Culture

Match the thought or behavior that is associated with impeding cultural awareness with its description. a. Ethnocentrism b. Discrimination c. Enculturation d. Prejudice e. Generalizing f. Stereotyping 1. Assuming a person who is homeless is lazy and does not want a job 2. Assuming someone is an undocumented immigrant because they are Hispanic 3. Refusing a patient assignment due to the ethnicity of the patient 4. Assuming a teenager is sexually active based on choice of clothing

1. e 2. f 3. b 4. d

Which examples illustrate how culture is dynamic? Select all that apply. a. A young adult who changes political beliefs after moving away from the South b. A teenager who chooses to become a Christian after attending church services with his best friend's family c. A college student who becomes financially conservative after taking finance classes d. A grandmother who teaches a grandchild how to make homemade biscuits from a family recipe e. Being proud of your country when listening to its national anthem

a, b, c Correct- A young adult who changes political beliefs after moving away from the South: Changing political beliefs after changing environments is an example of how culture is dynamic and ever-changing. Correct- A teenager who chooses to become a Christian after attending church services with his best friend's family: A teenager choosing a religion based on the influence of a friend and a church environment shows how culture is dynamic. Correct- A college student who becomes financially conservative after taking finance classes: Changing how one plans for the future after taking college courses reflects how culture is dynamic. Incorrect- A grandmother who teaches a grandchild how to make homemade biscuits from a family recipe: A grandmother teaching a child a family recipe would be an example of how culture is shared, not how culture is dynamic. Incorrect- Being proud of your country when listening to its national anthem: Feeling pride when listening to a national anthem would show how culture is symbolic, not dynamic.

Which statement by the nurse best exhibits cultural awareness? a. "I am a follower of Islam, but I read the Torah to learn about Judaism." b. "I am not caring for that patient because the men do not respect women in their culture." c. "I am a Christian, and I spend quiet time every morning reading the Bible." d. "I believe it is a disservice to Amish children not to teach them the advances of technology."

a. "I am a follower of Islam, but I read the Torah to learn about Judaism." Correct- "I am a follower of Islam, but I read the Torah to learn about Judaism.": Cultural awareness is the understanding, acknowledgment, and appreciation that different cultures exist. It is a specific way of thinking that allows the individual not only to see the differences and similarities among various ethnic groups but to appreciate the differences as well. Learning about another religion exhibits cultural awareness. Incorrect- "I am not caring for that patient because the men do not respect women in their culture.": Refusing to care for a patient because of his or her cultural beliefs does not show cultural awareness and could be considered discrimination. Incorrect- "I am a Christian, and I spend quiet time every morning reading the Bible.": Spending time learning about one's own religion is important but does not best exhibit cultural awareness. Incorrect- "I believe it is a disservice to Amish children not to teach them the advances of technology.": Believing that it is a disservice not to teach Amish children the advances of technology would be an example of ethnocentrism, not cultural awareness.

Which are examples of culture? Select all that apply. a. A national monument b. The Canadian flag c. Being of Asian-American descent d. Grandmother and grandchild with the same eye color e. A US twenty-dollar bill

a. A national monument b. The Canadian flag e. A US twenty-dollar bill Correct- A national monument: A national monument is a symbol for the specific nation it represents. It has specific meaning associated with that country and would be considered an example of culture. Correct- The Canadian flag: Cultures have symbols. Flags, money, songs, and languages are all symbols of a culture. Symbols are objects that stand for something else, and their meaning can vary across different cultures. Correct- A US twenty-dollar bill: Flags, money, songs, and languages are all symbols of a culture. Symbols are objects that stand for something else, and their meaning can vary across different cultures. Incorrect- Being of Asian-American descent: Ethnicity is the identity of a group of people who share common ancestry, customs, language, and culture. Being of Asian-American descent describes ethnicity and is not a characteristic of culture. Incorrect- Grandmother and grandchild with the same eye color: Eye color is a genetic trait that is inherited and would not be considered a cultural characteristic.

