week 2 sherpath Flashcards
Which characteristics are true of culture?
Select all that apply.
-Culture is shared.
-Culture is dynamic.
-Culture is static.
-Culture is symbolic.
-Culture is integrated.
-Culture is learned.
-Culture is shared.
-Culture is dynamic.
-Culture is symbolic.
-Culture is integrated.
-Culture is learned.
The nurse would be aware that a patient’s cultural worldview is influenced by which variables?
Select all that apply.
-The patient is agnostic.
-The patient is an older adult.
-The patient is of male gender.
-The patient was raised in Italy.
-The patient identifies as homosexual.
-The patient is agnostic.
-The patient is of male gender.
-The patient was raised in Italy.
-The patient identifies as homosexual.
Which statement about ethnicity is correct
-Ethnicity and culture are interchangeable.
-Ethnicity is not inherited.
-Ethnicity describes people who share common ancestry.
-Ethnicity cannot be chosen.
Ethnicity describes people who share common ancestry.
Which outcomes are associated with improved cultural awareness in health care?
Select all that apply.
-Improved patient relationships
-Improved financial outcomes
-Medication adherence
-Improved health outcomes
-Treatment compliance
-Improved patient relationships
-Medication adherence
-Improved health outcomes
-Treatment compliance
Which action by the nurse indicates cultural awareness?
-Allowing for privacy when a patient with different cultural beliefs slaps his adolescent son
-Speaking only to the parent instead of the teenager with cerebral palsy but no mental disabilities
-Respecting the cultural request of a patient for a same-gender caregiver
-Refusing to care for a patient who wants to have an abortion because it goes against your beliefs
Respecting the cultural request of a patient for a same-gender caregiver
Match the thought or behavior that is associated with impeding cultural awareness with its description.
Assuming a person who is homeless is lazy and does not want a job
Assuming someone is an undocumented immigrant because they are Hispanic
Refusing a patient assignment due to the ethnicity of the patient
Assuming a teenager is sexually active based on choice of clothing
Answer choices
Generalizing
Enculturation
Discrimination
Stereotyping
Prejudice
Ethnocentrism
Assuming a person who is homeless is lazy and does not want a job
Generalizing
Assuming someone is an undocumented immigrant because they are Hispanic
Stereotyping
Refusing a patient assignment due to the ethnicity of the patient
Discrimination
Assuming a teenager is sexually active based on choice of clothing
Prejudice
Which aspect of cultural identity is illustrated by the Korean woman’s request for seaweed soup after giving birth?
-Assimilation
-Ritual
-Acculturation
-Enculturation
Ritual
Which aspects of cultural identity can be influenced by outside factors?
Select all that apply.
-Race
-Religion
-Ethnicity
-Socioeconomic status
-Gender
Religion
Socioeconomic status
Which term describes a process in which individuals or groups merge with another group and part or all of the aspects of the minority group’s culture is lost to that of the majority group?
-Cultural assimilation
-Acculturation
-Enculturation
-Cultural identity
Cultural assimilation
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?
-Found unresponsive
-25 years of age
-Pregnant
-Found at a local homeless shelter
Found at a local homeless shelter
Which are examples of culture?
Select all that apply.
-A national monument
-The Canadian flag
-Being of Asian-American descent
-Grandmother and grandchild with the same eye color
-A US twenty-dollar bill
Which are examples of culture?
Select all that apply.
-A national monument
-The Canadian flag
-Being of Asian-American descent
-Grandmother and grandchild with the same eye color
-A US twenty-dollar bill
-A national monument
-The Canadian flag
-A US twenty-dollar bill
Which examples illustrate how culture is dynamic?
Select all that apply.
-A young adult who changes political beliefs after moving away from the South
-A teenager who chooses to become a Christian after attending church services with his- best friend’s family
-A college student who becomes financially conservative after taking finance classes
-A grandmother who teaches a grandchild how to make homemade biscuits from a family recipe
-Being proud of your country when listening to its national anthem
-A young adult who changes political beliefs after moving away from the South
-A teenager who chooses to become a Christian after attending church services with his- best friend’s family
-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?
Select all that apply.
-Attending a Mardi Gras parade in New Orleans
-Attending a Korean church service
-Volunteering to rock a preemie newborn of Hispanic descent in the NICU
-Attending a ceremony in a Spanish-speaking church
-Attending a French art exhibit at a local museum
-Attending a Mardi Gras parade in New Orleans
-Attending a ceremony in a Spanish-speaking church
-Attending a French art exhibit at a local museum
Which statement by the nurse best exhibits cultural awareness?
-“I am a follower of Islam, but I read the Torah to learn about Judaism.”
