Deck 5: Cultural Assessment

Question 1

A ritual differs from a custom in that a ritual is

A) a more everyday behavior.
B) a private versus a public behavior.
C) a more precisely structured behavior.
D) used only to mark family events.

Answer 1

a more precisely structured behavior.

Question 2

A patient from which cultural group is most likely to interpret your touching her arm as comforting and reassuring,as you intended?

A) Chinese
B) Japanese
C) Haitian
D) Middle Eastern

Answer 2

Haitian

Question 3

The belief that no culture is either inferior or superior to another and that behavior must be assessed from the cultural context in which it occurs is referred to as

A) cultural diversity.
B) cultural relativism.
C) ethnocentrism.
D) multiculturalism.

Answer 3

cultural relativism.

Question 4

A 10-year-old girl who has recently arrived from El Salvador,states in broken English,"I don't fit in,and I don't know what I am supposed to do at school." You recognize that she is most likely experiencing

A) cultural rejection.
B) culture shock.
C) cultural immersion.
D) the effects of cultural bias from her family.

Question 5

Your patient,who is a Chinese American,is likely to indicate that he does not understand what you are saying by

A) asking questions.
B) frowning.
C) silence.
D) smiling.

Question 6

The nurse is caring for a dying boy whose religion is Islam (Muslim).Which of the following is an important nursing consideration related to his impending death and religion?

A) There are no special rites.
B) There are specific practices to be followed.
C) The family is expected to "wait" away from the dying person.
D) Baptism should be performed if it has not been done previously.

Question 7

A nurse is planning care for a patient with an ethnic background different from her own.Which of the following would be the most appropriate goal?

A) Attempt, in a nonjudgmental way, to change the patient's ethnic beliefs.
B) Strive to keep the ethnic background of the patient from influencing health needs.
C) Encourage continuation of the patient's ethnic practices in the hospital setting.
D) Adapt, as necessary, the ethnic practices to the patient's health needs.

Question 8

The family and kinship patterns typical among Hispanic and Native American families include which characteristic?

A) They are reserved and repressed in their expressions of friendship.
B) The family is usually patriarchal, with the female having only a minor role.
C) Social activities are more often held with family rather than with friends.
D) Female children are valued more than male children.

Question 9

Your patient becomes agitated because you failed to touch her son as you complimented him.You recognize that her response is most likely related to her belief in

A) the evil eye.
B) magico-religious teachings.
C) witchcraft.
D) yin-yang energy forces.

Question 10

Your patient is a 72-year-old African American male.The patient is married,with three children and eight grandchildren.He is a retired lawyer from New York who is now living in Florida and has requested a health assessment.Together,the cultural influences just described make up which of the following?

A) cultural orientation
B) ethnic identity
C) multicultural identity
D) predominant cultural identity

Question 11

The best way to overcome ethnocentrism is to

A) acknowledge and examine one's personal cultural biases.
B) develop language skills in the patient's primary language.
C) learn about the culture, health beliefs, and practices of patients.
D) identify the biological, physical, emotional, and behavioral differences among patients.

Question 12

Families with a linear family and kinship pattern are usually patriarchal and emphasize the goals of

A) the group over those of individuals.
B) adults over those of children.
C) children over those of adults.
D) individual members over those of the group.

Question 13

Approaches for overcoming language barriers include

A) speaking slowly and loudly.
B) avoiding the use of gestures or pictures.
C) using a culturally sensitive interpreter.
D) speaking to the interpreter rather than to the patient.

Question 14

A nursing student is describing the Chinese American philosophy of yin and yang in a post-conference.The student describes how foods are classified using this belief system.Which of the following statements correctly describes the yin and yang food correlation?

A) Yang foods are cold.
B) Yin foods are hot.
C) Cold foods are consumed when a hot illness is present.
D) Yin and yang relates to energy, not food.

Question 15

As you conduct a physical examination on your patient.You are alert for genetic traits and disorders to which African Americans are most subject,which include

A) asthma, cirrhosis, nasopharyngeal cancer.
B) Gaucher's disease, hypercholesterolemia, stomach cancer.
C) hypertension, diabetes mellitus, glaucoma.
D) lactase deficiency, osteoporosis, peptic ulcer disease.

Question 16

Patients from which group are most likely to avoid asking for pain medication because of their cultural belief that pain should be stoically endured?

A) Filipino
B) Chinese
C) Vietnamese
D) Puerto Ricans

Question 17

A patient's refusal to be cared for by a female health professional should be considered to be related to his cultural values and beliefs,particularly if he belongs to which cultural group?

A) African American
B) Arab American
C) Cuban American
D) Hispanic American

Question 18

Which of the following statements is true concerning folk remedies?

A) They may be used to reinforce treatment plans.
B) They are incompatible with modern regimens.
C) They are the leading cause of death in some cultural groups
D) They are not a part of the culture in large, developed countries.

Question 19

Cultures have unique value orientations,which provide order and give direction to individuals,in these five areas

A) good/evil, past/present, being/doing, linear/collateral, domination/subjugation.
B) human relations, time, place, work, relation to universe.
C) personal, family, social, occupational, spiritual.
D) time, human nature, activity, relational, people-to-nature.

Question 20

The bidirectional translation process is one method of determining the cultural meaning that a patient attaches to his symptoms.It involves

A) asking health care team members to express their interpretation of the meaning of the patient's symptoms.
B) obtaining validation from the patient on the accuracy of your restatement of his description of symptoms and the inferred meaning.
C) obtaining interpretations of the meaning of the patient's symptoms from the patient's primary nurse.
D) using a culturally sensitive interpreter who is fluent in health care terminology when speaking with the patient about his symptoms.

