NURS 3101 Quiz 5: Culture

Which term is defined below? - The enabling of healthcare providers to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural or linguistic needs of diverse patients. A: Diversity competency B: Cultural competency C: Transcultural competency D: none of the above

B

Which term is defined below? - The way an individual and family feel or react to a disease A: perception B: illness C: disease D: none of the above

B

Which theoretical link to culture is described below? - The central tenant is that both "etic" (external) and "emic" (from within) approached can lead to more responsive approaches to caring - To provide meaning and holistic care, social structure factors such as religion, economics, education, technology, ethnic background, and history have to be taken into account because these have major influences on health, well-being, and illness A: Interprofessional theory of social suffering B: Leininger's theory of culture care diversity and universality

B

Acceptance of others regardless of their cultural background is referred to using what term? A: Stereotyping B: Respect C: Tolerance D: Enculturation

C

Addressing healthcare disparities includes all of the following EXCEPT: A: focus on cultural competency, health literacy, and patient/family-centered care B: recognize that valuing each patient's unique needs improves the overall safety and quality of care and helps to eliminate health disparities C: treat all patient uniformly D: all above are correct

C

All of the following are federally defined minority groups EXCEPT: A: asian-american B: black or african-american C: women D: hispanic or latino E: native hawaiian and other pacific islander F: american indian and alaska native G: all above are correct

C

All of the following are true of cultural competency in nursing EXCEPT A: expected component of nursing education and professional nursing practice B: requires underlying acceptance of patient's health beliefs C: requires personal experience as the basis of understanding D: require adapting care to meet the unique needs and perspectives of individuals E: all of the above are correct

C

All of the following are true of the current status of diversity in the healthcare workforce EXCEPT: A: highest representation - black or african americans B: lowest representation - american indian/alaska native C: men in nursing represent a majority D: men in nursing represent a minority

C

All of the following are true of violence's impact on diversity, inclusion, and bias EXCEPT: A: businesses, churches, and schools have become sites for random acts of violence B: unemployment is associated with violence C: few restrictions on gun ownership D: homicide is the second leading cause of death among American 15-24 (leading cause of death in black males 15-34) E: intimate partner violence (IPV) is the greatest cause of injury to women 15-24 across all groups G: all above are correct

C

Common attributes of culture include all of the following EXCEPT: A: culture is learned B: culture is changing and adapting C: culture is fixed D: includes shared beliefs, values, and behaviors E: all of the above

C

The attribute "Culture is changing and adapting" of culture touches on all of the following EXCEPT: A: Culture is constantly changing as people adapt to environmental and technological changes B: Population migration occurs as a result of overpopulation, economic changes, catastrophic events, and religious or ethnic conflicts C: From migration, individuals' values, norms, languages, and beliefs stay fixed D: From migration, individuals are exposed to different cultures and acculturation occurs in both groups E: All of the above are correct

C

The attribute "Culture is learned" of culture touches on all of the following EXCEPT: A: Includes language, traditions, art, norms, and values. B: Culture may be transmitted to individuals during childhood or adolescence by the process of socialization or enculturation. C: Culture is limited to members who share the same country or origin or ethnicity and is solely determined in childhood. D: Culture encompasses any group whose members share certain roles, values, norms, and attitudes (sometimes referred to as subcultures E: All of the above are correct

C

What term is defined below? - Pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language or live in a defined geographic region A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

C

Which attribute/criteria or culture is defined below? - Describes how gender roles are conceived and how greatly male and female roles differ A: individualism vs. collectivism B: power distance C: masculinity vs. femininity D: long-term vs. short-term orientation E: religiosity F: none of the above

C

Which term is defined below? - Groups that are treated as insignificant or on the periphery A: Discriminated group B: Minority group C: Marginalized group D: none of the above

C

Which term is defined below? - Malfunctioning biological or psychological processes A: perception B: illness C: disease D: none of the above

C

Which term is defined below? - Our unconscious brain automatically sorts different people into different groups based on our own experiences. It's an unconscious reaction based on the circumstances of the environment's that you have grown up in. A: bias B: discrimination C: implicit bias D: perception

