Deck 21: Nursing in a Culturally Diverse World

Question 1

After learning of a diagnosis of pancreatic cancer the client begins to cry and asks "What have I done wrong? Why did God do this to me?" This statement reflects which health belief view?

A)Biomedical
B)Holistic
C)Magico-religious
D)Folk medicine

Answer 1

Magico-religious

Question 2

Which statement best describes acculturation?

A)Also referred to as assimilation,acculturation is the integration of the cultural patterns of the dominant or host culture into the person's way of life.
B)Spector suggests that it takes seven generations for a family to become fully assimilated into the American culture.
C)It doesn't occur because people are already acculturated when they immigrate to the United States.
D)The study of different cultures and subcultures

Answer 2

Also referred to as assimilation,acculturation is the integration of the cultural patterns of the dominant or host culture into the person's way of life.

Question 3

What can be stated regarding diversity in the United States?

A)Diversity is decreasing in the United States.
B)Diversity is increasing in the United States.
C)Diversity is relatively stable in the United States.
D)There has been no change in diversity within the last 40 years.

Answer 3

Diversity is increasing in the United States.

Question 4

A 38-year-old female who speaks very little English has been admitted to the emergency department with abdominal pain.What is the best way to communicate with this client?

A)Ask a nursing student who is fluent in Spanish to interpret.
B)Communicate by using hand gestures to supplement words.
C)Use a translator provided by the hospital or a community agency.
D)Use the client's 14-year-old son as a translator because he is fluent in both English and Spanish.

Question 5

A 33-year-old female comes to the clinic to plan treatment and care after having a positive mammogram.After the physician discusses treatment options,the client tells the nurse that her husband must make the decision.What action should the nurse take?

A)Tell the client that she should make her own decision.
B)Ask the client what she thinks her husband's decision would be.
C)Call the client's spouse and ask for his decision.
D)Suggest that the client bring her spouse to the clinic so that the doctor can discuss treatment with them both.

Question 6

Which statements are true regarding Leininger's Sunrise Model? (Select all that apply. )

A)The model was produced by Leininger to depict her theory of cultural care diversity and universality.
B)The model defines ethnicity as a consciousness of belonging.
C)The social factors are addressed within environmental contexts,language expressions,and ethnohistory.
D)The model emphasizes that health and care are influenced by elements of the social structure,such as technology,religious and philosophical factors,and cultural values among other elements.
E)The model consists of concentric circles with starting with an outlying rim representing the global society.

Question 7

What would the belief that all people of African heritage are musical and have rhythm be considered?

A)Cultural awareness
B)Ethnocentrism
C)A stereotype
D)Cultural sensitivity

Question 8

A male with chest pain and shortness of breath asks the doctor to "fix it so that I can go back to work." This statement reflects which health belief view?

A)Biomedical
B)Holistic
C)Magico-religious
D)Folk medicine

Question 9

A Caucasian nurse is caring for an African American patient.To provide culturally competent care,what should the nurse do?

A)Ask the patient about beliefs and values about health and healing.
B)Plan care considering the patient's beliefs and values.
C)Appreciate the differences between the two cultures.
D)Know the cultural values and beliefs of African American people.

Question 10

A client of Hispanic descent has just delivered her fourth child,and avoids cold beverages and foods because she believes she must eat hot or warm foods and beverages and not allow herself to chill.Which health belief view is this client demonstrating?

A)Biomedical
B)Holistic
C)Magico-religious
D)Folk medicine

Question 11

A client is a Black male of Jamaican heritage.What would be true regarding this client?

A)The client's race is Jamaican and his ethnicity is Black.
B)The client's race is Black and his ethnicity is Jamaican.
C)The client's race is Jamaican and his ethnicity is Jamaican.
D)The client's race is Black and his ethnicity is Black.

Question 12

Which statement indicates the reason for nurses to reflect on their own cultural values and beliefs?

A)This ensures that nurses provide care only for patients of similar values and beliefs.
B)Nurses' values and beliefs should guide their interactions with their patients.
C)Conflicting values and beliefs may interfere with culturally competent care.
D)It is important to understand the similar values and beliefs of all cultures.

Question 13

Variations of life passage events such as the bar mitzvah for 13-year-old Jewish boys and the quinceañero party for 15-year-old Hispanic girls are examples of which cultural event?

A)Cultural universals
B)Cultural awareness
C)Cultural sensitivity
D)Cultural competence

Question 14

A client of Italian heritage has only lived in the United States although both parents were born in Italy.What should the nurse expect when caring for this client?

A)The client has maintained a life totally consistent with Italian values and beliefs.
B)The client is completely acculturated to the American way of life.
C)The client's beliefs and values are probably a mix of the Italian beliefs and values of the parents and the values and beliefs of America.
D)The client knows how to speak Italian and English.

