Transcultural Midterm

21. M. Chang is a 20 - year - old Chinese American. She would like to go to college but has an aged, ill father at home. If M. Chang's cultural value orientation regarding relationships is collateral, she will be likely to: A Stay home and take care of her father. B Go ahead with college since she is young and her needs must come first. C Find a nurse to take care of her father so that she can go to college. D Ask her minister what she should do and then take her minister's advice.

A

3. An individual' s feelings of environmental control will affect beliefs about compliance with a medical regimen. Which of the following is most likely to be true? A A person with internal locus of control will be more likely to feel personal actions that can influence future health. B A person with external locus of control will be more likely to feel personal actions that can influence future health. C A person who believes in fate and change as an important determinant of nature has an internal locus of control. D A belief that the natural course of nature cannot be affected by individuals indicates belief in internal locus of control.

A

4. Seminole, Pima, and Papago Indians are known to have been highly susceptible to diabetes mellitus. A. True B False

A

4. The nurse in the outpatient medication clinic has a full appointment book. A Hispanic American client arrives at 12:30 PM for a 10 AM appointment, and a Native American client does not show up for the appointment. These culturally diverse clients are: A Members of cultural groups that have a different view of time. B Immature and irresponsible in health care matters. C Displaying passive -aggressive tendencies. D Acting out feelings of anger toward the system.

A

4. The nurse is admitting a 40 - year -old female patient newly emigrated from Mexico. The patient has hypertension. As this is the initial visit to the clinic, the best approach to assess what, if any, folk medicine the patient may have used is for the nurs e to ask: A "What have you been doing to treat your symptoms?" B "Have you been using any remedies that come from Mexico?" C "Would you like to keep wearing that garlic necklace while you are in the hospital?" D " Have you been using herbs to treat your illness?"

A

4. The principle that is most important to the provision of culturally competent care is the nurse's: A Awareness of personal stereotypes based on culture B Knowledge of specific behavior that is typical of persons in a given culture C Sensitivity to what the physician says about persons in the cultural group of t he patient. D Awareness of actions that can be expected of persons in a given culture.

A

What are the deficits in cultural-specific models? Select all that apply. a.) too much cultural content b.) not enough cultural content compared to patient data c.) a patient's culture has little to no effect on their care making this model inefficient d.) impossible to separate patient specific data from normative data e.) health care professionals do not understand the patient's culture and cannot change this

A, D a.) too much cultural content d.) impossible to separate patient specific data from normative data

When caring for the patient who believes there is a relationship between outcomes and internal feelings of control, the patient can be expected to do which of the following? A. Follow directions given for health care. B. View the future as a result of luck, chance, or fate. C. Believe compliance behaviors and health are unrelated. D. Adhere to beliefs of external control.

A. Follow directions given for health care.

A nurse doing discharge teaching with a Navajo diabetic patient should recognize that the patient may experience which of the following? A. May have trouble with keeping appointments. B. Will adhere to taking medication by associating it with mealtimes. C. Is future oriented and therefore motivated to be adherent. D. Is likely to perform illness prevention activities to be in harmony with nature.

A. May have trouble with keeping appointments.

Which questions should the nurse ask a patient to assess bicultural ecology and health risks while performing cultural assessment? Select all that apply. A.) "What is the cause your illness?" B.) "What other illnesses do you have?" C.) "What ethnic groups do you identify with?" D.) "What are your cultural practices in relation to religion?" E.) "Do you believe in curses, evil eye, or susto?" F.) "How do you treat this illness at home?"

A.) "What is the cause your illness?" B.) "What other illnesses do you have?" F.) "How do you treat this illness at home?"

Which process is involved in the ETHNIC mnemonic communication technique? A.) Intervention B.) Assessment C.) Diagnosis D.) Planning

A.) Intervention

The nurse finds that a patient has not understood the health education provided on personal hygiene. How does the nurse ensure that the patient understands the teachings? A.) the nurse clarifies the information and requests a teach back B.) educate the patient about western medicine interventions and their success rates compared to their culture's methods C.) providing the patient with written instructions D.) allow patient to express their difficulties with the teaching and correct their culture-based requests

A.) the nurse clarifies the information and requests a teach back

What problems occur with nursing diagnoses? (Select all that apply.) a.) focus on clients view rather than the provider b.) involves mislabeling c.) does not acknowledge the existence of other culturally relevant viewpoints d.) too generalized e.) puts intrusive limits on the patient's perception of their illness

ABCD a.) focus on clients view rather than the provider b.) involves mislabeling c.) does not acknowledge the existence of other culturally relevant viewpoints d.) too generalized (I don't really understand what the card in the other set was trying to get at)

How can one become culturally competent? (Select all that apply.) a.) gain understanding of your own cultural heritage b.) consider how the media influences society's impressions of cultural groups c.) develop a general baseline knowledge relative to specific cultural groups d.) be vigilant and aware

ABCD (all of the above!)

Giger and Davidhizar's Transcultural Assessment model includes: (Select all that apply.) a.) transcultural/culturally diverse nursing b.) culturally competent care c.) health status based on culturally specific illness and wellness behaviors d.) culturally unique individuals e.) research and health care worker understanding of all cultures f.) culturally sensitive environments

ABCD F a.) transcultural/culturally diverse nursing b.) culturally competent care c.) health status based on culturally specific illness and wellness behaviors d.) culturally unique individuals f.) culturally sensitive environments

How can humor aide a conversation? (Select all that apply.) a.) decrease anxiety/tension b.) build relationships c.) promote problem solving d.) promote learning e.) provide motivation f.) enable personal survival g.) create a shared pleasurable experience between people

ABCDEFG (all) Humor can be a great connector if used correctly and appropriately.

Which of the following are considered levels of functioning? (Select all that apply.) a.) family functions and activities b.) interfamilial interactions c.) interpersonal relationships d.) environmental interactions e.) the family system

ABCE a.) family functions and activities b.) interfamilial interactions c.) interpersonal relationships e.) the family system

What is the Internation Council of Nurses (ICN)? Select all that Apply. a.) a federation of more than 130 national nurses associations b.) Founded in 1899 c.) Founded in mid 1960s d.) world's first international organization for health professionals

ABD a.) a federation of more than 130 national nurses associations b.) Founded in 1899 d.) world's first international organization for health professionals

16. In which of these cultural groups may touch be symbolic of "undoing" an evil spell or preventing harm or healing? Mark all that apply. A Mexican Americans B American Indians C Italian Americans D French Americans E Asian Americans

ABE

Increased heat is detected by: (Select all that apply.) a.) thermal detectors in the skin b.) the autonomic nervous system c.) intensified olfactory interactions d.) visual examination e.) proprioceptors

ACD a.) thermal detectors in the skin c.) intensified olfactory interactions d.) visual examination

The need for space serves what four functions? (Select all that apply.) a.) security b.) comfort c.) privacy d.) autonomy e.) self-identity f.) self-esteem

ACDE a.) security c.) privacy d.) autonomy e.) self-identity

Which of the following are part of the 4 concentric areas of space creating one's inner personal space? a.) area of thoughts/feelings perceived as acceptable b.) religious experiences c.) inner spirit core d.) area of thoughts/feelings perceived as unacceptable e.) physical wellbeing f.) inner balance/peace g.) area of superficial public image

ACDG a.) area of thoughts/feelings perceived as acceptable c.) inner spirit core d.) area of thoughts/feelings perceived as unacceptable g.) area of superficial public image

A Haitian patient comes to the clinic with complaints of weight loss, fever, night sweats, and fatigue that have been recurring over the past few months. The patient also mentions that he has had a recurrent cold for the past few months that he cannot get rid of. Based on this information, the nurse suspects the patient is showing symptoms of: Hypertension AIDS Influenza Asthma

AIDS

A nurse is caring for a fifty-year-old brain-dead Japanese woman who is about to be taken off her ventilator. The nurse talks to the family and discovers they seem sad but not worried about her upcoming death. This may be because may Japanese... Accept death as a part of life and are less likely to do life saving measures Do not have a close relationship with their family as they are typically individually focused Do not show any emotions with anyone Think Buddha is in control of all

Accept death as a part of life and are less likely to do life saving measures

A Hmong patient nods when you explain how to change her dressing. How should you respond? Assume that the patient understands Ask the patient, "Do you even understand me?" Ask the patient to demonstrate how to do the dressing change Get an interpreter to explain and move on to other patients

Ask the patient to demonstrate how to do the dressing change

1. The nurse suspects that the client has nontraditional health beliefs and often uses nontraditional remedies to treat various illnesses. What is the best approach for obtaining this information from the client? A "What are your favorite foods?" B "Have you been taking any remedies that your family taught you to use?" C "Would you like to keep wearing that gold cross while you are in the hospital?" D "You haven't been eating any of those funny herbs your people use, have you?"

B

1. Which one of the following nursing actions is most likely to reduce a patient's anxiety and enhance the patient's personal security as it relates to the concept of personal space needs? A Touching the patient before and during procedures B Providing explanations when performing tasks C Making eye contact as much as possible D Reducing the need for the patient to make decisions

B

12. Which of these factors associated with communication differs among cultural groups and is usually most closely linked to geographic location? A Volume B Dialect C Language style D Kinesics

B

13. Religious structures fall into two different groups; one of these is the church type. Which of these statements about the church type of religious structure is accurate? A People involved isolate themselves from the rest of society and create their own laws and values. B It is a broadly based religion that generally includes people by virtue of their membership i n society. C It places personal commitment and experience before family and community functions. D People involved often congregate in clan -like environments.

B

3. A nurse in an outpatient clinic is about to interview a culturally diverse client. Which sitting posture during an interview is most neutral and acceptable to people of most cultures? A Legs crossed, leaning slightly backward in chair with one arm ext ended on the desk B Feet on the floor and upper body leaning slightly forward toward client C One leg crossed and the upper body turned slightly away from client D Feet on the floor and arms crossed over chest

B

3. Susceptibility to disease is based on cultural heritage. A True B False

B

3. Transcultural nursing is viewed as a culturally competent practice field that is: A Nurse centered and research focused. B Client centered and research focused. C Spiritually centered and research focused. D Concerned with differences between but not within cultural groups.