C

Which term is defined below? - belonging simultaneously to multiple social groups A: oppression B: cultural congruence C: intersectionality D: none of the above

C

Why is it important for nurses to have a broad understanding of cultural influences on health care? A: Disability entitlements B: Requirements of the Health Insurance Portability and Accountability Act (HIPAA) C: Increasing global diversity D: Litigious society

C

All of the following are interrelated constructs for developing cultural competence EXCEPT: A: Cultural desire B: Self-awareness C: Cultural skill D: Cultural understanding E: Cultural knowledge F: All above are correct

D

All of the following are population trends associated with diversity EXCEPT: A: immigration laws have increased the number of immigrants B: by mid 21st century, minority populations will outnumber the white population C: Growth in the number and proportion of older adults is increasing at an unprecedented rate leading to longer lifespans and aging baby boomers D: all above are correct

D

How is cultural humility best achieved? A: By caring for the culturally diverse B: By embracing the cultures of others C: Demonstrating tolerance of the culturally diverse D: Through regular self-evaluation of biases

D

The following is an example of which term? - High school student from the United States spends a summer abroad with a family in Switzerland A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

D

The nurse is working with a patient who has undergone transgender transformation to become a male. Which are some Western cultural masculine attributes the nurse should emphasize to the patient? A: Fitness, fidelity, and stamina B: Generosity, sportsmanship, and leadership C: Harmonious relationships, modesty, and caretaking D: Achievement, material success, and recognition

D

What term is defined below? - Process by which a person learns norms, values, and behaviors of another culture A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

D

When providing nutritional education for a Mexican-American patient with newly diagnosed hypertension, the nurse notes that the patient is nodding "yes" to everything that is being said. Which action by the nurse is appropriate? A: Call the patient's oldest male relative for help with decision-making. B: Write everything down for the patient to refer to later. C: Call the recognized elder for this patient. D: Prompt the patient further to elicit additional questions or concerns.

D

Which attribute/criteria or culture is defined below? - The degree to which a culture is oriented to the future and long term rewards vs. the degree to which a culture is oriented to the past or present. A: individualism vs. collectivism B: power distance C: masculinity vs. femininity D: long-term vs. short-term orientation E: religiosity F: none of the above

D

All of the following are attributes and criteria or culture EXCEPT: A: individualism vs. collectivism B: power distance C: masculinity vs. femininity D: long-term vs. short-term orientation E: situational relationships F: religiosity G: all of the above

E

All of the following are overt attributes of culture that are readily apparent to non-group members EXCEPT: A: Language B: Rituals C: Customs D: Dietary practices E: Values F: Manner of Dress G: All above are correct

E

All of the following are true regarding cultural taboos EXCEPT: A: usually highly stigmatized B: patients may not reveal certain symptoms or seek treatment due to fear of what the healthcare provider may think C: especially true for mental illness, behavior disorders, STDs, and potentially fatal illness (ebola, AIDS) D: A and C E: A, B, C

E

All of the following contribution to a population of people who don't get healthcare in regards to changing economics and downsizing EXCEPT: A: joblessness B: homelessness C: poverty D: limited access to health care insurance and healthcare (high cost of insurance and lower wages make it difficult for minority groups to rise out of poverty and access healthcare) E: limited access to education F: all above are correct

E

Cultural competent organization do all of the following EXCEPT: A: value diversity B: conduct a cultural self-assessment C: manage the dynamics of difference D: institutionalize cultural knowledge E: provide cultural travel programs F: adapt to diversity G: all above are correct

E

Cultural norms impacts all aspects of life including all of the following EXCEPT: A: Interpersonal relationships B: Family Dynamics C: Child-rearing practices D: Dietary preferences E: Personal Hygiene F: Communication G: Dress H: Religious practices

E

The RESPECT Model is used to : A: demonstrate respect and empathy to patients B: lets patient's know that their concerns and values are understood C: demonstrates respect among healthcare workers D: A and C E: A and B

