Test Generator Questions, Chapter 5, Transcultural Nursing

Format: Multiple Choice

Chapter: 5

Client Needs: Psychosocial Integrity

Cognitive Level: Analyze

Difficulty: Moderate

Integrated Process: Caring

Objective: 2

Page and Header: 95, Introduction

1. After discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which comment?

A) “Dominant values are those held by the male head of the household in most American families.”

B) “The percentages of minorities are rising, and this group is projected to comprise 50% of the population by 2050.”

C) “Nurses maintain their original culture as they are socialized throughout the educational process.”

D) “America has become an amalgamation of people who have different values, ideals, and behaviors, rather than the melting pot that was once envisioned.”

Difficulty: Easy

Integrated Process: Caring

Objective: 2

Page and Header: 99, Cultural Diversity

2. The population that community health nurses serve in the United States is changing. Because of population shifts, nurses must become sensitive to the cultural differences and language differences among new community members. Which minority group currently represents the largest group?

A) African Americans

B) Hispanic Americans

C) Asian Americans

D) American Indians

Difficulty: Moderate

Integrated Process: Caring

Objective: 3

Page and Header: 101, Ethnocentrism

3. The community health nurse is providing care to a community group. To provide culturally sensitive care, which the nurse should avoid?

A) Ethnocentrism

B) Ethnorelativism

C) Enculturation

D) Ethnicity

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 4

Page and Header: 103, Culture is Shared

4. As a community health nurse, you overhear a colleague say, “I don’t understand why the Yang’s take their young teenage daughters to the Hmong New Year celebration and have them play these match-making games. The girls meet boys every day at school and they are too young to be looking for husbands.” Which response would be the most appropriate?

A) “The Yang’s are very different from us; maybe in time we can convince them that their practices are not right.”

B) “Every culture has its differences; I think it is valuable that the Yang’s are keeping their cultural practices alive.”

C) “I know what you mean, I was thinking the same thing. You wouldn’t catch me doing something similar with my teens.”

D) “I feel sorry for those girls; they must feel funny in those cultural costumes. Let’s talk to the parents and tell them how teens in America feel about such things.”

Difficulty: Difficult

Integrated Process: Caring

Objective: 3

Page and Header: 101, Ethnocentrism

5. What is the most serious negative effect of a nurse maintaining ethnocentric views but not recognizing or acknowledging this?

A) The nurse fails to understand the views of other cultures because of his or her ethnocentrism.

B) The nurse does not communicate effectively with members of other cultures because of his or her ethnocentrism.

C) The nurse’s ethnocentrism causes damage to interpersonal relationships and interferes with the effectiveness of nursing interventions.

D) Nurses are immune to the effects of ethnocentrism.

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 103, Culture is Shared

6. The community health nurse is discussing the concept of shared culture with a group of nursing students. Which statement made by a student nurse demonstrates that the student has been able to link the concept of shared culture to previous culture knowledge acquired?

A) “Culture can only be inherited, not acquired.”

B) “Culture is a product of aggregate behavior.”

C) “Culture is interrelated and dependent.”

D) “Culture is static.”

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 104, Culture is Generally Tacit

7. As part of a class presentation, a nursing instructor describes the characteristics shared by all cultures. Which description of culture being tacit indicates that the teaching was successful?

A) Culture is mostly unexpressed.

B) Cultures do not remain static.

C) Culture is a functional and integrated whole.

D) Patterns of cultural behavior are acquired.

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 103, Culture is Integrated

8. Which statement made by a student nurse indicates understanding correct interpretation of cultural integration?

A) “A person’s culture is an interrelated and interdependent web of ideas and practices.”

B) “In order to describe a person’s culture, it is necessary to describe each trait independently.”

C) “Aspects of a person’s culture are best described as unrelated to other aspects of the person’s culture.”

D) “A person’s culture is an assortment of various customs and traits.”

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 113, Assess the Client Group’s Culture

9. A community health nurse is working with several Native American groups in Arizona. Which would the nurse be most likely to assess? Select all that apply.

A) The value of competition.

B) Respect for advancing age and elders.

C) Focus of living in the future.

D) Frequent dialogue and discussion.

E) Each tribe or nation has its own distinct language, beliefs, customs, and rituals.

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 113, Assess the Client Group’s Culture

10. A community health nurse working in a large metropolitan city has a large Asian American client base. Which would the nurse be least likely to assess in this population?

A) Belief that illness results from a body imbalance

B) Reliance on Western medical practices

C) Use of traditional self-care practices

D) A focus on patriarchal family structures

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 109, Figure 5-11 Cupping has been used by many cultures

11. While visiting an Asian American family in their home, the community health nurse inspects the skin of the 3-year-old child and notices a bruise-like lesion on the child’s abdomen. The mother states that the child has been experiencing diarrhea for 2 days. Which action would the nurse do next?

A) Report the family to the local child abuse agency.

B) Recognize this as a normal skin variation.

C) Question the family about the use of cupping.

D) Obtain a blood test for clotting function.

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 102, Box 5-3 Hispanic Population Trend in the United States

12. The community health nurse is working in the health department of a major city that has a large Hispanic/Latino population. Which would the nurse need to integrate into the plan of care for this population?

A) View of the female as superior to the male

B) Importance of an extended, cohesive family

C) Males as the binding force of the family

D) Adherence to strict time schedules

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 113, Assess the Client Group's Culture

13. What is the most important reason for the nurse to conduct a cultural assessment?

A) Because it is often assigned by nursing faculty

B) Because usually there is some culturally based reason that causes clients to engage in or avoid certain actions

C) To meet the nurse’s professional learning needs

D) Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action

Difficulty: Easy

Integrated Process: Caring

Objective: 6

Page and Header: 111, Transcultural Community/Public Health Nursing Principles

14. When developing an in-service program for a group of community health nurses about culture, which would the presenter expect to include?

