TCN QUIZZES

A patient's worldview both influences, and is influenced by, cultural and social structure dimensions. TRUE FALSE

TRUE

If you encounter an unsafe cultural care practice, keep it to yourself—it is not appropriate to address care practices when a patient's culture is involved. FALSE TRUE

FALSE

Where does Purnell suggest that a person initially learns about his/her cultural values, practices and beliefs? a. In the home b. In school c. In social settings d. In the workplace

a. In the home

Which mode of maintenance supports the use of scientifically safe and sound cultural practices of different cultures? a. Preservation b. Repatterning c. Competence d. Accommodation

a. Preservation

Which mode of negotiation supports and facilitates the use of cultural practices that have been proven unharmful? a. Accommodation b. Repatterning c. Competence d. Preservation

a. Accommodation

Asking a community member how he or she feels about personal cultural values is not an emic interview question. FALSE TRUE

FALSE

Attaining cultural competence and practicing culturally congruent care is a fixed, linear process, not an ongoing process. FALSE TRUE

FALSE

Which term is used to imply a provision of care that is meaningful and fits with cultural beliefs and lifeways? a. Cultural diversity b. Cultural awareness c. Cultural competence d. Cultural congruence

d. Cultural congruence

When seeking to enhance cross-cultural communication, which term is used to identify a complex integration of knowledge, attitudes, beliefs, skills, and encounters with those from cultures different from one's own? a. Cultural bias b. Cultural congruence c. Cultural diversity d. Individual cultural competence

d. Individual cultural competence

A nurse who is consistently accurate in assessing dark-skinned individuals for cyanosis is demonstrating what aspect of culturally competent nursing care? a. Cross-cultural communication skills b. Culturally competent psychomotor skills c. Conducting a culturally focused health history d. Conveying respect for cultural diversity

b. Culturally competent psychomotor skills

Which nurse-anthropologist debated the conceptual differences between transcultural and cross-cultural in the mid-1950s? a. Dr. Geri-Ann Galanti b. Dr. Madeleine M. Leininger c. Dr. Larry Purnell d. Dr. Josepha Campinha-Bacote

b. Dr. Madeleine M. Leininger

Which term is used to identify the idea that all members of a particular culture hold the same beliefs and values? a. Biased b. Stereotyping c. Ethnocentric d. Prejudice

b. Stereotyping

Which standards were developed to assist nurses in providing culturally competent and culturally congruent care? a. The Cultural Competence Standards of Nursing Care b. The Standards for Transcultural Nursing c. The Standards of Nursing Society d. The Cultural Diversity Nursing Standards

b. The Standards for Transcultural Nursing

Which strategy can be used to avoid making assumptions when communicating with patients? Select all that apply. a. Approach each patient with respect and genuine interest. b. Speak clearly and slowly. c. Don't take anything for granted. When in doubt, ask about the patient's perspective or preference. d. Complete a cultural assessment with the patient.

a. Approach each patient with respect and genuine interest. c. Don't take anything for granted. When in doubt, ask about the patient's perspective or preference. d. Complete a cultural assessment with the patient.

Which personal attitudes are commonly responsible for allowing certain groups or individuals to be made targets of prejudice and discrimination? Select all that apply. a. Cultural stereotypes b. Ethnic pride c. Personal insecurities d. Ethnocentric tendencies

a. Cultural stereotypes d. Ethnocentric tendencies

Which of these cultural dimensions can influence your patient's perspective on his or her health care process? Select all that apply. a. Educational factors b. Social factors c. Economic factors d. Cultural values

a. Educational factors b. Social factors c. Economic factors d. Cultural values

How would a nurse best describe traditional or folk care practices? a. Health knowledge and skills formally taught through institutions with dedicated personnel b. Nurses, physicians, physical therapists, and other licensed health care providers are responsible for this type of care. c. Characterized by specialized education and knowledge, responsibility for care, and expectation of compensation for services provided d. A combination of health care systems using healing practices that are learned informally

d. A combination of health care systems using healing practices that are learned informally

Holistic cultural values are another way of saying religious values. FALSE TRUE

FALSE

What did Dr. Leininger say is the essence of nursing? a. Wellness b. Care c. Health d. Healing

b. Care

Definitions—even with interpreters—differ across cultures. TRUE FALSE

TRUE

It is expected that a person will have cultural beliefs that express his or her specific cultural influences, but there is no place for a folk healer in a patient's care plan. TRUE FALSE

