Question 1

Maria is a Spanish-speaking 5-year-old girl 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.What is the best explanation for her behaviour?

A) She lacks adequate culture for attending school.
B) She lacks the maturity needed to attend school.
C) She is experiencing culture shock.
D) She is experiencing minority group discrimination.

Accepted Answer

Culture shock is the helpless feeling and state of disorientation felt by an outsider attempting to adapt to a different culture group.Maria's inability to speak English inhibits her ability to interact and function in this new situation.There is no evidence to support the idea that Maria has inadequate culture or maturity to attend school,or that she is facing discrimination.

Question 2

When minority groups migrate to another country,what is the involuntary process involving a certain degree of cultural or ethnic blending?&#10;A) Acculturation&#10;B) Ethnocentrism&#10;C) Cultural shock&#10;D) Cultural sensitivity

Accepted Answer

Acculturation is defined as the gradual changes that are produced in a culture from the influence of another culture that cause one or both cultures to become more similar.The minority culture is forced to learn about and adapt to the majority culture to survive.Ethnocentrism is the belief that one's way of living and behaving is the best way.This includes the emotional belief that the values and perceptions of one's ethnic group are superior to those of others,and it limits the blending of cultures.Cultural shock is the helpless feeling and state of disorientation felt by an outsider attempting to adapt to a different culture group,and it would also limit the blending of cultures.Cultural sensitivity is an awareness of cultural similarities and differences.Nurses should develop cultural sensitivity to provide culturally competent care.

Question 3

Research is being done on the development of assets in children.A community that is supportive of children has which external asset?&#10;A) Unstructured environments to allow for freedom of choice.&#10;B) Social competencies to help children make positive choices.&#10;C) Empowerment to make children feel safe and secure&#10;D) Positive values to direct choice.

Accepted Answer

Young people need to feel valued by their community and should be able to contribute to the needs of others.They need to feel safe and secure.To develop appropriately,children need boundaries to help set expectations and suitable actions.With these,they will learn what is expected of them and what behaviours are acceptable to the community.These are internal assets that,when developed,help the child make positive choices.

Question 4

A 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 Jell-O,Popsicles,and juices are left.What would best explain this?

A) The parent is trying to feed child only what he or she likes most.
B) The parent is trying to restore normal balance through appropriate "hot" remedies.
C) The parent believes that the "evil eye" enters when a person gets cold.
D) The parent believes that an innate energy called ch'i is strengthened by eating soup.

Accepted Answer

In several groups,including Filipino,Chinese,Arabic,and Latin American cultures,hot and cold describe certain properties completely unrelated to temperature.Respiratory conditions such as pneumonia are "cold" conditions and are treated with "hot" foods.
A parent may only feed a child what he or she likes best,but it is unlikely that a toddler would consistently prefer broth to Jell-O,Popsicles,and juice.The evil eye describes a state of imbalance in health,not a curative action.Chinese individuals believe ch'i is an innate energy in the body.

Question 5

Currently,what is the fastest-growing segment of the homeless population in Canada?&#10;A) Families&#10;B) &#34;Runaway&#34; adolescents&#10;C) Migrant farm workers&#10;D) Individuals with mental disorders

Accepted Answer

One of the more pressing problems in Canada is the number of homeless families,now the fastest growing segment of the homeless population."Runaway" (or throwaway)adolescents are often victims of physical and social abuse,and this is a significant issue although the group is not growing as fast as homeless families.Migrant farm workers represent one of the most severely disadvantaged groups in Canada.Their mobile existence is detrimental to their children.Individuals with mental disorders may also be homeless.Even so,neither of these groups are growing as fast as homeless families.

Question 6

The father of a hospitalized child tells the nurse,&#34;He can't have meat.We are Buddhist and vegetarians.&#34; What is the nurse's best intervention?&#10;A) Order the child a meatless tray.&#10;B) Ask a Buddhist priest to visit.&#10;C) Explain that hospital patients are exempt from dietary rules.&#10;D) Help the parent understand that meat provides protein needed for healing.