-“I am not caring for that patient because the men do not respect women in their culture.”
-“I am a Christian, and I spend quiet time every morning reading the Bible.”
-“I believe it is a disservice to Amish children not to teach them the advances of technology.”
“I am a follower of Islam, but I read the Torah to learn about Judaism.”
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?
-Stereotyping
-Discrimination
-Ethnocentrism
-Enculturation
Ethnocentrism
Which examples illustrate how nurses can increase their cultural awareness?
Select all that apply.
-Attending a continuing medical education conference (CME) on cultural awareness
-Identifying their own biases
-Learning about a different culture from a coworker
-Returning to school for a nurse practitioner degree
-Learning to say “hello” in a foreign language
-Attending a continuing medical education conference (CME) on cultural awareness
-Identifying their own biases
-Learning about a different culture from a coworker
-Learning to say “hello” in a foreign language
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?
-Cultural assimilation
-Ritual
-Acculturation
-Cultural identity
Cultural assimilation
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?
-Assimilation
-Acculturation
-Identity
-Ritual
Identity
Which scenarios illustrate the process of acculturation?
Select all that apply.
-A family who immigrated to the United States and no longer speaks their native language
-A Korean child who has learned to speak English at school but still speaks Korean in the- home
-A Chinese mother who teaches her child how to use chopsticks
-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.
-A child who learns to recite the Lord’s prayer from grandparents
-A Korean child who has learned to speak English at school but still speaks Korean in the- home
-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.
Match the characteristic of cultural competence to the action of the nurse.
Called for a same-gender doctor to show respect to the culture
Asked a Kurdish colleague for more information about the patient’s culture
Noted the differences between his culture and the patient’s culture
Provided the patient’s culture-related data to colleagues
Answer choices
Cultural sensitivity
Cultural knowledge
Cultural proficiency
Cultural awareness
Cultural humility
Called for a same-gender doctor to show respect to the culture
Cultural sensitivity
Asked a Kurdish colleague for more information about the patient’s culture
Cultural knowledge
Noted the differences between his culture and the patient’s culture
Cultural awareness
Provided the patient’s culture-related data to colleagues
Cultural proficiency
Which nursing action exemplifies cultural awareness?
-Learning a foreign language
-Asking a coworker about her religious beliefs
-Questioning one’s own religious beliefs
-Maintaining and acquiring new cultural knowledge
Questioning one’s own religious beliefs
Which statements about culturally competent nursing care are true?
Select all that apply.
-Cultural competence begins with cultural awareness.
-Cultural competence is a cognitive thought process.
-Cultural competence can increase health disparities.
-Cultural competence incorporates the patient’s culture into his or her health care plan.
-Once cultural competence is achieved, it cannot be lost.
-Cultural competence begins with cultural awareness.
-Cultural competence incorporates the patient’s culture into his or her health care plan.
When assessing a patient, the nurse asks, “What health remedies have you used to address your health issues?” Which cultural phenomenon is the nurse assessing?
-Communication
-Space
-Social orientation
-Environmental control
Environmental control
According the Giger and Davidhizar Transcultural Assessment Model, which questions might be asked when addressing the social orientation cultural phenomenon?
Select all that apply.
-What is your role in the family?
-Do you attend church regularly?
-What do you consider your ethnicity?
-Do you know of any familial diseases seen in your family?
-What do you enjoy doing if you have free time?
-What is your role in the family?
-Do you attend church regularly?
-What do you consider your ethnicity?
-What do you enjoy doing if you have free time?
Which rationales for asking specific questions during a cultural assessment are accurate?
Select all that apply.
-Allows the nurse to see the health concerns from the patient’s perspective
-Allows the patient to maintain control during the hospital stay
-Helps eliminate miscommunication between the nurse and the patient
-Strengthens the nurse-patient relationship
-Leads to a shorter hospital stay
-Allows the nurse to see the health concerns from the patient’s perspective
-Helps eliminate miscommunication between the nurse and the patient
-Strengthens the nurse-patient relationship
Which cultural issue is the patient most likely to hide from the nurse?
-Food preference
-Personal view on euthanasia
-Illiteracy
-Role in the family environment
-Illiteracy
Which interventions are most appropriate when a patient speaks the predominant language but it is not his or her native language?
Select all that apply.
-Speak louder.
-Use a professional interpreter.
-Have the child translate for the family member.
-Provide written materials.
-Limit the use of slang.
-Use a professional interpreter.
-Provide written materials.
-Limit the use of slang.
The nurse is caring for a Puerto Rican patient who must make a decision about whether to have surgery for an advanced-stage brain tumor. Which action or characteristic would the nurse expect to see based on the patient’s ethnicity?
