their annual "25 Best Countries in the World" report, and the United States did not make the top 7. While ranking number one in Power, number three in Cultural Influence and Entrepreneurship, the so-called "Greatest nation on earth" is currently ranked number 17 in the Quality of Life Category. One of the Quality of Life attributes, a well-developed public health system, scored a mere 3.7 out of a possible 10 points, leaders in the health-care industry are calling for health-care professionals and leaders to collaborate on how to improve the current public health-care system. As the work begins, it becomes clear that the organizational, social, and health-care cultures within the public health-care system are an issue. Which of the following options supports this statement? (Select all that apply.)

A) Hospitals and community health agencies are slow to incorporate transcultural nursing principles due to a lack of funding despite the repeated requests from health-care staff.
B) The rate of horizontal violence among public health-care workers of different cultural backgrounds has increased.
C) Class-action lawsuits against pharmaceutical companies have become more common.
D) The balance of power has shifted from physicians to nurses due to the close nature of nurse-patient relationship.
E) Collaboration between health-care professionals and patients is lacking in developing approaches to and in delivery of health-care.

Question 12

As a result of the discussions surrounding the state of the current U.S. public health system, it became clear that transcultural caring is the promise of modern nursing and would be the transformative change to bring about the improvement of how the U.S. public health system delivers care going forward. In order to ensure information about the initiative was in alignment with the newly determined transcultural caring model, all information, guidelines, and training must incorporate the principles of transcultural communicative spiritual-ethical caring. As the Director of Professional Education at Syracuse Center for Health, you create a checklist to use when evaluating potential in-service topics to ensure compliance with the changes. What should be included on the checklist? (Select all that apply.)

A) Prepares the health-care provider for negotiation and guidance in a human-environment process
B) Prepares the health-care provider in examining intentions, behavior, and dress
C) Prepares the health-care provider in understanding impact any religion has on health care
D) Prepares the health-care provider to understand the political dimensions of the organization
E) Prepares the health-care provider to accept responsibility for their colleagues and patients

Question 13

Oakville Medical Center's recent visit by the joint commission revealed a deficit in cultural competence amongst health-care providers. Hospital administrators questioned the findings, citing a variety of policies and procedures that clearly outlined the hospitals requirements of their workforce that are specific to cultural competence. The site inspectors noted that after the point of admission, there was a lack of effective communication and an apparent lack of cultural competence. Further, it was reported that rather than focusing on patient and family-centered care, Oakland seemed to treat patients using a "standardized, one-approach-fits-all" approach. Oakland Medical Center was given time to make a plan of correction before a final site report was complete. Administrators created a five-member work group to review the report findings, determine where the center should focus their interventions, and provide recommendations for the plan of correction. When the five work-group members met, they immediately saw that while they all agreed the breakdown in cultural competency initially occurs at the time of assessment, each had a different perspective on the approach. Which of the following options should be included in the plan of correction? (Select all that apply.)

A) Beth proposed that since assessment relied on accurate information, nursing staff should receive specific training on addressing patient/family communication needs.
B) Alex believed that Oakland staff should describe their role in the patient's care during introductions rather than quickly mentioning a name and title.
C) Rita pointed out that sometimes patients come from countries with fewer rights than in the U.S. health-care system, so they should get a patient bill of rights right away.
D) Angela suggested that the plan of correction include clear protocols that provide communication assistance while treatment is being provided.
E) Inez recommended the workgroup include an increased emphasis on understanding patient perspectives as they relate to health care, then including their perspectives when creating treatment plans.