B

4. The nurse is working with a culturally diverse patient population in a clinic. In order to deliver culturally competent care, it is essential for the nurse to: A Do a physical examination on each patient. B Do a cultural assessment on each patient. C Have "lived experience" with the culture of the patients served. D Observe each patient for his or her unique behavior.

B

5. Cultural groups vary greatly. Which of the following is false concerning these differences? A Environmental control refers to the ability of a group to plan activities that control nature. B Social organization refers to the differences that exist within the family unit in a culture. C Verbal communication differences exist among cultures, and nonverbal communication differences exist between cultures. D The personal space and its meaning vary from one culture to another.

B

5. Every society has what is called the dominant value orientation. Which of the following best describes the dominant value orientation of the majority culture in the United States? A Belief in ancestral knowledge and reverence for aged members of the society B Working hard and being self - supporting and financially independent C Living within a communal group and rejecting personal belongings D Moving away from other people and living in a cabin without heat, lights, or water

B

5. Keloids are more commonly seen in: A Asians B Blacks C American Indians D Europeans

B

7. Time takes on different meanings from one culture to another. To explore the relationship of time to nursing interventions, the nurse should: A Avoid using set times to do procedures, if possible. B Be flexible in attitudes and don't become emotionally upset when the client desires procedures to be done at "awkward times." C Encourage clients to set their own times when they would like the nurse to perform nursing care activities, regardless of the nurse's schedule. D. Disregard the usual adherence to time schedules for medications.

B

8. Time takes on different meanings from one culture to another. To explore the relationship of time to nursing interventions, the nurse should: A. Avoid using set times to do procedures, if possible. B Be flexible in attitudes and not become emotionally upset when the client desires procedures to be done at "awkward times." C Encourage clients to set their own times when they would like the nurse to perform nursing care activities, regardless of the nurse's schedule. D Disregard the usual adherence to time schedules for medications.

B

8. Which of these zones of interpersonal space is usually permitted by family members and friends? A Intimate zone B Personal zone C Social zone D Public zone

B

The nurse is assessing an Asian patient in a day care center. The nurse is developing a transcultural care plan for the patient who identifies both with his native culture and the American culture. Which components should the nurse incorporate in order to provide culturally congruent care? Select all that apply. A.) Tell the patient they must choose one culture or the other. B.) Obtaining knowledge of the patient's health beliefs C.) Educate the patient about the culture around them D.) Self-examining the nurse's own culture E.) Being open and accepting of cultural differences F.) Hold a group meeting with the day care students and ask what they think.

B.) Obtaining knowledge of the patient's health beliefs D.) Self-examining the nurse's own culture E.) Being open and accepting of cultural differences

Under supervision of the registered nurse, a nursing student is caring for a patient from different cultural background. Which action performed by the student nurse indicates the need for further teaching on transcultural nursing? A.) Allowing the patient to express their wishes with their treatment. B.) Offering generalized opinions during the assessment of the patient's world view C.) Educating the patient on western medicine at their request. D.) Learning about the patient's culture, adjusting care to meet their needs, and discussing treatment plans along with the patient

B.) Offering generalized opinions during the assessment of the patient's world view

The registered nurse is teaching a patient of a different cultural background the procedure to self-administer insulin. After teaching, the nurse asks the patient to self-administer insulin. Which type of technique does the nurse use in this situation? A.) interactivity B.) teach back C.) project-based learning D.) cooperative learning

B.) teach back

What is incidence? (added to set) A.) how often MG is found within a population B.) the rate of a disease within a time frame C.) the percentage of a disease in a population D.) an accident within a cultural setting

B.) the rate of a disease within a time frame

10. When developing communication skills for cultural competence, the best practice for the nurse when talking with clients of another culture is to: A Speak loudly and slowly when communicating. B Always utilize an interpreter if a culturally appropriate interpreter is available. C Use simple words, avoid use of idioms and medical terms, and assess constantly for comprehension. D Always talk with the client and family together, since this will increase the chance that someone understands what is said.

C

11. Mr. Johansen, born in Sweden, is fair -skinned, blond, and blue -eyed and has little body hair. Mr. Stavros, born in Greece, is olive - skinned, has dark brown hair and eyes, and has thick, dark body hair. This is an example of: A.Environmental control o f culture. B.Social organization of a culture. C.Biological variations in racial groups. D.Variation in space orientation of a culture.

C

16. To provide a culturally appropriate diet that is high in protein for someone of the Seventh Day Adventist religion, the nurse should select: A Seafood and eggs. B Meat and beans C Peanut butter and whole wheat bread D Pasta and tomato sauce

C

18. A Cambodian family immigrated to the United States and has been living in Denver for over 5 years. During a family assessment, the mother expressed concern about their children, ages 10, 13, and 16, stating, "The children act so differently now. They are less respectful to us and want to eat only American food and go to rock concerts. It's hard to believe they are our children." The children are demonstrating: A Cultural relativism. B Ethnocentrism. C Biculturalism. D Acculturation.

C

2. The major purpose of culturally congruent nursing care is to enable the nurse to: A Be aware of his or her own cultural beliefs and values. B Change his o r her beliefs to meet the patient's needs. C Provide care in a culturally sensitive manner. D Refrain from making judgments when patients are wrong

C

2. The nurse assesses a client and determines that the patient has future -time orientation. With this information the client is more likely to: A Have little motivation for developing goals. B Have difficulty adhering to schedules. C Return for follow -up visits. D Live for the present.

C

2. To determine if a client with a limited English vocabulary understands the pre - operative teaching related to coughing and deep breathing, the nurse should ask the client to: A Verbalize what was learned regarding coughing and deep breathing. B Verba lize to an interpreter how to cough and breathe deeply. C Demonstrate how to cough and breathe deeply postoperatively.

C

2. When making patient care assignments that include a female Islamic patient, the nurse knows: A Sex of the nurse is not pertinent. B Sex of the patient is not pertinent. C The nurse needs to arrange for care by someone of the same sex. D Only family members can give care.

C

9. Betty Chang, a 60 - year - old Chinese patient, is admitted to your unit. She is placed on all of the drugs below. However, based on your cultural knowledge, you would need to pay particular attention to Betty because of which drugs? A Dyazide (hydrochlor othiazide/triamterene) B Glucophage (metformin) C Propanolol (Inderal) D Atacand (candesartan)

C

2. A 23-year -old Jehovah' s Witness is scheduled for an appendectomy. The client has expressed concern related to receiving blood during the surgery. The best response of the nurse is: A "Your surgeon is very competent and will do only what is necessary to save your life." B "You don't have to worry about contamination of the blood supply because it is always tested." C "I will have the hospital chaplain interpret the Bible for you to show you there is no religious objection to blood transfusions." D " Transfusions are not routine for this procedure; however, I will call and alert your surgeon of your beliefs and wishes."

D

2. A newborn with which of these skin colors would rarely have Mongolian spots? A Yellow B Red C Brown D White

D

5. Culture is best defined as the: A Worldview and traditions transmitted by a group from generation to generation. B Classification of people according to shared biological characteristics. C Religious or racial characteristics of a group that set it apart from the larger soci e- ty of which it is a part. D Assumption of attitudes, values, and beliefs held by a particular cultural group that have been passed down from one generation to the next.

D

7. When providing care to clients with diverse cultural backgrounds, it is imperative for the nurse to recognize that: A Cultural considerations must be put aside when the client enters the health care system. B Current health standards should determine the acceptability of cultural practices. C Clients with the same cultural background will respond similarly to stressful situations. D Generalizations about the behavior of a particular ethnic group may be inaccurate.

D

8. Angiotensin - converting enzyme inhibitors such as captopril (Capoten) tend to be less effective as single therapy for which of the racial/ethnic groups listed below? A Whites B Hispanics C Asians D African Americans

D

A Haitian patient is admitted to the hospital for arthritic pain. During the nursing assessment, the nurse learns that the patient is using a therapy called cupping for palliation of pain along with traditional Western medicine. Cupping involves placing heated cups on the skin. Which is the most appropriate action by the nurse? A.) Inform the patient that this is not an accepted practice and they need to stop this while in the hospital. B.) Educate the patient on NSAIDs C.) Allow client to continue practice but discourage it D.) Learn about this therapy and avoid imposing one's own beliefs

D.) Learn about this therapy and avoid imposing one's own beliefs

According to Afghans, which belief of death is most accurate? Death is out of God's will. Death is a supernatural process. Death is the end of a fulfilled life. Death is the beginning of a new and better life.

Death is the beginning of a new and better life.

What is a significant health risk specific to Vietnamese Americans? Cardiovascular Disease Hypertension Hepatitis C Sickle Cell Anemia

Hypertension

You are a nurse in a clinic and have an appointment with a Haitian-American client. It is thirty minutes past the scheduled appointment time. Based on what the nurse knows about the Haitian culture the nurse understands: That the client does not like the nurse. The client is present- oriented and therefore does not prioritize being on time. The client is being rude and inconsiderate. The client is future-oriented and decided to move on to other events.

The client is present- oriented and therefore does not prioritize being on time.

A Vietnamese American patient has been recently diagnosed with hypertension. The patient is prescribed an anti-hypertensive medication and educated about hypertension and how to take the medication. The patient acknowledges understanding. At the two-month follow up for the patient, blood pressure is still significantly high. What is the most likely explanation regarding to the cultural influences? The patient did not pick up the medication from the pharmacy and has not taken any of the medication The patient has been cutting the tablets in half and taking every other day because he feels the dose is "too strong" for him. The patient forgets to take the medication most days The patient has decreased his daily salt intake

The patient has been cutting the tablets in half and taking every other day because he feels the dose is "too strong" for him.

