Exam Questions Culture Test Questions Chapter 3

Chapter 3. Culture – Test Questions

1. Which of the following is not a function of culture?

2. The purpose of transcultural nursing is to:

3. The way we view social concerns and problems in the culture is termed cultural:

4. The way we greet each other within a culture is an example of:

5. Race categorizes a person by:

6. Learning about a patient’s ancestry is termed cultural:

7. The health care worker who believes that his or her values and ways of life are superior to those of the patient is practicing:

8. When a person migrates to another country and takes on the practices of the dominant culture, this is considered:

9. A 70-year-old patient admitted to the nursing home speaks with a distinct accent. To determine his cultural or ethnic origin, you would:

10. In caring for patients from different cultures, a nurse must understand that culture is:

11. Failure to understand and develop cultural awareness may lead to:

12. Deeply embedded feelings that help individuals determine what is good or bad and right or wrong are referred to as:

13. Differences in skin color, as seen in different races, are thought to be the result of differences in:

14. The best time to introduce racial and ethnic tolerance is:

15. Mrs. Gonzales is 10 weeks pregnant, and she tells the nurse that she has not had a visit to a medical doctor. She explains that her people prefer to use a partera for pregnancy and delivery. Which of the following responses is most culturally sensitive?

16. A nurse notices that a Jewish patient on her unit is in his room lighting a Shabbat candle on Friday night. The culturally sensitive response by the nurse would be:

17. When caring for a patient from a different culture, the health care worker should respect the fact that:

18. The theory of transcultural nursing was proposed by:

19. A client refuses to have any chemotherapy to treat his confirmed malignancy. He tells the nurse that his family is bringing him an herbal potion that is used in his home country. He is convinced this will cure him. The nurse’s best response is:

20. A nurse understands that cultural values and practices:

21. The key to understanding how a client responds to illness is understanding his or her:

22. Learning one’s culture through observation or instructions from elders within the culture is called:

23. An individual is able to learn about the culture he or she is born into because humans have the ability to think:

24. Which of the following is a similarity found in all cultures?

25. A nurse would expect that the greatest amount of change seen within a culture is the result of:

26. The most important symbol in a culture is:

27. Which of the following gives a culture stability and security over time?

28. The ability to learn a language is based on a person’s:

29. Cultural competence requires that the health care worker (select all that apply):

30. A nursing student asks the nurse instructor to explain the goal of transcultural nursing. The instructor correctly states:

a. The nurse supports the patient’s lifestyle changes

b. Care must include the key values of the patient’s culture

c. The nurse’s assumption of the patient’s needs is primary

d. The patient must be able to interpret their own health care needs

31. The process of borrowing cultural elements from another culture and incorporating them into your own culture best describes:

a. Acculturation

b. Enculturation

c. Diffusion

d. Adaptation

32. A health care worker is caring for a patient who is visiting the United States for the first time. The patient sustained internal injuries after an accident and was hospitalized. To deliver competent care, it would be most appropriate to (select all that apply):

a. Tell the patient she will be all right because you share similar beliefs

b. Ask the patient if she has any special needs

c. Be aware that the patient’s nonverbal cues may be different from your own

d. Understand that the patient’s pain tolerance may differ from your own

e. Tell the patient the faster she tries to learn this culture, the easier her hospitalization will be

33. When teaching a new Hispanic mother how to change the diaper of and provide skin care to her newborn, the nurse finds a copper coin placed on the umbilicus. Which of the following should the nurse do next?

a. Remove the coin and remain silent

b. Leave the coin in place and remove it in the nursery

c. Ask the mother about the meaning of the coin on the umbilicus

d. Tell the mother that her baby can develop a serious infection from a dirty copper coin

Chapter 2. Culture – Test Questions With Answers and Rationales

1. Which of the following is not a function of culture?

Rationale: Individual achievement is based on many factors, culture being one of them.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

2. The purpose of transcultural nursing is to:

Rationale: Transcultural nursing reaches globally, in that it promotes the concept of “one world, many cultures.”

Nursing Process: Planning

Client Needs: Psychosocial Integrity

3. The way we view social concerns and problems in the culture is termed cultural:

Rationale: To correctly view social concerns and problems, one must be sensitive to the cultural dynamics of the people.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

4. The way we greet each other within a culture is an example of:

Rationale: Different cultures use different methods to greet one another. These methods are called folkways.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

5. Race categorizes a person by:

Rationale: There are distinctive physical characteristics common to each race.

Nursing Process: Assessment

Client Needs: Physiological Integrity

6. Learning about a patient’s ancestry is termed cultural:

Rationale: Cultural awareness refers to becoming familiar with another person’s ancestry and history. This helps one understand—not offend—another individual.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

7. The health care worker who believes that his or her values and ways of life are superior to those of the patient is practicing:

Rationale: Tolerance and understanding of someone’s culture and practices avoid ethnocentrism.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

8. When a person migrates to another country and takes on the practices of the dominant culture, this is considered:

Rationale: Assimilation is the practice of adopting new cultural practices common to other cultures.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

9. A 70-year-old patient admitted to the nursing home speaks with a distinct accent. To determine his cultural or ethnic origin, you would:

Rationale: To be sure of a person’s cultural background, one should ask and not assume.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

10. In caring for patients from different cultures, a nurse must understand that culture is:

Rationale: Understanding different cultures helps the health care worker better understand how the patient views health and illness.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

11. Failure to understand and develop cultural awareness may lead to:

Rationale: A lack of cultural awareness may result in a misunderstanding of a patient’s feelings and responses.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

12. Deeply embedded feelings that help individuals determine what is good or bad and right or wrong are referred to as:

Rationale: Values are deeply embedded feelings that form the foundation and direction of one’s actions and feelings.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

13. Differences in skin color, as seen in different races, are thought to be the result of differences in:

Rationale: Theorists ascribe differences in skin color to adaptation to physical elements, such as climate, that either increase or decrease skin pigmentation.