Question 21

Circumcision of young girls from early childhood through adolescence is widespread in which of the following counties? Select all that apply.

A) Brazil
B) China
C) Somalia
D) England
E) Pakistan
F) Philippines

Question 22

The nurse is caring for a young adult of Greek decent.During the examination the nurse would assess for indications of which of the following? Select all that apply.

A) Beta thalassemia
B) Phenylketonuria
C) Neural tube defects
D) Familial Mediterranean fever
E) Niemann-Pick disease, type D
F) Mediterranean type glucose-6-phosphate dehydrogenase (G-6-PD) deficiency

Question 23

Which ethnic group is most likely to inherit tyrosinase-positive albinism?

A) Danes
B) Japanese
C) Hopi Indians
D) Karaite Jews

Question 24

Your grandmother has not been feeling well and expresses to you that her illness is a punishment from God.Your grandmother believes in which of the following?

A) family illness
B) folk illness
C) scientific illness
D) irrational illness

Question 25

You are caring for a patient who speaks a language different from your own.You recognize that special approaches for overcoming the language barrier would include which of the following? Select all that apply.

A) Use clichés and jargon for a little humor
B) Avoid defensive or offensive body language
C) Use a different interpreter for each interaction
D) Speak to the interpreter, rather than to the patient
E) Provide reading material written in the appropriate language
F) Use a culturally sensitive interpreter with fluency in health care terminology

Question 26

Which of the following terms refers to shared cultural,social,and linguistic heritage?

A) beliefs
B) culture
C) socialization
D) ethnicity

Question 27

The nurse evaluates a client as being past focused.The client most likely demonstrates which of the following characteristics?

A) revering long-standing traditions
B) tending to be disciplined in scheduling and using time
C) living in the "here and now," perceiving time in a linear fashion
D) willing to defer gratification to ensure he can meet a future goal

Question 28

Which of the following societal changes are leading to many different nontraditional families and family configurations? Select all that apply.

A) Increasing rates of divorce and remarriage
B) Increasing support for and recognition of same-sex unions
C) Poor job market and having to move in with their parents
D) Increasing numbers of families facing a poor job market
E) Decreasing numbers of single people choosing to have or adopt children
F) Decreasing numbers of couples in which both parents need to work

Question 29

Sharing parental and family responsibilities between a mother and father is most common in the ____________________,nuclear family pattern.

Question 30

You ask a patient from Tunisia a question and the patient responds,"yes N'sha'llah" ? The patient's response most likely implies which of the following?

A) Maybe
B) If God is willing
C) If you pray for me
D) If I live a good life

Question 31

Dubin-Johnson syndrome is a genetic trait or disorder characteristic of which of the following cultural groups?

A) Iranians
B) Mexicans
C) Navajo Indians
D) French Canadians

Question 32

In post-conference,a group of nursing students is discussing nursing strategies to ensure proper care for children.A number of suggestions is offered.The student who needs help in understanding cultures and customs is the one who offers the suggestion to

A) wait to provide care until a family member who understands English arrives.
B) provide a translator to assist families with a language barrier.
C) refer families to sources of health care insurance for the children.
D) provide a nurse of the same racial or ethnic group as the family to provide care.

Question 33

A diagram used to assess the structure of a family and the patient's relationships with family,friends,peers,neighbors,and work associates is called a(n)____________________.

Question 34

Although the process of communication is universal,the intonation,rhythm,speed,use of silence,facial expressions,eye and head movements,body posture,touch,styles and types of feedback-as well as other "rules" for communication

A) may be culturally unique.
B) are the same for all cultures.
C) are irrelevant to nursing practice.
D) usually are consistent with the nurse's culture.

Question 35

A nursing colleague tells you,"I can't stand caring for people from other cultures,they just don't value or believe in what is important in this country." You hypothesize that your colleague is expressing which of the following?

A) open-mindedness
B) prejudice
C) ethnocentrism
D) ignorance

Question 36

Which of the following statements describes culture shock?

A) the disorientation, uncertainty, and alienation that can occur during the process of adjusting to a new cultural group
B) the cultural definition or cultural orientation with which an individual
Self-identifies
C) an informal process of adaptation through which the beliefs, values, norms, and practices of a dominant culture are learned by new members born into a different culture
D) a condition that occurs when individuals or groups of people perceive their own cultural group and cultural values, beliefs, norms, and customs to be superior to all others and have disdain for the expression and expresser of any way of life but their own

Question 37

A(n)____________________ group is people who share a unique national or regional origin and social,cultural,and linguistic heritage.

Question 38

An orientation and way of life of a group of people that is learned and socially transmitted is the definition of ____________________.

Question 39

____________________ is the process by which children of immigrants to this country start adopting the beliefs,behaviors,and practices of those born in this country.

Question 40

According to Korbin,a health care practice would not be considered harmful if the

A) Practice is sanctioned by that culture.
B) Family makes all decisions for the patient's care and treatment.
C) Practice is within the limits of deviations that are acceptable in that culture.
D) Practice is important for the acceptance of the patient as a member of
The culture.
E) Patient on whom the practice will be carried out perceives that it is an
Appropriate practice in that situation.
F) Intent of the health care provider or agent of the family is consistent
With the cultural "rules" that govern the practice.