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Review Questions

1 .
What is the term for integrating an individual’s cultural beliefs into their health care?
  1. cultural integrity
  2. culturally responsive care
  3. holistic care
  4. integrative care
2 .
A client is admitted to the medical surgical floor for uncontrolled hypertension. He is a seventy-five-year-old Hispanic male who speaks fluent English. He tells the nurse that he has been seeing a curandero, or traditional healer, for his health issues for the last several years. What is the best initial response from the nurse?
  1. Ask the client for a list of all herbs, plants, and special diets that he is currently taking.
  2. Educate the client on why adherence to a Western medical treatment plan is better for his health.
  3. Inform the client that the treatment he has been receiving from the curandero is not evidence-based.
  4. Tell the client he is welcome to continue whatever traditional treatments he likes while he is in the hospital.
3 .
You are a nurse and have just finished taking a course on identifying implicit bias. You decide to journal after one of your shifts to reflect on any possible instances of implicit bias in your workday. What is an example of an interaction that represents implicit bias?
  1. You are frustrated when you learn during report that one of your clients is an eighty-two-year-old male with dementia who is forgetful, difficult to redirect, and often agitated.
  2. You learn that one of your clients went to another high school in your hometown. You rush through your medication pass so you can spend some extra time talking to this client.
  3. One of your clients is a fifty-nine-year-old female from Syria. During report, the client’s previous nurse explains to you that the client’s husband is at the bedside and that when the client is questioned, he usually answers the questions for her. The nurse states, “I think it’s really sexist, but they are from the Middle East.”
  4. You enter the room of your client who is a twenty-three-year-old Black female with a history of alcohol abuse. She is on alcohol withdrawal protocol and has orders for frequent vital signs. She shares with you her drinking history and how difficult it is for her to stop. You empathize with her and tell her you’re supportive of her efforts to get sober.
4 .
What are nonmedical factors that influence health outcomes, including conditions in which people are born, grow, work, live, and age, and the wider sets of forces and systems shaping the conditions of daily life called?
  1. environmental influences
  2. life circumstances
  3. situational occurrences
  4. social determinants of health
5 .
A process where the client and nurse seek a mutually acceptable way to deal with competing interests of nursing care, prescribed medical care, and the client’s cultural needs is known as cultural negotiation. What an example of cultural negotiation?
  1. a nurse insisting the client shave his facial hair
  2. a nurse demanding daily medication be taken at 0900, when the client wakes daily at 0500
  3. a nurse seeking arrangements to keep the client’s hijab in place for a surgical procedure
  4. a nurse (not the client) requesting a special religious healer visit the client after admission
6 .
While learning about Chinese culture and attending local presentations on culturally competent care, you discover a local event happening in your area. You decide to ask a group of coworkers to join you in attending a local Chinese New Year parade. What practice does this scenario represent?
  1. active learning
  2. interpersonal awareness
  3. intrapersonal awareness
  4. willingness to change
7 .
What is an example of being culturally responsive?
  1. attending an Indian dance night at a local community center
  2. educating the client on your own cultural practices
  3. implementing a system to improve cardiovascular health screening procedures for Black women at your hospital
  4. insisting that a client answer your questions instead of her husband
8 .
What scenario is an effective example of cultural humility?
  1. a nurse allowing a non-English speaking client’s son to translate for them
  2. a nurse listening to a client who is pregnant explain why they want a traditional midwife from their own culture present in the room while they are delivering their baby
  3. a nurse administering a new medication to a client with limited English, even though the translator is late, so that it can be given on schedule
  4. a nurse giving the client discharge paperwork printed in their preferred language because they don’t have time to verbally discuss discharge instructions with the client
9 .
What is the purpose of the theory of culture care diversity and universality?
  1. to provide a framework for transcultural nursing and the development and practice of culturally competent nursing care
  2. to explain the many cultural differences that exist among communities
  3. to shape the beliefs of nurses regarding certain health- and wellness-related customs communities of underrepresented people
  4. to provide clients with a way to address health disparities and systemic inequality in the health-care system
10 .
Taking a test to examine one’s implicit biases is an example of which of the twelve standards of practice for culturally competent nursing care?
  1. critical reflection
  2. culturally competent practice
  3. knowledge of cultures
  4. social justice
11 .
According to Giger and Davidhizar’s six cultural phenomena, in what context does all communication exist?
  1. biology
  2. environment
  3. space
  4. time
12 .
What is one important purpose of cultural competency?
  1. to improve the quality of care leading to better health outcomes for culturally diverse clients
  2. to ensure that the predominant cultural voices in a community are the ones who shape health-care practices
  3. to prevent unscientific beliefs from influencing important medical decisions
  4. to provide education to cultural communities on how they can best adapt their practices to suit the modern health-care system
13 .
What is the state in which everyone has a fair and just opportunity to obtain their highest level of health?
  1. health equality
  2. health equity
  3. fairness
  4. justice
14 .
Report from another nurse says that the new client is an eighty-two-year-old Chinese female. The new nurse believes that they will have a good day with this client because older, Asian women are usually very polite, easy to get along with, and compliant with requests. What is the new nurse engaging in?
  1. cultural application
  2. cultural blindness
  3. ethnocentrism
  4. stereotyping
15 .
A Spanish-speaking client has to fill out a consent form and requests that their family member interpret for them. What is the most appropriate response?
  1. Ask the family member to leave the room and use an official translator.
  2. Find an official translator to assist with the conversation along with the client and family member.
  3. Proceed with allowing the family member to interpret.
  4. Tell the client that you are only allowed to use official translators or interpreters.

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