What is the Leininger model? a.) a nursing specific model that serves as the prototype for the development of other culturally specific nursing models and tools b.) a non-nursing model devoted to practical assessment of communities (especially health areas) c.) a social-worker based model designed for better communication with those in different cultures than the social-worker themselves d.) evidence-based practice that supports culturally competent care only in areas with a large population

a.) a nursing specific model that serves as the prototype for the development of other culturally specific nursing models and tools

What is a minority group? a.) can consist of a particular racial/religious/occupational group that constitutes less than a numerical majority of the population b.) a group of people within an environment that are considered to be intrinsically worth less than others c.) people with a height below the 50th percentile for their weight/age d.) a group of people with few values/beliefs

a.) can consist of a particular racial/religious/occupational group that constitutes less than a numerical majority of the population

What is a gay family? a.) consist of two persons and generally function as a nuclear dyad b.) a married couple without children c.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage d.) grandparents who are taking care of grandchildren

a.) consist of two persons and generally function as a nuclear dyad

What is an alternative family? a.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage b.) grandparents who are taking care of grandchildren c.) Formed by "put-together parts" of previously existing families with the intention of forming a new nuclear family d.) a married couple without children

a.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage

What do exteroceptors do? a.) convey the sensations of heat, cold, touch, and pain to the central nervous system b.) keep us informed as to exactly what is happening as we work our muscles c.) distract us from pain when given opioids d.) tells our body if our internal temperature is too hot/cold

a.) convey the sensations of heat, cold, touch, and pain to the central nervous system

What are the three dyads implying the existence of or location for an individual within the family structure? a.) husband-father, wife-mother, child-sibling b.) human, animal, other c.) child-student, wife-homemaker, husband-provider d.) environment, behaviors, interactions

a.) husband-father, wife-mother, child-sibling

What is one of the most basic methods of communication? a.) odor b.) speaking c.) body language d.) written language

a.) odor

It's important to remember that some odors may be: a.) pathological b.) peace-offering c.) offensive d.) natural

a.) pathological

What is the area surrounding a person's body called? a.) personal space b.) their lil bubble c.) interpersonal space d.) intrapersonal space

a.) personal space

Which of the following nursing actions is most likely to reduce a patient's anxiety and enhance the patient's personal security as it relates to the concept of personal space needs? a.) providing explanations when performing tasks b.) completing the task before explaining it to the patient c.) tell the patient to talk to the MD if they have questions d.) do not introduce yourself beforehand to reduce patient suspicions about you

a.) providing explanations when performing tasks

Cultural behavior, or how one acts in certain situations, is ___________ acquired. a.) socially b.) genetically c.) emotionally d.) physically

a.) socially

When providing care for clients of different cultural backgrounds, the nurse needs to be careful to avoid: a.) stereotyping b.) medically correct language c.) nonverbal communication d.) trying to learn about the culture

a.) stereotyping

What is silence? a.) the lack of noise b.) the lack of desire to continue doing quizlets c.) uncomfortable d.) a party in the USA

a.) the lack of noise Silence can be meaningful in many cultures.

Who should be the nurse's primary informant for information when possible? a.) the patient b.) patient's parents c.) a close family friend d.) the patient's guardian

a.) the patient

What is proxemics? a.) the study of human use and perception of social/personal space b.) an estimate of time, space, or energy based on a person's interactions with the external world c.) the study of social interactions within a certain milieu d.) nearness in space, time, or continuum

a.) the study of human use and perception of social/personal space

Define an intimate zone. a.) touching-1 1/2 feet b.) 1 1/2-4 feet c.) 4-12 feet d.) 12-15 feet

a.) touching-1 1/2 feet The intimate zone is the zone most often used during nursing cares.

What is it considered if a person expresses the belief that personal commitment and experience are more important that the family and the community functions of religion? a.) Withdrawal b.) Engagement c.) Religious atrocity d.) Committed believer

a.) withdrawal

According to Giger and Davidhizar, which of these zones of interpersonal space is the preferred distance between people other than French Americans and African Americans in the US? a.) 1-3 feet b.) 3-6 feet c.) 6-12 feet d.) 12-18 feet

b.) 3-6 feet (personal zone)

Which group of people were displaced from their homeland because of their alignment with the U.S. in the Vietnam War? a.) Vietnamese b.) Hmong c.) Croatian d.) American Indians

b.) Hmong

What religion is based on the teachings of Mohammed and stress belief in Allah (single deity), Paradise and Hell, and the written law of the Quaran? a.) Hinduism b.) Islam c.) Buddhism d.) Confucianism

b.) Islam They are required to pray 5x a day.

Encouraging clients to set out personal items and wear their own sleepwear is a means of promoting which of the following? a.) Uniqueness b.) Self-identity c.) Mental wellbeing d.) Independence

b.) Self-identity

What religion is based largely on the apocalyptic books of Daniel and Revelation? a.) Islam b.) Seventh Day Adventists c.) Christians d.) Jews

b.) Seventh Day Adventists They also believe Believe that Christ will return again very soon and that Christians have an obligation to keep some of the laws of Moses, including worship on Saturday, the old Sabbath. They teach that our human bodies are a temple of God and should be kept healthy.

When assessing an Asian client, the best way to obtain information is to: a.) Ask about home life b.) Use an interest approach to get information c.) Assess for a familial hierarchy d.) Use an information based approach to convince the patient into sharing

b.) Use an interest approach to get information

What is a nuclear dyad family? a.) multigenerational family including all relatives by birth, marriage, or adoption b.) a married couple without children c.) grandparents who are taking care of grandchildren d.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage

b.) a married couple without children The couple may have chosen not to have children, may not be able to have children or adopt them, or their children may have died.

What does "culture bound" describe? a.) someone who refuses to change cultures despite the assimilation of their family b.) a person living within a certain reality that is considered "the reality" c.) one who is headed towards a transition between cultures d.) not being able to leave one's culture behind despite the environment they physically live in

b.) a person living within a certain reality that is considered "the reality"

What is ethnicity? a.) the race someone is born into b.) a shared identity related to social and cultural heritage c.) someone's social background d.) a patient's family's history

b.) a shared identity related to social and cultural heritage Includes values, language, geographical space, and racial characteristics

Which of the following is more subject to external manipulation? a.) textural perception b.) auditory perception c.) visual perception d.) physical touch perception

b.) auditory perception

The most important principle in the provision of culturally competent care is the nurses: a.) knowledge of other cultures b.) awareness of personal stereotype based on culture c.) own culture d.) past interactions with cultures other than their own

b.) awareness of personal stereotype based on culture

Openness and closeness in a family system is governed by the degree of information or energy that is exchanged and the nature of the ________________. a.) familial relationships b.) boundaries c.) environment d.) familial values and beliefs

b.) boundaries

What is nonverbal communication? a.) verbal communication b.) communication without the use of words c.) using words to communicate d.) not communicating with someone else

b.) communication without the use of words This can include touch, facial expression, eye movement, and body posture.

Who was Madelaine Leininger? a.) first European nurse to go to Africa on mission b.) founder of field of transcultural nursing c.) developer of Transcultural Nursing Society d.) important board director at Mayo Clinic

b.) founder of field of transcultural nursing She also developed the Sunrise Model

Which of the following are concerned with the examining the world up close? a.) feeling receptors b.) immediate receptors c.) distant receptors d.) emotional receptors

b.) immediate receptors Receptors include touch through skin membranes.

What do proprioceptors do? a.) make dopamine b.) keep us informed as to exactly what is happening as we work our muscles c.) distract us from pain when given opioids d.) relay sensory information to the central nervous system

b.) keep us informed as to exactly what is happening as we work our muscles

Individuals with disabilities are __________ likely to suffer from secondary conditions. a.) Less b.) More c.) The most

b.) more

What is an extended family? a.) Formed by "put-together parts" of previously existing families with the intention of forming a new nuclear family b.) multigenerational family including all relatives by birth, marriage, or adoption c.) consists of two generations and is made of of mother or a father and children by birth or adoption d.) a married couple without children

b.) multigenerational family including all relatives by birth, marriage, or adoption

Clients who don't understand are more likely to convey a: a.) positive attitude b.) negative attitude

b.) negative attitude

What is eye movement used for in communication? a.) initiate interaction and block conversation b.) observation and to initiate interaction c.) to see d.) to avoid conversation

b.) observation and to initiate interaction A lack of eye contact may be interpreted as sign of shyness, lack of interest, subordination, humility, guilt, embarrassment, low self-esteem, rudeness, thoughtfulness, or dishonesty.

What types of questions should you ask your patient? a.) general b.) open-ended c.) specific d.) close-ended

b.) open ended

What is the American Holistic Nurses Association (AHNA)? a.) hospice care that focuses on the holistic care approach for end-of-life care b.) promotes education of health care professionals and the public in all aspects of holistic caring and healing c.) program that focuses on treating the spiritual and emotional needs of a patient before the physical needs d.) instilled holistic care throughout hospitals in the late 1890s

b.) promotes education of health care professionals and the public in all aspects of holistic caring and healing

Which of these are believed by many sociologists to be a social phenomenon? a.) cultures b.) religious groups c.) folk illnesses d.) race

b.) religious groups

Which of the following need to be communicated across all cultural boundaries to increase communication and decrease interpersonal distance? a.) boudaries b.) respect c.) regulations d.) rules

b.) respect

How is physical pain most often communicated? a.) screaming b.) rigid muscles, flexed body, and cautious movements c.) crying d.) silence

b.) rigid muscles, flexed body, and cautious movements

What is visual space? a.) a defined space within one's field of vision b.) separates objects from each other c.) separates the viewer from the object d.) emotions brought about by physical environment

b.) separates objects from each other

Which of the following can trigger the body to send/receive messages of emotional state? a.) dryness of skin b.) skin temperature c.) height d.) speed one is going

b.) skin temperature

Which sense evokes deep memories the most? a.) touch b.) smell c.) vision d.) sound

b.) smell

What does a church represent? a.) a religious organization meeting once a week on Sundays b.) the normative spiritual values of a society that most people adhere c.) a deity of some sort d.) a place of worship for God

b.) the normative spiritual values of a society that most people adhere

Why should you avoid using family members as interpreters? a.) the family member may swap out information b.) the patient may not be willing to confide certain information to the family member c.) the family member could give you false information d.) the family member may not want to

b.) the patient may not be willing to confide certain information to the family member

What is ethnocentrism? a.) having ethnicity based conclusions to situations b.) the tendency to hold one's own way of life as superior to others c.) keeping one's ethnicity at the core of their identity d.) ethnicity is the center of the human existence and thus connects us all

b.) the tendency to hold one's own way of life as superior to others

In reviewing your patient's chart, you see that she has 9 a.m. lab draws. As his/her nurse, you would a. Go in and draw the labs at 9 a.m. as she would prefer someone familiar to her to take the blood. b. Call the lab and warn them that she may try to fight her lab draw, so they should be prepared for a difficult patient. c. Explain that the body regenerates blood and they take only as much as is needed. d. Ask her how long she has been in the country.

c. Explain that the body regenerates blood and they take only as much as is needed.

