Chapter 5 Cultural Diversity

Chapter 5  Cultural Diversity

Complete Chapter Questions And Answers
 

Sample Questions

1.
A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that personal space considerations vary among cultures. What personal space preferences are important for the student to consider when caring for this client?
A)
People of Asian descent prefer some distance between themselves and others.
B)
People of Asian descent commonly stand close to one another when talking.
C)
People of Asian descent touch one another when sitting next to a familiar person.
D)
People of Asian descent prefer direct eye contact when communicating.
Ans:
A

Feedback:

Individuals of Asian descent are more comfortable with some distance between themselves and others. Direct eye contact may be considered impolite or aggressive within the Asian culture, and they may tend to avoid direct eye contact and avert their eyes while speaking with others.

2.
When providing nursing care to an African American individual, which of the following cultural factors should the nurse consider?
A)
Values and beliefs are often present oriented.
B)
Families are usually patriarchal.
C)
They possess weak religious affiliations.
D)
Families are highly competitive.
Ans:
A

Feedback:

Cultural factors that should be considered when providing care to the African American family include the recognition that the family is usually matriarchal, values and beliefs are present oriented, there is strong family unity and cooperation, and families are frequently highly religious and highly respect the African American clergy.

3.
The nurse is obtaining a health history from a patient of Puerto Rican descent. Which of the following is most likely to be a health problem that has a cultural connection for this patient?
A)
Lactose enzyme deficiency
B)
Tuberculosis
C)
Sickle cell anemia
D)
Suicide
Ans:
A

Feedback:

Common health problems that may affect the Puerto Rican population include lactose enzyme deficiency and parasitic diseases. Tuberculosis is a common health problem for the Native American population. Sickle cell anemia predominantly affects the African American population, and suicide is a common health problem for the Native American and white middle-class populations.

4.
Despite the presence of a large number of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. Which of the following should the nurses at the facility recognize this as an example of?
A)
Cultural blindness
B)
Stereotyping
C)
Cultural assimilation
D)
Cultural imposition
Ans:
A

Feedback:

Cultural blindness is characterized by ignoring cultural differences or considerations and proceeding as if they do not exist. This phenomenon may underlie the failure to incorporate cultural considerations into dietary choices. Stereotyping assumes homogeneity of members of other cultures. Cultural assimilation involves the replacement of values with those of a dominant culture. Cultural imposition presumes that everyone should conform to a majority belief system.

5.
When providing care on an Indian reservation, the nurse has prioritized assessments for diabetes and fetal alcohol syndrome when working with residents of the reservation. How should this nurse’s practice be best understood?
A)
The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population.
B)
The nurse is stereotyping American Indians as leading unhealthy lifestyles and abusing alcohol.
C)
The nurse is performing cultural imposition of the majority American culture, and the accompanying beliefs around diabetes and alcohol use.
D)
The nurse should seek specific permission from each client before proceeding with these assessments.
Ans:
A

Feedback:

Because diabetes and fetal alcohol syndrome are known to have a higher incidence and prevalence among American Indians, Nurse K. is justified in reflecting this objective reality during health assessment. This action is rooted in epidemiology, not the inaccurate generalizations of stereotyping. Because the consequences of both problems are significant and objective, Nurse K. is not guilty of cultural imposition and specific permission for these assessments is not likely necessary.