chapter 11 Flashcards
According to Leininger (2002), “cultural imposition” is a major concern in nursing because
nurses have a tendency to impose their values, beliefs, and practices on people of other
cultures. The discussion topic most likely to be without cultural imposition would be:
a. Abortion.
b. Wound management.
c. Blood transfusion.
d. Advance directives.
B
Cultural diversity is the term used to describe a vast range of cultural differences. Events
have symbolic meanings for the nurse manager and the staff. The event that would be most
likely to provide symbolic meaning to a nurse manager and staff is:
a. The formation of a task force to commemorate a New Year’s celebration in the
Western tradition.
b. A project to provide Christmas gifts to the children in a daycare program.
c. Celebration of National Nurses’ Week with the focus on cultural care.
d. The formation of a task force to develop a poster for the unit depicting religions of
the world.
C
One of the staff nurses on your unit makes the comment, “All this time I thought Mary was
Black. She says she is Jamaican.” The best response would be:
a. “Who cares what she is?”
b. “What did you think when you learned she was Jamaican?”
c. “Why did you assume she was Black?”
d. “We have never had a Jamaican on this unit before.”
B
As a nurse manager, you notice that Sharon, an Aboriginal licenced practical nurse aide, is
visibly upset. When you ask her if something is wrong, she becomes tearful and says, “Why
is it that when Nick and I work together in giving patient care, he jokes about my being ‘a
little fat Eskimo’?” The nurse manager’s best response is, “Do you think he
a. Is sensitive to your culture?”
b. Wants to learn more about you?”
c. Has been hurt and wants to hurt others?”
d. Is stereotyping you without thinking?”
D
The nurse manager of a unit is asked by a family member of a dying Inuit patient if it is
possible to for the patient’s eight-member family to recite the rosary by the patient’s
bedside. The manager responds affirmatively. The nurse manager is most likely exhibiting
behaviour related to:
a. Acculturation.
b. Ethnocentricity.
c. Cultural diversity.
d. Cultural sensitivity.
D
A 66-year-old native Chinese patient, hospitalized for a myocardial infarction, asks the
nurse manager about seeing his “acupuncture doctor” for treatment of his migraine
headache. The best response to this patient would be:
a. “How long have you been using acupuncture treatment?”
b. “Do you think acupuncture relieves your pain satisfactorily?”
c. “What have you told your heart specialist about your migraines and treatment?”
d. “Have you tried nonprescription pain medication or been given a prescription drug
for your headaches?”
A
Maintaining a culturally diverse staff is an important function of a nurse manager who
works in the hospital of a large medical centre. According to Health Canada (2008), which
cultural group represents about 2% of registered nurses employed in Canada? The chapter
states 3% p. 11.
a. Men.
b. Aboriginal.
c. French Canadian.
d. African Canadian.
B
Because an increasing number of Aboriginal patients are being admitted, a nurse manager
designs a staff-development program for her staff to help them understand Aboriginal
culture. A nurse should understand that culture is determined by which of the following?
a. Behaviour.
b. Love for people.
c. Shared vision.
d. Rapid time passage.
A
The nurse manager for a unit’s culturally diverse staff creates a staff-development program
so that the professional nursing staff members can enhance their understanding of cultures
on the basis of published literature. The literature reveals that what characteristics are
inherent in a culture?
a. It develops over time.
b. It maintains a strong work ethic.
c. It changes easily.
d. It develops quickly.
A
Which principle of The Canada Health Act is frequently not upheld in rural and remote
areas of the country?
a. Comprehensiveness.
b. Public administration.
c. Accessibility.
d. Portability.
C
Within the deaf community, there is considerable disagreement about the use of SEE
(Signed Exact English) and ASL (American Sign Language). This is indicative of:
a. Dominant versus nondominant behaviours.
b. The need to recognize diversity within groups.
c. The effect of cross-culturalism.
d. How language separates subgroups.
B
When interviewing a candidate for a nursing position who has an Aboriginal background, a
non-Aboriginal nurse recognizes that the candidate’s lack of eye contact reflects the
candidate’s:
a. Lack of confidence.
b. Professional behaviour.
c. Cultural sensitivity.
d. Ethnicity.
D
Recognizing that the Aboriginal candidate’s lack of eye contact is different from her own,
the non-Aboriginal nurse is exhibiting
a. Acculturation.
b. Cultural sensitivity.
c. Ethnocentrism.
d. Transculturalism.
B
A non–English-speaking patient arrives at the nursing unit. The nurse knows that when
patient communication is hampered by the inability to communicate in the same language, it
may lead to:
a. Inequities in accessing health care services.
b. Inability to obtain health insurance.
c. A decrease in patient morbidity.
d. Lack of portability with health care coverage.
A
At Health Centre XYZ, staff members on the rehabilitation unit have a head nurse who is
intolerant of error and publicly chides anyone who makes a mistake. Over time, the rules on
the unit dictate that mistakes are hidden and that areas of concern related to the functioning
of the unit are discussed in privacy and are never openly discussed during periodic
meetings. New staff members are quickly made to realize that silence is expected. The
situation described is an example of:
a. Ethnicity.
b. Work environment.
c. Work culture.
d. Marginalization.
C
