Deck 15: Culture Ethnicity

Question 1

The nurse is beginning her assessment on a 35-year-old woman.The patient appears to be of Asian descent.As part of the nurse's cultural assessment,what question is most appropriate for the nurse to ask pertaining to race prior to documenting the patient's race?

A) "You appear to be Asian. Am I correct?"
B) "Can you tell me a little about your oriental background?"
C) "What race do you identify with and what name do you call it?"
D) "Which Asian country are you from?

Answer 1

"What race do you identify with and what name do you call it?"

Question 2

Which statement is most reflective of Madeleine Leininger's theory of cultural care?

A) The goal of her theory is to guide research that will assist nurses to provide culturally congruent care.
B) The model for cultural competence stresses teamwork in providing culturally sensitive and competent care to improve outcomes for individuals, families, and communities.
C) The model focuses on five components of cultural competence: Awareness, skills, knowledge, encounters, and desire.
D) The theory focuses on increasing levels of one's consciousness to improve the possibilities to provide culturally competent care.

Answer 2

The goal of her theory is to guide research that will assist nurses to provide culturally congruent care.

Question 3

As a nursing student and nurse,you will encounter many patients from diverse cultures.When caring for a culturally diverse patient,what initial question can you ask your patient that will best assist you to improve your cultural competency?

A) "Can you tell me about your culture and cultural practices?"
B) "Do you understand how we do things here in the United States?"
C) "What matters most to you about your illness and treatment?"
D) "Can you please make me a list of your cultural preferences?"

Answer 3

"What matters most to you about your illness and treatment?"

Question 4

The nurse is caring for a patient who emigrated from Puerto Rico.She can best care for this patient by learning about the:

A) Practices of the patient's ethnic group
B) Patient's individual cultural beliefs
C) Values of her own culture
D) Spanish-speaking community

Question 5

Which of the following statements about race and ethnicity is/are true? Select all that apply.

A) Ethnicity refers to a person's cultural use of the indigenous healthcare system.
B) A person can have several aspects of a racial culture or be multicultural.
C) Ethnicity refers to groups whose members share a common and social heritage that is transmitted to the next generation.
D) Race primarily reflects biology and refers to grouping of people based on biological similarities.

Question 6

A client incorporates alternative healthcare into her regular health practices.For which alternative therapy should the patient visit a formally trained practitioner?

A) Use of herbs and roots
B) Application of oils and poultices
C) Burning of dried plants
D) Acupuncture

Question 7

At a clinical post conference,a nursing student states,"I had a Chinese patient today and while I understand some of her cultural practices,she needs to understand that she is in the United States now and should follow our practices because we use scientific evidence." Which cultural barrier is the student demonstrating?

A) Racism
B) Archetyping
C) Ethnocentrism
D) Stereotyping

Question 8

Vulnerable populations are those most likely to develop health problems and experience poorer outcomes because of limited access to care and a wide variety of other stressors.Therefore,when caring for a patient from a vulnerable group,it is most important for the nurse to focus on:

A) Methods to connect the patient with a social worker
B) Family members and their interactions in planning care
C) Identifying the patient's difficulties and risks
D) Identifying the patient's strengths and resources

Question 9

Which statement(s)about culture is/are true? Select all that apply.

A) Culture exists on both material and nonmaterial levels.
B) Culture mainly influences food choices and special holidays.
C) Cultural customs change over time at different rates.
D) Culture is learned through life experiences shared by other members of the culture.

Question 10

The nurse is teaching a clinic patient about hypertension.Which statement by the patient suggests that he is present-oriented?

A) "I know I need to lose weight; I'll have to begin an exercise program right away."
B) "If I change my diet and begin exercising, maybe I can control my blood pressure without medications."
C) "I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult."
D) "I will reduce the amount of calories, salt, and fat that I eat; I certainly do not want to have a stroke."

Question 11

The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture.Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care?

A) Asking the family to bring in medals and amulets
B) Scheduling a visit from the local shaman
C) Providing the patient with her favorite herbal tea
D) Requesting that the physician consult the patient's acupuncturist

Question 12

A patient who had surgery 8 hours ago has not voided.The physician has prescribed that an indwelling urinary catheter be inserted.Which of the following statements should the nurse use to describe the procedure to the patient? "I need to:

A) "Put a Foley in you because you haven't voided since your surgical procedure"
B) "Insert a tube into your bladder to drain the urine because you haven't urinated since surgery"
C) "Catheterize you because you haven't urinated since having your surgery"
D) "Place a catheter in your bladder because you haven't voided since surgery"

Question 13

Which of the following is considered a "practice" (as opposed to a belief or value)?

