Deck 5: Sociocultural Awareness

Question 1

A nurse is admitting a patient who is from Japan and does not speak English. What is the nurse's priority action?

A) Call for a Japanese interpreter.
B) Follow the admission assessment paperwork carefully.
C) Talk with the patient to determine the patient's level of fluency.
D) Ask all family members to stay with the patient during the admission assessment.

Answer 1

Talk with the patient to determine the patient's level of fluency.

Question 2

A nurse is caring for a patient who is from a different culture than the nurse. According to Campinha-Bacote, what is the nurse's first action when providing culturally aware care to the patient?

A) Self-reflection
B) Self-promotion
C) Self-recognition
D) Self-introduction

Answer 2

Self-reflection

Question 3

A novice nurse who wants to provide culturally competent care will include which elements when caring for patients?

A) Acceptance and guidance
B) Knowledge and sympathy
C) Awareness and sensitivity
D) Understanding and approving

Answer 3

Awareness and sensitivity

Question 4

The staff nurse overhears a group of novice nurses speaking about current events. One novice nurse states, "All of these school shootings should be proof that mentally ill patients cause all these violent acts." What is the staff nurse's best response?

A) "Patients with mental illness do need more attention to help prevent them from committing violence."
B) "Patients with mental illness do need more attention, and all the recent violence in schools provides proof of that."
C) "As nurses, we need to be aware of any stigma placed on those with mental illness. Those with mental illness do not perpetrate violence."
D) "As nurses, we need to be aware of any stigma placed on those with mental illness. Those without mental illness are equally likely to commit violence."

Question 5

A nurse is caring for a patient who is grieving after her spouse died suddenly and unexpectedly from cardiac arrest. The patient tells the nurse that the spouse's death is due to supernatural forces. What is the nurse's best response?

A) "Supernatural forces are not the cause of your husband's death."
B) "Why do you refuse to admit that the cause of your husband's death is heart disease?"
C) "Why do you think supernatural forces were the cause of your husband's death?"
D) "Supernatural forces may be to blame for your husband's death if you believe they are."

Question 6

What concept should guide the nurse's practice regarding the influence of cultural values on a patient's health beliefs?

A) Cultural values may shape the status of the patient's chronic conditions.
B) Cultural values and other differences will negatively influence outcomes.
C) Cultural values may shape perceptions of health, disease, prevention, and treatment.
D) Cultural values will not shape perceptions of health, disease, prevention, and treatment.

Question 7

A nurse manager is teaching a group of staff nurses about common terminology used when discussing the role of culture in providing psychiatric nursing care. Which statement made by the nurse manager correctly differentiates race from ethnicity?

A) "Race is determined by the color of the individual's skin, while ethnicity is genetically determined."
B) "Race is determined by genetics and characteristics based on geography, while ethnicity includes race."
C) "Race is determined by common characteristics, while ethnicity is based on geographical characteristics."
D) "Race is determined by cultural heritage, while ethnicity is determined by the color of the individual's skin."

Question 8

The nurse is caring for patients who present to the emergency department with psychiatric symptoms. What does the nurse know is true regarding the potential effects of stigma on these patients? Select all that apply.

A) These patients are often not taken seriously.
B) These patients may be treated poorly due to scarce resources.
C) These patients may be left for hours untreated in emergency departments.
D) Patients with schizophrenia generally receive appropriate treatment in emergency settings.
E) Patients with schizophrenia may die earlier than those without schizophrenia, due to poor treatment.

Question 9

A nurse is caring for a patient of the Alaskan Native culture who is depressed, angry, and withdrawn after recently being terminated from a high-paying occupation. What mental health problem, seen specifically in the American Indian and Alaskan Native cultures, does the nurse suspect the patient has?

A) Amok
B) Latah
C) Wacinko
D) Windingo

Question 10

A novice nurse is working in a community health center that serves a diverse client population. The nurse says, "The first thing I need to do is learn everything possible about the cultures of all the clients." What is the best response that the experienced nurse can give the novice nurse?

A) "You should always be nonjudgmental."
B) "You need to first understand who you are."
C) "I will give you a great book that describes all of the critical factors."
D) "This will come with time as you get to know clients and then encounter problems."

Question 11

According to the Giger and Davidhizar's transcultural assessment model, which nursing action demonstrates the element of social organization?

A) Assessing the patient's self-control
B) Reviewing the patient's genetic history and alterations in genetic makeup
C) Assessing the patient's family and what roles members assume in relation to each other
D) Determining what the patient conveys with both speech and nonverbal communication

Question 12

The psychiatric-mental health nurse is caring for a patient who is from a different culture than the nurse. What action best demonstrates the principle of cultural sensitivity?

A) The nurse adheres to his or her own experiences regardless of any past enculturation.
B) The nurse adheres to the patient's cultural practices regardless of any safety concerns.
C) The nurse attempts to use his or her own culture to guide clinical decisions for the patient.
D) The nurse attempts to understand the patient's culture in order to guide clinical decisions for the patient.

Question 13

A nurse is caring for a patient from a different culture than the nurse. The patient complains of abdominal pain due to an acute exacerbation of ulcerative colitis. The nurse asks the patient, "What treatment do you think would be helpful, and what do you hope you will gain from the treatment?" What conceptual framework or theory is the nurse demonstrating?

A) Leininger's sunrise enabler model
B) Leininger's transcultural nursing theory
C) Campinha-Bacote's conceptual framework
D) Giger and Davidhizar's transcultural assessment model

Question 14

A nurse is caring for a patient who has undergone an open abdominal surgery. The nurse notes that the patient will only drink warm liquids. The patient tells the nurse, "The cold liquids will make my condition worse." What response by the nurse best demonstrates cultural humility?

