Ch. 4: Culture

The public health nurse is preparing a presentation about disparities in healthcare in his community. What key concepts will the nurse include? Select all that apply. A)Information regarding minorities within the community B)Identifying groups that are disadvantaged within the community C)Pointing out groups within the community that possess less power D)Differences in beliefs within a particular culture E)Ethnic identities within subcultures in the community

A,B,C

What are characteristics of the nurse that make them a subculture within the United States? Select all that apply. A)Uniforms worn based on place of employment B)Language or medical terminology used to communicate C)Legal authorization to provide health care to others D)View of work as a reward and shared work ethic E)Sensitivity to the importance of time

A,B,C

While studying about various cultures, the student nurse is aware that a subculture is based on which characteristic? Select all that apply. A) Gender B) Age C) Profession D) Hobbies E) Sexual preference

A,B,C,D,E

Which of the following questions should the nurse use to begin an ethnographic interview with a newly admitted adult patient from Egypt? A)"How have you been feeling during the past week?" B)"Why are you here?" C)"What is making you feel pain?" D)"Can you describe your family?"

A. "How have you been feeling during the past week?"

The mother of an African American newborn asks the nurse about the bluish black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response? A)"These areas are normal and should disappear by early childhood." B)"It will be best if you have these areas treated with laser surgery." C)"These spots will normally fade in about 2 weeks." D)"This discoloration occurs in some infants and is usually permanent."

A. "These areas are normal and should disappear by early childhood."

A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate? A)Belief system that guides behavior B)Altruistic grouping C)Cluster of individuals D)Complete uniformity of members

A. Belief system that guides behavior

The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics? A)Biological B)Social C)Spiritual D)Religious

A. Biological

The patient in a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the patient is experiencing? A)Anxiety B)Disparity C)Resolution D)Shock

D. Shock

When a labor and delivery nurse tells a coworker that an Asian patient probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as A)Stigma B)Ethnic slur C)Bias D)Stereotype

D. Stereotype

How is the nursing profession becoming more culturally diverse? (Select all that apply) A)By admitting a required number of foreign-born nursing students B)Through meeting admission quotas for Hispanic nursing students C)By the increased number of foreign-born nurses in the profession D)Through meeting the mission of Sigma Theta Tau International E)By the increased number of male nurses in the profession

E. By the increased number of male nurses in the profession

Enculturation

the process of learning culture

Assimilation

the social process of absorbing one cultural group into harmony with another

When a tpatient states, "I only want an American doctor," the patient is expressing cultural A)Ethnocentrism B)Relativity C)Pervasiveness D)Superiority

A. Ethnocentrism

Within a culture, the world becomes predictable and coherent for its inhabitants. This predictability has been defined as A)Habituation B)Normalization C)Stereotypical D)Desensitization

A. Habituation

The nurse caring for several patients on a surgical unit notes that one of the patients she is caring for is Muslim. The nurse decides to remove all pork from the patient's meal tray prior to delivering it to his room. What best describes the nurse's action? A)Stereotyping B)Racism C)Honoring rituals D)Transcultural nursing

A. Stereotyping

1. A nurse has just been hired at a healthcare facility that performs abortions. Based on the nurse's religious beliefs, she strongly feels that abortion is unacceptable. This situation will prevent the nurse from being able to practice: A transcultural nursing B) safe and effective care C) efficient care D) holistic care

A. transcultural nursing

Healthcare facilities that sponsor health-promotion activities only in affluent areas are considered A)Culturally sensitive B)Culturally blind C)Culturally affluent D)Culturally different

B. Culturally blind

Nursing students are socialized into the A)Nursing specialties B)Healthcare culture C)Caring paradigm D)Diagnostic process

B. Healthcare culture

An African American patient refuses to allow any healthcare worker of Asian descent to care for him. This patient is demonstrating what practice? A)Ethnocentrism B)Racism C)Stereotyping D)Ethnic identification

B. Racism

The newly employed nurse working in a physician's office seeks advice on the job responsibilities and how best to implement these responsibilities. Who is the key informant for this nurse? A)The physician B)The nurse who has been working in this office for 8 years C)The office manager who has been employed by this physician for 14 years D)The certified medical assistant who has worked in this office for 22 years.

B. The nurse who has been working in the office for 8 years

Ethnocentrism

Belief in the superiority of one's nation or ethnic group.

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered? A)Necessary B)Expected C)A ritual D)A birth rite

C. A ritual

The nurse is caring for the teenage child of immigrants from China. The teenager voices distress because after living in the United States for several years, he no longer wants to participate in some of the Chinese religious rituals that are important to his parents. What is the teenager experiencing? A)Culture shock B)Cultural ethnocentrism C)Cultural change D)Cultural relativity

C. Cultural change

The nurse caring for several patients on a hospital unit notices that the American patient makes eye contact with the staff while an elderly patient of Japanese descent does not make eye contact when speaking to the staff. What cultural concept explains this difference? A)Cultural diversity B)Cultural negativity C)Cultural relativity D)Cultural neutrality

C. Cultural relativity

The nurse is caring for two patients from an Hispanic background. The nurse notices some differences between the two in the religious practices and the slang used for communicating. What is most likely the etiology of these differences? A)Cultural norms B)Cultural relativity C)Ethnicity D)Ethnocentrism

C. Ethnicity

Which of the following areas are typically included in a cultural assessment? A)Marital status B)Employment status C)Food preferences D)Ethics

C. Food preferences

A patient says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the A)Nursing personality B)Past history C)Media D)Genetics

C. Media

A nurse in the hospital is caring for a Native American male. What person is most important to include in the care of the patient? A)Family B)Physician C)Tribal medicine man D)Physical therapy aid

C. Tribal medicine man

The nurse working on a medical unit washes her hands between contact with each patient. In addition to being an infection control measure, what kind of action is this practice? A)A custom B)An obsession C)A habit D)A ritual

D. A ritual

When a home-bound patient expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the patient is expressing her A)Race B)Assimilation C)Subculture D)Ethnic identity

D. Ethnic identity

A patient tells the nurse that the only thing that helps him sleep is a glass of warm milk. The nurse caring for the patient insists that this practice is a myth and tries to convince the patient that reading a book will help to make him sleepy. What is the nurse demonstrating? A)Cultural pervasiveness B)Cultural superiority C)Stereotyping D)Ethnocentrism

D. Ethnocentrism

How do people of Canadian Indian descent prefer to be identified? A)Indians B)Americans C)Canadians D)First Nations

D. First Nations

A nurse educator could be considered culturally as a(an) A)Referral source B)Respondent C)Expert D)Key informant

D. Key informant

Ethnicity

common ancestry that leads to shared values and beliefs