-The patient will likely avoid eye contact with the nurse while discussing treatment options.
-The patient will likely consult with the family before making a decision.
-The patient may request that the nurse not tell the family of the advanced stage of the tumor.
-The patient may have concerns about the possibility of a blood transfusion during the surgery.
The patient will likely consult with the family before making a decision.
Match the characteristic associated with cultural competence 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
Answer choices
Cultural skill
Cultural knowledge
Cultural awareness
Cultural proficiency
Cultural humility
Acquiring, maintaining, and sharing new cultural information with others
Cultural proficiency
Effectively communicating and including cultural beliefs in patient care
Cultural skill
Recognizing limitations in knowledge and understanding of other cultures
Cultural humility
Learning and gaining new information about other cultures
Cultural knowledge
To provide culturally competent nursing care, the nurse must be aware of interactions among which cultures?
Select all that apply.
-The health care provider’s personal culture
-The patient’s personal culture
-The nurse’s personal culture
-The health care system’s culture
-The personal culture of the patient’s significant other
-The patient’s personal culture
-The nurse’s personal culture
-The health care system’s culture
Which questions would best encourage cultural competency when first encountering a patient with complaints of low back pain in the emergency department?
Select all that apply.
-What concerns you the most about your low back pain?
-Was there a specific event that led to the pain?
-Have you tried herbal remedies to help with the pain?
-Have you sought treatment from an alternative health care provider?
-How long has the pain been present?
-What concerns you the most about your low back pain?
-Have you tried herbal remedies to help with the pain?
-Have you sought treatment from an alternative health care provider?
Which questions would best encourage cultural competency when first encountering a patient with complaints of low back pain in the emergency department?
Select all that apply.
-What concerns you the most about your low back pain?
-Was there a specific event that led to the pain?
-Have you tried herbal remedies to help with the pain?
-Have you sought treatment from an alternative health care provider?
-How long has the pain been present?
-What concerns you the most about your low back pain?
-Have you tried herbal remedies to help with the pain?
-Have you sought treatment from an alternative health care provider?
Which questions would the nurse ask during a culturally appropriate health assessment of a patient with complaints of cough based on the 4 Cs of Culture?
Select all that apply.
-Who have you consulted regarding your condition?
-Can you communicate clearly about your issue?
-What do you think caused the cough?
-How do you cope with the cough?
-What is your biggest concern about the cough?
-What do you call the type of cough that you have been experiencing?
-What do you think caused the cough?
-How do you cope with the cough?
-What is your biggest concern about the cough?
-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?
Select all that apply.
-Preferred language
-Tonal preference
-Use of nonverbal communication
-Proximity to others
-Comfort with touch
-Preferred language
-Tonal preference
-Use of nonverbal communication
The nurse is performing a cultural health assessment on a patient who is of African descent. Which question would be most important to include in the cultural assessment based on the patient’s ethnicity?
-Which is your preferred language?
-How do you best learn new information, verbal or written?
-Have you ever been told of a genetic susceptibility to a specific disease?
-Is physical touch acceptable from a stranger?
-Have you ever been told of a genetic susceptibility to a specific disease?
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?
-Speaking loudly, explain, “The risks of an adverse event during the procedure are minimal.”
-“Having cold feet prior to a medical procedure is normal.”
-“The CRNA is very competent and experienced at putting patients to sleep.”
-“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?”
“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?”
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?
-Cultural accommodation
-Cultural care restructuring
-Cultural negotiation
-Cultural maintenance
-Cultural care restructuring
What describes an early care responsibility within the stages of family approaches to caregiving?
-Listening to family health care complaints
-Palliative care for end-stage renal disease
-Clinician discussion related to diabetes care
-Allowing family members to support themselves
Clinician discussion related to diabetes care
Order approaches of an ecological model to reduce barriers to health care.
Understand national health policies
Understand interpersonal relationships with family members
Locate community health resources
Identify family support systems
Understand interpersonal relationships with family members
Identify family support systems
Locate community health resources
Understand national health policies
Which tasks demonstrate a nursing role in family caregiving?
Select all that apply.
-Creating a strict care routine for all skills
-Sharing the birth of a new family member
-Asking family members about their openness
-Educating family members about healthy eating
-Allowing a family caregiver to perform skills they are trained in
-Asking family members about their openness
-Educating family members about healthy eating
-Allowing a family caregiver to perform skills they are trained in
Which actions illustrate the focal points of family-centered nursing practice?
Select all that apply.