Nursing Process: Assessment

Client Needs: Physiological Integrity

14. The best time to introduce racial and ethnic tolerance is:

Rationale: To foster racial and ethnic tolerance, prejudice education should be introduced at an early age.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

15. Mrs. Gonzales is 10 weeks pregnant, and she tells the nurse that she has not had a visit to a medical doctor. She explains that her people prefer to use a partera for pregnancy and delivery. Which of the following responses is most culturally sensitive?

Rationale: The nurse is correct to support the decision of the patient.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance

16. A nurse notices that a Jewish patient on her unit is in his room lighting a Shabbat candle on Friday night. The culturally sensitive response by the nurse would be:

Rationale: The nurse tries to support the needs and practices of her patient.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

17. When caring for a patient from a different culture, the health care worker should respect the fact that:

Rationale: d

Rationale: Male and female roles are influenced by cultural beliefs.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

18. The theory of transcultural nursing was proposed by:

Rationale: Madeleine Leininger is credited with the theory of transcultural nursing.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

19. A client refuses to have any chemotherapy to treat his confirmed malignancy. He tells the nurse that his family is bringing him an herbal potion that is used in his home country. He is convinced this will cure him. The nurse’s best response is:

Rationale: Caregivers must take into account a client’s specific cultural remedies.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

20. A nurse understands that cultural values and practices:

Rationale: Cultural values and practices are learned and passed down through generations.

Nursing Process: Assessment

Client Needs: Psychological Integrity

21. The key to understanding how a client responds to illness is understanding his or her:

Rationale: The key to understanding how a client will respond to illness and the sick role is learned within their cultural group.

Nursing Process: Assessment

Client Needs: Psychological Integrity

22. Learning one’s culture through observation or instructions from elders within the culture is called:

Rationale: The process of learning one’s culture from elders in the culture by instruction or observation is called enculturation.

Nursing Process: Assessment

Client Needs: Psychological Integrity

23. An individual is able to learn about the culture he or she is born into because humans have the ability to think:

Rationale: Humans, unlike other animals, learn the culture they are born into because of their ability to think symbolically, meaning that humans have the ability to think of a tree even when one is not visible.

Nursing Process: Planning

Client Needs: Psychological Integrity

24. Which of the following is a similarity found in all cultures?

Rationale: All cultures are similar in establishing social controls within the family unit.

Nursing Process: Assessment

Client Needs: Psychological Integrity

25. A nurse would expect that the greatest amount of change seen within a culture is the result of:

Rationale: The greatest amount of change in a culture occurs when cultural traits are borrowed from another culture.

Nursing Process: Assessment

Client Needs: Psychological Integrity |

26. The most important symbol in a culture is:

Rationale: A culture has many symbols, but the most important one is language, as culture is stored and transmitted through it.

Nursing Process: Assessment

Client Needs: Psychological Integrity

27. Which of the following gives a culture stability and security over time?

Traditional: Shared traditions lend security and stability to a culture.

Nursing Process: Assessment

Client Needs: Psychological Integrity

28. The ability to learn a language is based on a person’s:

Rationale: The ability to speak a language is based on learning within the culture, but the ability to learn a language is based on biological makeup or intellect.

Nursing Process: Assessment

Client Needs: Psychological Integrity

29. Cultural competence requires that the health care worker (select all that apply):

Rationale: To be culturally competent and nonjudgmental, the health care worker must learn about the client’s culture and engage in continuous self-evaluation.

Nursing Process: Planning

Client Needs: Psychological Integrity

30. A nursing student asks the nurse instructor to explain the goal of transcultural nursing. The instructor correctly states:

a. The nurse supports the patient’s lifestyle changes

b. Care must include the key values of the patient’s culture

c. The nurse’s assumption of the patient’s needs is primary

d. The patient must be able to interpret their own health care needs

Rationale: The nurse must value and respect the patient’s culture.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

31. The process of borrowing cultural elements from another culture and incorporating them into your own culture best describes:

1. Acculturation
2. Enculturation
3. Diffusion
4. Adaptation

Rationale: The term acculturation best describes the process by which a culture exchanges values and beliefs.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

32. A health care worker is caring for a patient who is visiting the United States for the first time. The patient sustained internal injuries after an accident and was hospitalized. To deliver competent care, it would be most appropriate to (select all that apply):

1. Tell the patient she will be all right because you share similar beliefs
2. Ask the patient if she has any special needs
3. Be aware that the patient’s nonverbal cues may be different from your own
4. Understand that the patient’s pain tolerance may differ from your own
5. Tell the patient the faster she tries to learn this culture, the easier her hospitalization will be

Rationale: Cultural competence is a conscious process whereby a health care worker learns about the patient’s culture in order to deliver competent health care.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

33. When teaching a new Hispanic mother how to change the diaper of and provide skin care to her newborn, the nurse finds a copper coin placed on the umbilicus. Which of the following should the nurse do next?

Rationale: Cultural values and practices are learned and passed down through generations and have meaning for the individual; therefore, there is meaning in every action. The nurse’s first action is to learn why the coin is on the umbilicus; the coin can be cleaned later.

Nursing Process: Implementation

Client Needs: Psychological Integrity