FALSE

Which personal characteristic is not generally considered when one engages in a cultural self-assessment? a. Attitudes b. Age c. Values d. Beliefs

b. Age

What is the best definition of transcultural nursing? a. An aspect of nursing that specializes on understanding the behaviors of different classes of people b. An aspect of nursing that stresses the respectful acceptance of varying cultures between nurse and patient c. A specialty that addresses a nurse's understanding of his/her patient's belief system d. The study of anthropology and the life patterns that differ among a specific culture

b. An aspect of nursing that stresses the respectful acceptance of varying cultures between nurse and patient

Your patient's spiritual values are a valid consideration in your cultural assessment of them. TRUE FALSE

TRUE

Who would present relevant etic perception of the health care needs of a particular patient? a. The family of the patient receiving care b. The insurance provider paying for the health care c. The patient who is in need of health care d. A nurse planning the patient's care

d. A nurse planning the patient's care

What is meant by "examining the cultural and social structure dimensions of the Sunrise Enabler?" a. The Sunrise Enabler is a multidimensional assessment tool. Of the many dimensions assessed, the cultural and social structure dimensions are but two. b. Assessing a person's worldview as expressed through care influencers like religion, philosophy, economic factors, etc.

b. Assessing a person's worldview as expressed through care influencers like religion, philosophy, economic factors, etc.

To provide culturally competent care, a nurse must first develop cultural congruence. FALSE TRUE

FALSE

Which perspective has the highest potential for increasing empathy but decreasing objectivity? a. Emic b. Etic c. Subculture d. Microculture

a. Emic

Which of these characteristics is not etic? a. Nonstructural b. Internal c. Objective d. General

b. Internal

Which of these are emic characteristics? Select all that apply. a. External b. Personal c. Internal d. Unique

b. Personal c. Internal d. Unique

An emic cultural perspective is a community member's personal, inside worldview of his or her values. FALSE TRUE

TRUE

An etic perspective refers to not being a member of the culture and viewing it from the outside. TRUE FALSE

TRUE

Asking the patient directly is a good way to assess any cultural caregiving practices that have been used in the past or are currently being employed. TRUE FALSE

TRUE

Dietary restrictions are an understandable cultural practice, and it is acceptable to work with the hospital staff to accommodate cultural needs that are not intrinsically harmful to the patient. FALSE TRUE

TRUE

During an assessment interview, the nurse could factor an etic perspective into a community member's care plan by asking the patient if he or she is aware of the potential genetic risks associated with his or her ethnicity. TRUE FALSE

TRUE

When a cultural care practice is unsafe, it is acceptable to suggest an alternative solution, provided it is respectful and sustainably integrated into the patient's daily habits. FALSE TRUE

TRUE

Which of these are consumable cultural care practices? Select all that apply. a. Herbs and teas b. Spiritual counselors c. Traditional foods d. Over-the-counter medicines

a. Herbs and teas c. Traditional foods d. Over-the-counter medicines

Which of these is a rationale for establishing transcultural nursing? Select all that apply. a. Increased litigation, based on lawsuits steeped in a misalignment between health care providers and their patients, as to what quality care looked like to the patients b. Social unrest caused by the Great Depression c. An increased interaction among cultures, both peacefully and otherwise d. An increase in migration worldwide

a. Increased litigation, based on lawsuits steeped in a misalignment between health care providers and their patients, as to what quality care looked like to the patients c. An increased interaction among cultures, both peacefully and otherwise d. An increase in migration worldwide

Which of these are good communication skills to work on while interviewing a patient about his or her past and current cultural care practices? Select all that apply. a. Patience b. Cooperation c. Kindness d. Authority

a. Patience b. Cooperation c. Kindness

Which social and political power complexities are not addressed explicitly by transcultural nursing? Select all that apply. a. Racism b. Diet c. Clothing choice d. Discrimination

a. Racism d. Discrimination

What consideration should be made when a team tasked with reviewing and analyzing data relevant to possible changes in patient care currently has 14 active members? a. Subdividing the team into 2 groups of 7 members each b. Recognizing that the team may need additional members as the tasks increase c. Asking for 2 team members to voluntarily resign from the team d. Identifying additional key leaders to join the team

a. Subdividing the team into 2 groups of 7 members each

Which of these is not one of the three action and decision modes of cultural care provision that you will engage in through a transculturally sensitive nursing process? a. Preservation and maintenance of health b. Identification and cessation of harmful beliefs c. Culture care accommodation and negotiation d. Cultural care patterning and restructuring

b. Identification and cessation of harmful beliefs

Which of these statements is a strength of transcultural nursing? Select all that apply. a. Transcultural nursing is flexible enough to be used with individuals, families, groups, and communities. b. Transcultural nursing provides clear instruction on how to care for people from diverse cultural backgrounds. c. In an increasingly diversified world, transcultural nursing increases the likelihood that care provided will be congruent with the patient's beliefs and worldview, and therefore better accepted. d. There is only one way to think about transcultural nursing: focusing its use.

a. Transcultural nursing is flexible enough to be used with individuals, families, groups, and communities. c. In an increasingly diversified world, transcultural nursing increases the likelihood that care provided will be congruent with the patient's beliefs and worldview, and therefore better accepted.