-Renewing nursing licensure
-Reading the latest nursing journals
-Connecting family members with community resources
-Listening to family members’ concerns about caregiving
-Educating family members to assist with healthy meal preparation
-Connecting family members with community resources
-Listening to family members’ concerns about caregiving
-Educating family members to assist with healthy meal preparation
Which task explains a component of acute family caregiving?
Discussion of toileting measures postdischarge
Changing caregiving schedules postdischarge
Allowing family members to partner in care
Resources available postacute illness
Answer choices
Self-efficacy
Communication
Flexibility
Openness
Discussion of toileting measures postdischarge
Openness
Changing caregiving schedules postdischarge
Flexibility
Allowing family members to partner in care
Self-efficacy
Resources available postacute illness
Communication
What measure is essential for effective family caregiving as a family member transitions to continuing care?
-Continuing the restrictiveness of continuing care
-Suggesting that family members will have less interaction
-Being flexible about family care changes postdischarge
-Being open and explaining that caregiving will be needed for the remainder of the family member’s life
Being open and explaining that caregiving will be needed for the remainder of the family member’s life
You are the family nurse assigned to assist Michael and Grace. Which of these tasks would be an inappropriate nursing responsibility from a family-centered approach?
-Provide a predetermined plan of care for Michael.
-Assess family resources related to the long-term care facility.
-Discuss communication methods with Michael, Grace, and their children.
-Determine family member caregiving skills in caring for Michael and Grace.
Provide a predetermined plan of care for Michael.
Which tasks describe nursing roles for an evidence-based approach to Grace’s needs?
Select all that apply.
-Reviewing clinical research on caregiver stress
-Performing a self-assessment of nurse’s clinical skills
-Communicating with Grace about how she deals with stress
-Discussing Grace’s behavior with neighbors
-Scheduling an intervention for Grace before discussions
-Reviewing clinical research on caregiver stress
-Performing a self-assessment of nurse’s clinical skills
-Communicating with Grace about how she deals with stress
Which task demonstrates a family-centered nursing role?
-Providing education to family members on healthy dietary approaches to wellness based on clinical research
-Developing an educational program for healthy eating based on personal weight loss program
-Assigning caregiving tasks to family members based on needs
-Suggesting the family restrict communication with each other to reduce potential for stress
Providing education to family members on healthy dietary approaches to wellness based on clinical research
Promoting wellness approaches to family-centered care would include which ideas?
Select all that apply.
-Keep up to date on clinical research support for caregiver stress.
-Discuss measures the family has used in times of stress.
-Share family recipes related to healthy nutrition.
-Provide a healthy diet plan to family members.
-Refrain from discussions to reduce potential stress.
-Keep up to date on clinical research support for caregiver stress.
-Discuss measures the family has used in times of stress.
-Share family recipes related to healthy nutrition.
Which is an essential component of acute family caregiving for Michael and Grace’s family?
-Assessing family member skills in delivering acute care needs during high-stress events
-Delegating Michael’s acute needs to the most available family member
-Requesting family members resolve Grace’s stress
-Providing education on dietary needs
Assessing family member skills in delivering acute care needs during high-stress events
Considering the role of communication in caring for Michael’s restorative care needs, what are essential family caregiving approaches?
Select all that apply.
-Begin communication related to restorative care as soon as possible.
-Maintain openness when discussing Michael’s health care needs.
-Understand transition to restorative and continuing care can be difficult for families.
-Suggest that restorative care is necessary for the remainder of Michael’s life.
-Communicate that rigid schedules are essential to maintain Michael’s care.
-Begin communication related to restorative care as soon as possible.
-Maintain openness when discussing Michael’s health care needs.
-Understand transition to restorative and continuing care can be difficult for families.
Which directional pattern of growth is seen in early infant development?
-Dorsolateral
-Ventromedial
-Ventrolateral
-Cephalocaudal
Cephalocaudal
Which pattern of development growth can be described as “from the center outward”?
-Mediolateral
-Ventrolateral
-Proximodistal
-Coronal to sagittal
Proximodistal
cephalocaudal pattern of growth is seen in which aspect of motor development?
-An infant will be able to roll front to back before he or she can crawl.
-An infant can use their upper limbs before he or she is able to use their lower limbs.
-An infant will be able to point to a moving object before they can bat the object.
-An infant will be able to lift the head before they demonstrate tripod sitting.
An infant can use their upper limbs before he or she is able to use their lower limbs
What factors make children more vulnerable to environmental exposures?
Select all that apply.
-Small body surface area
- Large body surface area
-Increased metabolic rate and growth
-Slow and gradual developing tissue in many body systems
-Immature and rapidly developing tissue in multiple body systems
- Large body surface area
-Increased metabolic rate and growth
-Immature and rapidly developing tissue in multiple body systems
