Psych Exam 1

12. A nurse states, "I am so frustrated trying to communicate with clients when they insist on speaking in their language instead of English. I think if people want to live here, they ought to have to speak our language and act like we do!" Which response by a peer best promotes culturally competent care? Select all that apply a. "You are right, but all patients do have a right to an interpreter, so you need to comply." b. "I agree that it is frustrating. We should work with their family members to help convince them to speak English." c. "They will have to learn to speak English eventually to live and work successfully in this country. Just try to be patient and encourage them to try speaking English." d. "What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." e. "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

d. "What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." e. "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

How can the nurse best provide care for a patient who is Jewish? a. Order them a Kosher diet b. Allow time for prayer before each meal c. Call a Rabbi from the nearest synagogue and request they visit the patient d. Ask about religious practice affecting care

d. Ask about religious practice affecting care

6. A nurse should keep what in mind during an encounter with a patient from a different cultural background:​ a. There are patterns that characterize a culture, but individuals are unique and do not always adhere to the norms or expectations of their culture.​ ​b. Every nurse is likely to inadvertently offend or cause a patient emotional pain.​ ​c. Stereotypes are based on experience and should guide culturally competent care.​ ​d. Both A and B ​

d. Both A and B

6. The parent of an adolescent diagnosed with depression asks the nurse "why do you want to do a family assessment? My teenager is the patient, not the rest of us!" What is the nurse's best response? a. Family dysfunction might have caused this mental illness. b. Family members provide more accurate information than patient. c. A family assessment is part of the protocol for care for all patients with a mental illness. d. Every family member's perception of events is different and helps in planning how to improve the functioning of the family.

d. Every family member's perception of events is different and helps in planning how to improve the functioning of the family.

9. When assessing and planning care for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects which cultural concept? a, Supernatural causes b. Negative forces c. Inheritance d. Imbalance

d. Imbalance

How can a nurse develop cultural desire:​ a. Reading and discussing appropriate literature.​ ​b. Promoting spiritual caring.​ ​c. Giving culturally relevant care to all patients. ​ ​d. Seeking cultural awareness.​ ​e. All of the above.​

e. All of the above

A nurse can practice cultural humility by (select all that apply):​ a. Assuming the nurse knows all the answers because the nurse is well educated.​ ​b. Be upfront with the patient about the desire to know what they want, need and value.​ ​c. Teaching the patient what is culturally acceptable.​ ​d. Allowing the patient to teach the nurse.​

​b. Be upfront with the patient about the desire to know what they want, need and value.​ ​d. Allowing the patient to teach the nurse.​

10. Cultural desire to the nurse is:​ a. The process of seeking and obtaining education on a culturally and ethnically diverse group.​ ​b. The ability to collect culturally relevant data regarding the patient's presenting problem while performing a culturally sensitive assessment.​ ​c. An in-depth exploration of one's biases, stereotypes, prejudices, assumptions, and "isms" that one holds about other individuals and groups.​ ​d. The motivation to act from a sincere and genuine concern for patient welfare, not out of a sense of duty.​

​d. The motivation to act from a sincere and genuine concern for patient welfare, not out of a sense of duty.​

Group 2: Why do we need transcultural nursing care in our healthcare system? —A. It is required by the law of every state —B. To provide an individualized & holistic patient care —C. we need it for general knowledge —D. none of the above

—B. To provide an individualized & holistic patient care

Why have legal suits been increasing in the healthcare system recently? —A. a rise in the Cultural conflict —B. Negligence —C. Imposition of health care practices on the clients —D All of above

—D All of above

8. What does society commonly associate mental illness with? a. Moral weakness b. Poor parenting c. Environmental stressors d. Genetic factors

a. Moral weakness

10. Which nursing actions demonstrate cultural competence? Select all that apply. a. Planning mealtime around the patient's prayer schedule b. Helping a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit e. Ordering standard meal trays to be delivered three times daily

a. Planning mealtime around the patient's prayer schedule b. Helping a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit

