Chapter 9 - Cultural Competence Flashcards
Match the characteristic associated with cultural competency with the correct definition.
- Acquiring, maintaining, and sharing new cultural information with others.
- Effectively communicating and including cultural beliefs in patient care.
- Recognizing limitations in knowledge and understanding of other cultures.
- Learning and gaining new information about other cultures.
1) Cultural Proficiency
2) Cultural Skill
3) Cultural Humility
4) Cultural Knowledge
To provide culturally competent nursing care, the nurse must be aware of interactions among which cultures? Select all that may apply.
1) The healthcare provider’s personal culture.
2) The patient’s personal culture
3) The nurse’s personal culture
4) The healthcare system’s culture.
5) The personal culture of the patient’s significant other.
2) The patient’s personal culture
3) The nurse’s personal culture
4) The healthcare system’s culture.
Which questions would best encourage cultural competency when first encountering a patient with complaints of low back pain in the ED?
1) What concerns you the most about your low back pain?
2) Was there a specific event that led to the pain?
3) Have you tried herbal remedies to help with the pain?
4) Have you sought treatment from an alternative healthcare provider?
5) How long has the pain been present?
1) What concerns you the most about your low back pain?
3) Have you tried herbal remedies to help with the pain?
4) Have you sought treatment from an alternative healthcare provider?
Which questions would the nurse ask during culturally appropriate health assessment of a patient with complaints of cough based on the 4 C’s of Culture?
1) Who have you consulted regarding your condition?
2) Can you communicate clearly about your issue?
3) What do you think caused this cough?
4) How do you cope with this cough?
5) What is the biggest concern about the cough?
6) What do you call the type of cough that you have been experiencing?
3) What do you think caused this cough?
4) How do you cope with this cough?
5) What is the biggest concern about the cough?
6) What do you call the type of cough that you have been experiencing?
Which details would the nurse include during a culturally appropriate nursing assessment with respect to the cultural phenomenon of communication?
1) Preferred language.
2) Tonal Preference
3) Use of nonverbal communication.
4) Proximity to others.
5) Comfort with touch.
1) Preferred language.
2) Tonal Preference
3) Use of nonverbal communication.
The nurse is performing a cultural health assessment on a patient who is of African descent. Which questions would be most important to include in the cultural assessment based on the patient’s ethnicity?
A) Which is your preferred language?
B) How do you best learn new information, verbal or written?
C) Have you ever been told of a genetic susceptibility to a specific disease?
D) Is physical touch acceptable from a stranger?
C) Have you ever been told of a genetic susceptibility to a specific disease?
Although addressing all cultural phenomena is important to perform a thorough cultural health assessment, it is most important to ask a question regarding biologic cultural phenomena because of the known risk for sickle cell disease in patients of African descent.
The nurse is caring for a patient of Hispanic descent who understands English but is not fluent in the language. Which action or statement by the nurse would be most appropriate when attempting to alleviate the patient’s concern about an upcoming medical procedure?
A) Speaking loudly, explain, “The risks of an adverse event during the procedure are minimal.”
B) “Having cold feet prior to a medical procedure is normal.”
C) “The CRNA is very competent and experienced at putting patients to sleep.”
D) “Would you like me to have an interpreter come to the room so I can more thoroughly answer any questions or concerns that you may have?”
D) “Would you like me to have an interpreter come to the room so I can more thoroughly answer any questions or concerns that you may have?”
Appropriate interventions the nurse can take when the patient and nurse speak a different language include using a professional interpreter, avoiding the use of abbreviations and slang, and providing written materials for further information.
The nurse is caring for a Native American patient, newly diagnosed with lung cancer, who smokes his own tobacco. Which strategy would the nurse implement when providing culturally competent nursing care for this patient?
A) Cultural accommodation
B) Cultural care restructuring
C) Cultural negotiation
D) Cultural maintenance
B) Cultural care restructuring
Cultural care restructuring involves working with the patient to make mutual decisions together so the patient can continue with some traditions while forgoing the tradition of smoking and adopting a healthier lifestyle.
Which actions by the nurse specifically incorporate culture into a nursing intervention?
1) Introducing yourself to the patient
2) Ordering a kosher diet
3) Assisting with activities of daily living
4) Requesting a same-gender healthcare provider
5) Requesting an interpreter.
