Deck 9: Culture and Ethnicity

Question 1

Being cared for by a nurse of the opposite gender would be an especially important issue for women from which of the following cultures?
1) Afghan
2) Filipino
3) Native American
4) African American

Answer 1

1
Modesty is a strong value among Afghan and Arab women.
Modesty is not an especially important issue for Filipino women.
Modesty is not an especially important issue for Native American women.
Modesty is not an especially important issue for African American women.

Question 2

Traditional Western medicine,in contrast to alternative therapy,uses:
1) Acupuncture
2) Herbal therapy
3) Spiritual advising
4) Medication administration

Answer 2

4
Traditional Western medicine uses medication administration as a method of treatment.
Acupuncture is an alternative therapy often used in non-Western cultures such as the Chinese and Southeast Asians.Herbal therapy is an alternative therapy often used in non-Western cultures,but not in traditional Western medicine.Spiritual advising is not used in traditional Western medicine,but it may be seen in the African-American cultural group.

Question 3

The nurse recognizes that ethnicity differs from race in that ethnicity:
1) Refers to subgroups within a race
2) Is a unique factor within a cultural group
3) Includes more than biological identification
4) Is the set of conflicting values between races

Answer 3

3
Ethnicity refers to a shared identity related to social and cultural heritage,such as values,language,geographical space,and racial characteristics.Race refers to biological attributes.
Subcultures refer to subgroups within a race.A variant cultural pattern is a unique factor within a cultural group.Ethnocentrism is the root of biases and prejudices comprising beliefs and attitudes associating negative permanent characteristics with people who are perceived to be different from the valued group.

Question 4

When faced with a scenario where it is believed that a client from another cultural background is using herbal remedies along with the prescribed medication to treat her arthritis.The nurse's first action should be to:
1) Educate the client concerning the danger of taking herbs and the prescribed medication
2) Inquire of the client as to the reason for using herbal remedies along with the prescribed medication
3) Ask the client to identify what herbal remedies are being used along with the prescribed medications
4) Alert the physician to the client's use of herbal remedies in addition to the prescribed medications

Question 5

An example of a nurse imposing his/her own cultural beliefs on a client is evident in which of the following examples?
1) Adaptation of the client's room to accommodate family members
2) Seeking information on gender-congruent care for an Egyptian client
3) Administering less potent pain medication to an outpatient surgery client
4) Encouraging family members to assist with the client's feeding and hygiene care

Question 6

The nurse is completing an assessment of an Asian-American client.Recognizing that there are commonly seen problems in individuals from this background,the nurse observes for particular signs and symptoms of:
1) Hypertension
2) Tuberculosis
3) Diabetes mellitus
4) Lactose intolerance

Question 7

An example of a culture where a male relative will regularly decline to observe the birth process is:
1) Pakistani
2) Hispanic
3) Korean
4) Japanese

Question 8

Within transcultural nursing,sensitivity to social organization is the recognition of the client's:
1) Language usage
2) Status and expected role in the family
3) Definition of health and health practices
4) Psychological characteristics and coping mechanisms

Question 9

There are cultural context of health and illness differences in comparing Western versus non-Western cultures.The nurse is aware that in Western culture the overall treatment is:
1) Herbal
2) Holistic
3) Naturalistic
4) Specialty-specific

Question 10

The nurse recognizes that changes in demographics have an influence on health care delivery.One of the expectations in the United States by the year 2020 is:
1) Growth of the European-American population
2) Increases in the Hispanic and Latino populations
3) Reduction of the African-American population by 50%
4) Equal growth in the Hispanic-,Asian-,and African-American populations

Question 11

The nurse recognizes that the family of a deceased Buddhist client will:
1) Bury before sundown
2) Decline viewing the body
3) Not move the body until it is cold
4) Select cremation rather than burial

Question 12

The nurse observes a religious charm hanging from the wrist of a client being prepared for surgery.The nurse's best initial approach is to:
1) Remove the religious charm
2) Securely tape the charm in place
3) Ask the client to leave the charm with family members
4) Clarify whether the charm may remain in place during the procedure

Question 13

Following a surgical procedure,an older Chinese woman refuses to perform the range of motion and breathing exercises requested,in addition is hesitant to complete her hygienic care and grooming.The nurse recognizes that this is most likely related to:
1) Dependence on health care providers for care
2) Reliance upon family members to assist with care
3) Lack of personal motivation to participate in self-care
4) Reluctance to cooperate with traditional Western medical treatment

Question 14

Regarding a client who is an Orthodox Jew and maintains a Kosher diet,the nurse will make sure that the client's menu does not include:
1) Beef
2) Eggs
3) Milk
4) Shellfish

Question 15

For a client who is a Buddhist and maintains a traditional diet,the nurse will make sure that a sufficient quantity of which of the following is included in the menu?
1) Beef
2) Milk
3) Fish
4) Vegetables

Question 16

One aspect of a culture is invisible,or less observable,to others.A nurse wanting to develop an awareness of the practices of different cultures within that community would have which of the following as an example of this component?
1) Wearing an amulet or charm
2) Using prayer beads or candles
3) Using cotton garments for clothing
4) Believing in supernatural influences

Question 17

From culture to culture time often takes on different meanings.In exploring the relationship of time to nursing interventions,the nurse should:
1) Avoid using set times to do procedures,if possible
2) Maintain the set times for treatments and inform the client of the schedule
3) Maintain a flexible attitude when the client requests procedures to be done at specific times
4) Encourage clients to set the times when they would like the nurse to perform nursing care activities.