A 32-year old Filipino recently moved to the United States and is having a general checkup. She is nervous because she has never been to an "American doctor". She decides to clean the house, talk to her sister on the phone who is not feeling well, and tend to her 6-year old's math homework. Is this behavior normal for a typical Filipino? a. No, she is showing lots of anxiety. b. No, Filipinos are generally on time to important appointments. c. Yes, she is running on "Filipino time" since family is her priority right now. d. Yes, she is just very OCD.

c. Yes, she is running on "Filipino time" since family is her priority right now.

Define a social zone. a.) touching-1 1/2 feet b.) 1 1/2-4 feet c.) 4-12 feet d.) 12-15 feet

c.) 4-12 feet

How many adults are linguistically isolated in the US? a.) 43 thousand b.) 34 million c.) 43 million d.) 34 thousand

c.) 43 million

Which culture has an underdeveloped olfactory sense? a.) Indians b.) Mexicans c.) Americans d.) Africans

c.) Americans

What religion won't partake in military service because they believe in the second coming of the kingdom? a.) Christians b.) Muslim c.) Jehovah's Witnesses d.) Seventh Day Adventists

c.) Jehovah's Witnesses They also believe that the government is under the control of Satan.

What is familial organization? a.) how a family relates to a different family b.) assigned and acquired roles within a family c.) What positions each person has within the structure of the home d.) how a family relates to the culture they consider themselves to be a part of

c.) What positions each person has within the structure of the home The nurse must remember the structuring of functions and familial goals must be addressed.

What is Giger and Davidhizar's Transcultural Assessment model? a.) a chart created to assess a patient's needs based off of the typical needs of others in the patient's culture b.) a widely used model to create care equity and promote healing in all cultures c.) a tool developed to minimize the time needed to conduct a comprehensive assessment in an effort to provide culturally competent care d.) an ethical guideline in the care of different cultures

c.) a tool developed to minimize the time needed to conduct a comprehensive assessment in an effort to provide culturally competent care It is also widely incorporated into schools of nursing across the US but can be used by most healthcare professionals.

What is enculturation? a.) the assimilation of cultures b.) the study of different cultures within a relational context c.) acquiring knowledge and internalizing values d.) the transition in changing religions

c.) acquiring knowledge and internalizing values

Which of the 6 cultural phenomena evidenced in all cultural groups are considered essential? a.) time b.) communication c.) biological variations d.) environmental control

c.) biological variations (the original card is super confusing - sorry in advance!)

Which of the following is a phenomenon with cultural and therapeutic implications? a.) names b.) body markings c.) color d.) cuss words

c.) color

What is a traditional family? a.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage b.) grandparents who are taking care of grandchildren c.) consist of one man, one woman of the same race, religion, and age who are of sound mind and body who marry during their early or middles twenties, are faithful to the other for life, have and raise their own culture, retire, and finally die d.) a married couple without children

c.) consist of one man, one woman of the same race, religion, and age who are of sound mind and body who marry during their early or middles twenties, are faithful to the other for life, have and raise their own culture, retire, and finally die

What is a single-parent family? a.) multigenerational family including all relatives by birth, marriage, or adoption b.) Formed by "put-together parts" of previously existing families with the intention of forming a new nuclear family c.) consists of two generations and is made of of mother or a father and children by birth or adoption d.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage

c.) consists of two generations and is made of of mother or a father and children by birth or adoption Reasons include: electing to be a single parent, divorce, death, separation, or abandonment

What does "function" mean in familial relations? a.) the role of each individual within the family unit b.) how family members interact with one another and build off of each other's ideas/purposes c.) describes the purpose, goals, and philosophy of the family organization d.) family members helping other members meet their individual goals

c.) describes the purpose, goals, and philosophy of the family organization

What is inner personal space? a.) the divisions one has within themselves b.) interpersonal space c.) dynamic, invisible dividing lines that can be divided into 4 concentric areas of space d.) physical personal space

c.) dynamic, invisible dividing lines that can be divided into 4 concentric areas of space

The nurse has determined that space and territoriality are very important to the client from a different culture. What is the best way for the nurse to enter the clients space in order to deliver nursing care? a.) completing the task before explaining it to the patient b.) tell the patient to talk to the MD if they have questions c.) explain nursing care and procedures before beginning d.) do not introduce yourself beforehand to reduce patient suspicions about you

c.) explain nursing care and procedures before beginning

What is body heat linked to? a.) positive experiences b.) negative experiences c.) feelings of intimacy d.) survival

c.) feelings of intimacy Body heat is also linked to childhood experiences.

What is an Office for Minority Health? a.) a private office in each hospital focusing on the health of minorities b.) school offices that focus on assisting minority students c.) government organized office that focuses on the health of minorities d.) any type of office that is employed mostly/only with those who are considered minorities in their community

c.) government organized office that focuses on the health of minorities

What is a skin-generation family? a.) a married couple without children b.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage c.) grandparents who are taking care of grandchildren d.) multigenerational family including all relatives by birth, marriage, or adoption

c.) grandparents who are taking care of grandchildren

What can create a therapeutic affect when it does not include ridiculing and cynicism? a.) conversation b.) relationships c.) humor d.) body language

c.) humor

What are culture-bound syndromes? a.) illnesses always present if one is part of a certain culture b.) diseases believed to be in need of a folk-healer c.) illnesses that are specific to one culture d.) syndromes created by a culture to explain cultural phenomenons

c.) illnesses that are specific to one culture

Who are seen as independent units? a.) a single nuclear family b.) culture groups c.) individual family members d.) a single race

c.) individual family members

What is grammatical structure? a.) adds importance to communication and includes pitch and range b.) how you string words together to form a sentence in English c.) length of sentence and speech form may vary not only with culture but also with social class d.) the form and structure of speech

c.) length of sentence and speech form may vary not only with culture but also with social class

What is a denotative meaning? a.) a word's meaning only used by a select group b.) the negative implication of a word c.) meaning that is in general used by most persons who share a common language d.) a word that only exists in one language

c.) meaning that is in general used by most persons who share a common language

Which of the following is an example of a chemical sense? a.) hearing b.) vision c.) olfactory perception d.) touch

c.) olfactory perception

Which of these zones of interpersonal space is usually permitted by family members and friends? a.) intimate zone b.) public zone c.) personal zone d.) interpersonal zone

c.) personal zone

How can a nurse bridge a gap in an interaction? a.) leaving the patient be to think about the conversation b.) speaking louder so the patient can hear them better c.) placing forearms on the table, palms up d.) crossing their arms

c.) placing forearms on the table, palms up

The major purpose of culturally congruent nursing care is to enable the nurse to: a.) identify other healthcare team members' biases and speak to them about it in a calm manner b.) erase all biases based on race/culture from the healthcare system c.) provide care in a culturally sensitive manner d.) learn about cultures other than their own

c.) provide care in a culturally sensitive manner

What is race? a.) the culture one is born into b.) one's ethnicity c.) related to biological similarities such as skin color, bone structure, and blood group d.) a designated group of people based on physical appearances

c.) related to biological similarities such as skin color, bone structure, and blood group

What is tactile space? a.) the textures one feels within a certain space b.) the physical space around someone c.) separates the viewer from the object d.) emotions brought about by physical environment

c.) separates the viewer from the object

What is an ethnic minority? a.) can consist of a particular racial/religious/occupational group that constitutes less than a numerical majority of the population b.) a group of people with a decreased status in society due to their ethnicity c.) takes into account ethnicity, race, and the relative status of the groups of persons included in the category d.) a small group of people based fully on social status

c.) takes into account ethnicity, race, and the relative status of the groups of persons included in the category

Communication (in a cultural context) can be defined as: a.) all modalities of relaying a message b.) speaking a language c.) the means by which culture is transmitted and preserved d.) sharing cultural knowledge through writing

c.) the means by which culture is transmitted and preserved

When making patient care assignments that include a female Islamic patient, the nurse should include which of the following in her plans? a.) only Islamic nursing staff may take care of this patient b.) this patient may require extra care due to her faith and thus should give her nurse a lighter load c.) the nurse needs to arrange for care by someone of the same sex d.) to refrain from providing food and medications until the sun has risen in the morning

c.) the nurse needs to arrange for care by someone of the same sex

What is culturally diverse nursing care? a.) the ability of the nurse to adapt their own beliefs to their patient's beliefs b.) a healthcare worker's dedication to learning about various cultures c.) the variability in nursing approaches needed to provide culturally appropriate and competent care d.) a person's approach to understanding more about cultures within their own community

c.) the variability in nursing approaches needed to provide culturally appropriate and competent care

Why should you assess a patient's interpretation of what you said to them? a.) to identify feelings they have regarding your statement b.) to make sure you said the right thing c.) there is potential for errors if they do not have the correct understanding d.) to test their language/comprehension skills

c.) there is potential for errors if they do not have the correct understanding

What is the mission of the Transcultural Nursing Society? a.) to provide equal care to all diverse groups of people b.) to improve health worldwide with a special emphasis in areas of poverty c.) to enhance the quality of culturally congruent, competent and equitable care that results in improved health and well being for people worldwide d.) to diversify healthcare

c.) to enhance the quality of culturally congruent, competent and equitable care that results in improved health and well being for people worldwide

When planning discharge care for a family with open boundaries, the nurse is aware that this family system: a.) will refuse to utilize community resources b.) not thrive due to a lack of strict boundaries c.) will use available support systems to meet its need d.) will find other families with similar needs and fulfill it for them

c.) will use available support systems to meet its need

You have a patient from the Philippines who is admitted to the med-surg unit for infection of the coccyx. The entire family is visiting during your noon assessment. As the nurse what is the best response to the family? a. Ask the family to leave the room during your assessment b. Explain to the family what you will be doing and ask them if they would like to stay or leave c. Talk to the patient and see if they would like their family to stay or leave during the assessment d. Understand that space is limited and inward, so after discussing the assessment with the patient and family, make a plan that is appropriate for everyone.

d. Understand that space is limited and inward, so after discussing the assessment with the patient and family, make a plan that is appropriate for everyone.