Group 5: 1. A culturally aware nursing student understands that the three cultures intersecting during any patient encounter are:​ a. The culture of the patient, the culture of the nurses, and the culture of the setting.​ ​b. The culture of the nurse, the culture of the setting, and the culture of the city/town.​ ​c. The culture of the patient, the culture of the nurse, and the culture of the fashion industry.​ ​d. The only culture that is important in any patient encounter is the culture of the nurse.

a. The culture of the patient, the culture of the nurses, and the culture of the setting.​

7. Dwayne is a 45 year old African-American male. He retired from his basketball career that he loved all his life. Dwayne has been persistently feeling down and has loss interest to going out and interacting with friends and family. Months and years passed. He has decreased appetite and stays in bed most days. His wife encouraged him to see a professional but refuses as his mother "would not be happy about it" and she would just suggest to go to church to get enlightened. This is what we can distinguish as what term? a. collectivism b. self-stigma c. somatization d. Resiliency

a. collectivism

11. A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for the nurse to take? a.Alter personal nonverbal behaviors to reflect the cultural norms of the client. b.Keep all behaviors culturally neutral to avoid misinterpretation. c.Rely on friendly gestures to communicate caring for the client. d.Avoid any pretense of prejudice by treating the client in the same way as any other client.

a.Alter personal nonverbal behaviors to reflect the cultural norms of the client.

12. A Hispanic patient is frustrated because the healthcare team does not understand the importance of hot and cold therapies. Which nursing diagnosis is most appropriate for this patient? a.Powerlessness b.Impaired Verbal Communication c.Spiritual Distress d.Risk for Noncompliance

a.Powerlessness

6. Which patients have increased health risks of obesity and diabetes? (select all that apply) a. White American male b. Native American male c. Asian American female d. Latin American female e. African American male

abde

5. A nurse is learning about cultural diversity and its relationship to nursing practice. Which factors should the nurse apply when caring for patients? Select all that apply:​ a. Respecting a patient's cultural views.​ ​b. Dictating their own cultural views to the patient. ​ ​c. Stereotyping the patient based on previous encounters with patients from similar backgrounds.​ ​d. Performing a culturally sensitive assessment.​ ​e. Considering the patient's concepts of health and healthcare.​

ade

11. What is the purpose for the Giger and Davidhizar's Transcultural Assessment? a) To learn and be culturally aware of different cultures b) To care for a patient in congruence with the patient's culture c) To learn how to assess pain in different cultures d) To learn how care from the past can be applied to cultures today

b) To care for a patient in congruence with the patient's culture

Group 7: 1. In order to identify and address the psychosocial issues of a patient, the nurse should do which of the following? a. Conduct a Mini-Mental Status Exam on the patient b. Acknowledge and examine their own biases c. Allow a family member to act as a translator when there is a language barrier between the patient and the nurse d. Ask the hospital chaplain to complete a spiritual assessment of the patient

b. Acknowledge and examine their own biases

3. Which of the following statements is accurate, in order to qualify as a minority status? a. There must be a small group of people living among a large group. b. Cultures must socially define them as a differentiated group. c. The small group must be of a different religion. d. None of the above, this is a trick question.

b. Cultures must socially define them as a differentiated group.

2. Which of the following statements indicates a student nurse understands Eastern tradition? a. Eastern tradition gives value to contribution to the community b. Eastern tradition gives value to persons in need of healthcare considered to be vulnerable and require protection from cruel truth c. Eastern tradition ethics of care is based on the individual's right d. Eastern tradition gives value to the right to decide, right to be informed, open communication, truthfulness

b. Eastern tradition gives value to persons in need of healthcare considered to be vulnerable and require protection from cruel truth

12. The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son's problems. How can the nurse best educate the family? a. Acknowledge the parent's responsibility. b. Explain the biological nature of schizophrenia. c. Refer the family to a support group d. Teach the parents various ways they must change.

b. Explain the biological nature of schizophrenia.

4. Ling has a nursing diagnosis of risk for other-directed violence. Ling's Eastern culture family is having difficulty coping with the illness due to their beliefs. A favorable therapeutic modality for this patient might include: a. Outpatient therapy b. Family therapy c. Long-term inpatient care d. Assimilation therapy

b. Family therapy

7. An American nurse tries to speak with a Korean client who cannot understand the English language. To effectively communicate to a client with a different language, which of the following should the nurse implement? A. Have an interpreter to translate B. Speak slowly C. Speak loudly and close to the client D. Speak to the client and family together.

A. Have an interpreter to translate

3. A nurse is culturally competent when: a. They receive their Cultural Competence Certificate in the mail in 3-5 business days.​ ​b. They understand that cultural competence is an ongoing learning process that nurses continually strive for.​ ​c. They finally get all of their patients to conform to the nurses culture.​ d. They pass their Psych 123 exam.​

b. ​They understand that cultural competence is an ongoing learning process that nurses continually strive for.​

Group 3: 1. Care that includes the nurse learning about cultural issues involved in the patient's health care belief system and enable patients and families to achieve meaningful and supportive care is known as a.Ethnocentrism. b.Culturally competent care. c.Cultural imposition. d.Culturally congruent care

b.Culturally competent care.

9. Mexican Americans are uncomfortable using Western Medicine, and feel more comfortable in using a Mexican American healer. What would be the nurse's best advice for the patient with diabetes? a.Western Medicine is more advanced than using a healer. b.The nurse should understand the alternative therapy, and work with the healer to help the patient. c.Tell her the healer cannot help her like Western medicine can. d.The nurse should understand the alternative therapy, but convince her to use Western medicine instead.

b.The nurse should understand the alternative therapy, and work with the healer to help the patient.

2. Which of the following questions would be appropriate to ask during a psychosocial assessment of a patient? (select all that apply) a. Can I check your vital signs? b. Are you currently employed? c. Why do you still Spanish with your family even though all of you speak English just fine? d. What usually helps you to relieve stress? e. Do you consider yourself religious/spiritual?

bde

5. Which statement by the nurse demonstrates ethnocentrism toward the Hispanic patient? a. "What do you want us to do to help your symptoms?" b. "Tell me more about what you think is causing these symptoms." c. "I'm sure we can do something to make your symptoms more manageable." d. "How much have these symptoms made it more difficult for you to go to work?"

c. "I'm sure we can do something to make your symptoms more manageable."

Which of the following, if any, is the definition of cultural skills:​ a. An in-depth self examination of background, biases, and assumptions about other people.​ b. ​Cross cultural interactions that provide opportunities to learn about other cultures and develop effective intercultural communication.​ c. ​Ability to assess social, cultural, and biophysical factors that influence patient treatment and care.​ ​d. The motivation and commitment to caring that moves an individual to learn from others.​

c. Ability to assess social, cultural, and biophysical factors that influence patient treatment and care.​

1. A charge nurse is educating a new nurse, the charge nurse asks which of the following is the best guide for better patient care? The new nurse shows understanding when she replies with a. Race, since this is how they self-identify. Self-identity is extremely important b. Ethnicity, since this shapes world views c. Culture, since it is a patterned way of thinking and acting d. Race and Ethnicity

c. Culture, since it is a patterned way of thinking and acting

3. Andrew is in for an annual check up. During the assessment, he asks the nurse "What is mental health?" What is the most appropriate response by the nurse? a. Symptoms of mental disorders reflect a person's cultural patterns b. A person's condition with regard to their psychological and emotional well-being c. Disorders that have definable diagnoses; manifested in significant dysfunctions that may be related to developmental, biological, or psychological disturbances in mental functioning d. The state of someone who is "functioning at a satisfactory level of emotional and behavioural adjustment"

c. Disorders that have definable diagnoses; manifested in significant dysfunctions that may be related to developmental, biological, or psychological disturbances in mental functioning

11. Intergenerational conflict may arise in immigrant families because the process of acculturation may be: a. Ignored due to cultural beliefs b. Filled with traumatic experiences c. Easier for children d. A function of assimilation

c. Easier for children

3. An Asian American patient is experiencing a fever. The nurse plans care so that the patient can self-treat the condition using which method? a. Prayer b. Magnetic Therapy c. Foods considered to be yin d. Foods considered to be yang

c. Foods considered to be yin

4. A nurse is aware of the patterns of nonverbal communication in different cultures. When assessing a group of patients from the United States, what does the nurse consider regarding eye contact? a. It is considered rude. b. It is accepted as a challenge. c. It is associated with attentiveness. d. It is avoided as a sign of arrogance

c. It is associated with attentiveness.