2) Ordering a kosher diet
4) Requesting a same-gender health care provider
5) Requesting an interpreter
Culturally competent nursing interventions are developed after complete evaluation of the cultural assessment. After identifying the patient’s needs based on his or her culture, ordering a kosher diet would incorporate culture into the nursing care plan.
Recognizing that the patient would like a same-gender healthcare provider based on his or her culture would specifically incorporate the patient’s culture into the nursing treatment plan.
Requesting an interpreter for a patient who does not speak the same language is a specific nursing action that would incorporate the patient’s culture into the nursing care of the patient.
The nurse receives a report from the emergency department about a new patient, a 25-year old pregnant Hispanic female patient who was found unresponsive at a local homeless shelter. Current vital signs are: HR 96, RR 24, and BP 135/75, and she is now alert and oriented. Which details in the report are important for the nurse to consider regarding the patient’s cultural worldview?
A) Found unresponsive
B) 25 years of age
C) Pregnant
D) Found at a local homeless shelter
D) Found at a local homeless shelter
A person’s cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status. Being homeless would influence a person’s cultural worldview.
Which are examples of culture?
1) A national monument
B) The Canadian flag
C) Being of Asian-American descent
D) Grandmother and grandchild with the same eye color
E) A US twenty-dollar bill
A) A national monument
A national monument is a symbol for the specific nation it represents. It has specific meaning associated with that country and would be considered an example of culture.
B) The Canadian flag
Cultures have symbols. Flags, money, songs, and languages are all symbols of a culture. Symbols are objects that stand for something else, and their meaning can vary across different cultures.
E) A US twenty-dollar bill
Flags, money, songs, and languages are all symbols of a culture. Symbols are objects that stand for something else, and their meaning can vary across different cultures.
Which examples illustrate how culture is dynamic?
A) A young adult who changes political beliefs after moving away from the South
B) A teenager who chooses to become a Christian after attending church services with his best friend’s family
C) A college student who becomes financially conservative after taking finance classes.
D) A grandmother who teaches a grandchild how to make homemade biscuits from a family recipe
E) Being proud of your country when listening to its national anthem
A) A young adult who changes political beliefs after moving away from the South
B) A teenager who chooses to become a Christian after attending church services with his best friend’s family.
C) A college student who becomes financially conservative after taking finance classes.
A Korean-American nurse is wanting to expand her cultural awareness. Which experiences are likely to increase the nurse’s cultural awareness?
1) Attending a Mardi Gras parade in New Orleans
2) Attending a Korean church service
3) Volunteering to rock a preemie newborn of Hispanic descent in the NICU
4) Attending a ceremony in a Spanish-speaking church
5) Attending a French art exhibit at a local museum
1) Attending a Mardi Gras parade in New Orleans
4) Attending a ceremony in a Spanish-speaking church
5) Attending a French art exhibit at a local museum
The art, literature, costumes, customs, language, religion, and religious rituals of a particular group of people are the reflections of culture in society.
Which statement by the nurse best exhibits cultural awareness?
A) “I am a follower of Islam, but I read the Torah to learn about Judaism.”
B) “I am not caring for that patient because the men do not respect women in their culture.”
C) “I am a Christian, and I spend quiet time every morning reading the Bible.”
D) “I believe it is a disservice to Amish children not to teach them the advances of technology.”
A) “I am a follower of Islam, but I read the Torah to learn about Judaism.”
Cultural awareness is the understanding, acknowledgment, and appreciation that different cultures exist. It is a specific way of thinking that allows the individual not only to see the differences and similarities among various ethnic groups but to appreciate the differences as well. Learning about another religion exhibits cultural awareness.
While caring for a dying patient with stage 4 lung cancer who does not believe in God, the nurse quietly asks if she can pray for him and if he would consider following the teachings of Jesus during his last few weeks of life. Which behavior or thought process is the nurse exhibiting?
A) Stereotyping
B) Discrimination
C) Ethnocentrism
D) Enculturation
C) Ethnocentrism
The nurse is exhibiting the behavior of ethnocentrism or the tendency to believe that one’s own culture is superior to others’ beliefs.
Which examples illustrate how nurses can increase their cultural awareness?
