Test Generator Questions, Chapter 13, Culture and Diversity

Format: Multiple Choice

Chapter: 13

Client Needs: Psychosocial Integrity

Cognitive Level: Remember

Integrated Process: Teaching/Learning

Learning Objective: 1

Page and Header: What Is Culture?, p. 203.

1. A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

A) Belief system that guides behavior

B) Altruistic grouping

C) Cluster of individuals

D) Complete uniformity of members

2. The client in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the client is experiencing?

A) Anxiety

B) Disparity

C) Resolution

D) Shock

3. Nursing students are socialized into the:

A) nursing specialties.

B) healthcare culture.

C) caring paradigm.

D) diagnostic process.

4. A nurse educator could be considered culturally as a(an):

A) referral source.

B) respondent.

C) expert.

D) key informant.

5. Within a culture, the world becomes predictable and coherent for its inhabitants. This predictability has been defined as:

A) habituation.

B) normalization.

C) stereotypical.

D) desensitization.

6. When an American client states, "I only want an American doctor," the client is expressing cultural:

A) ethnocentrism.

B) relativity.

C) pervasiveness.

D) superiority.

7. A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the:

A) nursing personality.

B) past history.

C) media.

D) genetics.

8. Healthcare facilities that sponsor health-promotion activities only in affluent areas are considered:

A) culturally sensitive.

B) culturally blind.

C) culturally affluent.

D) culturally different.

9. The nurse caring for several clients on a hospital unit notices that the American client makes eye contact with the staff, while an older adult client of Japanese descent does not make eye contact when speaking to the staff. What cultural concept explains this difference?

A) Cultural dissonance

B) Cultural negativity

C) Cultural relativity

D) Cultural neutrality

10. A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?

A) Necessary

B) Expected

C) A ritual

D) A birth rite

11. A nurse in the hospital is caring for a client who identifies as Native American/First Nations. Which statement should best guide the nurse's care?

A) There is no concept of a nuclear family.

B) There is likely to be deep mistrust for the healthcare providers.

C) There may be a role for a tribal medicine man in the client's care.

D) The client is likely to expect immediate results of treatment.

12. When a home-bound client expresses past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

A) race.

B) assimilation.

C) subculture.

D) ethnic identity.

13. When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

A) Stigma

B) Ethnic slur

C) Bias

D) Stereotype

14. Which area is typically included in a cultural assessment?

A) Marital status

B) Employment status

C) Food preferences

D) Ethics

15. The parent of a Black newborn asks the nurse about the bluish-black areas the parent noticed around the newborn's lower back and buttocks. What is the nurse's best response?

A) "These areas are normal and should disappear by early childhood."

B) "It will be best if you have these areas treated with laser surgery."

C) "These spots will normally fade in about 2 weeks."

D) "This discoloration occurs in some infants and is usually permanent."

16. Which question should the nurse use to begin an ethnographic interview with a newly admitted adult client from Egypt?

A) "How have you been feeling during the past week"

B) "Why are you here?"

C) "What is making you feel pain?"

D) "Can you describe your family?"

17. The newly employed nurse working in a healthcare provider's office seeks advice on the job responsibilities and how best to implement these responsibilities. Who is the key informant for this nurse?

A) The healthcare provider

B) The nurse who has been working in the office for 8 years

C) The office manager who has been employed by this provider for 14 years

D) The unlicensed assistive personnel who has worked in the office for 22 years

18. The nurse is caring for the adolescent child of immigrants from China. The adolescent voices distress because after living in the United States for several years, the client no longer wants to participate in some of the Chinese religious rituals that are important to the parents. What is the client experiencing?

A) Culture shock

B) Cultural ethnocentrism

C) Cultural change

D) Cultural relativity

19. A client tells the nurse that the only thing that helps him or her sleep is a glass of warm milk. The nurse caring for the client insists that this practice is a myth and tries to convince the client that reading a book will help make the client sleepy. What is the nurse demonstrating?

A) Cultural pervasiveness

B) Cultural superiority

C) Stereotyping

D) Ethnocentrism

20. The nurse is caring for two clients from an Hispanic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences?

A) Cultural norms

B) Cultural relativity

C) Ethnicity

D) Ethnocentrism

21. The public health nurse is preparing a presentation about disparities in healthcare in the community. What key concepts will the nurse include? Select all that apply.

A) Information regarding minorities within the community

B) Identifying groups that are disadvantaged within the community

C) Pointing out groups within the community that possess less power

D) Differences in beliefs within a particular culture

E) Ethnic identities within subcultures in the community

22. The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics?

A) Biological

B) Social

C) Spiritual

D) Religious

23. A Black client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?

A) Ethnocentrism

B) Racism

C) Stereotyping

D) Ethnic identification

24. What are characteristics of nurses that make them a subculture within their countries of practice? Select all that apply.

A) Uniforms worn based on place of employment

B) Language or medical terminology used to communicate

C) Legal authorization to provide healthcare to others

D) View of work as a reward; shared work ethic

E) Sensitivity to the importance of time

25. The nurse working on a medical unit always performs hand hygiene between contact with each client. In addition to being understood as an infection control measure, this practice can be understood as:

A) a custom.

B) an obsession.

C) a coping strategy.

D) a ritual.

26. The nurse caring for several clients on a surgical unit notes that one of the clients practices Islam. The nurse decides to remove all pork from the client's meal tray prior to delivering it to the room. What best describes the nurse's action?

A) Stereotyping

B) Racism

C) Honoring rituals

D) Transcultural nursing

27. While studying about various cultures, the student nurse is aware that a subculture is based on which characteristic? Select all that apply.

A) Gender

B) Age

C) Profession

D) Hobbies

E) Sexual preference

28. A nurse has just been hired at a healthcare facility that performs abortions. Based on the nurse's religious beliefs, the nurse strongly feels that abortion is unacceptable. This situation will prevent the nurse from being able to practice:

A) transcultural nursing.

B) safe and effective care.

C) efficient care.

D) holistic care.