E

The following is an example of which term? - A woman of Christian faith married to a Muslim adopts some Muslin practice and also maintains some Christian practices A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

E

What term is defined below? - Dual pattern of identification as related to culture A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

E

Which attribute/criteria of culture is defined below? - Varies according to how much an organized belief system permeates one's day to day existence and to what degree those belief practices can be separated from non-belief practices. A: individualism vs. collectivism B: power distance C: masculinity vs. femininity D: long-term vs. short-term orientation E: religiosity F: none of the above

E

Which of the following can be unique in different cultures and western medicine may not be able to recognize? A: Dietary Preferences B: Illness Expressions C: Symptoms of illnes D: A and B E: B and C

E

All of the following are causes of death for minority groups EXCEPT: A: cancer B: heart disease and stroke C: chemical dependency D: homicides and accidents E: infant mortality F: mother mortality G: all above are correct

F

All of the following are more subtle attributes of culture that are most relevant to healthcare and communication EXCEPT: A: Values B: Relationship to authority C: Social interactions D: Gender roles E: Orientation to the present and future F: All above are correct

F

All of the following are true of the attribute/criteria of culture "Long-term vs. short-term orientation" EXCEPT: A: Long-term oriented cultures favor thrift, perseverance, and adapting to changing circumstances B: Short-term oriented cultures are oriented to the present or past and social obligation. Status is not a major issue in relationships and leisure time is important. C: Long-term cultures are oriented to the present or past and social obligation. Status is not a major issue in relationships and leisure time is important. D: Short-term oriented cultures favor thrift, perseverance, and adapting to changing circumstances E: A and B F: C and D

F

Cultural competency includes all of the following EXCEPT: A: respecting a patient's health beliefs and understanding the effect of the patient's beliefs on health care diversity B: shifting a model of understanding a patient's experience from a disease happening in the patient's organ systems to that of an illness occurring in the context of culture C: ability to elicit a patient's explanation of an illness and its causes D: ability to explain to a patient the healthcare provider's perspective on the illness and its perceived causes E: being able to negotiate a mutually agreeable, safe, and effective treatment plan F: all above are correct

F

Cultural norms significantly influence how people makes decisions about all of the following EXCEPT: A: Treatment preferences B: Medication adherence C: Self-care D: Perceptions of illness E: In turn, affects nursing care and healthcare delivery F: all of the above are correct

F

What term is defined below? - Influenced by physical or biological characteristics as related to culture. A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

F

All of the following are social determinants of health EXCEPT: A: income and wealth B: family and household structure C: social support D: education E: occupation F: discrimination G: neighborhood conditions H: social institutions I: religious institutions J: all above are correct

I

A short-term oriented patient would be evidenced by which situation: A: individual seeks treatment only when the symptoms of an illness become unbearable B: individual comes in for preventative care visits, receives all of the recommended screening tests and immunizations, and is an active partner in their own care.

A

All of the following are true of the attribute/criteria "Religiosity" EXCEPT: A: Religion differs from spirituality in that religiosity is an individualistic connection to a higher power which may or may not entail belonging to organized spiritual beliefs. Whereas spirituality is an organized and institutionalized practice associated with particular beliefs. B: Religion differs from spirituality in that religiosity is an organized and institutionalized practice associated with particular beliefs.Whereas spirituality is an individualistic connection to a higher power which may or may not entail belonging to organized religion. C: The majority of people in the United States, 74%, believe in God. D: 72% of people in the US believe in miracles E: 68% of people in the US believe in heaven. F: Belief in religion has been diminishing over time and with each subsequent generation.

A

All of the following are true of the attribute/criteria of culture "Masculinity and Femininity" EXCEPT: A: Some societies place greater value on masculine attributes such as harmonious relationships, modesty, and taking care of others vs. feminine attributes such as achievement, material success, and recognition. B: Some societies place greater value on masculine attributes such as achievement, material success, and recognition vs. feminine attributes such as harmonious relationships, modesty, and taking care of others. C: In some cultures, only men can enact masculine roles whereas in other culture gender roles are more flexible. D: In cultures with more fixed gender roles, women are usually given the role of caretaker for the aging relatives and may suffer the stresses of caregiver strain.

