Chapter 6

Question 1

Culture varies from patient to patient. Why is it important that the nurse understand and accept each person as an individual?
a. To develop a plan of care
b. To provide holistic care
c. To identify differences
d. To support each patient

Answer 1

b. To provide holistic care

Question 2

What is a fixed concept that describes how all members of an ethnic group act or think?
a. Variations within a cultural group
b. Identical practices
c. Holistic nursing
d. Ethnic stereotypes

Answer 2

d. Ethnic stereotypes

Question 3

All nurses should work to provide culturally appropriate nursing care. What is the integration of cultural knowledge into all aspects of care?
a. Cultural competence
b. Transcultural nursing
c. Nursing process
d. Team nursing

Answer 3

b. Transcultural nursing

Question 4

What is the term for when members of a particular ethnic group believe that their beliefs and practices are the best?
a. Prejudice
b. Separatism
c. Ethnocentrism
d. Bias

Answer 4

c. Ethnocentrism

Question 5

What is the term used to describe cultures in which women make decisions about health care and provide the care and discipline to the children?
a. Biological
b. Matriarchal
c. Cultural
d. Patriarchal

Answer 5

b. Matriarchal

Question 6

What basic philosophy in the United States is relevant to health care?
a. Folk remedies
b. Biomedical therapy
c. Holistic therapy
d. Spiritual intervention

Answer 6

b. Biomedical therapy

Question 7

What is a set of learned values, beliefs, customs, and practices shared by a group ?
a. Race
b. Ethnicity
c. Culture
d. Religion

Answer 7

c. Culture

Question 8

A nurse is American-born and works in a large hospital with patients from many cultures. What must this nurse develop to provide the best care?
a. Another language
b. Assessment skills
c. Cultural competence
d. Care planning ability

Answer 8

c. Cultural competence

Question 9

The nurse from New York City is caring for a patient from Atlanta, Georgia. What difference between the nurse and patient may cause them to experience difficulty in communicating?
a. Race
b. Subculture
c. Ethnic group
d. Culture

Answer 9

b. Subculture

Question 10

The father of an American Indian has just died. What should the nurse do immediately after death?
a. Provide privacy so that the family may touch and kiss the deceased goodbye
b. Ask about providing help with the death ceremony
c. Carefully wrap the deceased’s clothing for the family to take home
d. Mention the deceased by name frequently

Answer 10

b. Ask about providing help with the death ceremony

Question 11

What is the term for a generalization about a form of behavior, an individual, or a group? a. Dialect
b. Religion
c. Ethnicity
d. Stereotype

Answer 11

d. Stereotype

Question 12

What is the term for a group of people who share biological physical characteristics?
a. Race
b. Culture
c. Religion
d. Social organization

Answer 12

a. Race

Question 13

What is the term for a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biological characteristics?
a. Race
b. Culture
c. Religion
d. Ethnicity

Answer 13

d. Ethnicity

Question 14

A nurse is caring for a neonate born to observant Orthodox Jewish parents. Who can the nurse anticipate will name the neonate?
a. Father
b. Mother
c. Grandfather
d. Grandmother

Answer 14

a. Father

Question 15

A nurse is caring for a male neonate born to observant Orthodox Jewish parents. Who will the nurse anticipate will circumcise the neonate?
a. A bishop
b. A mohel
c. His father
d. His health care provider

Answer 15

b. A mohel

Question 16

A nurse is caring for a female neonate born to observant Orthodox Jewish parents. What book does the nurse know will be used when naming this neonate?
a. Bible
b. Koran
c. Holy Torah
d. Book of Mormon

Answer 16

c. Holy Torah

Question 17

A nurse is caring for an Orthodox Jewish woman immediately after she has given birth. What can the nurse expect regarding the spouse’s participation in his wife’s care? a. He will share a bed with the patient.
b. He will ask to bathe with the patient.
c. He will touch the patient frequently.
d. He will avoid physical contact with the patient.

Answer 17

d. He will avoid physical contact with the patient.

Question 18

A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement?
a. Mixing of milk and meat at a meal
b. Use of separate cooking utensils for meat and milk products
c. Use of one set of cooking utensils for meat and milk products
d. Consumption of food not slaughtered in accordance with Jewish law

Answer 18

b. Use of separate cooking utensils for meat and milk products

Question 19

The nurse is preparing an Orthodox Jewish patient’s tray during Passover. What intervention is appropriate for this patient?
a. Avoid fish dishes.
b. Encourage time for prayer.
c. Offer the patient leavened products.
d. Encourage the use of loud music in celebration.

Answer 19

b. Encourage time for prayer.

Question 20

A nurse is preparing to discuss birth control options for a Roman Catholic patient. What is the most appropriate method for the nurse to discuss with this patient?
a. Abstinence
b. Vasectomy
c. Tubal ligation
d. Oral contraceptives

Answer 20

a. Abstinence

Question 21

A nurse is preparing a meal tray for a patient who is a Latter-Day Saint. What beverage should the nurse prepare?
a. Tea with all meals
b. Coffee each morning
c. Cola beverages
d. Fruit juice

Answer 21

d. Fruit juice

Question 22

A nurse is caring for a patient who is a Latter-Day Saint. The nurse is aware members of this faith may wear sacred undergarments. What intervention is appropriate for the nurse caring for this patient?
a. Instruct the patient to remove the undergarments.
b. Allow the patient to wear the undergarments only at night.
c. Allow the patient to wear the undergarments only during the day.
d. Remove the undergarments in emergency situations only.

