Deck 4: Cross Cultural Caring and Aging

Question 1

Ethnocentrism is defined as:

A) an understanding of another's cultural beliefs and practices.
B) a conflict that occurs when an individual interacts with another whose beliefs differ from his own.
C) application of limited knowledge about one person with characteristics specific to another person.
D) a belief that one's ethnic group is superior to that of another.

Answer 1

a belief that one's ethnic group is superior to that of another.

Question 2

The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN Model to direct the assessment process when: (Select all that apply.)

A) recognizing that the client's hands are clenched as she answers the assessment questions.
B) asking the client to describe what he thinks will help him feel better.
C) explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion.
D) acknowledging that the client has a different view of the appropriate treatment.
E) suggesting to the client that it would be beneficial if she would trust her health care provider to prescribe the correct treatment.

Answer 2

recognizing that the client's hands are clenched as she answers the assessment questions.
asking the client to describe what he thinks will help him feel better.
explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion.
acknowledging that the client has a different view of the appropriate treatment.

Question 3

An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief?

A) Biomedical
B) Magico-religious
C) Naturalistic
D) Ayurvedic

Answer 3

Magico-religious

Question 4

An older female patient tells a nurse the following: "In my culture, women are the silent partner in the family. Men make all of the decisions. However, when we came to the United States, all that changed. I became an American. I am in charge of my family just like my husband." This is an example of:

A) enculturation.
B) acculturation.
C) ethnicity.
D) culture competence.

Question 5

A female nurse is caring for an older woman from the Hasidic Jewish community. The woman's son is at the patient's bedside. The nurse notes that when she communicates with the patient and her son, the son does not maintain eye contact with her and also notes that he withdraws when she attempts to shake his hand. The best response by the nurse is to:

A) carry on conversation with the patient only, ignoring the son.
B) continue conversing with both the patient and the son.
C) ask the son to leave since he is not comfortable with her.
D) ask the patient why the son will not engage with her.

Question 6

A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The nurse secures an interpreter. In order to have the most effective interview, the nurse should do which of the following? (Select all that apply.)

A) Look and speak to the interpreter
B) Use technical terminology to ensure accuracy
C) Allow more time for the interview
D) Watch the client's nonverbal communication
E) Have the interpreter check whether the client understands the communication

Question 7

Regarding health care disparities, it is true that older adults of color have:

A) equal risk factors for vulnerability as do all older adults.
B) equal risk factors for vulnerability as do the young adults of color.
C) increased risk factors for vulnerability if they are female.
D) an increase in risk factors for vulnerability if care is provided by public facilities.

Question 8

A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons for completing a cultural assessment include: (Select all that apply.)

A) culture guides decision-making about health, illness, and preventive care.
B) culture provides direction for individuals on how to interact during health care encounters.
C) culture impacts attitudes toward aging.
D) all members of a culture react in the same way in similar situations.
E) knowledge of culture eliminates health care disparities.

Question 9

A paper on culture and illness would be likely to include the statement that:

A) culture is the same as ethnicity.
B) ethnic groups always share common geographic origin and religion.
C) ethnicity involves recognized traditions, symbols, and literature.
D) most members of an ethnic group exhibit identical cultural traits.

Question 10

A home care nurse is caring for an older patient from a different culture who is bed-bound and high risk for development of a pressure ulcer. The nurse discusses the plan of care with the patient's daughter, emphasizing the importance of turning every 2 hours and posts a turning clock on the wall. When the nurse returns later in the week, the turning clock has been removed, and the patient's daughter reports that she turns her mother occasionally. She states, "I am taking very good care of my mother. You just don't understand; our ways do not involve doing things on schedules." The best response by the nurse is:

A) "You must follow my guidelines and turn her every 2 hours, or I will not be able to take care of her."
B) "I understand that you value your culture, but culture cannot stop you from providing good care to your mother."
C) "I understand that you care very much for your mother. Perhaps caring for her is too much for you."
D) "How can we best work together to provide the best care for your mother?"