Chapter 9 Culture

Which patient statement describes the concept of ethnicity? Select all that apply. "My mother taught me how to make enchiladas just like my grandmother made." "My skin is lighter than most, but I am African American." "I think Chinese people are smarter than Hispanic people." "I like to pray every day because it makes me feel good." "My long black hair resembles my Native American grandmother's."

"My skin is lighter than most, but I am African American." "My long black hair resembles my Native American grandmother's."

Which statement is true of ethnicity? a. "Art, rituals, and patterns of life make up a person's ethnicity." b. "Ethnicity and race are not associated with quality of patient care or patient outcomes." c. "Transcultural nursing as a specialty seeks to address the role disparities among health care workers." d. "Ethnicity is based on cultural similarities and differences within a society or nation."

d. "Ethnicity is based on cultural similarities and differences within a society or nation."

Which method is demonstrated when an individual blends into another cultural group? a. Immigration b. Generalization c. Acculturation d. Assimilation

d. Assimilation

What is the most important symbolic aspect of a culture? a. Clothing b. Tools c. Flags d. Language

d. Language

Which cultural characteristic do pink ribbons represent? a. Ethnicity b. Enculturation c. Cultural integration d. Nonverbal symbols

d. Nonverbal symbols

Which is true of racism? a. Racists are individuals who fight against discrimination and persecution. b. Research has demonstrated that some races are culturally superior to others. c. Scientific evidence suggests that some races are psychologically inferior, but adaptations can be learned. d. Racism is the belief that one race is superior or inferior to another.

d. Racism is the belief that one race is superior or inferior to another.

Which question should the nurse ask a patient to elicit the patient's ethnicity? "What racial, national, or cultural group do you identify with?" "What part of the world or geographic region are you from?" "What is your native language or dialect?" "What customs or rituals do you observe regarding illness?"

"What racial, national, or cultural group do you identify with?"

Which is a characteristic of ethnicity? Select all that apply. Group customs Skin color Group beliefs Gender roles Common language

Group customs Skin color Group beliefs Common language

Which statement about culture is true? Members are delineated by geographic boundaries. Individual thinking is influenced by cultural beliefs. Groups identify themselves based on similar traits. Practices remain stable and rarely change over time.

Individual thinking is influenced by cultural beliefs.

What are foundational elements that keep a culture strong? Select all that apply. Infrastructure Educational structure Social structure Interpersonal resonance World view

Infrastructure Social structure World view

Which is an example of a ritual? Select all that apply. Enculturation Meditation Socialization Fasting Reading the Bible

Meditation Fasting Reading the Bible

Ethnocentrism can pose a serious ethical concern for health care professionals. Which actions can the nurse take to prevent this from happening? Select all that apply. Point out to a patient's family when their uncommon beliefs are rooted in ignorance. Recognize that one's own cultural beliefs are not necessarily superior. Refrain from thinking of another person's ideas as inferior. Be culturally sensitive and culturally competent. Use one's own values as criteria to evaluate the validity of other's beliefs.

Recognize that one's own cultural beliefs are not necessarily superior. Refrain from thinking of another person's ideas as inferior. Be culturally sensitive and culturally competent.

Which are characteristics of culture? Select all that apply. Symbolism Inherited Learned Shared Integrated

Symbolism Learned Shared Integrated

Which statement indicates prejudice? a. "People of Muslim background are terrorists." b. "Asian people tend to be very stoic." c. "Patients are unhappy being hospitalized." d. "Hispanic people know more than Chinese people."

a. "People of Muslim background are terrorists."

What is the belief that one's own culture is superior to those of other cultures? a. Ethnocentrism b. Ethnicity c. Discrimination d. Prejudice

a. Ethnocentrism

"All Asians eat fish and rice" is an example of which concept that affects cultural competency? a. Generalization b. Stereotyping c. Racism d. Discrimination

a. Generalization

Why is the process of assimilation important to understand when working with recent immigrants? a. It facilitates the adaptation to life in a new county. b. It allows families to remain together once they enter the country. c. It prevents cultural imposition from occurring. d. It allows the group to maintain its cultural identify.

a. It facilitates the adaptation to life in a new county.

Which offers the best definition of enculturation? a. It is a process in which culture is passed from generation to generation. b. It only occurs unconsciously through interactions with family members. c. It is an interactive process that begins as soon a child is able to verbalize understanding. d. It is a process in which culture is directly taught to a child.

a. It is a process in which culture is passed from generation to generation.

Which outcome is an effect of stereotyping when planning care for a patient? a. Misperceptions about the patient, resulting in a unsuitable plan of care b. Development of a plan of care that is holistic. c. Development of a culturally-sensitive plan of care d. Simplification of the care planning process

a. Misperceptions about the patient, resulting in a unsuitable plan of care

Which is an example of a stereotype? a. Frequently hospitalized patients are attention-seekers b. Women tend to emotionally overreact. c. Obese patients are lazy and do not watch their diet. d. Health care workers enjoy their work.

b. Women tend to emotionally overreact.

Which statement about spiritual and religious institutions is true? a. Both cause patients to avoid seeking patient care. b. Their hospitals are created for the members of that religious group. c. Both often provide an entry point for health care access in impoverished communities. d. Both should remain separate from the health care arena.

c. Both often provide an entry point for health care access in impoverished communities.

The nurse overhears another health care worker state, "I am not giving that homeless woman in bed 12 a bath because homeless people have lice." Which is the nurse exhibiting? a. Generalization b. Stereotype c. Discrimination d. Ethnicity

c. Discrimination

Which characteristic may help an individual identify with a particular ethnic group? a. Gender b. Socioeconomic status c. Skin color d. Birth place

c. Skin color

Which situation is an example of ethnocentrism? a. The Chinese immigrant is absorbed into Western culture and loses aspects of her home culture. b. The Chinese immigrant seeks Western health care treatments in addition to traditional Chinese remedies. c. The nurse tells the patient that cupping will not help her get well because the only reliable treatment for her illness is antibiotics. d. The nurse assumes all Asian patients prefer Eastern medicine practices to Western medicine.

c. The nurse tells the patient that cupping will not help her get well because the only reliable treatment for her illness is antibiotics.

Which is the most important reason for encouraging the patient to participate in his usual health care-related rituals? a. Participating in rituals often enhances physical comfort b. Western medicine blends well with most ritualistic beliefs c. Allowing rituals increases patient trust and cooperation d. Rituals can provide the support needed during times of illness

d. Rituals can provide the support needed during times of illness

Which describes the concept of generalization? a. An end-point that is applicable to all individuals in a cultural group. b. Used to anticipate certain behaviors in given particular situations. c. A set of fixed ideas about members of a certain group. d. Statements, ideas, or principles that have a broad application.

d. Statements, ideas, or principles that have a broad application.

Which example describes discrimination? a. Classifying all homeless people as "crazy" b. Assuming a male patient is "stoic" because the patient is Hispanic c. Stating all white people are "superior" d. Withholding pain medication from a drug addict

d. Withholding pain medication from a drug addict