Deck 9: Cultural Awareness

Question 1

A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients. Which design should the nurse use?

A) Use partnered rather than married.
B) Use mother rather than father.
C) Use parents rather than guardian.
D) Use wife/husband rather than significant other.

Answer 1

Use partnered rather than married.

Question 2

A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using?

A) Document staff satisfaction.
B) Focus on the family.
C) Implement change on a grand scale.
D) Reduce disparities.

Answer 2

Reduce disparities.

Question 3

A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence?

A) Communicates effectively in a multicultural context
B) Functions effectively in a multicultural context
C) Visits a foreign country
D) Speaks a different language

Answer 3

Functions effectively in a multicultural context

Question 4

A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT. Which actions should the nurse take? (Select all that apply.)

A) Connect on a social level.
B) Help the patient overcome barriers.
C) Consciously attempt to suspend judgment.
D) Stress that they will be working together to address problems.
E) Know limitations in addressing medical issues across cultures.

Question 5

Which action indicates the nurse is meeting a primary goal of cultural competent care for patients?

A) Provides care to transgender patients
B) Provides care to restore relationships
C) Provides care to patients that is individualized
D) Provides care to surgical patients

Question 6

A nurse is caring for an immigrant with low income. Which information should the nurse consider when planning care for this patient?

A) There is a decreased frequency of morbidity.
B) There is an increased incidence of disease.
C) There is an increased level of health.
D) There is a decreased mortality rate.

Question 7

A nurse is assessing population groups for the risk of suicide requiring medical attention. Which group should the nurse monitor most closely?

A) Young bisexuals
B) Young caucasians
C) Asian Americans
D) African-Americans

Question 8

A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first?

A) Assessing own biases and attitude
B) Learning about the world view of others
C) Understanding organizational forces
D) Developing cultural skills

Question 9

A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the "H"?

A) Health
B) Healers
C) History
D) Homeland

Question 10

A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?

A) Accessibility of health care services
B) Outcomes of health conditions
C) Prevalence of complications
D) Incidence of diseases

Question 11

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care?

A) Provides care that fits the patient's valued life patterns and set of meanings
B) Provides care that is based on meanings generated by predetermined criteria
C) Provides care that makes the nurse the leader in determining what is needed
D) Provides care that is the same as the values of the professional health care system

Question 12

A nurse is teaching patients about health care information. Which patient will the nurse assess closely for health literacy?

A) A patient 35 years old
B) A patient 68 years old
C) A patient with a college degree
D) A patient with a high-school diploma

Question 13

A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?

A) What language do you speak at home?
B) How different is your life here from back home?
C) Which caregivers do you seek when you are sick?
D) How different is what we do from what your family does when you are sick?

Question 14

A nurse is using Campinha-Bacote's model of cultural competency. Which areas will the nurse focus on to become competent? (Select all that apply.)

A) Cultural skills
B) Cultural desire
C) Cultural transition
D) Cultural knowledge
E) Cultural encounters

Question 15

The nurse is caring for a Chinese patient using the Teach-Back technique. Which action by the nurse indicates successful implementation of this technique?

A) Asks, "Does this make sense?"
B) Asks, "Do you think you can do this at home?"
C) Asks, "What will you tell your spouse about changing the dressing?"
D) Asks, "Would you tell me if you don't understand something so we can go over it?"

Question 16

The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating?

A) Marginalized groups
B) Health care disparity
C) Transcultural nursing
D) Culturally congruent care

Question 17

The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?

A) Use long sentences when talking.
B) Look at the patient when talking.
C) Use breaks in sentences when talking.
D) Look at only nonverbal behaviors when talking.

Question 18

A nurse is working at a health fair screening people for liver cancer. Which population group should the nurse monitor most closely for liver cancer?

A) Hispanic
B) Asian Americans
C) Non-Hispanic Caucasians
D) Non-Hispanic African-Americans

Question 19

A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse is priority?

A) On the way a patient reacts to disease
B) On the malfunctioning of biological processes
C) On the malfunctioning of psychological processes
D) On the way a patient reacts to family/social interactions

Question 20

A nurse is using core measures to reduce health disparities. Which group should the nurse focus on to cause the most improvement in core measures?

A) Caucasians
B) Poor people
C) Alaska Natives
D) American Indians

Question 21

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?

Cultural desires

A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills

Question 22

A nurse is using the explanatory model to determine the etiology of an illness. Which questions should the nurse ask? (Select all that apply.)

A) How should your sickness be treated?
B) What do you call your problem?
C) How does this illness work inside your body?
D) What do you fear most about your sickness?
E) What name does it have?

Question 23

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?

Cultural knowledge

A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills

Question 24

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?

Cultural awareness

A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills

Question 25

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?

Cultural encounters

A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills

Question 26

A nurse is using Campinha-Bacote's model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?

Cultural skills

A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills