Chapter 19 Cultural Diversity

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Chapter 19  Cultural Diversity

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Martha is a student nurse who is caring for Ileana, a 25-year-old Mexican American woman who has learned that she has cervical cancer. Martha has learned that in the Mexican-American culture, decisions about healthcare are often made by the family group. Martha would like to help Ileana as she makes a decision about her treatment options. The most appropriate way for her to assist in this situation is to do which of the following?
A.
Suggest the health care provider meet with Ileana privately.
B.
Let Ileana know what time the health care provider will make rounds so that she can invite her family to be present.
C.
Explain to Ileana what the treatment options are.
D.
Have an interpreter present to answer any questions.

ANS: B
A worldview is the way a particular cultural group thinks. Professional worldviews about health and illness are often different from those of patients.

PTS: 1 DIF: Cognitive Level: Analysis REF: 545
OBJ: Compare dominant and nondominant cultural contexts of health and illness
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

2. A student nurse has been learning about cultural awareness. In her own journey to become culturally aware, she should consciously think about which of the following?
A.
American healthcare policies related to illegal immigrants
B.
University policies related to international students
C.
Hospital policies related to providing translators for non-English speaking patients
D.
Stereotypes of other people

ANS: D
Cultural awareness is gaining in-depth awareness of one’s own background, stereotypes, biases, prejudices, and assumptions about other people.

PTS: 1 DIF: Cognitive Level: Analysis REF: 538
OBJ: Compare dominant and nondominant cultural contexts of health and illness
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

3. Emma is a RN who is caring for Mrs. Loo, a 65-year-old Chinese American patient. Mrs. Loo states that she would like to have her own healer visit her in the hospital. She explains that she uses a shaman when her system is not in balance. Emma knows that a Chinese shaman specializes in which of the following?
A.
Prayers, singing, and herbs
B.
Foretelling the future
C.
Acupuncture
D.
Plant, animal, and mineral products

ANS: A
A Chinese shaman uses a combination of prayers, singing, and herbs to treat illnesses caused by supernatural, psychological, and physical factors.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 538
OBJ: Analyze the impact of culture on health, illness, and caring patterns
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

4. Harriett has been studying different cultures in relationship to nursing. She understands that transcultural nursing has been developed as a distinct discipline and can be defined as which of the following?
A.
Understanding one’s own culture within a universal perspective
B.
Acknowledging cultural differences among races
C.
Understanding cultural similarities and differences among groups of people
D.
Respecting cultural differences within an environmental context

ANS: C
Leininger developed transcultural nursing as a distinct discipline to understand cultural similarities (culture universal) and differences (culture-specific) among groups of people.

PTS: 1 DIF: Cognitive Level: Analysis REF: 539
OBJ: Describe steps toward developing cultural competence
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

5. A student nurse is performing a cultural assessment on an 83-year-old woman from the Appalachian region. Which of the following questions would be most appropriate for the student nurse to ask the patient to help her provide culturally congruent care?
A.
“Do you have any cultural practices we should know about?”
B.
“What characteristics do you value most in your health care providers?”
C.
“When is the last time you saw a health care provider?”
D.
“How do you intend to pay your bill?”

ANS: B
Cultural assessment is a systematic and comprehensive examination of the cultural care values, beliefs, and practices of individuals, families, and communities. The goal of cultural assessment is to gather information and understanding from patients that will help the nurse implement culturally congruent care.

PTS: 1 DIF: Cognitive Level: Analysis REF: 540
OBJ: Describe steps toward developing cultural competence
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

 

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