A nurse in an outpatient clinic is about to interview a culturally diverse clinic. Which sitting posture during an interview is most neutral and acceptable to people of most cultures? a.) leaning back in chair with arms crossed b.) sitting directly across from the patient and leaning away from them c.) maintaining constant eye contact and touching their hand/arm/shoulder d.) Feet on the floor and upper body leaning slightly forward toward client

d.) Feet on the floor and upper body leaning slightly forward toward client

What is cultural competence? a.) having a lot of knowledge about different cultures b.) a nurse's application of knowledge from one culture projected onto all cultures c.) being able to compare cultures with a patient based off their name d.) a continuous process where one finds useful strategies for care based on cultural knowledge

d.) a continuous process where one finds useful strategies for care based on cultural knowledge This knowledge includes cultural heritage, beliefs, attitudes, and behaviors of those in the culture

What is a communal family? a.) consists of adults of a single generation or a combination of adults and children who live together without the social sanction of marriage b.) grandparents who are taking care of grandchildren c.) a married couple without children d.) a group of people that intertwines husband-wife, parents-child, and brother-sister types of relationships of individuals who have elected to life together in one house or closely adjoining structures

d.) a group of people that intertwines husband-wife, parents-child, and brother-sister types of relationships of individuals who have elected to life together in one house or closely adjoining structures

What is the Outline of Cultural Materials model? a.) written information should always be provided to patients in their native language b.) a model based on the nursing process applied to cross-cultural communities c.) a social-worker based model designed for better communication with those in different cultures than the social-worker themselves d.) a non-nursing model with 88 categories developed for anthropologists lacking use of the nursing process

d.) a non-nursing model with 88 categories developed for anthropologists lacking use of the nursing process

What is voice quality? a.) the frequency of one's spoken voice b.) length of sentence and speech form may vary not only with culture but also with social class c.) how clear you sound on a recording d.) adds importance to communication and includes pitch and range

d.) adds importance to communication and includes pitch and range

What is stereotyping? a.) advocating for a culture b.) only believing false information about a race c.) believing all people have intrinsic value and worth d.) assuming that all people in a similar cultural, racial, or ethnic group are alike and share the same values and beliefs

d.) assuming that all people in a similar cultural, racial, or ethnic group are alike and share the same values and beliefs

What is the Sunrise Model? a.) the concept of positivity and the idea of a new day in order to improve mental health b.) evidence-based practice that supports culturally competent care only in areas with a large population c.) an ethical guideline in the care of different cultures d.) based on the concept of cultural care that guides nursing judgments and activities to provide culturally congruent care

d.) based on the concept of cultural care that guides nursing judgments and activities to provide culturally congruent care

Mother Theresa believed: a.) verbal communication is the most important form of communication because it is often the most understood form b.) interpreters were important in order to connect to her many visitors c.) that she could learn a little bit from every language presented to her in order to connect with her visitors d.) communication was often about more than speaking and was through focused attention, active listening and adaptation

d.) communication was often more about speaking and was through focused attention, active listening and adaptation

Why does a patient's geographical location matter? a.) effects their role in society and in their own family b.) determines if the patient is within your facilities treatment radius c.) determines their societal role and their ability to receive care d.) consider if the family is more urban or rural and how this will affect the care your clients expect to receive

d.) consider if the family is more urban or rural and how this will affect the care your clients expect to receive

The nurse is preparing a healthy diet plan for Mrs. O. In doing so, she takes the time to include the Polish foods that Mrs. O favors. This nurse is demonstrating: a.) awareness b.) kindness c.) her full responsibilities as Mrs. O's nurse d.) cultural competence

d.) cultural competence (so many questions about cultural competence... when in doubt, cultural competence?)

Which of the following are considered to be embedded early and found in child-rearing practice? a.) values b.) desired wants/needs c.) culturally-based dressing d.) cultural patterns of communication

d.) cultural patterns of communication

Touch, or the lack there of : a.) has no meaning in a conversation if it does not match what the person is saying b.) can not convey emotions c.) is a form of verbal communication d.) has cultural significance as a learned behavior

d.) cultural significance as a learned behavior Most cultures have different rules/meanings surrounding touch. Some believe it is magical and healing.

Which of the following are concerned with the examination of distant objects? a.) myopic receptors b.) ophthalmic receptors c.) immediate receptors d.) distance receptors

d.) distance receptors Receptors include the eyes, ears, and nose.

Because touching the head has specific meaning in the Vietnamese culture, before measuring the head circumference of a child, the nurse should: a.) not measure the child's head and instead base calculations on weight b.) assure the patient there will not be any pain associated with the nurse's action c.) measure the child's torso instead d.) explain the procedure and ask permission of the parent

d.) explain the procedure and ask permission of the parent

How can the nurse let their patient know they are listening? a.) having back to patient b.) logging into computer c.) talking to another nurse d.) eye contact, silence, asking questions

d.) eye contact, silence, asking questions

What benefit can TV, the internet, and multimedia bring? a.) increased vision and hearing abilities b.) entertain persons c.) decrease boredom over long periods of time d.) instruments to extend perception

d.) instruments to extend perception

Which of the following control the direction of growth of the family? a.) all factors b.) independent factors c.) relational boundaries d.) internal and external environment

d.) internal and external environment

1. In assessing baseline color of skin, the abdomen can be expected to be: A Least pigmented. B Most pigmented. C Unreliable for examination. D Unrelated to other areas.

A

10. Nursing diagnoses offer a useful tool to assess culturally diverse patient needs. A True B False

A

11. On which of these factors does the North American Nursing Diagnosis Association (NANDA) focus the diagnoses? A The patient B The system C The provider D The ecosystem

A

11. Which of these factors are among those essential in communication assessment? Mark all that apply. A Dialect B Style C Volume D Touch E Context of speech F Kinesics

A

14. Jehovah's Witnesses are opposed to: A Blood transfusions. B Blood tests. C Medication. D Consumption of red meat.

A

15. Seventh -Day Adventists' practices include avoidance of: A Caffeine, alcohol, drugs, and tobacco. B Surgery on Sunday or Saturday after sundown. C Blood transfusions. D Tap water, undistilled.

A

17. The context of speech refers to the use of emotion when communicating. A True B False

A

17. When planning post -discharge outpatient educational sessions for a group of clients, the nurse should avoid Saturday sessions for patients who are: A Seventh Day Adventists B Muslims C Jehovah's Witnesses D American Indians

A

20. Because of the oral tradition of this cultural group, in providing discharge teaching, it would be inappropriate to provide written communication for which of the following cu l- ture groups? A Hmongs B Hispanic Americans C Japanese Americans D African Americans

A

3. In planning discharge instruction, the nurse is aware that the client who is most likely to be compliant will demonstrate: A Future orientation. B Past orientation. C Present orientation. D Tempered orientation.

A

4. When planning discharge care for a family with open boundaries, the nurse is aware that this family system: A Will use available support systems to meet its needs. B Is more prone to crisis, related to increased exposure to stressors. C Discourages family members from setting up channels. D Strives to maintain family stability by avoiding outside influences.

A

5. When providing care for clients of different cultural backgrounds, the nurse needs to be careful to avoid: A Stereotyping. B Socializing. C Enculturation. D Assimilation.

A

6. Cultural behavior, or how one acts in certain situations, is: A Socially acquired. B Genetically acquired. C Stereotyping. D Institutional.

A

6. The nurse has determined that space and territoriality are very important to the client from a different culture. What is the best way for the nurse to enter the client's space in order to deliver nursing care? A Explain nursing care and procedures be fore beginning. B Avoid touching the client during care. C Keep the curtains pulled around the bed at all times. D Stand at least 8 feet from the bed during client -nurse discussions.

A

7. Jenny Jones is a 45 -year -old African American admitted to the psychiatric unit with paranoid schizophrenia. She is put on Risperdal (risperidone). Based on your knowledge, you realize that the drug is an antipsychotic. Because of Jenny's race, it is possible that she might develop which of the following disorders as a side effect of this drug? A Tardive dyskinesia B Echolalia C Dysphagia D Echopraxia

A

9. When the nurse is planning care for a client with a different cultural background, t he initial primary concern in delivering culturally competent care is for the nurse to: A Assess how cultural variables may affect the client's health -related actions. B Explain how the client can adapt to hospital routines. C Speak s lowly and clearly to ensure effective communication. D Allow the family to provide care during the hospital stay.

A

The nurse is preparing a healthy diet plan for Mrs . O. In doing so, she takes the time to include the Polish foods that Mrs. O. favors. This is an example of the nurse's demonstrating: A Cultural competence B Bicultural values. C Ethnocentrism.

A

Mongolian spots are a common finding in which of these groups? Select all that apply. A. Black Americans B. White Americans C. Asian Americans D. American Indians

A, C, D

What are the 6 Cultural Phenomena that are evident in all cultural groups? (Select all that apply.) a.) Communication b.) Death c.) Space d.) Social Organization e.) Mental Illness f.) Folk Illness g.) Time h.) Environmental Control I.) Biological Variations

A, C, D, G, H, I a.) Communication c.) Space d.) Social Organization g.) Time h.) Environmental Control I.) Biological Variations

In making a correct nursing diagnosis regarding a rash on a patient, the nurse should complete which of the following tasks first? A. Become familiar with the patient's normal coloring to establish a baseline. B. Assess the skin in artificial lighting, not in sunlight. C. Assess darkly pigmented areas first, as it is less difficult to note color changes there. D. Assess lightly pigmented areas first, as it is less difficult to note color changes there.

A. Become familiar with the patient's normal coloring to establish a baseline.

While assessing a client who does not speak English, the nurse is aware of nonverbal indications of anxiety that include which of the following? A. Being uncooperative and withdrawn. B. Looking directly at the nurse and nodding yes. C. Looking at the blood and nodding no. D. Being cooperative and outgoing.

A. Being uncooperative and withdrawn.

When you are doing a skin assessment on a Russian American patient, you notice red, circular bruises all over your patient's back. As a culturally competent nurse, you know those spots could be cause by: A. Cupping B. Domestic Violence C. Chicken Pox D. Molluscum

A. Cupping

Because touching the head has specific meaning in the Vietnamese culture, before measuring the head circumference of a child, the nurse should: A. Explain the procedure and ask permission of the parent. B. Play a game with the child. C. Provide privacy by pulling up the curtains. D. Sit the child on the parent's lap.