A

True or False: Culture is not limited to members who share the same country of origin or ethnicity and may not be determined solely in childhood. A: True B: False

A

True or False: In culture where a greater power distance is observed, people are unlikely to overtly challenge or disagree with people in positions of authority because such power is the result of long standing formal and hierarchical arrangements. A: True B: False

A

True or False: Life expectancy for whites is 78 years; for black 72.7 years. A: True B: False

A

True or False: Only 13.1% of full-time nursing school faculty come from minority backgrounds and only 5.5% are male. A: True B: False

A

What term is defined below? - Common ancestry that leads to shared values and beliefs. Influenced by culture and common ancestry. Powerful determinant of one's identity. A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

A

Which attribute/criteria or culture is defined below? - Place value on the degree of closeness and the structure of social relationships as well as whether loyalties belong to immediate families or to the extended family or clan. A: individualism vs. collectivism B: power distance C: masculinity vs. femininity D: long-term vs. short-term orientation E: religiosity F: none of the above

A

Which term is defined below? - A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantages. Difference among populations in the availability, accessibility, and quality of healthcare services. A: health disparity B: social determinant of health C: implicit bias D: diversity disparity

A

Which term is defined below? - A predisposition to see people or things in a certain light, either positive or negative A: bias B: discrimination C: implicit bias D: perception

A

Which term is defined below? - A systems of advantages and disadvantages tied to our membership in social groups leading to the unfair treatment of certain social groups A: oppression B: cultural congruence C: intersectionality D: none of the above

A

Which term is defined below? - Care that fits a person's life patterns, values, and system of meaning. All nurses should strive to provide this. A: culturally congruent care B: transcultural nursing C: transcultural congruent care D: none of the above

A

Which theoretical link to culture is described below? - Relationships and social interactions shape our illness experience and beliefs about the meaning of suffering. - Memories of trauma and suffering exist collectively within a group or culture and are transmitted through shared experiences and learning. - All illnesses are a form of social suffering mediated by cultural and political institutions - It is also important to understand the individual's cultural interpretation of illness and suffering. These cultural representations of suffering and their response to it comprise the diversity of human responses to illness and pain. A: Interprofessional theory of social suffering B: Leininger's theory of culture care diversity and universality

A

Which attribute/criteria or culture is defined below? - The acceptance of an unequal distribution of power as legitimate or fair vs. illegitimate from the point of view of the less powerful. A: individualism vs. collectivism B: power distance C: masculinity vs. femininity D: long-term vs. short-term orientation E: religiosity F: none of the above

B

Which term is defined below? - A comparative study of culture to understand their similarities and differences A: culturally congruent care B: transcultural nursing C: transcultural congruent care D: none of the above

B

Which term is defined below? - The conditions in which people are born, grow, live, work, and age. Shaped by the distribution of money, power, and resources, at global, national, and local levels. A: health disparity B: social determinant of health C: implicit bias D: diversity disparity

B

A long-term oriented patient would be evidenced by which situation: A: individual seeks treatment only when the symptoms of an illness become unbearable B: individual comes in for preventative care visits, receives all of the recommended screening tests and immunizations, and is an active partner in their own care.

B

A nursing school best demonstrates an understanding of strategies that support recruitment of minority nursing students when engaging in what behavior? A: Arranging for campus housing for all minority students B: Providing same-culture mentors from among faculty and student populations C: Offering remediation to those for whom English is a second language D: Offering a number of scholarships reserved for minority students

B

A patient who has recently moved to this country states he is frustrated about the pressure to give up his original identity and develop a new cultural identity. Which term best describes this type of cultural change? A: Biculturalism B: Assimilation C: Ethnicity identification D: Acculturation

B

All of the following are causal beliefs about health that differentiates between cultures EXCEPT: A: Natural causes B: Spontaneous causes C: Social world D: Supernatural world

