Chapter 10 Cultural Competency and Social Issues in Nursing and Health Care

Chapter 10  Cultural Competency and Social Issues in Nursing and Health Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When planning health care, the nurse should be mindful that members of the Asian culture tend to:
a.
miss appointments because they are present oriented and time is viewed as flexible.
b.
look to their ancestors for guidance.
c.
plan ahead and be future oriented.
d.
arrive early because they have no concept of time.

ANS: A
Correct: In Asian culture, individuals tend to be present oriented and time is viewed as being more flexible than in the Western culture; being on time for appointments is not seen as a priority.
Incorrect:
b. The people of the Asian culture usually have close, extended family ties, and emphasis is on family needs rather than individual needs; all members participate in health care decisions.
c. The Asian culture is present oriented.
d. The Asian culture is present oriented, and Asian individuals are often late for appointments because they are less concerned with planning ahead.

DIF: Comprehension REF: p. 194

2. A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to mal ojo. The nurse should expect to find which symptom associated with this exposure?
a.
Fever
b.
Nervous tension
c.
Bruising
d.
Somnolence

ANS: A
Correct: The child has what is referred to as mal ojo or “evil eye,” which can lead to diarrhea, fever, and even death.
Incorrect:
b. A child said to have fits of rage or bilis would experience nervous tension and fatigue.
c. Bruising is associated with cupping, a common practice among Southeast Asians.
d. Somnolence is not a symptom of mal ojo.

DIF: Application REF: p. 200

3. A Mexican-American patient is attacked and beaten. This patient is at risk for “fright disease,” which is known as:
a.
susto.
b.
empacho.
c.
bilis.
d.
mal ojo.

ANS: A
Correct: Susto is an emotion-based illness common among Mexicans. An unexpected fall, a barking dog, or a car accident could cause susto. Symptoms include colic, diarrhea, high temperature, and vomiting.
Incorrect:
b. Empacho, a disease that can affect children or adults, is caused by food particles that become lodged in the intestinal tract, causing sharp pains.
c. Bilis is a disease that is brought on by anger. It primarily affects adults and commonly occurs a day or two after a fit of rage.
d. Mal ojo is associated with “evil eye,” which causes fever, diarrhea, and restlessness.

DIF: Comprehension REF: p. 200

4. A priority action for the nurse who works with culturally diverse clients is completion of a:
a.
sign language course.
b.
cultural self-assessment.
c.
cultural client assessment.
d.
continuing education course on how to speak Spanish.

ANS: B
Correct: The first step to becoming a culturally sensitive and competent health care provider is to conduct a cultural self-assessment. Through identification of health-related attitudes, values, beliefs, and practices, the nurse can better understand the cultural aspects of health care from the client’s perspective.
Incorrect:
a. A sign language course is not a priority because interpreters are usually available.
c. The nurse should always perform a cultural self-assessment first, before performing the patient’s cultural assessment.
d. Taking a Spanish class is not a priority action and would be helpful only with patients who speak Spanish; the nurse may encounter many other patients with different language needs.

DIF: Application REF: p. 198