A. Explain the procedure and ask permission of the parent.

When a nurse is discussing a medication home regimen with an Alaskan Eskimo patient, the nurse might expect which of the following? A. Focused on present events. B. Focused on the benefit of present events as they affect the future. C. Primarily concerned with past historic events. D. Unaffected by time orientation.

A. Focused on present events.

Alcoholism is a major and growing national health problem in Russians. As a nurse, the cause of this may be: (Select all that apply) A. The inheritance of a Mongolian gene that creates greater susceptibility to alcoholism B. The yummy taste of Vodka C. Chronic Stress D. Depression E. They like the feeling of being hungover

A. The inheritance of a Mongolian gene that creates greater susceptibility to alcoholism C. Chronic Stress D. Depression

The nurse who is caring for a patient with an external locus of control can anticipate which of the following? A. The patient will be more likely to be fatalistic about nature and illness. B. The patient is more likely to feel in control of events that affect him or her. C. The patient will expect to be able to modify behaviors to reach health goals. D. The patient will desire to help to control health and illness outcomes.

A. The patient will be more likely to be fatalistic about nature and illness.

When assessing an Asian client, the best way to obtain information is to: A. Use an interest approach to get more information. B. Ask questions through an interpreter. C. Ask family members to answer questions. D. Ask short-answer questions.

A. Use an interest approach to get more information.

What are the 3 dimensions of personal space? (Select all that apply.) a.) intimate zone b.) public zone c.) personal zone d.) interpersonal zone e.) intrapersonal zone

ABC a.) intimate zone b.) public zone c.) personal zone

What do most people feel when thinking of "warmth"? (Select all that apply.) a.) friendship b.) well-being c.) sweaty d.) pleasure e.) confined

ABD a.) friendship b.) well-being d.) pleasure

While working in a clinic, the nurses notices the Afghan-American clients frequently arrive for appointments 30 minutes late. What is the most culturally competent response of the nurse to her frustrated colleagues? The Afghan people dislike western medicine and refuse to show respect by arriving on time. They refuse to wear watches because they consider them an "evil eye." Afghan culture is present-oriented and focuses more on relationships and hospitality than adhering to a strict time schedule. The past orientation of Afghan culture means they avoid events that are planned in advance.

Afghan culture is present-oriented and focuses more on relationships and hospitality than adhering to a strict time schedule.

When caring for an Amish mother delivering a newborn, you as the nurse would expect the father to be: Not caring Aloof Euphoric Overwhelmed

Aloof

Your Hmong patient's family comes to visit him unannounced after surgery. How do you respond? Tell the family to come back later Ask the patient if he would like to see his family now Tell the family the patient cannot not have visitors Escort the family into the patient's room

Ask the patient if he would like to see his family now

You are the nurse caring for a patient who is an English-speaking Afghan. Before providing your patient with discharge papers and education materials, what is one important thing you must assess? Assess the patient's English literacy. Assess his or her readiness to be discharged home. Assess whether the patient's goals have been met. Assess the patient's family support system.

Assess the patient's English literacy.

An Irish American patient on hospice care is being visited by several family members. The nurse observes that no one is interacting with the patient. The nurse's best action would be to: Ask the family to leave Sit the client up in bed to facilitate interaction with family Assist the family in expressing love and affection to the patient Do nothing, as this is a normal cultural finding

Assist the family in expressing love and affection to the patient

1. Communication approaches the nurse can use while providing culturally appropriate nursing care for a client with limited understanding of English include all of the following except : A Using a lot of hand gestures. B Asking questions that require a yes or no response. C Repeating the message with different words. D Speaking slowly and distinctly.

B

1. In providing discharge teaching to a patient with future -time orientation, the culturally competent nurse is aware the patient is likely to: A Rely on current status. B Take precautions related to a future goal. C Be focused on the future with little thought of present actions. D Be attentive to the nurse out of respect.

B

12. According to NANDA, deviations from the dominant culture are automatically and ethnocentrically considered: A Normal. B Abnormal. C Irrelevant. D Nonassessable.

B

2. If people have a fatalistic attitude toward life, they are likely to seek medical attention: A More readily. B Less readily.

B

6. A person is more likely to be compliant with a practice related to long -term health promotion if the individual is: A Past and present oriented. B Present and future oriented. C Past and future oriented.

B

6. One category of drugs thought to be metabolized differently by virtue of race is antihypertensives. You have a 28 - year -old African -American male patient who has just been diagnosed with hypertension. Based on your knowledge, you would expect which cate gory of antihypertensives to be the least efficacious for your patient because these types of drugs would have to be given at a higher dose? A Alpha- adrenergic receptor blocking agents B Beta -adrenergic receptor blocking agents C ACE inhibitors D Calcium channel blockers

B

8. Mr. Cappelini is a 40 - year - old Italian man who just arrived in the United States. His English is limited, and the nurse does not speak Italian. Which intervention would be helpful in communicating with Mr. Cappelini? A The nurse tells him, "I have Italian friends, so I have a good idea what you mean." B The nurse responds, "Please explain that to me again." C Explain in Italian dialect, "I'ma not understandinga you."

B

the use of transcultural nursing knowledge is founded on the goal of a. increasing client compliance to the western medical model b. delivering culturally sensitive care that is free of inherent biases c. eliminating cultural differences. d. establishing system centered health policy

B

A nurse is teaching an Appalachian patient who says, "Whatever will be, will be." The nurse understands that which of the following is most accurate about this scenario? A. External feelings of control are related to compliance. B. Internal feelings of control are related to compliance. C. A fatalistic point of view is related to taking preventative health care actions. D. Feelings of internal control are not necessary for compliance.

B. Internal feelings of control are related to compliance.

The nurse plans to use an interpreter when teaching a Spanish-speaking client about diabetes mellitus. The best interpreter for the nurse to select is which of the following? A. A family member who lives with the client. B. One who translates not only the words but the nonverbal messages too. C. One who can translate the words into Spanish. D. One who can translate the words into oral and written format.

B. One who translates not only the words but the nonverbal messages too.

Encouraging clients to set out personal items and wear their own sleepwear is a means of promoting which of the following? A. Personal space B. Self-identity C. Visual space D. Autonomy

B. Self-identity

Your Vietnamese patient is prescribed Amoxicillin to treat her pneumonia; she is instructed to take her medication until gone. She is likely to: A. Follow orders out of respect for the healthcare professional B. Stop taking the medicine once the symptoms have disappeared. C. Take the prescription home but proceed with traditional medicine and not take the prescribed medicine. D. Share the medication with her family, so they can all be protected from the illness.

B. Stop taking the medicine once the symptoms have disappeared.

The Russian American patient needs education on preventive health care. When should the nurse present this information? A. When the patient is alone B. When the patient has family members present C. While your patient is getting a nebulizer treatment D. When you are pushing your patient out to their car at discharge

B. When the patient has family members present

The nurse is caring for an elderly patient who has diarrhea, and the nurse suspects that the patient has a biomedical perspective of illness. Which statement by the patient helped the nurse to reach this conclusion? A.) "I am sick because I missed church last week." B.) "I am sick because of unhygienic surroundings." C.) "I am sick because someone gave me the evil eye." D.) "I am sick because God is mad at me."

B.) "I am sick because of unhygienic surroundings."

Your Russian American patient needs a skin assessment during your shift, as the nurse, you should prepare your patient by: A.Telling the patient to take their clothes off this second B.Clearly explaining the assessment and the need for it before beginning C.Pulling the blankets off the her and starting the assessment while she is resting D.Asking her if she has any cuts or bruises on her body and taking her word on it because it is disrespectful to see a Russian woman's body if you are not her husband

B.Clearly explaining the assessment and the need for it before beginning

10. Succinylcholine (Anectine) is a muscle relaxant used during surgery. It is inactivated by hydrolysis by the enzyme pseudocholinesterase. Some individuals have the atypical form of the enzyme and may develop prolonged muscle paralysis and inability to breathe after this drug is administered. Which of the groups listed below has the greatest risk (in fact, it is said to be 1 out of 135)? A African Americans and Asians B American Indians and Hispanics C Jews and Alaskan Eskimos D Asians and Whites

C

22. According to the 2000 census, the largest ethnic minority group residing in the United States today is: A Asian Americans B Black Americans C Hispanic Americans D American Indians

C

3. To avoid cultural conflicts with a client, the nurse should: A Assure him that he is receiving quality health care. B Provide the client with information about the dominant culture. C Ask the client about his expectations about nursing care and procedures. D Thoroughly explain necessary nursing interventions that might cause the client embarrassment.

C

3. While planning discharge teaching, the nurse knows the client with which of the following family backgrounds is most likely to hold to traditional values? A Chinese B Indian C Amish D African American

C

4. Belief that one's culture is superior to all others is called: A Discrimination. B Stereotyping. C Ethnocentrism. D Racism.

C

5. The nurse is teaching an American Indian client about the importance of taking a prescription medication at the time ordered. Whic h of the following shows the greatest understanding of the implications of social versus clock time? A A person who is social time oriented is likely to take medication on time. B A person who is social time oriented is more likely to have a clock. C A person who is clock oriented is more likely to be attentive to the times that medication is ordered. D A person who is clock oriented is more likely to be past time oriented.

C

6. The nurse responding to patients from diverse cultures with interpersonal awareness, knowledge, skill, and sensitivity is known as having: A Enculturation. B Culture care preservation. C Cultural competence. D Culture care accommodation.

C

6. When planning nursing care for a client with a different cultural background, the nurse should: A Identify how cultural variables affect the health problem. B Try to explain how the client can adapt to hospital routines. C Speak slowly and clearly to ensure effective communication. D Allow the family to provide care during the hospital stay.

C

7. According to Giger and Davidhizar, which of these zones of interpersonal space is the preferred distance between people other than French Americans and African Americans in the United States? A 0 to 18 inches B 18 inches to 3 feet C 3 to 6 feet D Greater than 12 feet

C

7. Which of the following interventions is helpful in communicating with a client who speaks a language other than yours? A Reassure the client that you have friends of his ethnic or racial background. B Speak to the client using his ethnic dialect. C Ask the client for clarification if you don't understand what he is saying. D At the initial meeting, address the client by his first name.

