Deck 7: Cultural Diversity in the Community

Question 1

Horowitz identified six steps that clinicians can take to more effectively work with immigrant populations. Which of the following is the first step?

A) Know yourself: providers, like clients, are influenced by culture, values, and language.
B) Expect immigrants to respect the health system of the community and comply with instructions.
C) Schedule all people of the same ethnic background to come to the community health clinic on the same day to provide consistency.
D) Learn to speak the language of the immigrant population fluently.

Answer 1

Know yourself: providers, like clients, are influenced by culture, values, and language.

Question 2

A person's skin color is an example of:

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

Answer 2

Race

Question 3

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:

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

Answer 3

Refugee

Question 4

Which of the following would be considered a cultural encounter?

A) Sharing assessment findings with other members of a racial minority to develop knowledge
B) Visiting the native land of the clients frequently served at a community health center
C) Telephoning the priest of a Latino church to discuss the health issues of a client
D) Learning directly from a Puerto Rican client about foods they avoid during periods of breastfeeding

Question 5

Race is a classification that relies on physical markers. Which of the following 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 6

Culture is a set of beliefs, values, and assumptions about life that are widely held among a group of people and are transmitted intergenerationally. 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 7

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 8

Cultural competence is a combination of culturally congruent behaviors, practice, attitudes, and policies that allow nurses to use interpersonal communication, relationship skills, and behavioral flexibility to work effectively in cross-cultural situations. Nurses who strive to be culturally competent:

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

Question 9

Care that is not culturally competent may have adverse effects that include:

A) Enhancement of communication
B) An increase in the cost of health care
C) Quality indicators are met
D) A rewriting of Health People 2010

Question 10

Which of the following is true about a large portion of foreign-born residents of the United States?

A) They work in mainly service-producing and blue-collar sectors.
B) They reside mostly in rural areas.
C) They have language barriers.
D) Most are refugees.

Question 11

A nurse has a "cultural desire" to provide culturally competent care. Which of the following best illustrates an example of this?

A) The nurse relies on a textbook for information on an ethnic group.
B) The nurse brings in a translator to the clinic on a day that a lot of Spanish speaking people are expected.
C) The nurse takes Spanish classes in the evening at a local college.
D) A nurse judges others using his or her own cultural values.

Question 12

Which of the following is true about the nursing workforce that may affect perceptions of an illness?

A) The nursing workforce is overwhelmingly Caucasian.
B) The number of minority nurses is sufficient to meet the needs of the population'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 13

A visitor from Japan comes to the United States for a 2-week vacation. While he is visiting, he breaks his leg. This person is known as a:

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

Question 14

Cultural knowledge involves learning about the clients' worldview from an emic perspective. A nurse wishes 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 15

The way a person communicates with another is an example of:

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

Question 16

An identifying characteristic such as religion is:

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

Question 17

A student who is just starting her nursing career has a feeling of helplessness, discomfort, and disorientation. While working on the unit, the nurse experiences anxiety and wonders if this is the right career for her. This nurse is likely experiencing:

A) Undiagnosed mental illness
B) Regression
C) Culture shock
D) Bipolar disorder

Question 18

A group of individuals who share common biological features defines:

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

Question 19

An example of an explicit cultural behavior is:

A) Interpersonal distance
B) Body language
C) Use of titles
D) Perception of health and illness

Question 20

Which of the following is a misconception about the economic value of allowing immigrants to enter and work in the United States?

A) Taxes are typically paid to the states, and services are paid by the federal government.
B) They consume more in services than they pay in taxes.
C) They are a burden to the health care system because they use it more than United States citizens.
D) Medicaid is available to immigrants as soon as they apply for it.

Question 21

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:

A) Cultural accommodation
B) Cultural brokering
C) Cultural preservation
D) Cultural repatterning

Question 22

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 23

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 24

The belief that one's own group determines the standards for behavior by which all other groups are to be judged is called:

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

Question 25

The feelings of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to a different cultural group because of differences in practice, values, and beliefs is called:

A) Ethnocentrism
B) Cultural conflict
C) Cultural imposition
D) Cultural shock

Question 26

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 27

When working with immigrant populations, nurses should take into account which of the following? 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 the above

Question 28

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

Question 29

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 30

Assuming that groups of people have certain beliefs and behaviors without reorganizing individual differences within groups is known as:

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

Question 31

The belief that people born into a particular cultural group are inferior in one or more ways is known as:

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

Question 32

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

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

Question 33

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 34

When a nurse practices nursing care based on the uniqueness of the person's culture, the practice is called cultural:

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

Question 35

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 36

When the 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:

A) Cultural accommodation
B) Cultural brokering
C) Cultural preservation
D) Cultural repatterning

Question 37

When nurses support the use of those aspects of the client's culture that promote healthy behaviors, they are using:

A) Cultural accommodation
B) Cultural brokering
C) Cultural preservation
D) Cultural repatterning