Deck 10: Cultural Competence: Awareness, Sensitivity, and Respect

Question 1

A group of teens develop their own method of texting in a language that they feel is all their own. The change is subtle, but the meanings and the feelings associated with the text are known only to a select few. Which behavior are the teens exhibiting in this situation?

A) Culture
B) Cultural competence
C) Cultural safety
D) Ethnocentrism

Answer 1

Culture

Question 2

The nurse is caring for a client who refuses the food as served. He states that the food is foreign to him and will make him ill. All food must be blessed. The personal care attendant is upset by this behavior and states that the client should eat the food anyway. Which is most likely the basis for the client's behavior?

A) Psychosocial deficit
B) Cultural belief
C) Allergies
D) Hygiene

Answer 2

Cultural belief

Question 3

The nurse is present when a mother begins cupping her child. She states that it will help to heal the child's respiratory tract infection. To which concept will the nurse attribute this cultural belief?

A) Shared instinct
B) Learned behavior
C) Private idiosyncrasy
D) Genetically programmed idea

Answer 3

Learned behavior

Question 4

A Mexican American client arrives at the emergency department. He reports abdominal pain and has been vomiting for 5 days. The nurse notes that he is exhibiting symptoms of dehydration, and his vital signs and labs confirm this. The nurse asks the client why he waited so long to seek medical care. He states that he is being treated by the Curandero and wishes to continue while in the hospital. Which concept will the nurse interpret to be exhibited in this situation?

A) Cross-cultural nursing
B) Ethnocentrism
C) Cultural safety
D) Transcultural bias

Question 5

The nurse conducts a well-child clinic in your community. The client population is culturally diverse, and, although the clinic is busy, it runs smoothly because it has an interpreter. In addition to the interpreter, it is important that the nurses treat each client that reflects his or her individual cultural needs. Which cultural concept is the staff exhibiting at this clinic?

A) Bias
B) Artwork
C) Competence
D) Beliefs

Question 6

A nurse, new to the community health agency, works in a culturally diverse area of the community. The nurse is responsible for providing holistic care to clients and to be culturally competent. The health agency requires the nurse to employ which competency to exhibit cultural competence? (Select all that apply.)

A) Provide respectful quality care
B) Adopt the client's cultural values
C) Provide effective communication methods
D) Be responsive to diverse cultural beliefs
E) Speak the language of the client

Question 7

The nurse is called to make an unscheduled visit to a new client in her home. The purpose of the visit is to admit the client and treat an abdominal wound. The nurse discovers that the client is from a culture unfamiliar to her. Which actions would be most appropriate for the nurse to take in this situation? (Select all that apply.)

A) Being open to the client's ideas and way of life
B) Obtaining objective data when caring for the client
C) Exhibiting respect and patience
D) Being aware of your own culture
E) Assuming that you have enough knowledge to get by

Question 8

The nurse is caring for a client who is a refugee from Haiti. The client's family has been displaced because of an earthquake in their country. The client has healing fractures on his right arm as well as fractured ribs. He tells the nurse that, before care begins, the nurse must consult with his Voodoo healer. Which is the nurse's best response?

A) Teaching the client that he is in the United States and should abide by Western medical practices
B) Informing the healthcare provider that the client is noncompliant
C) Consulting with the healer and updating the healthcare provider regarding treatment and any herbal medications that may be used
D) Encouraging the client to use a complementary approach to his care

Question 9

The nurse is caring for a client who is from a culture for which the nurse has a limited knowledge base. The nurse conducts the admission interview using cultural humility. Which should the nurse ask in the interview? (Select all that apply.)

A) Yes or no questions
B) About traditions
C) Open-ended questions
D) How the client has addressed the illness
E) If the cause of the illness is spiritual

Question 10

During a conference after rounds, a nurse states, "They are in the United States now; you would think that they would act like us." Which concept is this nurse exhibiting with this remark?

A) Cultural humility
B) Ethnocentrism
C) Cultural competence
D) Cross-cultural nursing

Question 11

During an ice storm, people in one neighborhood banded together and shared the home of a neighbor who still had power and heat. Other neighbors provided food, water, and bedding. In another neighborhood the neighbors did not know one another and weathered the storm alone. Both neighborhoods are part of the same community. What characteristic did the people in the first neighborhood share that made them a subculture that those in the second neighborhood lacked?

