Deck 11: Cultural Considerations

Question 1

The nurse is caring for a 12-year-old Asian American boy previously treated by an herbalist using herbs,soups,and cupping.The nurse observes regular round bruises over several parts of his body.What action should the nurse take?

A)Immediately report the suspected abuse to the supervisor.
B)Question the child to ascertain where the marks had been obtained.
C)Quietly ask the child's parents if the child has recently been injured.
D)Confirm that the herbalist made the marks during treatment.

Answer 1

Confirm that the herbalist made the marks during treatment.

Question 2

In which of these cultural groups is the husband/father considered the dominant family member?

A)Hispanic
B)Asian
C)Native American
D)African American

Answer 2

Hispanic

Question 3

When there are differences among and between cultural groups in a country,this diversity can contribute to social problems because of misunderstanding and unfamiliarity with different cultures.This is BEST described as:

A)acculturation
B)cultural diversity
C)ethnocentrism
D)oppression

Answer 3

ethnocentrism

Question 4

When a nurse is caring for a client whose culture considers personal touch as negative,what can the nurse do to express caring and acceptance to the client?

A)Assign personal care responsibilities to a family member.
B)Wear gloves when providing personal care.
C)Smile frequently at the client.
D)Stand a respectful distance away from the client.

Question 5

A dietary aide tells the nurse that an Asian American client won't eat anything on the tray being served because it is not balanced hot and cold.This situation represents an example of:

A)acculturation
B)cultural diversity
C)oppression
D)stereotyping

Question 6

Which of these cultural groups tends to be more future oriented,viewing time as a commodity for achieving future goals?

A)African Americans
B)Jews
C)Asians
D)Native Americans

Question 7

Which of these terms describes an individual's desire to find meaning and purpose in life,pain,and death?

A)religion
B)religious support
C)spiritual care
D)spiritual need

Question 8

Which of these factors related to a client's orientation to time may have the greatest immediate effect on the client's health status?

A)Scheduled appointments may be missed.
B)Medications may not be administered as scheduled.
C)Preventive health care may be neglected.
D)Exercise programs may not be followed.

Question 9

Which of the following has been identified by Stewart as a component of culture?

A)perception of self and the individual
B)orientation to authority
C)role of women and children
D)view of leisure activities

Question 10

Which of the following statements about culture is TRUE?

A)It is a consistent standard of behavior.
B)It is learned.
C)It is perceived by members of the cultural group as inherited.
D)It is verbalized by members of the cultural group.

Question 11

Which of these groups compose the dominant culture of the United States?

A)black,upper-class Roman Catholics of mixed ancestry
B)black,lower-class Protestants of African ancestry
C)white,middle-class Protestants of European ancestry
D)white,lower-class Roman Catholics of Hispanic ancestry

Question 12

Which of these terms refers to the group whose values prevail in a given society?

A)cultural assimilation
B)cultural diversity
C)dominant culture
D)oppression

Question 13

Cultural concepts are helpful to the nurse when planning care for a client from another cultural group because these concepts:

A)help the nurse anticipate client orientation to health and illness
B)allow the nurse to feel culturally superior
C)fully explain the client's behavioral patterns
D)predict how this client will deal with authority

Question 14

When a client refers to his or cultural perception or identity that has been passed from one generation to the next,the nurse understands that this is an example of:

A)culture
B)ethnicity
C)heritage
D)race

Question 15

A nurse is caring for a client who does not speak English and finds it difficult to communicate with the client.Which of these actions should the nurse take?

A)Ask the health care provider to explain client-care routines to the client.
B)Request the supervisor to change assignments.
C)Find an interpreter either in the client's family or from the facility resource pool.
D)Refrain from speaking to the client,as to prevent confusion.

