Chapter 05 Cultural Influences

Chapter 05  Cultural Influences

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A postmenopausal black woman who has been experiencing uterine bleeding tells the nurse, “I expect I’ll need a total hysterectomy because when my sister had this problem that’s what she had done.” The nurse recognizes that this woman belongs to a cultural subgroup whose health care beliefs are most influenced by the:
a.
biomedical model.
b.
magico-religious model.
c.
balance/harmony model.
d.
personal experience.

ANS: A
The patient shows a tendency to identify with the biomedical model, which views the body as a functioning machine. When a part gives out or is functioning abnormally, traditional Western medical treatment is sought and expected. The magico-religious models believe that health is a reward from a higher power. The balance/harmony models state that illness is the result of a state of imbalance in body energies. Personal experience influences all of these models.

DIF: Understanding (Comprehension) REF: Page 91 OBJ: 5-5
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity

2. A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patient’s prescription has not been filled. Which action by the nurse illustrates cultural accommodation?
a.
Asking the patient to give more details regarding this belief
b.
Discussing how to add dietary preferences into the treatment plan
c.
Offering to have a registered nutritionist discuss the situation with the patient
d.
Researching the patient’s proposed dietary beliefs

ANS: B
Cultural care accommodation or negotiation refers to those assistive, supportive, facilitative, or enabling creative professional actions and decisions that help people of a designated culture adapt to or negotiate with others for a beneficial or satisfying health outcome. The nurse can ask the patient to share more about beliefs, offer a consultation with a nutritionist, or research the beliefs, but these actions do not show accommodation.

DIF: Applying (Application) REF: N/A OBJ: 5-9
TOP: Caring MSC: Psychosocial Integrity

3. A geriatric nurse practitioner working with a tribe of Native Americans makes the decision to acculturate in an attempt to provide culturally appropriate care. The nurse does this best by:
a.
living the values of the tribe.
b.
researching the tribe’s belief systems.
c.
learning the language of the tribe.
d.
residing among the tribe members.

ANS: A
Acculturation is a process that occurs when a member of one cultural group adopts the values, beliefs, expectations, and behaviors of another group, usually in an attempt to become recognized as a member of the group. The other actions might be helpful in acculturating.

DIF: Applying (Application) REF: N/A OBJ: 5-3
TOP: Nursing process: Implementation MSC: Psychosocial Integrity

4. The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:
a.
requesting the bridge group only use the game room for 2 hours at a time.
b.
encouraging Christian residents to attend mass or church services.
c.
repeatedly confiscating herbs and food products used in healing.
d.
telling potential patients who are Jewish that the facility does not have a kosher kitchen,

ANS: C
Ethnocentrism is a belief that one’s own cultural group is superior to that of another’s. In nursing we have a unique culture and expect our patients to adapt to us rather than attempting to adapt to the culture of the patient. Confiscating items used in healing rituals shows ethnocentrism and disrespect to the resident. Limiting activities in a group room, encouraging people to attend church services of their religion, and letting prospective Jewish residents know that the facility does not have a kosher kitchen are not examples of ethnocentrism.

DIF: Applying (Application) REF: N/A OBJ: 5-6
TOP: Nursing Process: Implementation MSC: Psychosocial Integrity

5. While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact. Being culturally sensitive, the nurse recognizes that the patient’s actions are most likely a(n):
a.
sign of respect for the wisdom and expertise of the nurse.
b.
indication that he has no questions regarding the care he is receiving.
c.
expression of discomfort discussing personal matters.
d.
means of communicating his dissatisfaction with his care.

ANS: A
Asian cultures generally view eye contact as rude and are often passive in their care. The patient may or may not have further questions. It is not a sign of discomfort or dissatisfaction.

DIF: Remembering (Knowledge) REF: Page 93 OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity