Chapter 02

1. Which statement best describes religion? a. An organized system of beliefs concerning the cause, nature, and purpose of the universe b. Belief in a divine or superhuman spirit to be obeyed and worshiped c. Affiliation with one of the 1200 recognized religions in the United States d. The following of established rituals, especially in conjunction with health- seeking behaviors

An organized system of beliefs concerning the cause, nature, and purpose of the universe

15. Which statement best reflects the Magicoreligious causation of illness? a. Each being is but a part of a larger structure in the world of nature as it relates to health and illness. b. Causality relationship exists leading to expression of illness. c. Belief in the struggle between good and evil is reflected in the regulation of health and illness. d. Illness occurs as a result of disturbances between hot and cold reactions.

Belief in the struggle between good and evil is reflected in the regulation of health and illness.

2. The major factor contributing to the need for cultural care nursing is: a. An increasing birth rate b. Limited access to health care services c. Demographic change d. A decreasing rate of immigration

Demographic change

14. Which health belief practice is associated with patients who are of American Indian heritage? a. Wearing bangle bracelets to ward off evil spirits b. Eating compatible foods in one's diet c. Using swamp root as a traditional home remedy d. Believing in a shaman as a traditional healer

Eating compatible foods in one's diet

13. Which category is appropriate in a cultural assessment? a. Family history b. Chief complaint c. Past medical history d. Health-related beliefs

Health-related beliefs

5. Which culture would describe illness as hot and cold imbalance? a. Asian-American heritage b. African-American heritage c. Hispanic-American heritage d. American Indian heritage

Hispanic-American heritage

10. Which factor is identified as a priority influence on a patient's health status? a. Poverty b. Lifestyle factors c. Legislative action d. Occupational status

Poverty

4. You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication? a. Maintaining a professional respectful demeanor b. Allowing for additional time to complete the process c. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask d. Seeing if there are any family members present who may assist with the interview process

Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask

7. Which statement best illustrates the difference between religion and spirituality? a. Religion reflects an individual's reaction to life events whereas spirituality is based on whether the individual attends religious services. b. Religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects an individual's perception of one's life having worth or meaning. c. Religion is the expression of spiritual awakening whereas spirituality is based on belief in divine right. d. Religion is the active interpretation of one's spirituality

Religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects an individual's perception of one's life having worth or meaning.

9. Which statement is true in regard to pain? a. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. b. The cultural background of a patient is important in a nurse's assessment of that patient's pain. c. A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain. d. A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain.

The cultural background of a patient is important in a nurse's assessment of that patient's pain.

6. Of what does the patient believe the amulet is protective? a. The evil eye b. Being kidnapped c. Exposure to bacterial infections d. An unexpected fall

The evil eye

12. Which statement best describes ethnocentrism? a. The government's description of various cultures b. A central belief that accepts all cultures as one's own c. The tendency to view your own way of life as the most desirable d. The tendency to impose your beliefs, values, and patterns of behaviors on an individual from another culture

The tendency to view your own way of life as the most desirable

8. The first step to cultural competency by a nurse is to: a. Identify the meaning of health to the patient. b. Understand how a health care delivery system works. c. Develop a frame of reference to traditional health care practices. d. Understand your own heritage and its basis in cultural values.

Understand your own heritage and its basis in cultural values.

3. The term culturally competent implies that the nurse: a. Is prepared in nursing. b. Possesses knowledge of the traditions of diverse peoples. c. Applies underlying knowledge to providing nursing care. d. Understands the cultural context of the patient's situation.

Understands the cultural context of the patient's situation

11. Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient? a. "Are you of the Christian faith?" b. "Do you want to see a medicine man?" c. "How often do you seek help from medical providers?" d. What cultural or spiritual beliefs are important to you?"

What cultural or spiritual beliefs are important to you?"