Question 1

A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing.Which of the following best describes what has happened?

Accepted Answer

Ethnocentrism is the belief that one's own cultural group determines the standards by which another group's behavior is judged.Cultural imposition is the act of imposing one's cultural beliefs,values,and practices on individuals from another culture.Racism is a form of prejudice that occurs through the exercise of power by individuals and institutions against people who are judged to be inferior on the basis of intelligence,morals,beauty,inheritance,and self-worth.Stereotyping is ascribing certain beliefs and behaviors about a given racial and ethnic group to an individual without assessing for individual differences.

Question 2

A nurse resigns from a position in a hospital to accept a job in a community setting.After starting the new job,the nurse feels helpless and confused,wondering if this was the right career choice.Which of the following terms best describes how the nurse is feeling?

Accepted Answer

Culture shock can happen to individuals within their own culture when they are having experiences such as starting a new job or career.Culture shock is brought on by anxiety from losing familiar signs and symbols of social interaction.Feelings associated with culture shock are helplessness,discomfort,and disorientation.Cultural conflict is a perceived threat that may arise from a misunderstanding of expectations when nurses are unable to respond appropriately to another individual's cultural practice because of unfamiliarity with the practice.Cultural relativism recognizes that clients have different approaches to health,and that each culture should be judged on its own merit and not on the nurse's personal beliefs.Culture brokering is advocating,mediating,negotiating,and intervening between the client's culture and the biomedical health care culture on behalf of clients.

Question 3

A nurse will be using an interpreter during a client encounter.Which of the following considerations should be made by the nurse? (Select all that apply.)

Accepted Answer

Family members should be used with caution.The client's gestures and nonverbal messages should be observed to assure understanding.Written materials should be available in the client's primary language.The gender,age,educational level,socioeconomic status,religion,and dialect should all be considered when selecting the proper interpreter.The nurse should face the client during the dialogue,not the interpreter.

Question 4

A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client.Which of the following best describes the nurse's action?

Accepted Answer

Culture brokering is advocating,mediating,negotiating,and intervening between the client's culture and the biomedical health care culture on behalf of clients.Cultural accommodation refers to assistive,supportive,facilitative,or enabling nurse actions and decisions that help clients of a particular culture accept nursing strategies or negotiate with nurses to achieve satisfying health care outcomes.Cultural preservation refers to assistive,supportive,facilitative,or enabling nurse actions and decisions that help the clients of a particular culture to retain and preserve traditional values,so they can maintain,promote,and restore health.Cultural repatterning refers to assistive,supportive,facilitative,or enabling nurse actions and decisions that help clients of a particular culture to change or modify a cultural practice for new or different health care patterns that are meaningful,satisfying,and beneficial.

Question 5

A client comes into the clinic and tells the nurse he goes to an acupuncturist for pain.The nurse says he should take pain medication instead.Which of the following best describes the action taken by the nurse?

Accepted Answer

This is an example of cultural imposition-the act of imposing one's cultural beliefs,values,and practices on individuals from another culture.Cultural conflict is a perceived threat that may arise from a misunderstanding of expectations when nurses are unable to respond appropriately to another individual's cultural practice because of unfamiliarity with the practice.Cultural blindness occurs when people state that everyone is treated the same,regardless of their cultural orientation.Cultural relativism recognizes that clients have different approaches to health,and that each culture should be judged on its own merit and not on the nurse's personal beliefs.

Question 6

In the Vietnamese culture,individuals may focus on wishes and memories of their ancestors and look to them to provide direction for current situations.Which of the following types of cultural variations is being demonstrated?

Accepted Answer

Perception of time is the duration or period between successive events,where some cultures assign greater or lesser emphasis to events that occur in the past,present,or future.Communication is the means by which culture is shared (verbal and nonverbal).Personal space is the physical distance between two individuals during an interaction.Social organization refers to the way in which a cultural group structures itself around the family to carry out role functions.

Question 7

The tendency to ignore all differences between cultures and to act as though the differences do not exist is defined as:

Accepted Answer

Cultural blindness occurs when people state that everyone is treated the same,regardless of their cultural orientation.Cultural conflict is a perceived threat that may arise from a misunderstanding of expectations when nurses are unable to respond appropriately to another individual's cultural practice because of unfamiliarity with the practice.Culture shock is the feeling of helplessness,discomfort,and disorientation experienced by an individual attempting to understand or effectively adapt to a cultural group whose beliefs and values are radically different from the individual's culture.Cultural imposition is the act of imposing one's cultural beliefs,values,and practices on individuals from another country.

Question 8

Hispanics tend to believe that the needs of the family take priority over those of the individual.Which of the following types of cultural variations is being demonstrated?

Accepted Answer

Social organization refers to the way in which a cultural group structures itself around the family to carry out role functions.Communication is the means by which culture is shared (verbal and nonverbal).Personal space is the physical distance between two individuals during an interaction.Environmental control refers to the person's relationship with nature and to plan and direct factors in the environment that affect them.

Question 9

Asians may perceive illness as disharmony with other forces and that medicine is only able to relieve the symptoms rather than cure the disease.They may look to naturalistic solutions and acupuncture to resolve or cure health problems.Which of the following types of cultural variations is being demonstrated?

Accepted Answer

Environmental control refers to the ability of individuals to control nature and to influence factors in the environment that affect them.Communication is the means by which culture is shared (verbal and nonverbal).Personal space is the physical distance between two individuals during an interaction.Social organization refers to the way in which a cultural group structures itself around the family to carry out role functions.

Question 10

A city council discusses how former city laws promoted segregation in the community years ago.Which of the following was being demonstrated when segregation occurred?

Accepted Answer

Racism is a form of prejudice that occurs through the exercise of power by individuals and institutions against people who are judged to be inferior in,for example,intelligence,morals,beauty,and self-worth.Prejudice is the emotional manifestation of deeply held beliefs about a group.Cultural imposition is the act of imposing one's cultural beliefs,values,and practices on individuals from another country.Stereotyping is ascribing certain beliefs and behaviors about a given racial and ethnic group to an individual without assessing for individual differences.

Question 11

A nurse is planning a refugee outreach clinic at the neighborhood health center.Which of the following considerations should be made by the nurse in order to provide culturally competent care? (Select all that apply.)

Accepted Answer

When working with immigrants,it is important to be aware of one's own beliefs while realizing that language barriers may exist,that different populations experience different risk factors and illnesses,and that nontraditional healing practices may be used.It would not be appropriate to impose the American culture into the encounter.

Question 12

The nurse labels a patient an alcoholic because of his ethnicity.Which of the following best describes this action by the nurse?

Accepted Answer

Stereotyping is ascribing certain beliefs and behaviors about a given racial and ethnic group to an individual without assessing for individual differences.Prejudice is the emotional manifestation of deeply held beliefs about a group.Racism is a form of prejudice that occurs through the exercise of power by individuals and institutions against people who are judged to be inferior in,for example,intelligence,morals,beauty,and self-worth.Ethnocentrism is the belief that one's own cultural group determines the standards by which another group's behavior is judged.

Question 13

Research has shown that Asian men tend to have a greater sensitivity than white Europeans to codeine,and they experience significantly weaker effects from the drug.Which of the following types of cultural variations is being demonstrated?

Accepted Answer

Biological variations are the physical,biological,and physiological differences that exist between racial groups and distinguish one group from another.Personal space is the physical distance between two individuals during an interaction.Social organization refers to the way in which a cultural group structures itself around the family to carry out role functions.Perception of time is the duration or period between successive events,where some cultures assign greater or lesser emphasis to events that occur in the past,present,or future.

Quiz 7: Cultural Diversity in the Community