Cultural Competence Quiz

A nurse educator is explaining the concept of transcultural nursing to new nursing employees. Which of the following would serve as a correct description to be used by the nurse educator?

Providing holistic care to clients from different cultural backgrounds while considering the clients' cultural beliefs and practices

Step 1

Rationale: The first step in acquiring cultural competence is to examine personal values, beliefs, biases and prejudices. Attitudes result from evaluative judgments that may have developed over time, either during childhood or from life experience.

Which of these is not part of a cultural assessment?

Symptoms

As nurses provide care to patients from multiple cultural backgrounds, what two factors enable the nurse to positively influence the patient's comfort level?

Taking time with the patient and a broad knowledge of the culture

A nurse is providing care to patients of different culture groups who have similar medications ordered for administration. The nurse understands that:

dosing, presence of adverse effects, and response to medications may be different for each patient.

True or false: Culture is a sense of identification dependent on a person's birthplace or adoption of the characteristics of a group.

False

Step 4 of the model for acquiring cultural competence helps nurses demonstrate actions that show respect to their patients and colleagues. Which actions are strategies that can help in this step of the model? Select all that apply.

Ask appropriate questions and take time to listen., Practice culturally specific communication strategies., Check your assumptions during each interaction.

The nurse enters the room of an elderly woman who has terminal cancer to complete a physical assessment. The woman is wearing a crucifix and scapular. The scapular is chafing the patient's skin, and the nurse would like to remove it. What would the nurse's next action be?

Ask the patient if the scapular can be removed, providing rationale for the action.

Variations in physical assessment findings for cultural groups include which of the following? Select all that apply.

Caregiver gender, Clothing, Skin color

A nurse was treating an older adult patient that spoke very little English. The nurse became frustrated and said, "You're in the United States, and you need to learn to speak English." Which of the following terms best describes the nurse's actions?

Cultural Imposition

Sara is a nurse who lives in a community with a large population of Native Americans. Sara is familiar with the customs, beliefs, and traditions of the Native American people. Sara therefore is aware of their:

Culture

If you are assessing the social life of a patient who is a college-age student, which questions will you ask? Select all that apply.

Describe your typical day/week to me., How do you spend your free time?, To what groups do you belong?

Choose the term that is best defined as: The differences among groups or between individuals, presenting in many forms, including age, gender, religious customs, sexual orientation, physical size, physical and mental capabilities, beliefs, culture, ethnicity, and skin color.

Diversity

Penny is caring for an Asian Indian patient. She tells a coworker that the patient desires to use ayurvedic medicine instead of the physician-ordered treatment plan. Penny states, "I just don't understand why he doesn't do the ordered treatments. They'll work the best." This is an example of:

Ethnocentrism

A nurse recently changed jobs to work in a new hospital that serves a community with a large population of Chinese immigrants. What would be the first step the nurse should take to build cultural competence?

Examine personal feelings, thoughts, and ideas regarding the Chinese culture.

Factors that affect patients of minority cultures include which of the following? Select all that apply.

Exposure to hazards in lower socioeconomic living and working areas, Family abuse due to acculturation to the American way of life, Hesitance to seek health care due to language barriers and cultural beliefs

Sara is a nurse in a community with a high population of Native Americans. Sara is aware of her beliefs regarding the Native American culture. Sara's awareness will affect her provision of health care in what way?

It will allow her to change her beliefs so they positively impact the provision of care.

You are assigned to care for an elderly Chinese man with a suspected heart attack. You walk into the room, introduce yourself, and, in English, let the patient know you will be examining him before his procedure. As you move forward to touch the man, he grabs your hand and stops you. Which of the cultural elements should you likely collect more data on before proceeding?

Language

In which ways can a nurse build cultural competence to better serve patients? Select all that apply.

Learn culturally specific communication strategies, Interact with different cultures, Examining your personal values, beliefs, biases, and prejudices

Which nursing theorist is known for founding the transcultural nursing foundation and creating the transcultural nursing theory?