8. A nurse is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects: a. Vulnerability b. Regression c. Somatization d. Transference

c. Somatization

Stigma is considered.... a. inappropriate in American culture b. Only present in small towns c. The most formidable obstacle to future progress in mental health d. A way to keep behavioral norms in check

c. The most formidable obstacle to future progress in mental health

4. A nurse expands their cultural knowledge by:​ a. Watching movies, reading magazines, and talking with friends. ​ ​b. Taking an annual trip abroad.​ ​c. Participating in community service programs and attending cultural events.​ ​d. Eating at ethnic restaurants. ​

c. ​Participating in community service programs and attending cultural events.​

2. What question would help assess patient's generic care beliefs? a.Do you earn enough to keep you well or help you if sick? b.How would you like to communicate your needs to nurses? c.Could you give some examples of healing or caring practices that come from your cultural group? d.What spiritual factors do we need to incorporate into your care?

c.Could you give some examples of healing or caring practices that come from your cultural group?

5. A nurse teaches a Filipino American patient that although garlic may lower his blood pressure, he still needs to take the antihypertensive medications that are prescribed. This is an example of which mode of nursing care? a.Cultural care preservation or maintenance b.Cultural care repatterning or restructuring c.Cultural care accommodation or negotiation d.None of the above

c.Cultural care accommodation or negotiation

6. There is a patient who does not believe that they need an advance directive because "death is up to God." The nurse can educate her about having her wishes followed when she can no longer make decisions or speak for herself. Explaining that by creating advance directives, her wishes will be followed. This is an example of which mode of nursing care? a.Cultural care accommodation or negotiation b.Cultural care preservation or maintenance c.Cultural care repatterning or restructuring d.None of the above

c.Cultural care repatterning or restructuring

8. Leininger acknowledges which of the following concepts within and between cultures? a.Similarities only b.Differences only c.Similarities and differences d.Comparison only

c.Similarities and differences

4. The Leininger's theory of culture care diversity and universality is illustrated as the sunrise model to depict: a.hope to generate new ways of knowing in nursing b.hope to generate more theory in nursing c.hope to generate new knowledge in nursing d.hope to generate more caring in nursing

c.hope to generate new knowledge in nursing

The nurse is providing care to a young adult patient who claims to have mental illness because of "feeling stressed at work." What does the nurse tell the patient to correct the patient's understanding of mental illness? a. "Work stress does not cause mental illness." b. "Nearly everyone in the United States has some sort of mental illness." c. "People with mental illnesses do not know they have a mental illness." d. "Mental illness has to do with a significant dysfunction, not just stress."

d. "Mental illness has to do with a significant dysfunction, not just stress."

10. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first? a.Complete a survey of all the various ethnicities represented in the nurses community. b.Consider how the nurses own personal beliefs and decisions are reflective of his or her culture. c.Invite a family from another culture to join the nurse for an event. d.Study the beliefs and traditions of persons living in other cultures.

b.Consider how the nurses own personal beliefs and decisions are reflective of his or her culture.

7. A nurse encourages direct care such as bathing, feeding, and other activities of daily living by family members who may be interested in actively contributing in the care of a loved one. This is an example of which mode of nursing care? a.Cultural care repatterning or restructuring b.Cultural care preservation or maintenance c.care accommodation or negotiation d.None of the above

b.Cultural care preservation or maintenance

9. Which is an example of somatization seen in mental health? a. A patient complains of SOB after completing a marathon b. A patient avoids talking about a traumatizing event c. A patient complains of fatigue and weakness without mentioning their depression d. A patient seeks other outlets for treatment of their mental illness besides getting professional help

c. A patient complains of fatigue and weakness without mentioning their depression