Accepted Answer

It is essential for the nurse to respect the religious practices of the child and family.The nurse should arrange a dietary consult to ensure that nutritionally complete vegetarian meals are prepared by the hospital kitchen and given to the child.The nurse should not encourage the child and parents to go against their religious beliefs.Nutritionally complete,acceptable vegetarian meals should be provided.

Question 7

Health beliefs vary among the cultural groups living in Canada. Which culture commonly holds the belief that health is &#34;a state of harmony with nature and the universe&#34;?&#10;A) Japanese&#10;B) African Canadian&#10;C) First Nations&#10;D) Latin American

Accepted Answer

Many cultures ascribe attributes of health to natural forces.Many individuals who are part of the First Nations culture view health as a state of harmony with nature and the universe.This belief is not consistent with Japanese,African Canadian,or Latin American cultural groups.

Question 8

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

A) Child abuse
B) A cultural practice to rid the body of disease
C) A cultural practice to treat enuresis or temper tantrums
D) A method for disciplining children common in the some cultures

Accepted Answer

"Coining" is a cultural practice to rid the body of disease.The welts are created by repeatedly rubbing a coin on a child's oiled skin.With this act,the mother is attempting to rid her child's body of disease. This behaviour is not child abuse,a cultural practice to treat enuresis or temper tantrums,nor is it a disciplinary measure.

Question 9

In the ASKED Model of Cultural Competence,what does &#34;A&#34; represent?&#10;A) Action&#10;B) Acceptance&#10;C) Awareness&#10;D) Affection

Accepted Answer

"A" stands for Awareness-Am I aware of my personal biases and prejudices toward cultural groups different from mine? Have I examined my own values,beliefs,and assumptions?

Question 10

The nurse is taking the history of a toddler from a low-income family.The parent tells the nurse that she treats the child's occasional diarrhea with azarcon,a mercury compound commonly used in the parent's native country of Mexico.What should the nurse recognize 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.

Accepted Answer

Cultural health remedies that are detrimental to health include eating clay,excessive amounts of salt,or compounds that contain lead or mercury.While taking a careful history can reveal the use of these remedies,it may require collaboration with a traditional healer to convince a user to stop the practice.No scientific basis exists for the use of mercury to treat diarrhea.

Question 11

The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse.Considering cultural differences,what is the best explanation for her behaviour?&#10;A) She feels responsible for her child's illness.&#10;B) She feels inferior to the nurse.&#10;C) She is embarrassed to seek health care.&#10;D) She is showing respect for the nurse.

Accepted Answer

The answer of The Vietnamese mother of a child being...

Question 12

Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behaviour?&#10;A) Race&#10;B) Culture&#10;C) Ethnicity&#10;D) Social group

Accepted Answer

The answer of Which term best describes a group of...

Question 13

Which cultural group considers good health to be a balance between yin and yang?&#10;A) Chinese&#10;B) Haitian&#10;C) First Nations&#10;D) Japanese

Accepted Answer

The answer of Which cultural group considers good health to...

Question 14

Which term best describes the belief that one's own ethnic group is superior to others?&#10;A) Culture&#10;B) Ethnicity&#10;C) Superiority&#10;D) Ethnocentrism

Accepted Answer

The answer of Which term best describes the belief that...

Question 15

A 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 behaviour is that these families often differ from the dominant culture in which of the following ways?

A) Lack of education
B) Avoidance of health care
C) Forgetfulness
D) Perception of time

Accepted Answer

The answer of A nurse observes that the families who...

Question 16

A young child from Africa is hospitalized for a serious illness.The father tells the nurse that the child is being punished by God for being bad.What should the nurse recognize about this statement?&#10;A) It is a health belief common in this culture.&#10;B) It is an early indication of potential child abuse.&#10;C) It is a misunderstanding of the family's common beliefs.&#10;D) It is a belief common when fortune-tellers have been used.

Accepted Answer

The answer of A young child from Africa is hospitalized...

Deck 32: Social, cultural, and Religious Influences on Child Health Promotion