C

When planning to teach an Islamic client, the nurse needs to be aware of which of the following? A. Decision making tends to be male dominated. B. Decision making tends to be female dominated. C. Decision making tends to be generally consultative between spouses. D. Decision making tends to be consultative with the entire family.

C. Decision making tends to be generally consultative between spouses.

In teaching a patient with present time orientation, the nurse should consider which of the following? A. Result in taking medication in a timely manner. B. Result in adherence to a preventive health regimen. C. Result in the patient's attending to other events that are happening rather than focusing on times medication is to be taken. D. Influence actions related to a future benefit.

C. Result in the patient's attending to other events that are happening rather than focusing on times medication is to be taken.

When planning care for the patient who is a Jehovah's Witness and may need blood in an upcoming surgery, the nurse should be aware of which of the following? A. The patient will not accept whole blood. B. The patient will not accept predeposited autologous blood. C. The patient may accept autologous blood through induced hemodilution. D. The patient will accept wound-aspirated blood that has been filtered.

C. The patient may accept autologous blood through induced hemodilution.

While assessing a patient with a psychiatric disorder, the nurse seeks the patient's point of view. Which process of the RESPECT mnemonic is the nurse employing? A.) Cultural Competence B.) Empathy C.) Rapport D.) Support

C.) Rapport

Which term best describes the type of elements that people in Western cultures believe cause illness? A.) nutritional B.) naturalistic C.) biomedical D.) religious

C.) biomedical

Which of the following reflects a biomedical theory of illness? A.) sick religiosity B.) The evil eye, curses, and susto are various causes of physical issues C.) postulates that microorganisms are responsible for specific disease conditions D.) God influences our health based on whether He is angry with us or not

C.) postulates that microorganisms are responsible for specific disease conditions

What is prevalence? (added to set) A.) an accident within a cultural setting B.) the rate of a disease within a time frame C.) the percentage of a disease in a population D.) how often a disease occurs within a geographic ethnic group

C.) the percentage of a disease in a population

What is a common food for postpartum Hmong women? Chicken, rice, and hot water for 30 days Granola and eggs Homemade Coconut Popsicles Pho

Chicken, rice, and hot water for 30 days

You have a new elderly male patient assigned to you who is on comfort care and is believed to be dying. Each night multiple members of the family sleep in the room. You suggest they take turns so they can have the opportunity to get a good night's sleep and they decline. What part of their culture do you think influences this decision? Respect for elders Commitment to family is more important than the individual's preference They are small, so fit well in the tight space. They each want to be the father's favorite.

Commitment to family is more important than the individual's preference

A nursing is assessing an Afghan-American patient for jaundice. Where is it most effective to look for jaundice? Elbows Conjunctivae Behind the ears Tongue

Conjunctivae

1. A nurse is caring for four terminal patients with diverse cultural backgrounds. Which of the following clients should the nurse anticipate will wish to engage in end -of - life procedures, such as making a will, a living will, and funeral arrangements? A A single Native American who had worked as a forest ranger B A female immigrant from China who is an acupuncturist C A refugee laborer from a war -torn Western African country D A fourth- generation New England male who is an accountant

D

15. Which of these cultural groups may not commonly use touch to convey emotions? A Italian Americans B African Americans C Mexican Americans D American Indians

D

19. In assessing a patient's religious or spiritual practice, the best approach for the nurse to use is to ask: A " What dietary restrictions are imposed by your religious and spiritual beliefs?" B "Would you accept blood transfusions if your condition required blood therapy?" C "Please tell me whether your religion allows you to eat meat daily." D " How can I help you in meeting any religious or spiritual needs you may have?"

D

8. Dr. T.W. is frequently bothered when patients arrive at the clinic late for appointments. He is so irritated by this behavior that he often finds it hard to provide appropriate care to these individuals. What should Dr. T.W. do first in trying to overcome his difficulty? A Identify the meaning of health to the patient B Allow the patients to arrive late and build this into his schedule C Understand that these cultural practices are helpful to the patient D Examine his own culturally based values, beliefs, attitudes, and practices

D

9. Which of the following is an appropriate guideline for overcoming language barriers? A Ask often if the person understands. B Avoid nouns and conjunctions. C Talk slightly louder than normal. D Use gestures with the words.

D

In developing a culturally sensitive care plan for a Hmong psychiatric patient, which of the following would be inappropriate? A. Including the family in the plan of care. B. Showing respect by avoiding eye contact. C. Avoiding touching the head. D. Communicating all instructions in a written form.

D. Communicating all instructions in a written form.

When analyzing the assessment data on the admissions of a client with limited English skills, the nurse realizes the client has answered yes or nodded the head indicating yes to all questions. The nurse interprets this as indicating which of the following? A. The client intended to answer all questions as yes. B. The client nodded the head and responded yes to indicate cooperation. C. The nurse should repeat the questions more loudly so the client will hear. D. The nurse should get an interpreter to assist with the assessment.

D. The nurse should get an interpreter to assist with the assessment.

Blood groups are said to differentiate people in different racial groups. You have a 29-year-old American Indian client admitted to your unit with diabetes. Based on what you know about American Indians, you might expect your patient's blood type to be which of the following? A. Type A B. Type B C. Type AB D. Type O

D. Type O

The nurse is using the "Teach Back" technique to evaluate a patient after teaching about medication adherence. Which question by the nurse is appropriate to verify the patient's understanding? A.) "How do you feel your family will react to this once you are at home?" B.) "Do you understand?" C.) "Will you be able to comply with your medicine regimen?" D.) "Please review what we talked about. How will you make it work at home?"

D.) "Please review what we talked about. How will you make it work at home?"

Which statement describes cultural skill according to Campinha-Bacote's model of cultural competency? A.) Have a basic understanding of all cultures and infer a patient's culture based off of their geographical location B.) Initialize treatment and reflect with the patient on how their treatment will effect their cultural factors C.) resisting social pressure and become dedicated to the pursuit of excellence D.) Assessing social, cultural, and biophysical factors before initiating the treatment

D.) Assessing social, cultural, and biophysical factors before initiating the treatment

5. Which of these cultural phenomena are among those considered essential and are evidenced among all cultural groups? Mark all that apply. A Communication B Space C Social organization D Time E Environmental control F Biological variations

F

13. Speaking loudly usually denotes anger. A True B False

FALSE

14. Silence as a method of communication usually indicates nothing. A True B .False

FALSE

True or False: Most patients will feel more comfortable talking to a provider of the opposite sex.

False

A 7-year-old Afghan boy presents to the hospital with measles, as evidenced by a red, blotchy skin rash, fever, and sore throat. Understanding the culture of this boy, you as the nurse provide: Chicken noodle soup with crackers Hot tea only, as this culture "starves a fever" Fruits such as melon and grapes Whatever food is in the cafeteria for the day

Fruits such as melon and grapes

When providing care for a Japanese client who practices Shintoism the nurse remembers they probably believe...(SELECT ALL THAT APPLY) Disease is caused by evil spirits and spells cast by witch doctors Illness occurs from things like "blood, corpses, skin diseases" Disease is a punishment from a god for bad behavior Health is due to harmony and balance with the environment Balance can be restored by acupuncture, acupressure, massage

Illness occurs from things like "blood, corpses, skin diseases" Health is due to harmony and balance with the environment Balance can be restored by acupuncture, acupressure, massage

Which of these nursing interventions would NOT be culturally appropriate when providing care for a Japanese client? Addressing client by first name Including the family in health teaching Including therapeutic touch Using silence

Including therapeutic touch

You and your nursing classmates are on a medical missions trip to Haiti. You are walking to the hospital where you will be working, and you pass a man with no shoes on. Based on what you learned about the Haitian culture, you know that this man: Is breaking the law Has vestiphobia Is trying to exfoliate his feet Is trying to warm up his feet

Is breaking the law

A Haitian-American woman is pregnant with her first child. In order to build trust and facilitate cooperation, the nurse should: Find an older, female nurse to assist with the delivery, as Haitian women listen to elders. Let the patient know the nurses want her to have a strong baby. Kick the husband out of the room. Have many essential oils in the room to keep a calm environment.

Let the patient know the nurses want her to have a strong baby.

When caring for a Japanese American client with a mental health diagnosis the nurse is aware that ... The client will likely ask a professional for help before turning to family Many Japanese see mental health disorders as a character flaw so the client is likely to delay seeking care The client is at decreased risk for extrapyramidal side effects from medications The Japanese clients are routinely screened for mental health disorders because of their high prevalence in their culture

Many Japanese see mental health disorders as a character flaw so the client is likely to delay seeking care

What time orientation were the first-generation Irish Americans? Future Past Present Present-Future

Past

What is the general time orientation of people from the Hmong culture? Past-oriented Future-oriented Present-oriented Present & future-oriented

Present-oriented

An Irish American patient is in distress but can't specify any physical reason why. He keeps repeating, "I need to repent, I need to repent." What is the nurse's priority action? Request the chaplain visit the patient Request a psychiatric consult Request that a Catholic priest visit the patient Administer a PRN dose of lorazepam

Request that a Catholic priest visit the patient

While performing an initial assessment on an Afghan patient, you notice her to be withdrawn and crying. What action by the nurse would be most appropriate at this time? Offer comfort by holding her hand. Sit beside her in silence. Ask how she is feeling. Allow family member to come visit.

Sit beside her in silence.

