Deck 7: Cultural Diversity in the Community

Question 1

When a nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors,the nurse is using cultural:

A) Accommodation
B) Brokering
C) Preservation
D) Repatterning

Answer 1

Preservation

Question 2

The tendency to ignore all differences between cultures and to act as though the differences do not exist is defined as cultural:

A) Conflict
B) Shock
C) Blindness
D) Imposition

Answer 2

Blindness

Question 3

A person's skin color is an example of:

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

Answer 3

Race

Question 4

A 35-year-old man from Russia comes to the United States seeking asylum because of religious persecution in his native country.This type of immigrant is known as a(n):

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

Question 5

An example of a behavior that may be defined by culture is:

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

Question 6

A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing.This is an example of:

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

Question 7

An example of a cultural encounter is:

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 Latino church to discuss the health issues of a client
D) Learning about traditional healing practices from an American Indian client

Question 8

Segregation is an example of:

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

Question 9

A large portion of foreign-born residents of the United States:

A) Work in service-producing and blue-collar sectors
B) Reside in rural areas
C) Have language barriers
D) Are refugees and non-immigrants

Question 10

Which statement 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 11

An example of an explicit cultural behavior is:

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

Question 12

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.This is called cultural:

A) Accommodation
B) Repatterning
C) Brokering
D) Awareness

Question 13

A visitor from Japan comes to the United States for a two-week vacation.This person is known as a:

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

Question 14

Which statement about the nursing workforce is true?

A) The nursing workforce is overwhelmingly Caucasian.
B) The number of minority nurses meets the needs of the country's demographics.
C) The nursing workforce has many unauthorized immigrants.
D) Refugees make up a large part of the nursing workforce in some areas.

Question 15

A nurse implements nursing interventions considering the uniqueness of the person's culture.The practice is called cultural:

A) Diversity
B) Knowledge
C) Competence
D) Awareness

Question 16

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.This is known as cultural:

A) Accommodation
B) Brokering
C) Preservation
D) Repatterning

Question 17

An effect of providing care that is not culturally competent is:

A) Enhancement of communication
B) An increase in the cost of health care
C) Achievement of health indicators
D) Improvement in client compliance

Question 18

Nurses who strive to be culturally competent should:

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

Question 19

A nurse demonstrates cultural desire to provide culturally competent care by:

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 20

The 1986 Immigration Reform and Control Act had what effect on illegal aliens living in the United States?

A) Discriminated against individuals from Southern and Eastern Europe
B) Allowed illegal aliens already living in the United States to apply for legal status
C) Permitted foreign-born populations to set up communities in or around major metropolitan areas
D) Allowed illegal aliens access to "green cards" that would allow them to work in the United States

Question 21

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.This is an example of cultural variations of:

A) Biological variations
B) Space
C) Social organization
D) Time perception

Question 22

A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client.The nurse's action is called cultural:

A) Accommodation
B) Brokering
C) Preservation
D) Repatterning

Question 23

The nurse labels a patient an alcoholic because of his ethnicity.This is called:

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

Question 24

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.This nurse is likely experiencing cultural:

A) Conflict
B) Relativism
C) Shock
D) Brokering

Question 25

Hispanics tend to believe that the needs of the family take priority over those of the individual.This is an example of cultural variations of:

A) Communication
B) Space
C) Social organization
D) Environmental control

Question 26

When working with an immigrant population,the first step the nurse should take is:

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 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.This is an example of cultural variations of:

A) Communication
B) Space
C) Social organization
D) Time

Question 28

A client shares that her grandparents immigrated to the United States from Germany.She has disclosed her:

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

Question 29

A nurse wants to obtain information on the alternative methods of health care her 45-year-old female client uses.Who is 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 30

A client comes into the clinic and tells the nurse he goes to an acupuncturist for pain.The nurse says he should take pain medication instead.This would be called cultural:

A) Conflict
B) Blindness
C) Relativism
D) Imposition

Question 31

A nurse is planning a refugee outreach clinic at the neighborhood health center.To provide culturally competent care,the nurse should consider that (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 non-traditional healing practices.
E) None of above

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.This is an example of cultural variations of:

A) Communication
B) Space
C) Social organization
D) Environmental control

Question 33

A nurse will be using an interpreter during a client encounter.What 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.