Chapter 15 Culture & Ethnicity

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Chapter 15  Culture & Ethnicity

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. North American healthcare culture typically reflects which culture? 1)
Asian
2)

European American 3)
Latino
4)

African American

ANS: 2
Although the demographics are changing in this recent decade with increasing Hispanic and Asian inhabitants, North American healthcare culture typically reflects the dominant (European American) culture because most healthcare providers belong to that culture.

PTS: 1 DIF: Easy REF: p. 317
KEY: Nursing process: N/A | Client need: PSI | Cognitive level: Recall

____ 2. A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident. When assessing this patient, the nurse must consider that he may possess which view of pain?
1)

A belief in taboos against narcotic use to relieve pain 2)
Expectation of immediate treatment for relief of pain 3)

Endurance of pain longer and report it less frequently than some patients do 4)
Use of herbal teas, heat application, and prayers to manage his pain

ANS: 3
In general, patients of Mexican heritage may endure pain longer and report it less frequently than some. Patients of Japanese heritage may have taboos against narcotic use to relieve pain. Patients of Puerto Rican heritage may use herbal teas, heat application, and prayers to manage pain. Remember that all of these are archetypes and are not necessarily true for all members of a cultural group.

PTS: 1 DIF: Difficult REF: p. 329

Treas Fundamentals TB15-2 Test Bank, Chapter 15

KEY: Nursing process: Assessment | Client need: PHSI | Cognitive level: Application

____ 3. The nurse is caring for a 42-year-old Chinese American patient who underwent emergency coronary artery bypass graft surgery. He is self-employed and has no health insurance. Each day members of his family spend hours at his bedside. Which is the most important factor for the nurse to focus on when planning the patient’s discharge?
1)
Ethnic background
2)
Family support
3)
Employment status
4)
Healthcare coverage

ANS: 2
The nurse should focus on the patient’s strengths and resources for health restoration and self-care. In this case, that is the patient’s family. His family can be a great support for him when he is discharged (e.g., preparing healthy meals, helping him manage exercise and treatment regimens). Although the patient’s ethnic background is very important to his care, discharge planning should revolve around his available resources. Insurance should not be the focus at this time, although at some point the nurse has probably obtained data about these topics.

PTS: 1 DIF: Moderate REF: pp. 320, 326
KEY: Nursing process: Planning | Client need: PSI | Cognitive level: Application

____ 4. A patient who came from Central America is admitted with diabetes mellitus. The nurse is collecting biographical information. Which information provided by the patient represents his ethnicity?
1)
Latino
2)
Catholic
3)
White
4)
Teacher

ANS: 1

Treas Fundamentals TB15-3 Test Bank, Chapter 15

Ethnicity refers to groups whose members share a common cultural heritage. This patient came from a Spanish-speaking country in Central America; therefore, his ethnicity is considered Latino. Catholic is his religion, white is his race, and teacher is his occupation.

PTS: 1 DIF: Moderate REF: p. 318
KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Application

____ 5. A patient who moved to the United States from Italy comes to the clinic for medical care. The patient has been in this country for several years and has adopted some elements of her new country. Yet she still retains some customs from her homeland. This patient is experiencing

1) Assimilation 2) Socialization 3) Acculturation 4) Immigration

ANS: 3
This patient is experiencing acculturation; she has accepted both her own and the new culture and has incorporated elements of both into her life. Socialization is the process of learning to become a member of a society or group. Cultural assimilation occurs when the new member gradually learns and takes on, to a great extent, the dominant culture’s values, beliefs, and behaviors. Immigration is the act of moving to a new country.

PTS: 1 DIF: Moderate REF: p. 319
KEY: Nursing process: N/A | Client need: PSI | Cognitive level: Analysis

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