A Japanese patient, who is lactose intolerant, asks the nurse to list some options of foods high in calcium to include in his diet. Which of these foods could the nurse suggest? Red peppers Soybeans Rice noodles Cheddar cheese

Soybeans

Hmong patient asks to eat 1 day after a minor surgery. What is your response? Don't order dairy in case the patient is lactose intolerant Order the patient some Asian foods on the menu Suggest that the family bring the patient some favorite food Tell the patient that they shouldn't eat

Suggest that the family bring the patient some favorite food

An Irish American mother brings in their child with concerns of delayed development. The mother states the patient was crawling at 6 months, but now at 9 months has lost this ability. The nurse suspects this could be due to: Lyme Disease Diabetes Tay-Sachs Disease Fetal Alcohol Syndrome

Tay-Sachs Disease

An Irish American client comes into the clinic for a yearly check up. On assessment, the nurse notes the client guarding his stomach and has a heart rate of 120. When asked about pain he says, "Oh, it's nothing." The nurse knows that Irish Americans: Tend to underrate or ignore pain Are prone to indigestion Have a high pain tolerance Often exaggerate injury to obtain narcotics

Tend to underrate or ignore pain

You have met all of your patients and they are requesting to see you. Who do you see first? A. The American patient who is sleeping after a busy day with physical therapy B. The NPO patient who is requesting a cheeseburger C. The Russian American patient who has a medication due at 0900 D. The pediatric patient who is requesting to play with the XBOX

The Russian American patient who has a medication due at 0900

The most important aspect to the Amish culture is: Themselves The church The elderly The next generation

The church

When caring for a person who is Amish thinking about time it is important to remember what? (Select all that apply) They are concerned with the traditional way of doing things. Have a great deal of optimism about the future They prefer short-term benefits They are more relaxed related to time

They are concerned with the traditional way of doing things. They prefer short-term benefits They are more relaxed related to time

True of False: It was projected that by the year 2020, only 53% of the US population would be white of European decent.

True

True or False: Amplifying your volume does not necessarily mean you will be understood.

True

True or False: Regardless of race, all people have a cultural heritage that makes them ethnic.

True

True or False: There is a distinguishable link that exists between disorders of family living and disorders of family members.

True

True or False: Wife beating may not be considered abuse in some cultures.

True

True or False: a large percentage of spatial behaviors are spontaneous and unintentional.

True (On the original card, "spatial" was spelled "spacial".)

You are getting bedside report from the night nurse, how do you introduce yourself to the Russian American patient? Use a firm handshake with an ungloved hand while making eye contact with your patient. Quickly introduce yourself while tidying up the patient's room Write your name on the board and wave as you are walking out Do not make eye contact or shake your patient's hand as it is a form of disrespect to your patient

Use a firm handshake with an ungloved hand while making eye contact with your patient.

As the nurse working with an Amish patient you should gain their trust by: Touching their shoulder while talking with them Discussing where they live and what they do Asking more about their family Using a firm handshake and a quiet introduction

Using a firm handshake and a quiet introduction

After delivery, the nurse assesses the newborn and finds flat, gray-blue spots on the baby's skin. Based on her cultural knowledge the nurse... a. Documents the finding as normal b. Suspects a traumatic birth experience c. Gets soap and water to clean the spots of d. Immediately contact the physician

a. Documents the finding as normal

What type of context do Filipinos typically classify as? a. High context b. Low context c. Medium context d. There is no particular context

a. High context

The optic nerve contains roughly ____ times as many neurons as the cochlear nerve. a.) 18 b.) 24 c.) 7 d.) 2

a.) 18

Transcultural nursing is viewed as a culturally competent practice field that is: a.) Client-centered and research focused b.) Focused on the wellbeing of the patient and their family c.) Research based and patient friendly d.) easy to use for both healthcare workers and patients

a.) Client-centered and research focused

What is a reconstituted/blended family? a.) Formed by "put-together parts" of previously existing families with the intention of forming a new nuclear family b.) grandparents who are taking care of grandchildren c.) multigenerational family including all relatives by birth, marriage, or adoption d.) a married couple without children

a.) Formed by "put-together parts" of previously existing families with the intention of forming a new nuclear family

Which of the following cultures would be considered a "low-touch" culture? a.) United States b.) Pakistani c.) Hispanic d.) African

a.) United States

What is the Community, Culture, and Care model? a.) a non-nursing model devoted to practical assessment of communities (especially health areas) b.) patient-specific assessments used to detail the person's cultural identity c.) developed for use with patients experiencing homelessness, offers the nurse resources to aide the patient d.) a reminder to the nurse to reflect inwardly to assess own cultural biases and stigma beliefs

a.) a non-nursing model devoted to practical assessment of communities (especially health areas) The model is criticized for being too comprehensive, difficult, and detailed for use with individual clients

How are familial roles determined? a.) assigned and acquired b.) bidded upon c.) assumption d.) familial heirarchy

a.) assigned and acquired Familial roles are also influenced by the values of the social groups to which the individual belong.

The nurse responding to patients from diverse cultures with interpersonal awareness, knowledge, skill, and sensitivity is known as having: a.) cultural competence b.) cultural knowledge c.) excellent fluidity in nursing care d.) empathy and compassion

a.) cultural competence

The use of transcultural nursing knowledge is founded on the goal of: a.) delivering culturally sensitive care that is free of inherent biases b.) identifying ones own biases and sharing these with patients c.) being culturally sensitive and keeping biases to yourself d.) identifying other healthcare team members' biases and speaking to them about it in a calm manner

a.) delivering culturally sensitive care that is free of inherent biases

What is verbal communication? a.) expressing ideas to others by using spoken words b.) using sign language c.) using body language d.) expressing ideas through dance

a.) expressing ideas to others by using spoken words This includes vocabulary, name, grammatical structure, voice qualities, intonation, rhythm, speed, pronunciation, and silence

How can you assess for client understanding? a.) just ask b.) observe them throughout the day c.) ask the family members how the patient has been at home d.) create a simple test on the subject for them to take

a.) just ask

Your client comes in talking about "the wind getting her" and covered in infected scraping wounds. You should: a. Treat the infection, you can't do much about the wind. b. Ask more questions to determine what she is referring to and how the injuries happened. c. Ask her husband to leave the room, so you can ask questions about abuse and determine if she feels safe. d. Find out what wave of immigration she came in on because you know the third wave has more mental health issues.

b. Ask more questions to determine what she is referring to and how the injuries happened.

.While caring for a patient in the emergency department, what is an important intake question to ask someone of the Filipino culture? a. Did you eat pigeon soup to try and prevent the illness you have today b. Have you taken any supplements or tried home remedies to try and relieve your symptoms c. Is this illness hot or cold d. Have you noticed a change in your pulse since your symptoms started

b. Have you taken any supplements or tried home remedies to try and relieve your symptoms

Define a personal zone. a.) touching-1 1/2 feet b.) 1 1/2-4 feet c.) 4-12 feet d.) 12-15 feet

b.) 1 1/2-4 feet

What is Ramadan? a.) a 7-day period of fasting for Islamic believers b.) 28 day period where Muslim adults abstain from food and drink from dawn to sunset c.) a Jewish holiday representing the rededication of the second temple of Jerusalem in the second century B.C. d.) the belief that the second coming of the kingdom will be during the world's darkest moments

b.) 28 day period where Muslim adults abstain from food and drink from dawn to sunset

What have psychological and cultural significance? a.) Race b.) Names c.) Language d.) Location of living

b.) Names

When was the field of transcultural nursing founded? a.) early 1970s b.) mid 1960s c.) late 1950s d.) early 1960s

b.) mid 1960s

What is spatial behavior? a.) behaviors caused by the milieu surrounding the person b.) the universal need for territoriality c.) others projecting their behaviors and thought patterns on someone else d.) behaviors relying on the emotions of others

b.) the universal need for territoriality (On the original card, "spatial" was spelled "spacial".)

A nurse must be careful about generalizing certain communication patterns to all persons in a single cultural group because communication patterns are often _____. a.) the same b.) unique c.) indifferent d.) offensive

b.) unique

What are personal boundaries? a.) division set by one person in order to define responsibilities between two people b.) used to describe the use of structural boundaries in the environment c.) divisions set within a culture for each member d.) management of personal affairs within the context of a situation

b.) used to describe the use of structural boundaries in the environment

Which sense is the most complex and one of the last senses to fully develop? a.) touch b.) vision c.) taste d.) smell

b.) vision

A nurse cares for a patient of Filipino origin. Based on her knowledge of the Filipino culture, the nurse will incorporate which of the following into her care? a. Limit visiting hours as family may be undesirable b. Provide all patient cares using medical staff c. Provide resources for extended family visits d. Only allow 2 family members at bedside at a time

c. Provide resources for extended family visits

What is intonation? a.) how loud one speaks b.) how clear you sound on a recording c.) the rise and fall of one's voice while speaking d.) stressing certain vowels and speaking slowly

c.) the rise and fall of one's voice while speaking There is often a hidden meaning in what the persons saying; intonation clues the listener that their words need to be interpreted to find the true meaning.

What is important to assess in an individual with a disability to determine specific difficulties this culturally unique individual may experience according to Tiger and Davidhizar's model? a.) developmental competencies met b.) intellectual ability c.) the six phenomena d.) cultural background

c.) the six phenomena

When a word's meaning varies for the sender and the receiver because of their own past experiences/learning, it is called: a.) interpretation b.) language c.) vocabulary d.) experience

c.) vocabulary (personally don't agree with this definition but whatevs)

A nurse assists in the labor and delivery of a baby and mother from the Philippines. It is important for the nurse to keep in mind that... a. The patient will probably prefer sweet foods as this is a common craving for Filipino women b. The patient will remain silent during labor c. Breastfeeding will likely not be preferred by the patient d. The father will probably not wish to be present at the delivery

d. The father will probably not wish to be present at the delivery

Define a public zone. a.) touching-1 1/2 feet b.) 1 1/2-4 feet c.) 4-12 feet d.) 12-15 feet

d.) 12-15 feet

Among foreign-born Americans, ___:5 speak a language other than English at home. a.) 1 b.) 2 c.) 3 d.) 4

d.) 4

In which culture are grandparents viewed as the family leaders and respect for individuals increases with their age? a.) Americans b.) Indian c.) Chinese d.) American Indians

d.) American Indians They are also at higher risk for type 2 diabetes.

In some western cultures, the closer a listener's posturing matches the _________ of the speaker, the higher the likelihood of receptivity. a.) energy b.) emotions c.) role d.) body posture

d.) body posture

What is a connotative meaning? a.) a generalized meaning b.) a word that only exists in one language c.) a positive implication on a word d.) meaning that arises from a person's personal experience

d.) meaning that arises from a person's personal experience

What does it mean to be in linguistic isolation? a.) to be in a place where no one speaks the same language as you b.) to not speak English c.) to make your own language up so you're the only one who speaks it d.) one does not speak English well or another language (other than English) is spoken at home

d.) one does not speak English well or another language (other than English) is spoken at home

Fill in the blanks with "less" or "more": Visual information tends to be ________ ambiguous and ________ focused than auditory information.

less, more