A mental health nurse is working with a family who is undergoing group therapy. Which action from the nurse best demonstrates the view of the family as a unit? a. Providing health education to all members of the family b. Arranging for another therapist to meet with some of the family members at different times c. Organizing a schedule of meeting with each family member involved d. Asking about the health needs of individual family members

a. Providing health education to all members of the family

The nurse is reviewing the treatment plan with a hospitalized patient. When the nurse tells the patient they will require a blood transfusion, the patient states that they cannot have a blood transfusion as it conflicts with their religious beliefs. The nurse checks the admission paperwork and sees the patient listed their religion as which of the following? a. Jewish b. Jehovah's Witness c. Amish d. Catholic

b. Jehovah's Witness

4. Which of the following factors most prevents the physical and psychosocial needs of patients with Sickle Cell Disease from being addressed? a. A lack of providers specializing in the treatment of SCD b. Racial bias c. There is no known treatment for the disease d. The high mortality rates of patients with SCD

b. Racial bias

9. What are some end of life considerations for Buddhists? (select all that apply) a. The body of the deceased should be removed from the unit quickly so that the traditional burial process can begin as soon as possible b. Time for meditation is important and should be respected c. The patient may refuse all medications d. The patient's feet must always be covered by a blanket e. The patient or their family may request the presence of a monk who will recite prayers before, during, and after death

b. Time for meditation is important and should be respected e. The patient or their family may request the presence of a monk who will recite prayers before, during, and after death

10. How does society's stigma towards mental health affect treatment negatively? a. Lack of resources b. Unwillingness to seek treatment c. Bias and fear towards mental illness d. Poor reflection towards family

b. Unwillingness to seek treatment

6. A nurse provides discharge instructions to a patient of Middle Eastern heritage who immigrated to this country 1 year ago. Which strategy is most important to assure the patient's understanding of the instructions? a. Handwrite the discharge instructions. b. Use a professional interpreter when providing instruction. c. Give instructions to a family member proficient in English. d. Show the patient a video in the patient's dominant language

b. Use a professional interpreter when providing instruction.

8. Which of the following is a correct belief regarding how the Amish view the afterlife? a. Those who did not fulfill their duties on Earth shall be banished to purgatory b. You will either receive eternal reward in Heaven or punishment in Hell c. All Amish people will be accepted into Heaven d. Having large numbers of children will ensure acceptance into Heaven

b. You will either receive eternal reward in Heaven or punishment in Hell

7. Which assessment questions would produce data that would help a nurse understand healing options acceptable to a client of a different culture:​ a. "Is there someone in your community who usually cures your illness?"​ ​b. "What usually helps people who have the same type of illness you have?"​ c. "​What questions would you like to ask about you condition?"​ ​d. "What sorts of stress are you presently experiencing?"​

b. ​"What usually helps people who have the same type of illness you have?"​

2. Evidence based practice guidelines may not always be applicable to ALL patients because:​ a. Studies often exclude people of European origins.​ ​b. Studies often involve primary people of European origins.​ ​c. Evidence based practice guidelines are only used in research settings.​ ​d. Evidence based practice guidelines are always applicable to all patients. ​

b. ​Studies often involve primary people of European origins.​

7. During conversations, white Americans believe eye contact is: a. A way to show dominance b. Only used for serious conversations c. The best way to understand what the other person is thinking d. Indicative of trustworthiness

d. Indicative of trustworthiness

3. The transcultural nurse is teaching new staff nurse about Leininger's sunrise model. As she discusses the three circles of generic or folk system, nursing care, and professional system, it is important to point out that nursing care is the: a.division between generic and professional systems b.collaboration between generic and professional systems c.demarcation between generic and professional systems d.bridge between generic and professional systems

d.bridge between generic and professional systems

12. David is a 22 year old male that has recently been admitted the ED after being found on the street unresponsive with a stab wound to his chest. It is unclear how long ago the wound was created, but due to the loss of blood a blood transfusion has been ordered for him. His parents have arrived to be at his side, but when discovering the first treatment for their child, they refuse the treatment because blood transfusions are against the Jehovah's Witness' faith. The health care team is now trying to figure out a treatment for David that addresses his primary health problem, while being respectful of his parent's wishes. What aspects of social organization are at work here? (Select all that apply.) A) Family Structure B) Values C) Role Assignment D) Religion

