Question 1

Why would a nurse be concerned about cultural diversity?&#10;A) It addresses safety.&#10;B) It ensures quality patient care.&#10;C) Populations of minorities are increasing.&#10;D) Nurses represent different cultural groups.

Accepted Answer

As minority populations increase, the concern about health inequities also increases. Cultural diversity does not address safety or ensure quality patient care. Nurses may represent different cultural groups; however, this is not the reason for a nurse to be concerned about cultural diversity.

Question 2

Why is understanding the concept of culture elusive?&#10;A) It addresses one domain.&#10;B) There is no consistent definition of culture.&#10;C) There is minimal attention to culture in society.&#10;D) It exists inside and outside individuals and groups at the same time.

Accepted Answer

Because culture exists both inside and outside individuals and groups at the same time, understanding the concept of culture is elusive. Culture is the interaction of three overlapping domains. There is a consistent definition of culture. The "problem" of culture has gained national attention.

Question 3

Which term is a concept related to multiculturalism?&#10;A) Diversity&#10;B) Tolerance&#10;C) Accommodation&#10;D) Cultural pluralism

Accepted Answer

A concept related to multiculturalism is cultural pluralism, a term used when smaller groups within a larger society maintain their unique cultural identities, and their values and practices are accepted by the wider culture provided they are consistent with the laws and values of the wider culture. Diversity is not a concept related to multiculturalism. From a sociological view, multiculturalism is a national value of tolerance and accommodation. Diversity is a noun often used to create the phrase "cultural diversity," but it is not related to multiculturalism.

Question 4

How does Leininger define culturally congruent care?&#10;A) As an intervention&#10;B) As an aspect included in an assessment&#10;C) As part of the nurse-patient relationship&#10;D) As something that is addressed when planning care

Accepted Answer

Leininger defines culturally congruent care as part of the nurse-patient relationship. It is not an intervention, an aspect included in an assessment, or something that is addressed when planning care.

Question 5

Which of the following is a characteristic of a microaggression?&#10;A) Deliberate act of bigotry&#10;B) Lack of awareness about causing harm&#10;C) Systematic harmful action&#10;D) Planned actions to intimidate

Accepted Answer

Those who perpetrate microaggressions intend no offense and are often unaware of causing harm. Microaggressions are not a deliberate act of bigotry. They are not systematic harmful actions or planned actions to intimidate.

Question 6

Which of the following actions shows that a nurse adopts a humble attitude?&#10;A) Avoids making assumptions&#10;B) Accepts knowledge as an endpoint&#10;C) Realize he or she knows what he or she knows&#10;D) Views cultural competence as something nice to do

Accepted Answer

Humble practitioners do not make assumptions. They search for research to enhance knowledge. They realize what they do not know when they truly do not know. They do not view cultural competence as something nice to do.

Question 7

How does a nurse engage in self-reflection?&#10;A) The nurse analyzes intersectionality.&#10;B) The nurse talks with a friend or colleague.&#10;C) The nurse discusses a self-appraisal with a patient.&#10;D) The nurse learns patient-centered interviewing.

Accepted Answer

Self-reflection can be done through journaling, talking with a friend or colleague, in small group discussions or under supervision, in leadership training, or even while relaxing in the bathtub after a rough day. Self-reflection does not include an analysis of intersectionality. A self-appraisal should not be done with a patient. Patient-centered interviewing is a strategy to implement cultural humility.

Question 8

What is the focus of reflexivity?&#10;A) Compassion and care&#10;B) Humility and sacrifice&#10;C) Domination and power&#10;D) Empathy and understanding

Accepted Answer

Reflexivity focuses attention on domination and power. It does not focus attention on compassion, care, humility, sacrifice, empathy, or understanding.

Question 9

Which of the following is an advantage of using patient-centered interviewing?&#10;A) It reduces time.&#10;B) It controls costs.&#10;C) It communicates that the patient is valued.&#10;D) It addresses knowledge, skills, and attitudes.

Accepted Answer

Patient-focused interviewing signals to the patient that the patient's agenda is valued. Reducing time; controlling costs; and addressing knowledge, skills, and attitudes are not advantages of using patient-centered interviewing.

Question 10

Why was the LEARN framework developed?&#10;A) To enhance cultural sensitivity&#10;B) To increase the patient's level of power&#10;C) To facilitate patient-centered interviewing&#10;D) To reduce the need to focus on cultural humility

Accepted Answer

The LEARN framework was created to help facilitate patient-centered interviewing. It stands for listen, explain, acknowledge, recommend, and negotiate.

Deck 14: Cultural Humility in Health Promotion