A Korean-American nurse is wanting to expand her cultural awareness. Which experiences are likely to increase the nurse's cultural awareness? Select all that apply. a. Attending a Mardi Gras parade in New Orleans b. Attending a Korean church service c. Volunteering to rock a preemie newborn of Hispanic descent in the NICU d. Attending a ceremony in a Spanish-speaking church e. Attending a French art exhibit at a local museum

a. Attending a Mardi Gras parade in New Orleans d. Attending a ceremony in a Spanish-speaking church e. Attending a French art exhibit at a local museum Correct- Attending a Mardi Gras parade in New Orleans: Costumes and customs of a particular group of people are reflections of culture in society, so attending a Mardi Gras parade in New Orleans would be a good way to increase cultural awareness. Correct- Attending a ceremony in a Spanish-speaking church: The religious rituals of a particular group of people are the reflections of culture in society, so attending a marriage ceremony of another ethnicity would be a good way to increase cultural awareness. Correct- Attending a French art exhibit at a local museum: The art and literature of a particular group of people are reflections of culture in society, so attending an art exhibit of another country would be a good way to increase cultural awareness. Incorrect- Attending a Korean church service: The art, literature, costumes, customs, language, religion, and religious rituals of a particular group of people are the reflections of culture in society. Because the nurse is attending a church service of her own ethnicity, this would not be the best way to increase cultural awareness. Incorrect- Volunteering to rock a preemie newborn of Hispanic descent in the NICU: The art, literature, costumes, customs, language, religion, and religious rituals of a particular group of people are the reflections of culture in society. Volunteering to rock a newborn of another ethnicity would not increase cultural awareness.

Which examples illustrate how nurses can increase their cultural awareness? Select all that apply. a. Attending a continuing medical education conference (CME) on cultural awareness b. Identifying their own biases c. Learning about a different culture from a coworker d. Returning to school for a nurse practitioner degree e. Learning to say "hello" in a foreign language

a. Attending a continuing medical education conference (CME) on cultural awareness b. Identifying their own biases c. Learning about a different culture from a coworker e. Learning to say "hello" in a foreign language Correct- Attending a continuing medical education conference (CME) on cultural awareness: Attending a CME on cultural awareness would help improve a person's cultural awareness. Correct- Identifying their own biases: Identifying one's own cultural biases would help improve a person's cultural awareness. Correct- Learning about a different culture from a coworker: Learning about a different culture would help improve a person's cultural awareness. Correct- Learning to say "hello" in a foreign language: Learning to say hello in another language would help improve a person's cultural awareness. Incorrect- Returning to school for a nurse practitioner degree: Going back to school to obtain a nurse practitioner degree would not help improve a person's cultural awareness.

Which concept is exemplified by a Hispanic toddler who is brought to the United States and learns English but can no longer speak his native language of Spanish? a. Cultural assimilation b. Ritual c. Acculturation d. Cultural identity

a. Cultural assimilation Correct- Cultural assimilation: Assimilation is the process in which individuals from one cultural group merge with another group and in the merging process, lose aspects of their original culture. Incorrect- Ritual: This would not be an example of a ritual. Rituals are formal, stylized, and repetitive actions performed in special places at special times. These actions are used to inform others about the beliefs and traditions of a culture. Incorrect- Acculturation: This would not be an example of acculturation. Acculturation is the process that occurs when groups of individuals from two distinct cultures continuously interact and ultimately modify the original culture patterns of either one or both groups. Incorrect- Cultural identity: This would not be an example of cultural identity. Cultural identity is what provides a sense of belonging to an individual. It links a person to his or her heritage, which allows him or her to identify to a larger group of people.