B

All of the following are true of health disparities EXCEPT: A: members of a disadvantaged group bear burden of disease, injury, and violence at a rate that is disproportionate to the size of the group B: affects all minorities equally C: while the health of americans has improved over the law few decades, the health of marginalized groups has actually declined. D: all above are correct

B

All of the following are true of the effect of people living longer EXCEPT: A: Increased opportunity to develop chronic illness B: Decreased opportunity to develop chronic illnesses due to better healthcare C: social isolation and depression resulting from the loss of family and friends D: primary care providers are faced with promoting the maximum functional status and identifying risk to health and independence

B

All of the following are true of the need for diversity in the healthcare force EXCEPT: A: consumer demand B: employer demand C: lack of diversity and ethnic representation D: factors such as cost, inadequate preparations in the sciences, and inadequate career counseling inhibit marginalized groups from having nursing careers E: better recruitment efforts by other disciplines F: all above are correct

B

The attribute "Shared beliefs, values, and behaviors" of culture touches on all of the following EXCEPT: A: Language, rituals, customs, dietary practices, and manner of dress are some of the most overt attributes of culture that are readily apparent to non-group members. B: Occurs as a result of overpopulation, economic changes, catastrophic events, and religious or ethnic conflicts. C: Some of the more subtle attributes such as values, relationship to authority, social interactions, gender roles, and orientation to the present and future are probably the most relevant to healthcare and communication. D: All above are correct.

B

The belief that one's own culture is superior to all other cultures is called _____. A: culture supremecy B: ethnocentrism C: ethnic supremecy D: none of the above

B

The following is an example of which term? - A Native American loses their identity after living in Chicago for 10 years A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

B

The nurse is triaging a Latin-Caribbean patient who is behaving hysterically in the emergency room. The patient is crying, has uncontrollable spasms, and is trembling and shouting. What cultural bound syndrome should the nurse recognize these behaviors demonstrate? A: Loco de la cabeza B: Ataque de nervios C: Shenjing shaijo D: Neurasthenia

B

The scope of culture as a concept includes all of the following EXCEPT: A: Causal beliefs about health B: Religious practices C: Illness expression D: Symptoms of Illness E: Taboos

B

True or False: Becoming more self-aware of your biases and attitudes about human behavior is the last step in providing patient-centered care. A: True B: False

B

True or False: Culture and life experiences do not affect how an individual defines the meaning of illness. A: True B: False

B

True or False: In cultures that value a more equal distribution of power, people have the expectation that their opinions will not be heard or equally valued. People who are less powerful do not have the right to criticize those in power. A: True B: False

B

What term is defined below? - Helps nurses gather an understanding of the meaning of the illness to the patient, expectations the patient has regarding treatment and care, and the patient's perception of the process A: Spiritual assessment data B: Cultural assessment data C: Diversity and Inclusion assessment data D: none of the above

B

What term is defined below? - Process by which a person gives up their original identity and develops a new cultural identity by becoming absorbed into the dominant cultural group A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

B

All of the following are marginalized populations EXCEPT: A: lesbian B: Gay C: Bisexual D: Transgender E: Older adults F: Recent immigrants from countries such as Russia, Rwanda, and Afghanistan (their lives and healthcare needs are often kept secret and they are often voiceless) G: all above are correct

G

Groups most likely to experience health disparities include all of the following EXCEPT: A: asian americans B: black or african americans C: hispanic or latino D: low and middle income groups E: uninsured F: some members of the LGBTQ+ community G: all above are correct

G

The following is an example of which term? - An immigrant from China develops a preference for western foods and music A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

G

What term is defined below? - Process of acquiring new attitudes, roles, customs, or behaviors A: Ethnicity and Ethnic Identity B: Assimilation C: Culture D: Enculturation E: Biculturalism F: Race G: Acculturation

G

All of the following are true of poverty's impact on diversity, inclusion, and bias EXCEPT: A: higher costs and lower wages for minority groups B: more minorities lack healthcare and live in a higher percentage of poverty C: residential segregation D: substandard housing E: unemployment F: poor physical and mental health G: poor self-image H: all above are correct

H