Ch.2 Flashcards
The nurse is reviewing the development of culture. Which statement is correct
regarding the development of one’s culture? Culture is:
A) genetically determined on the basis of racial background.
B) learned through language acquisition and socialization.
C) a nonspecific phenomenon and is adaptive but unnecessary.
D) biologically determined on the basis of physical characteristics.
B) learned through language acquisition and socialization.
During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which statement correctly reflects one of these characteristics?
A)Cultures are static and unchanging despite changes around them.
B)Cultures are never specific, which makes them hard to identify.
C) Culture is most clearly reflected in a person’s language and behavior.
D)Culture adapts to specific environmental factors and available natural resources.
D)Culture adapts to specific environmental factors and available natural resources.
During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating “the specific and distinct knowledge, beliefs, skills, and customs acquired by members of a society” reflects which term? A)Mores B)Norms C)Culture D)Social learning
C
When discussing the use of the term “subculture,” the nurse recognizes that it is best described as:
A) fitting as many people into the majority culture as possible.
B) defining small groups of people who do not want to be identified with the larger
C) singling out groups of people who suffer differential and unequal treatment as a
result of cultural variations.
D) identifying fairly large groups of people with shared characteristics that are no
common to all members of a culture.
D
When reviewing the demographics of ethnic groups in the United States, the nurse recalls that the largest and fasting growing population is:
A)Hispanic.
B)Black.
C)Asian.
D)American Indian.
A
During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which action by the nurse is appropriate?
A)Ask the patient about the item and its significance.
B)Ask the patient to lock the item with other valuables in the hospital’s safe.
C)Tell the patient that a family member should take valuables home.
D)No action is necessary.
A
The nurse manager is explaining culturally competent care during a staff meeting. Which statement accurately describes the concept of culturally competent care? “The caregiver:
A)is able to speak the patient’s native language.”
B)possesses some basic knowledge of the patient’s cultural background.”
C)applies the proper background knowledge of a patient’s cultural background to provide the best possible health care.”
D)understands and attends to the total context of the patient’s situation.”
D
The nurse recognizes that an example of a person who is heritage consistent would be a:
A) woman who has adapted her clothing to the clothing style of her new country.
B) woman who follows the traditions that her mother followed regarding meals.
C) man who is not sure of his ancestor’s country of origin.
D) child who is not able to speak his parents’ native language.
B
After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the concept of ethnicity with which statement?
A) “Ethnicity is dynamic and ever-changing.”
B) “Ethnicity is the belief in a higher power.”
C)“Ethnicity pertains to a social group within the social system that claims shared values and traditions.”
D) “Ethnicity is learned from birth through the processes of language acquisition and socialization.”
C
The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of one’s spirituality?
A)Belief in and the worship of God or gods
B)Attendance at a specific church
C)A personal effort to find purpose and meaning in life
D)Spirituality is closely tied to one’s ethnic background
C
A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college degree. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept? A)Assimilation B)Heritage consistency C)Biculturalism D)Acculturation
A
The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?
A)“What is your religion?”
B)“Do you mostly participate in the religious traditions of your family?”
C)“Do you smoke?”
D)“Do you have a history of heart disease?”
B
A physician in the clinic is frequently bothered when patients arrive late for appointments. The physician is so irritated by this behavior that he often finds it hard to provide appropriate care to these individuals. What should he do first in trying to overcome this difficulty?
A)Identify the meaning of health to the patient.
B)Understand that these cultural practices are helpful to the patient.
C)Allow the patients to arrive late and build this into his schedule.
D) Examine his own culturally based values, beliefs, attitudes, and practices.
D
In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this is true, probably because Mexican-Americans:
A) have less efficient immune systems and are often ill.
B) consider these symptoms a part of normal living, not symptoms of ill health.
C) come from Mexico and coughing is normal and healthy there.
D) are usually in a lower socioeconomic group and are more likely to be sick.
B
The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness? A)Holistic B)Biomedical C)Naturalistic D)Magicoreligious
B
An Asian-American woman is experiencing diarrhea, which is felt to be “cold” or “yin.” The nurse expects that the woman is likely to try to treat it with:
A)foods that are “hot” or “yang.”
B)readings and Eastern medicine meditations.
C)high doses of medicines thought to be “cold.”
D)no treatment at all because diarrhea is an expected part of life.
A
Among many Asians there is a belief in the yin/yang theory, rooted in the ancient Chinese philosophy of Tao. The nurse recognizes which statement that most accurately reflects “health” in an Asian with this belief?
A)A person is able to work and produce.
B)A person is happy, stable, and feels good.
C)All aspects of the person are in perfect balance.
D)A person is able to care for others and function socially.
C
Illness is seen as a part of life’s rhythmic course and as an outward sign of disharmony within. This statement most accurately reflects the views about illness from the \_\_\_\_\_ theory. A)naturalistic B)biomedical C)reductionist D)magicoreligious
A
An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by:
A)germs and viruses.
B)supernatural forces.
C)eating imbalanced foods.
D)an imbalance within his or her spiritual nature.
B
If an American Indian has come to the clinic to seek help with regulating her diabetes, the nurse can expect that she:
A)will comply with the treatment prescribed.
B)has obviously given up her beliefs in naturalistic causes of disease.
C)may also be seeking the assistance of a shaman or medicine man.
D)will need extra help in dealing with her illness and may be experiencing a crisis of faith.
C
An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally-sensitive nurse would:
A)contact the hospital administrator about the best course of action.
B)automatically get a curandero for her because it is not culturally appropriate for her to request one.
C)further assess the patient’s cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires.
D)ask the family what they would like to do because Mexican-Americans traditionally give control of decisions to their families.
C
A 63-year-old Chinese-American man enters the hospital with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects the nurse’s best course of action?
A)The nurse should focus on performing a full cardiac assessment.
B)The nurse should focus on psychosomatic complaints because he has just learned that his wife has cancer.
C)This patient is not in any danger at present, so the nurse should send him home with instructions to contact his physician.
D)It is unclear what is happening with this patient, so the nurse should perform an assessment in both the physical and the psychosocial realms.
D
Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain?
A)Nurses’ attitudes toward their patients’ pain are unrelated to their own experiences with pain.
B)Nurses need to recognize that many cultures practice silent suffering as a response to pain.
C)A nurse’s area of clinical practice is most likely to determine his or her assessment of a patient’s pain.
D)A nurse’s years of clinical experience and current position are a strong indicator of his or her response to patient pain.
B
The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?
A)All patients will behave the same way when in pain.
B)Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain.
C)Cultural norms have very little to do with pain tolerance, because pain tolerance is always biologically determined.
D)A patient’s expression of pain is largely dependent on the amount of tissue injury associated with the pain.
B