Madeleine Leinger

Providing care to patients of many different cultures is known as:

Multicultural Nursing

According to Leininger, transcultural nursing is defined as:

Culturally congruent and competent nursing care to people of multiple cultures.

Which scenario is an example of cultural congruence?

Allowing a Native American patient's shaman to continue providing spiritual guidance as the patient has requested.

The nurse is preparing to talk to a client from Iran utilizing Leininger's transcultural nursing model of care. Which of the following would she rely on?

Analyzing her own cultural values and beliefs

A Hispanic immigrant is examined in the emergency room. The patient speaks limited English and uses words out of context. This is an example of what cultural issue?

Assimilation

In order to provide proper care in multicultural nursing, the nurse must do which of the following? Select all that apply.

Have a broad knowledge of cultural preferences, Listen to patients, Treat people as individuals

A hospital administrator who desired to increase nursing staff diversity by recruiting more minority nurses would need to address which of the following challenges? Select all that apply.

Inadequate social support, Inferior academic preparation, Inadequate numbers of minority faculty role models, Financial problems

The nurse is caring for a female patient from Somalia. The nurse must do which of the following to provide the best care for the patient?

Learn about the patient's cultural practices

A maternal child nurse is admitting an African American neonate to the normal nursery. The nurse would expect what physical assessment finding?

Mongolian spots

Strategies used to decrease issues such as bias, stereotyping, and prejudice in the health care field include:

Reflecting on personal beliefs and values

A nurse would be able to gain awareness of the special needs of patients from specific cultural groups through providing culturally congruent care that includes which of the following? Select all that apply.

Religious practices, Hygiene preferences, Assessment

A nurse is striving to increase her cultural competence. To do this, she is examining her personal values, beliefs, biases, and prejudices. Which step in the model for acquiring cultural competence would this be considered?

Step 1

Nurses face several challenges when implementing their plans to develop cultural competence. Which of these are examples of those challenges? Select all that apply.

Time commitment, Changing cultures, Lack of resources

The nurse is caring for a patient from Japan who speaks no English. The patient's son is present in the room and speaks English. The nurse must obtain information about home medication use from the patient. Who should the nurse use as a translator?

Translator on staff at the hospital

A physician refuses to allow a patient to consume herbal teas, exclaiming, "These teas have no actual benefits and I won't allow them!" True or false: this is an example of ethnocentrism.

True

True or false: Cultural preferences can vary widely, even in the span of a few city blocks.

True

To incorporate transcultural nursing into a nurse's everyday practice, a nurse would first have to:

examine personal values, beliefs, prejudices, and biases regarding the culture.

A nurse is completing a home medication reconciliation form for her Native American patient. The nurse plans to ask questions specifically regarding the patient's use of:

herbal supplements

The nursing profession is underrepresented by multicultural professionals. One way to enhance and create a more multicultural nursing profession is to:

use minority nursing scholarships for nursing students.

Patients of some cultures will be unwilling to share private information about family members with you since you are outside their family system. Which type of cultural variation would this be considered?

Family Support

The nurse leader wants to begin a project to assess the needs of a culturally diverse group of immigrants who have recently arrived in the community after being displaced from their homes. Which model would the nurse base her assessment upon?

Giger and Davidhizar's transcultural model

A clinic nurse is performing a health risk assessment on a middle-age Hispanic man. The clinic nurse is familiar with the Hispanic culture and understands that the patient is at higher risk for which disease process?

High Blood Pressure

A nurse is caring for an older Amish woman. The nurse is not familiar with the Amish culture. As the nurse performs her physical assessment of the patient, the patient appears uncomfortable. The best action for the nurse to take is to:

stop her assessment and ask the patient about her preferences.

Integrating knowledge, attitudes, and skills that allow nurses to communicate effectively and appropriately when working with patients from a culture different from one's own is:

Cultural Competence

True or false: Nursing as a profession is culturally diverse, as the majority of practicing nurses come from culturally diverse groups.

False

One strategy to reduce cultural assimilation issues within a health care institution is:

educating health care professionals about the social organization and processes of each minority group served.