When considering the psychomotor skills required of effective transcultural nursing, which activities are associated with the nursing assessment process? Select all that apply. a. Arranging for the emergency baptism of a critically ill infant born to Catholic parents b. Conducting a vaginal examination in a culturally appropriate manner when caring for a Muslim woman in labor c. Providing educational materials in Spanish for a Hispanic patient newly diagnosed with Type 2 diabetes d. Accurately identifying bruises on the body of a physical assault victim who is African American

b. Conducting a vaginal examination in a culturally appropriate manner when caring for a Muslim woman in labor d. Accurately identifying bruises on the body of a physical assault victim who is African American

Which of these terms aligns with transcultural nursing philosophy? Select all that apply. a. Intervention b. Congruent c. Integrate into d. Approach e. Impact f. Alignment

b. Congruent c. Integrate into d. Approach

What are the three modes of nursing decision-making and actions presented by Leininger's Sunrise Enabler? a. Cultural influence, economic factors, and educational factors b. Cultural care preservation/maintenance, cultural accommodation/negotiation, and cultural repatterning/restructuring c. Generic systems, nursing care, and professional systems d. Care expressions, patterns, and practices

b. Cultural care preservation/maintenance, cultural accommodation/negotiation, and cultural repatterning/restructuring

What term is used to identify the major influences related to health, illness, and well-being in the Sunrise Model? a. Cultural competencies b. Culturally based factors c. Practices of heritage d. Six cultural phenomena

b. Culturally based factors

How does a nurse best gain insight into his or her personal cultural characteristics and behaviors? a. Discuss the importance of addressing cultural characteristics with other nurses b. Engage in a culturally focused self-assessment c. Take a class that focuses on appreciating cultural diversity d. Purposefully seek interaction with those of other cultures

b. Engage in a culturally focused self-assessment

How does completing a cultural assessment help a nurse overcome stereotypes and increase the potential for patients to receive culturally congruent care? Select all that apply. a. It provides information about the nurse's worldview, beliefs, and values. b. It lets the nurse know what things are important to the patient about receiving professional care. c. It provides information about that person's culture with which the nurse may not be familiar. d. It provides information specific to that person and can reveal the cultural phenomena that influence them.

b. It lets the nurse know what things are important to the patient about receiving professional care. d. It provides information specific to that person and can reveal the cultural phenomena that influence them.

Using the Sunrise Enabler as a guide, which dimensions are described in this scenario? Select all that apply. Male relatives of a female Muslim patient are outraged when a male nurse enters the treatment room without knocking nor asking permission to enter. a. Political and legal factors b. Kinship and social factors c. Cultural values, beliefs, and lifeways d. Religious and philosophical factors

b. Kinship and social factors c. Cultural values, beliefs, and lifeways d. Religious and philosophical factors

What makes the term cultural diversity ethnocentric in nature? a. The term is used to demonstrate the relationship between knowledge and power among varying populations. b. The term is said to focus on how others differ from ourselves. c. The term is frequently used to identify the norm against which the differences in others are compared. d. The term has a negative connotation used synonymously with different, deviant, abnormal, or pathologic.

b. The term is said to focus on how others differ from ourselves.

If a person is curious about how others think and what they find important, that person exhibits traits of _________. a. chauvinism b. ethnorelativism c. xenophobia d. ethnocentrism

b. ethnorelativism

Which of the following is not a key principle in the process of developing cultural competence and is more appropriately saved for the practicing of culturally congruent care? a. Not stereotyping b. Asking questions c. Taking actions aligned with patient beliefs and values d. Understanding

c. Taking actions aligned with patient beliefs and values

Having a nursing staff with diverse cultural backgrounds increases the likelihood that patients from a variety of backgrounds will receive care more effectively. FALSE TRUE

TRUE

Nurses were initially brought in to assist medical personnel in an administrative capacity. As the need for a more direct relationship with patients presented itself, nurses filled the gap and developed the interpersonal skills that would facilitate patient-centered care. T or F

TRUE

Which statement reflects how the discipline of transcultural nursing addresses overcoming generalizations and stereotypes. a. By knowing different general cultural practices, you can provide care that is congruent with that culture. b. Having nursing staff who share the same cultural background as patients is the best way to ensure culturally congruent care. c. Because culture influences health and well-being in a myriad of ways, as a professional nurse, you must understand what that means for each patient individually. d. By studying the care practices of a specific culture, you will be prepared to provide culturally congruent care to any patient of that culture.

c. Because culture influences health and well-being in a myriad of ways, as a professional nurse, you must understand what that means for each patient individually.