Question 15

Which statements are true about culture? (Select all that apply. )

A)Culture includes food preferences and ways of dressing.
B)Culture cannot be changed.
C)Culture is learned.
D)Culture is reinforced by family and community members.
E)All people of the same ethnic background have the same culture.

Question 16

Which are types of discrimination? (Select all that apply. )

A)Cultural assimilation
B)Ageism
C)Homophobia
D)Racism
E)Cultural shock

Question 17

A 24-year-old American male of Irish heritage is married to a woman of Japanese heritage.What would their children be considered?

A)Asian American
B)Bicultural
C)Caucasian
D)Asian

Question 18

A young adult male from Singapore was brought to the emergency department after being found wandering around the Los Angeles airport.The client is confused,fearful,and speaks few English words.Which cultural concept can be used to explain Mr.Tao's behavior?

A)Ethnocentrism
B)Cultural assimilation
C)Cultural sensitivity
D)Culture shock

Question 19

A client from Haiti seeks medical care for a chronic cough.When being assessed the client does not make eye contact and looks at the floor or away from the nurse.What does this behavior suggest?

A)No assumptions can be made.
B)The client is afraid of the nurse.
C)The client is an unreliable informant.
D)The client feels guilty because of waiting to seek medical care.

Question 20

A client of Chinese heritage requests that a healer use acupuncture to treat back pain.What action should the nurse take?

A)Traditional remedies should be considered in conjunction with physician-prescribed treatments for their risks and benefits.
B)Traditional remedies are helpful and should be supported.
C)Some traditional remedies may be helpful and should be encouraged.
D)Traditional remedies are harmful and should be avoided.

Question 21

People from some cultures may view time more from a natural environment perspective rather than from a clock.What could be the result of this time orientation? (Select all that apply. )

A)Lack of concern about children achieving developmental milestones
B)Not keeping or being late for appointments
C)Not knowing when pain is occurring
D)Not taking medications at scheduled time intervals
E)Lack of ability to learn

Question 22

What should the nurse include when performing a cultural assessment? (Select all that apply. )

A)"Is there anyone you wish to include in the decision making concerning your care?"
B)"Do you have steps in your home?"
C)"What do you believe the cause of your illness to be?"
D)"Are you using any cultural remedies?"
E)"Where do you work?"

Question 23

Pain is a cultural universal.What does this mean?

A)Treatment for pain is the same in all cultures.
B)People of all cultures experience pain,but the expression of pain may vary from one culture to another.
C)People of all cultures experience pain,but the expression of pain may vary within and between peoples of different cultures.
D)People of all cultures experience pain in the same way.

Question 24

Verbal communication becomes even more difficult when an interaction involves people who speak different languages.What can a nurse do to mitigate this difficulty?

A)Speak quickly so the client can understand more rapidly.
B)Speak louder,even if the client does not understand the language.
C)Avoid slang words,medical terminology,and abbreviations.
D)Do nothing;understanding is the client's problem,not the nurse's.

Question 25

The nurse is reviewing an entry made by the previous nurse in a newly admitted patient's medical record:
Admission Note: The patient is a 56-old-female whose father immigrated to the U.S.in 1938 and whose mother was born in the U.S.The patient explains that she didn't learn English until entering grade school,which was appropriate since her father was learning the language at the same time.Her parents were hard workers,ran their own restaurant in which all family members were expected to work,and placed a high value on education.The patient states that "I might be female but I was raised as a boy." She continued by explaining that her father didn't want the females in the family to be dependent upon a man for an income or security through life.The patient attends church every Sunday and on Holy Days and follows abstinence of specific foods throughout the calendar year.Specific ethnic dishes are prepared for Christmas,Easter,and Saints Days.Her childhood home was filled with ethnic music,songs,and the expectation to play an instrument.Cigarette smoking was not condemned but wasn't encouraged.Drinking alcohol such as wine and whiskey was an acceptable practice from an early age since this was the acceptable behavior from her father's home country.
Which of Purnell's cultural domains are represented in this chart entry? (Select all that apply. )

A)Heritage
B)Pregnancy
C)Communication
D)Workforce issues
E)High-risk behaviors

Question 26

The American Association of Colleges of Nursing (AACN)identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care.Which statements reflect these competencies? (Select all that apply. )

A)Participate in continuous cultural competence development
B)Use relevant data sources and best evidence to provide culturally competent care
C)Reinforce health disparities among populations
D)Promote achievement of safe and quality outcomes of care for diverse populations
E)Defer use of best practice evidence to the case management teams

Question 27

The nurse is preparing to provide care to a patient from a non-English speaking culture.To support the patient's space and environment,in which order should the nurse complete the following actions?

A)Look at the patient's armband
B)Palpate the abdomen for masses
C)Greet the patient form the doorway of the room
D)Observe the patient being escorted to the hospital room