A) Family Structure D) Religion

7. Ling has a nursing diagnosis of risk for other-directed violence. Ling's Eastern culture family is having difficulty coping with the illness due to their beliefs. A favorable therapeutic modality for this patient might include: a. Outpatient therapy b. Family therapy c. Long-term inpatient care d. Assimilation therapy

b. Family therapy

Leininger identified which three nursing decisions and action modes to achieve culturally congruent care. Select all that apply A. Culture care preservation and-or maintenance B. Culture care accommodation and-or negotiation C. Cultural competency and appreciation D. Culture care repatterning and-or restructuring

A. Culture care preservation and-or maintenance B. Culture care accommodation and-or negotiation D. Culture care repatterning and-or restructuring

4. William is an 77 year old male with terminal cancer who is currently in Hospice care. He is often in pain with the drugs that are offered to him giving him some brief relief. He has three children. His sons live in other states. His daughter that lives locally visits him often. His sons are too busy working to visit, but their earnings often pay for his care. William can see the emotional toil on his daughter that visits and due to the stress given to his daughter and his own physical pain he wishes to die, but doesn't attempt suicide because it is regarded as a sin according to his Catholic faith. What features of social organization are found in this situation? (Select all that Apply) A. Family Structure B. Role Assignment C. Values D. Religion

A. Family Structure B. Role Assignment D. Religion

Group 4: 1.What are you likely to blame if you have an internal locus of control? A. Yourself B. Others around you, Your environment, what things have happened C. Both A and B D. None

A. Yourself

The nurse systematically implements visits from family members and allows them to assist in feeding and bathing their elderly mother. This is an example of: A. preservation /maintenance B. repatterning/restructuring C. accommodation/ negotiation D. brokering

A. preservation/maintenance

If a patient receives nursing care that is not at least reasonably culturally congruent (compatible with and respectful of the clients' lifeways, belief, and values), the client may demonstrate which signs? Select all that apply. A. stress B. Noncompliance C. Metabolic Acidosis D. Cultural Conflicts

A. stress B. Noncompliance D. Cultural Conflicts

2. This tool was developed to minimize the time needed to conduct a comprehensive assessment in effort to provide culturally competent care? Community, culture and care tool A.The Sunrise model B. Giger and Davidhizar's transcultural assessment model C.A and B D.None

B. Giger and Davidhizar's transcultural assessment model

6. A key principle in recognizing cultural differences is to observe ______________. A. Be alert to these differences B. Carefully observe non-verbal communication C. Avoid looking for behaviors typical of a given culture D. Expect less of people from a different culture

B. Carefully observe non-verbal communication

5. Lily Thomson was recently admitted to the OB unit because she has run into some complications in her pregnancy during the late eighth month of her pregnancy. It has been found by her doctor that the baby's heart rate is abnormally slow and it is essential to get the baby out early through C-section to enable further medical intervention by the health care team. Mr. Thomson is currently out of town for business, but will arrive home tomorrow. However, given the recent events Lily must consent to the C-section to save the baby's life. Lily wants to wait as long as possible for her husband because he is often involved in the decision making concerning their family. What aspects of the Social Organization category are at work here? Select all that apply. A. Religion B. Family Structure C. Values D. Role Assignment

B. Family Structure C. Values D. Role Assignment

While discussing folk medicine with an Amish client, the nurse remarked: "In the long run, Western medicine is best!" This remark is an example of: A. stereotyping B. ethnocentrism C. brokering D. racism

B. ethnocentrism

3. What type of locus of control is likely to produce independen behavior? A.External Locus of control B.Internal locus of control C.Both D.None

B.Internal locus of control

This mode involves working with the individual in a "mutual decision-making process as the nurse modifies or changes the nursing action to achieve better health outcomes A. Culture care preservation and-or maintenance B. Culture care accommodation and-or negotiation C. Culture care repatterning and-or restructuring