Which term describes a process in which individuals or groups merge with another group and part or all of the aspects of the minority group's culture is lost to that of the majority group? a. Cultural assimilation b. Acculturation c. Enculturation d. Cultural identity

a. Cultural assimilation Cultural assimilation Cultural assimilation is the process in which individuals or groups of individuals from one cultural group merge with another group, and aspects of the smaller minority group are often lost or changed. Acculturation Acculturation is the process in which groups of individuals from two distinct cultures continuously interact and ultimately modify the original culture patterns of either one or both groups but still maintain an aspect of the original culture. Enculturation Enculturation is the process of learning a new culture. Cultural assimilation is the process in which individuals or groups of individuals from one cultural group merge with another group, and aspects of the smaller minority group are often lost or changed. Cultural identity Cultural identity infers belonging to or identifying with a specific social group and is dynamic and ever-changing. Cultural assimilation is the process in which individuals or groups of individuals from one cultural group merge with another group, and aspects of the smaller minority group are often lost or changed.

Which characteristics are true of culture? Select all that apply. a. Culture is shared. b. Culture is dynamic. c. Culture is static. d. Culture is symbolic. e. Culture is integrated. f. Culture is learned.

a. Culture is shared. b. Culture is dynamic. d. Culture is symbolic. e. Culture is integrated. f. Culture is learned. Culture is shared. The sharing of cultural beliefs is what binds individuals together as a specific group or identity. Culture is dynamic. Culture is a dynamic ever-changing process. It does not remain the same. Culture is static. Culture is not static; it is a dynamic, always changing, process. Culture is symbolic. Cultures have symbols that are meaningful to that specific culture. Culture is integrated. Culture has different parts that are woven together to form an infrastructure. Culture is learned. Culture is not inherited; it is learned from family members, teachers, friends, and community members.

Which outcomes are associated with improved cultural awareness in health care? Select all that apply. a. Improved patient relationships b. Improved financial outcomes c. Medication adherence d. Improved health outcomes e. Treatment compliance

a. Improved patient relationships c. Medication adherence d. Improved health outcomes e. Treatment compliance Improved patient relationships Cultural awareness has been shown to improve nurse-patient relationships because of the increased trust that occurs between the patient and nurse with improved cultural awareness. Improved financial outcomes Cultural awareness in health care has shown improved outcomes in treatment compliance, health and wellness, and nurse-patient relationships but has not been shown to improve financial outcomes. Medication adherence Cultural awareness increases trust between the patient and nurse, leading the patient to have improved medication adherence because his or her culture was included in the treatment plan. Improved health outcomes Improved cultural awareness in nursing care allows for the development of a trusting nurse-patient relationship, leading to improved medication adherence, treatment compliance, and ultimately improved health outcomes. Treatment compliance Patients have shown improved treatment compliance when a nurse has cultural awareness and the patient's culture is included in the treatment plan.

The nurse would be aware that a patient's cultural worldview is influenced by which variables? Select all that apply. a. The patient is agnostic. b. The patient is an older adult. c. The patient is of male gender. d. The patient was raised in Italy. e. The patient identifies as homosexual.

a. The patient is agnostic. c. The patient is of male gender. d. The patient was raised in Italy. e. The patient identifies as homosexual. The patient is agnostic. A patient's choice of religion or spirituality (or lack of) would influence his or her cultural worldview. The patient is an older adult. A patient's cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status. Age alone does not affect a patient's cultural worldview. The patient is of male gender. A patient's cultural worldview is shaped by gender, so being male does affect the patient's view of life and experiences. The patient was raised in Italy. Being raised in another country would affect a patient's cultural worldview because of the influences imparted on the patient during youth. The patient identifies as homosexual. Homosexuality is a variable that influences a patient's cultural worldview.

