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
Choice (A) is correct because in the 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. (B) is incorrect because 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) is incorrect because the Asian culture is present oriented. (D) is incorrect because 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: Page 223

2. A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to “vista fuerte.” The nurse should expect to find which of the following symptoms associated with this exposure?
A.
Fever
B.
Constipation
C.
Bruising
D.
Somnolence

ANS: A
(A) is correct because the child has what is referred to as mal ojo, which can lead to diarrhea, fever, and even death. (B) is incorrect because the child has diarrhea. (C) is incorrect because bruising is associated with cupping, a common practice among Southeastern Asians. (D) is incorrect because the child is having restless sleep rather than feeling drowsy.

DIF: Application REF: Page 229

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
Choice (A) is correct because susto is an emotion-based illness that is common among Mexicans. An unexpected fall, a barking dog, or a car accident could cause susto. Symptoms include colic, diarrhea, high temperature, and vomiting. (B) is incorrect because empacho is a disease that can affect children or adults and is caused by food particles that become lodged in the intestinal tract, causing sharp pains. (C) is incorrect because 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) is incorrect because mal ojo is associated with “evil eye,” which causes fever, diarrhea, and restlessness.

DIF: Comprehension REF: Page 230

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
Choice (B) is correct because the first step to becoming a culturally sensitive and competent health 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. (A) is incorrect because a sign language course is not a priority because interpreters are usually available. (C) is incorrect because the nurse should always perform a cultural self-assessment first, before performing the patient’s cultural assessment. (D) is incorrect because this 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: Page 228