Question 18

A nurse that has the knowledge of the biocultural history of clients and aware that individuals with a greater potential for and incidence of hypertension are:
1) Asians
2) Hispanics
3) Native Americans
4) African Americans

Question 19

The nurse recognizes the following as an appropriate strategy for communicating with clients who are not fluent in English?
1) Speaking in a louder tone of voice
2) Incorporating hand gestures and pictures
3) Responding to the client by his or her first name
4) Interacting with an interpreter for all communication

Question 20

While going through the process of acculturation a client will be:
1) Identifying with 2 or more cultures
2) Adapting to and adopting a new culture
3) Showing favor to the dominant culture
4) Socializing within their primary cultural group

Question 21

A nursing care assistant fails to report in a timely manner a request for pain medication from an African-American male client who is recovering from a stab wound.The nurse's initial action is to evaluate the care assistant's:
1) Feelings regarding this particular client
2) Need for administrative disciplinary action
3) Understanding of the need for prompt reporting
4) Employment files for documentation of similar behavior

Question 22

An Asian-American client will accept hygiene care from only family members.The cultural origin of this behavior is most likely:
1) Valued privacy
2) Female modesty
3) Interdependency
4) Mistrust of strangers

Question 23

Which of the following factors has the greatest impact on health care available to non-Hispanic white minority groups in the United Sates?
1) Significant language barriers
2) Inappropriately high poverty rates
3) Genetically based disease processes
4) Mistrust of Western medical practices

Question 24

The nurse caring for members of the Hispanic community recognizes which of the following situations as the best reflection of the culture's view of family caring?
1) A husband calling each evening to tell his wife goodnight
2) Family members taking turns staying with the client at night
3) The daughter bringing her father's favorite soup to the hospital
4) The eldest son sending a huge floral arrangement to the hospital

Question 25

The nurse realizes that the primary goal of a cultural assessment is to:
1) Minimize client distress resulting from unmet cultural expectations
2) Provide care that is in concert with the client's cultural expectations
3) Identify cultural beliefs and traditions that are important to the client
4) Blend Western nursing practice with the client's cultural expectations

Question 26

While assessing an older Vietnamese client,the nurse notes several oval-shaped reddened areas on her back and arms.The client's daughter explains them to be the result of a traditional healing practice called "cupping." The nurse's immediate reaction should be to:
1) Report the finding to the authorities to rule out physical abuse
2) Ask the daughter to explain the practice in detail
3) Notify the client's health care provider to see if treatment is necessary
4) Document the assessment findings in the nursing notes

Question 27

The primary problem with using English-speaking children of immigrant families as interpreters is that:
1) The adults may resent their dependence upon the child
2) The subjects discussed may be too disturbing to the child
3) Children can be easily distracted,thus making them unreliable translators
4) There are concerns about the child's ability to convey important information

Question 28

A Hispanic client is diagnosed with inoperable brain cancer.The client's wife insists that any discussion about treatment options be postponed until all local family members are present.The nurse correctly views this as:
1) The family's attempt to facilitate a "good death'' for the client
2) An invasion of the client's right of confidentiality by the family members
3) Appropriate because the cancer may have affected his decision-making abilities
4) A cultural tradition that relieves the ill family member of the burden of decision making

Question 29

A nurse caring for the Arab community observes a client crying.The woman was recently informed that her radiation treatments may affect her ability to become pregnant.The nurse recognizes that the client is most likely reacting to a cultural attitude regarding:
1) The importance of children to an Arab family
2) The Arab view that infertility is grounds for divorce
3) Infertility is a punishment for unholy living
4) The loss of status among other married Arab women

Question 30

Which of the following nursing interventions shows the greatest degree of culturally competent nursing care for a Muslim female client?
1) Notifying the chaplain of the client's religious preference
2) Notifying staff that the client's bath will be done by her sister
3) Drawing the curtains around the client's bed during prayer time
4) Facilitating a dietary consult to meet the client's nutritional concerns

Question 31

The nurse who is attempting to practice in a culturally sensitive manner must first realize that recognition of the visible signs of a client's culture:
1) Is essential to the establishment of a nurse-client relationship
2) Provides the basis for a sense of trust between client and nurse
3) Does not ensure understanding of the underlying cultural beliefs
4) Has little impact on the nurse's ability to provide therapeutic care

Question 32

The nurse,caring for a comatose Muslim client who is dying,realizes that from a cultural standpoint,the most therapeutic intervention is to:
1) Facilitate the client's peaceful,pain-controlled death
2) Become familiar with Muslim death and dying traditions
3) Approach the family to identify and discuss any needs that exist
4) Arrange for a private room so the family can grieve traditionally

Question 33

An Arab woman arrives in the emergency department reporting vaginal bleeding.It is determined that the client is 5 months pregnant with her second child and has had no prenatal care.The nurse realizes that the most likely reason for this lack of health care is that the client:
1) Cannot afford to seek health care
2) Views pregnancy as a normal life event
3) Typically relies on same-culture healers
4) Lacks an understanding of available services

Question 34

An older Chinese client experienced a stroke that left him with right-sided weakness and now refuses to participate in physical therapy until his son is present.The nurse should initially interpret this behavior as:
1) A sign of post-stroke depression
2) An illustration of cultural collectivism
3) A response to the therapy-induced pain
4) An example of a healthy father-son relationship