Which scenarios illustrate the process of acculturation? Select all that apply. a. A family who immigrated to the United States and no longer speaks their native language b. A Korean child who has learned to speak English at school but still speaks Korean in the home c. A Chinese mother who teaches her child how to use chopsticks d. An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband. e. A child who learns to recite the Lord's prayer from grandparents

b. A Korean child who has learned to speak English at school but still speaks Korean in the home d. An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband. Correct A Korean child who has learned to speak English at school but still speaks Korean in the home: Acculturation is the process of learning and adopting a new culture but still maintaining part of the old culture. Learning English at school but still speaking Korean at home would be an example of acculturation. Correct- An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband: Acculturation is the process of learning and adopting a new culture but still maintaining part of an old culture. Learning how to use chopsticks after moving to China would be an example of acculturation. Incorrect- A Chinese mother who teaches her child how to use chopsticks: Enculturation is the learning of a culture. Learning how to use eating utensils from a parent would be an example of enculturation, not acculturation. Incorrect- A family who immigrated to the United States and no longer speaks their native language: Leaving one's home country and no longer speaking the native language would be an example of assimilation, not acculturation. Assimilation is the process in which an individual or group merges with a larger group and ultimately loses aspects of the original culture. Incorrect- A child who learns to recite the Lord's prayer from grandparents: Enculturation is the learning of a culture. Learning a religious ritual or belief would be an example of enculturation, not acculturation.

Which aspects of cultural identity can be influenced by outside factors? Select all that apply. a. Race b. Religion c. Ethnicity d. Socioeconomic status e. Gender

b. Religion d. Socioeconomic status Race Race, along with age and ethnicity are aspects of cultural identity that cannot be influenced or changed. Religion Cultural identity is dynamic and ever-changing and can be influenced by outside factors. Examples of cultural identity that can be influenced include geographic location, religion, socioeconomic status, and education. Ethnicity Ethnicity is an aspect of cultural identity that cannot be changed. Other aspects that cannot be changed include race and age. Socioeconomic status Cultural identity is dynamic and ever-changing. Although certain aspects of cultural identity cannot be changed such as age, race, and ethnicity, other aspects of cultural identity can be influenced by geographic location, religion, socioeconomic status, and education. Gender Certain aspects of cultural identity can be influenced such as geographic location, religion, socioeconomic status, and education. Other aspects such as gender, age, and ethnicity cannot be changed.

Which aspect of cultural identity is illustrated by the Korean woman's request for seaweed soup after giving birth? a. Assimilation b. Ritual c. Acculturation d. Enculturation

b. Ritual Assimilation Assimilation is the process in which individuals or groups of individuals from one cultural group merge with another group. Requesting seaweed soup after giving birth is a ritual related to Korean culture, not a process of assimilation. Ritual Rituals are formal actions performed at special times. Eating seaweed soup after childbirth is based on the ritual/belief that seaweed promotes healing and lactation. Acculturation Acculturation is the process that occurs when groups of individuals from two distinct cultures continuously interact and ultimately modify the original culture patterns of either one or both groups. Requesting seaweed soup is related to her Korean culture but would be an individual ritual, not a process of acculturation. Enculturation Enculturation is the process of learning culture. Requesting seaweed soup after giving birth is a ritual related to her Korean culture, not enculturation.

Which statement about ethnicity is correct? a. Ethnicity and culture are interchangeable. b. Ethnicity is not inherited. c. Ethnicity describes people who share common ancestry. e. Ethnicity cannot be chosen.

c. Ethnicity describes people who share common ancestry. Ethnicity and culture are interchangeable. Culture is closely related to ethnicity, but it is not interchangeable with ethnicity. Ethnicity is the identity of a group of people who share common ancestry, customs, language, and culture. A person's ethnicity is inherited. Culture, however, is not inherited; it is learned. Ethnicity is not inherited. Ethnicity is the identity of a group of people who share common ancestry, customs, language, and culture. A person's ethnicity is inherited. Ethnicity describes people who share common ancestry. Ethnicity is the identity of a group of people who share common ancestry, customs, language, and culture