A) All members of a cultural group are alike.

B) Intraethnic variations underscore a population’s cultural diversity.

C) Ethnicity has a major impact on the effectiveness of health care.

D) Ethnocentric attitudes are key to working with different cultures.

Difficulty: Easy

Integrated Process: Caring

Objective: 6

Page and Header: 112, Develop Cultural Self-Awareness

15. When applying the principles of transcultural nursing, which step must the nurse implement first?

A) Cultivate cultural sensitivity.

B) Develop cultural awareness.

C) Learn the client’s group culture.

D) Demonstrate respect for culture.

Difficulty: Moderate

Integrated Process: Caring

Objective: 7

Page and Header: 109, Integrated Health Care and Self-Care Practices

16. A community health nurse implements a plan of care that combines aromatherapy and acupuncture with medication therapy and surgery. Which type of care is the nurse applying?

A) Holistic health care

B) Folk medicine care

C) Herbalistic health care

D) Integrated health care

Difficulty: Difficult

Integrated Process: Caring

Objective: 6

Page and Header: 111, Transcultural Community/Public Health Nursing Principles

17. A community health nurse is providing care to several cultural groups in the community. When providing transcultural nursing, which action would be the priority?

A) Examining one’s own culture carefully and recognizing that alternative viewpoints are possible

B) Recognizing that cultural values, beliefs, and practices influence people’s health and lifestyles

C) Obtaining health-related information about a cultural group concerning their values, beliefs, and practices

D) Actively and attentively listening to demonstrate respect while learning about other cultures

Difficulty: Moderate

Integrated Process: Caring

Objective: 6

Page and Header: 108, Folk Medicine and Home Remedies

18. A community health nurse is assessing a family during a home visit. The nurse is examining the mother who is pregnant with her second child. The nurse asks the mother to raise her arms above her head. The mother replies, “I can’t do this because it will cause the umbilical cord to strangle the baby.” The nurse interprets this statement as reflective of:

A) home remedy.

B) herbalism.

C) folk medicine.

D) alternative therapy.

Difficulty: Difficult

Integrated Process: Caring

Objective: 2

Page and Header: 110, ROLE AND PREPARATION OF THE COMMUNITY/PUBLIC HEALTH NURSE

19. When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which action must the nurse take first?

A) Prepare to teach clients about the limits and benefits of cultural health practices.

B) Assess the client or family adequately to ascertain their belief system and choices.

C) Individualize caregiving for the client within his or her culture.

D) Be knowledgeable about health care practices and choices.

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 113, Assess the Client Group’s Culture

20. When working with immigrant groups in community health care, which action would be least appropriate for the community health nurse to take?

A) Permit ample time for interviewing to allow time to evaluate beliefs.

B) Develop educational programs to correct misconceptions.

C) Assume that the client has a basic understanding of health issues.

D) Ensure an appropriate interpreter for communication if needed.

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 102, Characteristics of Culture

21. The community health nurse is discussing the importance of understanding the concept of culture in relation to delivering quality nursing care. Which statement made by the student indicates a need for further education on the concept of culture?

A) “Culture refers to the beliefs, values, and behavior that are shared by members of a society.”

B) “Culture tells what is acceptable or unacceptable in a given situation.”

C) “Culture provides a ‘roadmap’ for living.”

D) “Culture is not a learned behavior.”

Difficulty: Moderate

Integrated Process: Caring

Objective: 1

Page and Header: 96, The Concept of Culture

22. The community health nurse is caring for a Latin American client. The nurse understands that in order to provide culturally competent care, a comfortable talking distance for this client would be?

A) 12 inches

B) 18 inches

C) 2 feet

D) 2.5 feet

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 2

Page and Header: 109, Prescription and OTC Drugs

23. The community health nurse is caring for a farm migrant worker client who reports difficulty in paying for medications. Which action would the nurse take next to assist the client with acquiring the medication?

A) Ask the health care provider to prescribe a less expensive medication on behalf of the client.

B) Ask the health care provider which medications the client could have discontinued.

C) Ask the client if the cultural health practices have a remedy the client could use instead.

D) Contact the pharmaceutical sales representative for sample packs of medications.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 95, Introduction

24. A nurse is reviewing the history of the United States. Which best classifies indigenous people of the United States?

A) Slaves who were brought from other countries.

B) Refugees fleeing poverty or political issues in their native country.

C) Native people were present when the early settlers arrived on the shores.

D) People who are fleeing their country due to war and oppression.

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 6

Page and Header: 108, Magicoreligious View

25. A nurse is caring for a client who is dying. The family has asked the nurse to pray with them. Which is the nurse’s best response?

A) “Yes, I understand your need to pray.”

B) “Yes, I will call the chaplain to assist.”

C) “Yes, I think the prayers will assist.”

D) “Yes, I will let the other nurses know about your needs.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 97, Figure 5-1

26. In 109 counties, white population share fell below 50% between 2000 and 2018. According the Pew Research Center, between 2000 and 2018, which areas of the United States fell below 50%? Select all that apply.

A) Northeast

B) Southeast

C) Northwest

D) Southwest

E) Midwest

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 97, Figure 5-1; 99, Figure 5-2

27. A nurse is reviewing the Bay Area Regional Health Inequities Initiatives to prepare to address social inequities in the community. Which areas are included to assess social inequities of living conditions? Select all that apply.

A) Housing

B) Arts

C) Media

D) Sexual behavior

E) Life expectancy