A) Always drinking water after exercise
B) Thinking often about cleanliness
C) Placing an emphasis on success
D) Maintaining youth

Question 14

The nursing student tells her instructor,"My patient is Jewish and when I tried to teach her about her antihypertensive medication she said,'I'd rather eat chicken soup than take those medications.'" What is the most appropriate response by the instructor?

A) "This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup."
B) "There is no scientific evidence to support chicken soup as a substitute for antihypertensive medications. Maybe you should do some research on this."
C) "The patient can make her own choices and decisions, and there is nothing we can do about this."
D) "You can tell the patient she can eat her soup, but she needs to understand that she has to take her medications first."

Question 15

An elderly patient tells the charge nurse that she wants another nurse to take care of her.When the charge nurse questions the patient,she states,"I don't want a man taking care of me." Which cultural barrier is this patient exhibiting?

A) Ethnocentrism
B) Racism
C) Sexism
D) Chauvinism

Question 16

A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident.When assessing this patient,the nurse must consider that he may possess which view of pain? He may:

A) Believe in taboos against narcotic use to relieve pain
B) Expect immediate and effective treatment to relieve pain
C) Endure pain longer and report it less frequently than some patients do
D) Use herbal teas, heat application, and prayers to manage his pain

Question 17

Which statement(s)is/are most true about the concept of acculturation? Select all that apply.

A) A person who accepts both his own culture and a new culture and adopts elements of each has been acculturated.
B) It is theorized that it can take years and even generations for an immigrant group to acculturate.
C) A person who gradually learns and takes on the essential values, beliefs, and behaviors of the dominant culture has been acculturated.
D) Acculturation is the outgrowth of a minority group's need to survive and flourish in a new culture.

Question 18

A patient of Japanese heritage avoids asking for narcotics for pain relief.The nurse writes a nursing diagnosis of Pain related to reluctance to take medication secondary to cultural beliefs.If the cultural archetype is true for this particular patient,this probably means that the patient views pain as:

A) A punishment for immoral behavior
B) An expected, normal part of life
C) Best treated with herbal teas and prayer
D) A virtue and a matter of family honor

Question 19

The nurse is caring for a patient of Japanese heritage who refuses opioid pain medication despite the nurse's explaining its importance in the healing process.Which intervention(s)by the nurse is/are appropriate for this patient? Select all that apply.

A) Assess the patient's pain levels at less frequent intervals.
B) Document in the record that the patient does not want to take opioids.
C) Use nonpharmacological measures to help control the patient's pain.
D) Notify the primary care provider of the patient's noncompliance.

Question 20

A Spanish-speaking patient in the hospital is getting ready surgery and needs to sign the surgical consent form.Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient.The healthcare organization is required to do which of the following?

A) Provide a licensed interpreter
B) Provide a translator approved by the organization
C) Ensure adequate resources to comply with informed consent requirements
D) Choose an interpreter, a translator, or a family member to interpret

Question 21

What are some strategies a new nurse can use to develop skills in achieving cultural competence? Select all that apply.

A) Read the literature and study nursing theories and principles pertaining to culture
B) Take advantage of as many opportunities as possible to interact with persons from diverse cultures
C) Recognize that persons from different cultures have different healthcare practices but for safety purposes, need to follow the medical and nursing plan of care
D) Understand basic practices of the most common cultures so he can choose the best interventions to care for patients from those cultures

Question 22

Which statement(s)is/are most accurate regarding values and beliefs? Select all that apply.

A) A value is a standard or principle that has meaning and worth to an individual.
B) Values are a set of behaviors that one follows to guide health practices.
C) All members of certain cultures will share the same values and beliefs.
D) A belief is something one accepts as true.

Question 23

What are common beliefs and practices associated with the North American (Western)professional healthcare system? Select all that apply.

A) Values emphasize individualism and self-reliance.
B) Health is defined as living in harmony with nature.
C) Health is defined as absence or minimization of disease.
D) Reliance is on the biomedical system.

Question 24

The nurse is caring for a Native American in a rural rehabilitation facility.The nurse notices that the patient has eaten very little since his admission 10 days ago.When she asks the patient about his eating,he states,"I can't eat any of this food.It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission.Based on this scenario,what is/are the most appropriate nursing diagnosis(es)for this patient? Select all that apply.

A) Noncompliance related to difficulty adhering to the medical regimen
B) Possible Knowledge deficit related to disease process
C) Imbalanced nutrition: less than body requirement related to cultural dietary practices
D) Decreased appetite related to anxiety secondary having a heart attack