Question 16

A client who was born in Brazil learns to speak English and dresses in a more "American" mode while attending college in the United States.The client maintains religious beliefs and practices and socializes primarily with other Brazilian immigrants.The nurse should recognize that this client is in the process of:

A)acculturation
B)cultural assimilation
C)cultural diversity
D)oppression

Question 17

The imposition of the rules,modes,and ideals of one group on another group is called:

A)acculturation
B)cultural diversity
C)oppression
D)stereotyping

Question 18

When a society's sociopolitical climate is enriched by varied ideas,viewpoints,problem-solving approaches,and increased tolerance,these outcomes are considered to be positive results of:

A)acculturation
B)cultural assimilation
C)cultural diversity
D)ethnocentrism

Question 19

When a group of people with biological similarities share similar physical characteristics such as skin color,hair color or texture,and facial features,the nurse identifies this as:

A)culture
B)ethnicity
C)heritage
D)race

Question 20

Which of these terms refers to an integrated structure of knowledge,attitudes,beliefs,behaviors,ideas,customs,languages,values,symbols,rituals,ceremonies,and practices that are unique to a particular group of people?

A)culture
B)ethnicity
C)heritage
D)race

Question 21

A client insists that having a "hot toddy" laced with liquor at bedtime helps induce sleep.Which response by the nurse would be the MOST culturally sensitive?

A)"Is that something you learned from a relative or friend?"
B)"No one your age should be drinking at bedtime."
C)"That is an old wives' tale.The doctor can prescribe a sleep aid if you need one."
D)"Alcohol is prohibited while taking this medication."

Question 22

A nurse should recognize the relevance of which of these factors when antihypertensive medication is prescribed for an African American client?

A)A higher dose must be given to produce the same effect as in European Americans.
B)The drug may need to be administered more frequently due to increased metabolism.
C)Lukewarm tap water is preferred when taking medications.
D)The drug may be refused because of belief that God will heal through prayer and faith.

Question 23

Many nurses fail to provide spiritual care to their clients for which of the following reasons?

A)The client does not request assistance in this area.
B)Their facility prohibits involvement in a client's personal life.
C)Their personal spiritual views differ from the client's.
D)Spiritual needs are viewed as a family or clergy responsibility.

Question 24

Which of these factors related to a Scientology client's beliefs may have the greatest immediate effect on the client's health status? (Select all that apply. )

A)affinity
B)supreme purity
C)communication
D)immortality
E)the body
F)reality

Question 25

When a nurse is caring for an Native American client,which of these practices should be considered?

A)Medicine,surgery,or blood transfusions may be refused.
B)Reject the germ theory as a cause of illness.
C)Communion may be requested before beginning medical treatment.
D)A special garment symbolizing dedication to Allah should be removed during care.

Question 26

Which of these factors should be included in a client cultural assessment?

A)educational background and achievement
B)preparation for death
C)environmental practices
D)health beliefs and practices

Question 27

Which of the following statements about religious support systems in the health care setting is TRUE?

A)They may not recognize the client's spiritual needs.
B)They are part of the client's health care team.
C)They consist exclusively of ministers,priests,and rabbis.
D)They provide religious freedom for the client.

Question 28

A client's belief that the existence of God cannot be proved or disproved is BEST described as:

A)agnosticism
B)atheism
C)Darwinism
D)existentialism

Question 29

Which of the following statements about emergency baptism is TRUE?

A)Any baptized Christian may perform one.
B)Sterile water can be blessed and used for baptism.
C)All Christian denominations endorse the practice.
D)The baptism may need to be repeated if the client recovers.

Question 30

Which factors did Leninger identify as characteristics shared by all cultures? (Select all that apply. )

A)Culture is a learned behavior.
B)Culture involves a supreme being.
C)Culture involves communion.
D)Culture is an observance of traditions.
E)Culture defines acceptable behaviors.
F)Culture defines people's reality.

Question 31

A nurse must request an interpreter to provide important information to a client.Which of these nursing diagnoses for the client would be MOST appropriate in this situation?

A)Anxiety
B)Communication,verbal,impaired
C)Health maintenance,altered
D)Social interaction,impaired

Question 32

A client claims to have a nonbelief in God or any other deity.This is BEST described as:

A)agnosticism
B)atheism
C)Darwinism
D)existentialism

Question 33

When a nurse is unsure if the client has understood a teaching or message,which of these actions should be taken?

A)Ask the client if the message is understood.
B)Ask the client to repeat or demonstrate the process.
C)Document the teaching session.
D)Reteach the concept.