What does the term culturally competent imply when used to identify a specific nurse? a. Some knowledge of one's own beliefs and practices has been achieved. b. An individual relates respectfully to different groups of people. c. Certain psychomotor or behavioral skills have been developed. d. An understanding of discrimination is demonstrated by his or her behavior.

c. Certain psychomotor or behavioral skills have been developed.

Because nursing reflects the attitudes of the society it functions within, how can it begin to reverse the criticisms made of transcultural nursing? a. Requiring all nursing students to complete a transcultural nursing course as a prerequisite of graduation b. Making an advanced nursing certification available for the specialty of transcultural nursing c. Encouraging nurses to be active in establishing social policies at all levels of society d. Making transcultural nursing continuing education units a license renewal requirement

c. Encouraging nurses to be active in establishing social policies at all levels of society

How best can the health care needs of a patient be determined and addressed considering both etic and emic perspectives? a. Alternating between the viewpoints of both the staff and the patient b. Emphasizing the viewpoint of the patient c. Incorporating the viewpoints of both the staff and the patient d. Emphasizing the viewpoint of the staff

c. Incorporating the viewpoints of both the staff and the patient

What is transcultural nursing? a. Understanding the culture of the patient to be able to provide better care b. Learning multiple languages to better relate to patients and their families c. Integrating culture care knowledge of the patient's values, beliefs, practices, and expressions into the co-developed plan of care toward optimal care outcomes. d. Understanding one's own culture and how it is similar and different from other cultures

c. Integrating culture care knowledge of the patient's values, beliefs, practices, and expressions into the co-developed plan of care toward optimal care outcomes.

Which statement is true regarding the clarity and preciseness of transcultural terms? a. Discrepancies in the meaning of terms seldom occur since all members of a culture have similar heritage experience. b. The key terms used to describe cultural concepts are usually easily understood by nurses. c. Nurses struggled to achieve clarity in determining the difference between the concepts of cultural competence, cultural awareness, and cultural congruence. d. Nurses are able to understand the intention of terms concerning complexities like prejudice, discrimination, and racism.

c. Nurses struggled to achieve clarity in determining the difference between the concepts of cultural competence, cultural awareness, and cultural congruence.

Using the Sunrise Enabler as a guide, which dimension is described in this scenario? Hmong parents are visibly upset when a nurse wheels in a mobile computer unit, and become even more upset when the nurse attempts to take the patient's vital signs. a. Religious and philosophical factors b. Environmental factors c. Technological factors d. Kinship and social factors

c. Technological factors

What aspect of transcultural nursing has been criticized by some health care professionals? a. Achieving cultural competence is initially dependent on becoming self-aware of one's own culture. b. Transcultural nursing is best practiced by nurses who have had positive experiences with members of various cultures. c. There is a basic assumption that an awareness of other cultures results in tolerance and respect for all cultures. d. Culturally competent practice must be considered when delivering nursing care to all patients.

c. There is a basic assumption that an awareness of other cultures results in tolerance and respect for all cultures.

How does a nurse best demonstrate a respect for patient diversity? a. Recognizes the existence of conflicts associated with the cultural values of people b. Understands that people of diverse backgrounds have a variety of past experiences c. Values the differences in race, ethnicity, national origin, religion, and sexual orientation of patients d. Possesses a particular value, belief, and pattern of behavior shared with some members of another culture

c. Values the differences in race, ethnicity, national origin, religion, and sexual orientation of patients

One of the criticisms of transcultural nursing is that its terminology can be ambiguous. Which concept is an example of this ambiguity? Select all that apply. a. culture/worldview b. male/female c. cultural competence/cultural congruence d. cultural awareness/cultural sensitivity

c. cultural competence/cultural congruence d. cultural awareness/cultural sensitivity

Which term is used when referring to a complex integration of knowledge, attitudes, beliefs, skills, and encounters when interacting with someone whose culture differs from our own? a. Cultural dimensions of care b. Culturally congruent care c. Linguistic competence d. Individual cultural competence

d. Individual cultural competence

Which mode of restructuring supports the change of cultural practices from unsafe practices to practices that are scientifically safe and sound? a. Accommodation b. Preservation c. Competence d. Repatterning

d. Repatterning