Chapter 8 Ethnic, Cultural, and Spiritual Aspects of Care

Chapter 8  Ethnic, Cultural, and Spiritual Aspects of Care

Complete Chapter Questions And Answers
 

Sample Questions

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

____ 1. The nurse carefully plans care that will be provided to the patients assigned to her. In order to provide culturally competent nursing care, the nurse will
A.
Deliver appropriate care that is not discriminating to any race, gender, or ethnic group.
B.
Become familiar with any facet of the patient’s culture that may have an impact on his or her care.
C.
Show respect for each individual for whom she provides care.
D.
Openly discuss her thoughts and beliefs about the patient’s culture.

____ 2. In preparation for contributing to the patient’s plan of care, the nurse will assess a patient’s rituals, values, customs, and beliefs. The nurse is assessing the patient’s
A.
Culture.
B.
Race.
C.
Ethnicity.
D.
Heritage.

____ 3. The nurse provides care that is unique to the patient’s race. The nurse is taking into account the patient’s
A.
Acculturation.
B.
Ethnocentrism.
C.
Diversity.
D.
Ethnicity.

____ 4. The nurse provides care based upon the patient’s expectations, behavior, and decision-making processes. The nurse is providing care that is
A.
Culturally competent.
B.
Culturally insensitive.
C.
Culturally incompetent.
D.
Culturally assimilated.

____ 5. The nurse plans care that includes a patient’s health care beliefs because
A.
The patient otherwise could accuse the nurse of stereotyping.
B.
Not doing so could result in a patient’s discrimination claim.
C.
It could determine whether or not a patient rejects treatment.
D.
It results in more expedient and cost-effective care.

Chapter 8. Ethnic, Cultural, and Spiritual Aspects of Care
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
Providing care that does not discriminate among patients is important but does not indicate individualization of care for each patient.
B
Care provided by the nurse should be individualized by ensuring that care includes any part of a patient’s culture that can have an impact on that patient’s health and/or care. Chapter Objective: Explain why it is important to be aware of cultural differences.
C
Although showing respect for each patient is essential, it does not ensure that the care is culturally competent.
D
It is important to discuss the patient’s thoughts and beliefs about health care; however, the nurse should never discuss his or her beliefs about a patient’s culture.

PTS: 1 REF: Chapter: 8 | Page: 149 OBJ: Chapter Objective: 8-2
KEY: Content Area: Psychosocial Integrity | Integrated Process: Nursing Process/Planning | Client Need: Psychosocial Integrity/Cultural Awareness | Cognitive Level: Application

2. ANS: A

Feedback
A
Culture encompasses values, customs, beliefs, rituals, etc. Chapter Objective: Define key terms associated with cultural and spiritual nursing.
B
Race refers to nationality.
C
Ethnicity is a categorization of people by genealogy, race, or nationality.
D
Heritage is part of a patient’s culture, but it is not all-inclusive.

PTS: 1 REF: Chapter: 8 | Page: 148 OBJ: Chapter Objective: 8-1
KEY: Content Area: Psychosocial Integrity | Integrated Process: Nursing Process/Assessment | Client Need: Psychosocial Integrity/Cultural Awareness | Cognitive Level: Application

3. ANS: D

Feedback
A
Acculturation refers to the process of adopting another culture’s traits.
B
Ethnocentrism is a belief of cultural superiority.
C
Diversity refers to the various ethnic groups found within a larger group.
D
Ethnicity is a race’s group identity that is passed from one generation to the next. Chapter Objective: Define key terms associated with cultural and spiritual nursing.

PTS: 1 REF: Chapter: 8 | Page: 148 OBJ: Chapter Objective: 8-1
KEY: Content Area: Psychosocial Integrity | Integrated Process: Nursing Process/Implementation | Client Need: Psychosocial Integrity/Cultural Awareness | Cognitive Level: Comprehension

4. ANS: A

Feedback
A
Cultural competence refers to care that is based upon a patient’s expectations, behavior, perceptions, and decision-making processes. Chapter Objective: Compare cultural awareness to cultural sensitivity.
B
Cultural insensitivity is ignoring specific beliefs and values when planning a patient’s care.
C
When a nurse does not take into account a patient’s expectations, perceptions, and decision-making processes, it results in cultural incompetence.
D
Culturally assimilated means beliefs and values of another culture have been adopted.

PTS: 1 REF: Chapter: 8 | Page: 149 OBJ: Chapter Objective: 8-3
KEY: Content Area: Psychosocial Integrity | Integrated Process: Nursing Process/Implementation | Client Need: Psychosocial Integrity/Cultural Awareness | Cognitive Level: Comprehension

5. ANS: C

Feedback
A
Giving care that is based on one’s race as opposed to an individual’s health care beliefs could indicate that the nurse is stereotyping.
B
Discrimination is refusing to give care based on a patient’s uniqueness.
C
A patient could either refuse to seek medical care or reject treatment if he or she feels that the nurse is ignoring his or her health care beliefs. Chapter Objective: Describe some of the ways in which cultural differences can affect nursing care.
D
Culturally competent care may actually result in more expedient health care, but is no more cost-effective.

PTS: 1 REF: Chapter: 8 | Page: 149 OBJ: Chapter Objective: 8-4
KEY: Content Area: Psychosocial Integrity | Integrated Process: Nursing Process/Planning | Client Need: Psychosocial Integrity/Cultural Awareness | Cognitive Level: Comprehension