A) "The cold liquids will not make your condition worse."
B) "The warm liquids will not make your condition better."
C) "Can you tell me why the cold liquids will make your condition worse?"
D) "Can you tell me why you do not follow the health provider's suggestion?"

Question 15

The nurse is caring for a patient from the Pacific Islander culture who presented to the emergency department with symptoms of both depression and an acute cardiac event. What mental health problem, unique to the patient's culture, does the nurse suspect?

A) Zar
B) Falling out
C) Wincinko
D) Sinking heart

Question 16

The nurse is caring for a Hispanic woman who presented to the emergency department after falling suddenly ill with intense, cramp-like abdominal pains. What cultural statements might the nurse anticipate from the patient regarding the possible cause of the illness? Select all that apply.

A) "My illness is caused by working too hard."
B) "The cold weather is making me weak and ill."
C) "My deceased family member has put a curse on me."
D) "The woman at the bank gave me the evil eye and now I am sick."
E) "The food I ate must have formed into a ball and is clinging to my stomach."

Question 17

A nurse is asked to consult with the local domestic violence shelter where the shelter employees state that individuals from a particular culture do not use the services offered. An employee states, "I bet that these women are being abused because of the violent nature of that culture." What recommendation will the nurse suggest?

A) The agency should place flyers in the local schools.
B) The agency should advertise their services in the local newspaper.
C) The agency should add a culturally competent greeting on the agency's phone message.
D) The agency should promote culturally competent values, policy, structures, and practices.

Question 18

The nurse who is advocating for culturally diverse patient issues knows that cultural competence and sensitivity are based primarily on what information?

A) Life experiences
B) Patient assessment
C) Uniformity training
D) Population diversity

Question 19

The nurse is caring for a patient from a different cultural background who is having difficulty expressing beliefs about the treatment plan to the physician. What nursing action would be most appropriate for this patient?

A) The nurse should encourage the patient to accept the plan of care as ordered.
B) The nurse should encourage the patient to speak up when the physician is present.
C) The nurse should encourage collaboration between the patient and the physician.
D) The nurse should encourage the patient to discuss concerns with the patient's spouse so that the spouse can tell the physician.

Question 20

The nurse manager is teaching a group of staff nurses about the various theoretical frameworks that can assist nurses in providing culturally competent care. Which concept of the Giger and Davidhizar's transcultural assessment model will the nurse manager include in the teaching? Select all that apply.

A) Analysis of genetic and ethnic variations
B) Assessment of both the nuclear and extended family
C) Assessment of the ways the patient performs self-care
D) Assessment of the influence of environment on self-control
E) Encourage the patient to freely offer what might improve the patient's health

Question 21

A patient with a history of alcohol dependence is discharged with nutritional recommendations to increase the intake of vitamin B foods and thiamine. What factor does the nurse recognize as most likely to impede the patient's ability to adhere to the treatment plan?

A) Age
B) Education level
C) Lifestyle habits
D) Social environment

Question 22

What is the primary rationale for the assessment of patients' personal values?

A) Patients' values should be congruent with nurses' values.
B) Health behaviors are strongly influenced by personal values.
C) Personal values regarding health are universal across all cultures.
D) Personal values form the scientific rationale for health behaviors.

Question 23

After providing safety for a patient with suicidal ideations, the nurse wishes to determine the patient's starting point of treatment as well as the patient's commitment for change. Which tool will best determine this information?

A) Cultural Formulation Interview (CFI)
B) WHO Disability Assessment Schedule (WHODAS)
C) Culturally and Linguistically Appropriate Services (CLAS)
D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

Question 24

The nurse is caring for a patient of the Hispanic culture who tells the nurse, "The reason I'm hearing voices in my head is because my neighbor gave me the evil eye and cursed me." When planning appropriate nursing interventions for the patient, what is the nurse's best understanding of the patient's statement?

A) The patient is describing a cultural myth.
B) The patient is describing a culture-bound syndrome.
C) The patient is experiencing delusions.
D) The patient's culture uses folklore elements to explain medical conditions.

Question 25

A nurse is caring for a patient with a major psychiatric illness. That patient comes from a different culture than the nurse. What is the nurse's best rationale for using the Cultural Formulation Interview (CFI) when assessing this patient?

A) It is used to inquire about the patient's health care practices based on the patient's culture and to identify areas of improvement.
B) It is used to guide the nurse to self-reflect his or her own judgments regarding the patient's culture and current mental illness.
C) It is used to elicit the patient's cultural understanding of the mental illness and to clarify the role of social and cultural influences.
D) It is used to guide the nurse to appropriate interventions based on the patient's cultural practices and to clarify the nurse's understanding about the patient's culture.

Question 26

When assessing a patient from a different culture, what is the most effective approach to meet the goal of cultural sensitivity?

A) Teach the patient how to assimilate into the dominant culture.
B) Explain to the patient that values must be adjusted to reach a healthy state.
C) Determine what aspects of the patient's life should be preserved as they are.
D) Ask the patient how he or she is alienated from his or her primary cultural group.

Question 27

The nurse is caring for at-risk individuals at a free community health center. What social variables does the nurse recognize as having the potential to increase the patient's vulnerability to mental illness? Select all that apply.

A) Poverty
B) Unemployment
C) Sexual orientation
D) Underemployment
E) Educational opportunities

Question 28

What nurse is exhibiting cultural sensitivity?

A) The nurse who learns a second language.
B) The nurse who develops a patient activity group.
C) The nurse who develops a patient educational group.
D) The nurse who is comfortable allowing the patient to pray only once during the day.