While caring for a dying patient with stage 4 lung cancer who does not believe in God, the nurse quietly asks if she can pray for him and if he would consider following the teachings of Jesus during his last few weeks of life. Which behavior or thought process is the nurse exhibiting? a. Stereotyping b. Discrimination c. Ethnocentrism d. Enculturation

c. Ethnocentrism Correct- Ethnocentrism: The nurse is exhibiting the behavior of ethnocentrism or the tendency to believe that one's own culture is superior to others' beliefs. Incorrect- Stereotyping is making an assumption or having an opinion about an individual based on tendencies that are common to the ethnicity. The nurse is not stereotyping the patient. Incorrect- Discrimination is treating a person poorly because of his or her cultural beliefs or other characteristics. The nurse is not exhibiting discrimination. Incorrect- Enculturation is the process of learning about a culture. The nurse is not exhibiting enculturation.

A 27-year-old has recently changed his beliefs on gun control after experiencing a mass shooting at a local music concert. This is an example of which concept related to culture? a. Assimilation b. Acculturation c. Identity d. Ritual

c. Identity Correct- Cultural identity is dynamic and ever-changing. Cultural identity related to political views on gun control may change if one experiences an event related to a mass shooting, either in a desire for stricter laws or a desire for allowing concealed weapons, both with the outcome of saving lives. Incorrect- Assimilation is the process in which individuals or groups of individuals from one cultural group merge with another group, and the merging process causes the minority group to lose aspects of its original culture. Changing one's political beliefs on gun control after a mass shooting would not be an example of assimilation. Incorrect- Acculturation is the process that occurs when groups of individuals from two distinct cultures continuously interact and ultimately modify the original culture patterns of either one or both groups. Changing one's political beliefs on gun control after a mass shooting would not be an example of acculturation. Incorrect- Rituals are formal, stylized, and repetitive actions performed in special places at special times. These actions are used to inform others about the beliefs and traditions of a culture. Changing one's political beliefs on gun control after a mass shooting would not be an example of a cultural ritual.

Which action by the nurse indicates cultural awareness? a. Allowing for privacy when a patient with different cultural beliefs slaps his adolescent son b. Speaking only to the parent instead of the teenager with cerebral palsy but no mental disabilities c. Respecting the cultural request of a patient for a same-gender caregiver d. Refusing to care for a patient who wants to have an abortion because it goes against your beliefs

c. Respecting the cultural request of a patient for a same-gender caregiver Allowing for privacy when a patient with different cultural beliefs slaps his adolescent son Child abuse must always be reported. Ignoring the inappropriate behavior does not indicate cultural awareness. Speaking only to the parent instead of the teenager with cerebral palsy but no mental disabilities Assuming that a child is not competent to answer questions based on his physical disabilities does not exhibit cultural awareness. Respecting the cultural request of a patient for a same-gender caregiver Fulfilling a culturally based patient request demonstrates knowledge of cultural awareness. Refusing to care for a patient who wants to have an abortion because it goes against your beliefs Refusing a patient assignment based on your own religious beliefs does not show cultural awareness.

The nurse receives a report from the emergency department about a new patient, a 25-year old pregnant Hispanic female patient who was found unresponsive at a local homeless shelter. Current vital signs are: HR 96, RR 24, and BP 135/75, and she is now alert and oriented. Which details in the report are important for the nurse to consider regarding the patient's cultural worldview? a. Found unresponsive b. 25 years of age c. Prterm-10egnant d. Found at a local homeless shelter

d. Found at a local homeless shelter Correct: Found at a local homeless shelter: A person's cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status. Being homeless would influence a person's cultural worldview. Found unresponsive: Being found unresponsive (without knowing more details about the cause of the unresponsiveness) is not an aspect of an individual's cultural worldview. A person's cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status. 25 years of age: Age would not influence a person's cultural worldview. A person's cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status. Pregnant: Pregnancy alone does not influence a person's cultural worldview. A person's cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status.