A) Belief in the value of cooperation
B) Religion
C) Socioeconomic status
D) Geography

Question 12

The nurse enters a client's home to provide care to a wound and teach the client's wife how to care for the wound. The nurse is comfortable with the client's culture and the fact that it is matriarchal in nature. As teaching begins, the husband interrupts and states that the woman does not change bandages according to his culture. He asks if the nurse is familiar with his culture and then says that all members of his neighborhood follow its principles. Which group should the nurse suspect this client is a member of?

A) A cult
B) An orthodox religious group
C) A subculture
D) An occupation

Question 13

The new nurse is excited to finally be starting work at a local clinic that serves a diverse population. Which action will confirm that the nurse is capable of providing true cultural sensitivity and awareness with each client?

A) Travel to other countries on occasion
B) Become bilingual
C) Be competent in his or her own cultural heritage
D) Know the practices of all major cultures in one's region of the country

Question 14

A client, diagnosed with hypertension, is prescribed a no-added-salt, low-fat diet. He agrees and repeats the teaching principles. At the next home visit, the nurse notices salted meat on the counter and the client shows the nurse his food diary. The diet in the past week does not reflect the healthcare provider's orders. What cultural component may have contributed to the noncompliance with the diet order?

A) Diet may be too lean
B) Wife cooks according to the husband's preferences
C) Diet may not meet the cultural criteria for food choices
D) Food tastes bland and unappetizing

Question 15

A client is admitted to the hospital. On admission, it is noted that the client does not speak English. It will take 20 minutes for the hospital interpreter to arrive. The nurse decides to wait for the interpreter rather than relying on the client's husband. Which rationales will be most appropriate for the nurse to make the decision to wait for the interpreter? (Select all that apply.)

A) More likely to be fluent in both languages
B) More likely to be familiar with the client's symptoms
C) Trained in ethics and will be better at explaining cultural differences
D) More likely to understand the client's needs
E) More likely familiar with technical healthcare terms

Question 16

The nurse cares for a client in a community health clinic. The nurse is uncomfortable because the client remains very close when communicating. This discomfort makes it difficult to concentrate on the interview. Which concept will have occurred if the nurse backs away, the client stops speaking and leaves?

A) Differing views of personal space
B) Treatment limitation
C) Aggressive behavior
D) Cultural bias

Question 17

A new client, who is Latin American, is getting settled in the hospital. She is expecting her family to arrive soon. A healthcare provider enters and informs the client that she requires surgery and asks that she sign the necessary documents. The client refuses and becomes agitated. Which is the most likely cultural reason for the client's reluctance to sign the documents?

A) Client is reluctant to have the surgery.
B) Decision of importance is typically made by the family as a group.
C) Client does not feel comfortable with the surgeon.
D) Client is medicated and is having difficulty making a decision.

Question 18

The healthcare provider approaches the client with a treatment plan for his cancer. The client states that his life is in God's hands and refuses conventional treatment. Which concept has this client most likely exhibited with this action?

A) Fatalistic behavior
B) Denial
C) Anger
D) Bargaining

Question 19

The client is admitted to the hospital for new-onset hypertension and chest pain. During the admission interview you ask the client if she takes over-the-counter medications, and she states no. She adds that she routinely visits a folk healer. Which response should the nurse then prioritize after learning this information?

A) Obtaining a list of the herbs and folk medications that are taken and notifying the healthcare provider
B) Requesting the client to stop the ingestion of the folk herbs
C) Calling poison control with the list of herbs and folk medications
D) Encouraging the client to continue to take the herbs and folk medications

Question 20

The nurse educator is responsible for conducting educational seminars for the staff. After the education component of the program, the group engages in discussion. Which is the best rationale to ensure nurses routinely attend educational programs related to cultural competence?

A) The information is lost when caring for clients in real life
B) One can't be competent at all times
C) Nurses can facilitate social change
D) Classes are necessary for regulatory compliance

Question 21

The nurse is scheduling a follow-up appointment for a client who recently immigrated from Nicaragua. The client agrees to a 9 AM appointment on the following Wednesday. Which action should the nurse anticipate that this client will do on the following Wednesday?

A) Show up half an hour before the scheduled time
B) Not return at all for the follow-up appointment
C) Arrive late for the appointment
D) Arrive exactly on time