1) Attending a continuing medical education conference (CME) on cultural awareness
2) Identifying their own biases
3) Learning about a different culture from a coworker
4) Returning to school for a nurse practitioner degree
5) Learning to say “hello” in a foreign language
1) Attending a continuing medical education conference (CME) on cultural awareness
Attending a CME on cultural awareness would help improve a person’s cultural awareness.
2) Identifying their own biases
Identifying one’s own cultural biases would help improve a person’s cultural awareness.
3) Learning about a different culture from a coworker
Learning about a different culture would help improve a person’s cultural awareness.
5) Learning to say “hello” in a foreign language
Learning to say hello in another language would help improve a person’s cultural awareness.
Which concept is exemplified by a Hispanic toddler who is brought to the United States and learns English but can no longer speak his native language of Spanish?
A) Cultural assimilation
B) Ritual
C) Acculturation
D) Cultural identity
A) Cultural assimilation
Assimilation is the process in which individuals from one cultural group merge with another group and in the merging process, lose aspects of their original culture.
A 27-year-old has recently changed his beliefs on gun control after experiencing a mass shooting at a local music concert. This is an example of which concept related to culture?
A) Assimilation
B) Acculturation
C) Identity
D) Ritual
C) Identity
Cultural identity is dynamic and ever-changing. Cultural identity related to political views on gun control may change if one experiences an event related to a mass shooting, either in a desire for stricter laws or a desire for allowing concealed weapons, both with the outcome of saving lives.
Which scenarios illustrate the process of acculturation?
1) A family who immigrated to the United States and no longer speaks their native language
2) A Korean child who has learned to speak English at school but still speaks Korean in the home
3) A Chinese mother who teaches her child how to use chopsticks
4) An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband.
5) A child who learns to recite the Lord’s prayer from grandparents
2) A Korean child who has learned to speak English at school but still speaks Korean in the home
Acculturation is the process of learning and adopting a new culture but still maintaining part of the old culture. Learning English at school but still speaking Korean at home would be an example of acculturation.
4) An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband.
Acculturation is the process of learning and adopting a new culture but still maintaining part of an old culture. Learning how to use chopsticks after moving to China would be an example of acculturation.
A male nurse is preparing to bathe a female patient. The patient states “I don’t want a man to give me a bath.” Which action does the nurse take?
- Identify a female nursing staff member who can assist the patient with bathing.
- Convince the patient that the nurse will work quickly and provide as much privacy as possible.
- Allow the patient to complete some hygiene care and omit the remaining components
- Ask the patient if she prefers to have a family member assist with the care
- Ask the patient why she has concerns about his care.
- Identify a female nursing staff member who can assist the patient with bathing.
- Ask the patient if she prefers to have a family member assist with the care
When the nurse has a prejudice against a particular culture, which type of behavior is likely to result?
A) Discrimination
B) Culturally congruent care
C) Effective intercultural communication
D) Sufficient knowledge of diverse groups
A) Discrimination
The nurse is assessing patients from different cultural backgrounds. Which action should the nurse perform to obtain a systematic cultural assessment? Select all that apply.
- Overlook patients’ beliefs about health care.
- Establish trusting relations with patients.
- Obtain information by asking open-ended questions.
- Gather area demographic information from census data.
- Obtain information about economic backgrounds.
- Establish trusting relations with patients.
- Obtain information by asking open-ended questions.
- Gather area demographic information from census data.
A young child who is ill and the parent speak and understand a different language than the nurse. Which action would the nurse take to communicate with them?
A) Care for the child using hand gestures and pictures to interact
B) Ask the unit manager to limit the parent’s visits
C) Request that a different nurse care for the child.
D) Seek help with language interpretations and understand cultural differences.
D) Seek help with language interpretations and understand cultural differences.
The senior nurse observes that a newly appointed nurse is having trouble relating to a patient from a different culture. What advice can the senior nurse give this nurse to enhance cultural competency?
A) Obtain in-depth knowledge about medical concepts and nursing care
B) Learn at least three foreign languages
C) Obtain sufficient knowledge about the patient’s culture and beliefs
D) Learn about various dialects prevalent in the country.
C) Obtain sufficient knowledge about the patient’s culture and beliefs