Answer 22

d. Remove the undergarments in emergency situations only.

Question 23

Which statement about the biomedical health belief system is true?
a. Life processes can be manipulated by humans by mechanicalinterventions.
b. Life processes cannot be manipulated by humans by mechanicalinterventions.
c. Disease has a nonspecific cause, onset, course, and treatment.
d. Disease is only caused by failure of body parts and chemical imbalances.

Answer 23

a. Life processes can be manipulated by humans by mechanicalinterventions.

Question 24

Which health belief system is commonly referred to as “third-world” beliefs and practices?
a. Folk health belief system
b. Holistic health belief system
c. Biomedical health belief system
d. Alternative/complementary belief system

Answer 24

a. Folk health belief system

Question 25

Which health belief system includes a belief of a supernatural force exerting influence to cause health or illness? a. Folk b. Holistic c. Biomedical d. Alternative/complementary

Answer 25

a. Folk

Question 26

Which health belief system focuses on restoring balance with physical, social, and metaphysical worlds? a. Folk health belief system b. Holistic health belief system c. Biomedical health belief system d. Alternative/complementary belief system

Answer 26

b. Holistic health belief system

Question 27

The nurse is caring for a patient who fasts during daylight hours during Ramadan. The nurse recognizes that the patient is adhering to the cultural beliefs of which culture? a. Muslims b. African Americans c. Chinese Americans d. Mexican Americans

Answer 27

a. Muslims

Question 28

The nurse is caring for a Muslim patient. What dietary selection should the nurse serve to this patient? a. Bacon, eggs, and toast b. Pork fried rice c. Ham and cheese sandwich d. Chicken and rice

Answer 28

d. Chicken and rice

Question 29

. A patient requests a consultation between the health care provider and a religiousleader known as an Imam. What is this patient’s cultural belief? a. Muslim b. African American c. Chinese American d. Mexican American

Answer 29

a. Muslim

Question 30

The nurse is delivering a meal tray to a female Muslim patient. What intervention is most appropriate for this patient? a. Offering her a ham and cheese sandwich b. Providing her with a male nurse c. Providing her with a female nurse d. Offering her bacon and eggs

Answer 30

c. Providing her with a female nurse

Question 31

The nurse is caring for a Chinese American patient. How should this nurse demonstrate cultural awareness? a. Maintain eye contact with the patient. b. Hold the patient’s hand while conversing. c. Touch the patient’s arm when speaking to the patient. d. Sit side-to-side when speaking with the patient.

Answer 31

d. Sit side-to-side when speaking with the patient.

Question 32

The nurse is caring for a Mexican American patient. What nursing intervention would best demonstrate cultural sensitivity? a. Encouraging consultation of male members of the family regarding health care decisions b. Discouraging consultation of male members of the family regarding health care decisions c. Insisting on providing all personal care required by the patient d. Asking only female family members about health care decisions

Answer 32

a. Encouraging consultation of male members of the family regarding health care decisions

Question 33

The nurse is caring for an African-American patient. Who would the nurse expect to be the primary decision maker in the patient’s family? a. Men b. Women c. Clergy d. Grandparents

Answer 33

b. Women

Question 34

The nurse is caring for a Mexican American patient who is in labor. How can this nurse best demonstrate cultural sensitivity? a. Encouraging female family members to be present for the delivery b. Encouraging the patient’s spouse to be present for the delivery c. Asking the patient’s spouse to see his baby before cutting the umbilical cord d. Asking the patient’s spouse to hold the neonate before bathing the neonate

Answer 34

a. Encouraging female family members to be present for the delivery

Question 35

The nurse is caring for a postpartum patient who requests to dry and bury the umbilical cord near an object or in a place that symbolizes what the parents want for the child’s future. Which cultural beliefs does the nurse recognize this patient adhering to? a. American Indian b. African American c. Chinese American d. Mexican American

Answer 35

a. American Indian

Question 36

What are some characteristics that cultures have in common? (Select all that apply.) a. Economic practices b. Survival modes c. Transportation systems d. Language e. Family systems

Answer 36

A, B, C, E

Question 37

What should the culturally sensitive nurse do for a Muslim woman being treated in the hospital? (Select all that apply.) a. Assign only female staff to care for her. b. Keep her head and extremities covered as much as possible. c. Arrange for family to bring specially prepared pork dishes. d. Let her make decisions relative to her care. e. Allow privacy for prayer.

Answer 37

A, B, E

Question 38

A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer’s disease. What should this nurse take into consideration when caring for the resident? (Select all that apply.) a. Cultural background has an important role in determining the resident’s status b. The resident will be culturally sensitive to caregivers c. Home remedies may have value even if harmful d. The resident will have a strong sense of trust for health care workers e. Communication should involve gesturing whenever possible

Answer 38

A,C