C. Culture care repatterning and-or restructuring

8. You are interacting with a patient from a different culture. Which of the following is a culturally competent practice? A. Using the patient's facial expressions to gauge physical pain B. Using hand and arm gestures to help clarify the meaning of your spoken words C. Following the patient's lead regarding personal space and casual physical contact D. Forcing the patient to make eye contact with you, to ensure that you have his or her attention

C. Following the patient's lead regarding personal space and casual physical contact

The nurse knocks on the door and pauses prior to entering the door of a female Muslim client to give the client time to cover her head. This is an example of: A. accommodation/ negotiation B. preservation/maintenance C. repatterning/ restructuring D. brokering

C. repatterning/restructuring

What is the goal of Transcultural Nursing? A. Providing culture-specific and universal nursing care practices in promoting health and well being. B. Help people face unfavorable human conditions, illness, or death in culturally meaningful ways. C. To discover, document, explain, and interpret culturally congruent care with individuals or groups under study. D. A&B

D. A&B

What are main factors that increasing the demand for transcultural Nursing care? A. A rise in feminism and gender issues B. An increase in conflicts between health care technology use and cultural value of clients C. An increase in number of people travelling and working in different part of the world D. None of the above E. A, B, and C

E. A, B, and C

Which of the following factors that influenced Dr. Leininger to establish of transcultural nursing? A. Migration of people worldwide. B. Increase in signs of cultural conflicts, clashes, war and violence. C. Increase in ethical and moral cultural health care concerns D. Rise in women's and men's human rights E. All of the above

E. All of the above

The learned, shared and transmitted values, beliefs, norms, and lifeways of a particular group that guides their thinking, decisions, and actions in patterned ways is defined as: A. Cultural Shock B. Care C. Culturally Congruent Care D. Ethnonursing E. Culture

E. Culture

10. What biological variation information would the nurse ask a patient? Select all that apply a) Are there any diseases or conditions that are common in your family? b) What are you eating in your diet? c) What ethnicity would you say you are? d) Are there any growth or developmental patterns that run in your family?

a) Are there any diseases or conditions that are common in your family? c) What ethnicity would you say you are? d) Are there any growth or developmental patterns that run in your family?

9. Case study: The mother stated: " The disease period is a trial of God, he does not know its duration, and they do not make any planning regarding the future." What are the possible time orientation for this family? Select all that apply a) Past oriented b) Present -time oriented c) Future oriented d) Present and social oriented

a) Past oriented b) Present -time oriented

Group 6: Which patient is displaying symptoms consistent with a mental health illness? a. 19-year old student who hears voices that peers do not hear during lectures in a college math course b. 32-year old parent living in a busy city who holds 8-year-old child's hand every time they cross the street c. 67-year-old patient who has had at least one daily episode of crying since the loss of a spouse 1 month ago d. 15-year-old who spends free time alone room on the computer, including not coming out of the room for meals

a. 19-year old student who hears voices that peers do not hear during lectures in a college math course

10. A critically ill Hispanic patient tells the nurse that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on those statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? (select all that apply) a. Asking permission to contact the patient's priest or the Catholic Chaplain b. Removing the crucifix from the wall of the patient's room c. Sitting quietly/respectfully when the patient asks the nurse to pray with them d. Only allowing those in the patient's immediate family to visit e. Administering the Sacrament of the Sick to the patient when death is imminent

a. Asking permission to contact the patient's priest or the Catholic Chaplain c. Sitting quietly/respectfully when the patient asks the nurse to pray with them

5. A nurse is conducting an assessment of a Native American woman who has come to clinic complaining of a headache. The patient tells the nurse the medications prescribed by the tribal healer have done some good. Which response from the nurse demonstrates cultural awareness? a. Tell me about these medicines and how often you are using them b. Do not take medications unless they are prescribed by a healthcare professional c. Whatever the tribal healer gives you probably is not real medicine d. Maybe you should just keep seeing the healer if you trust them so much

a. Tell me about these medicines and how often you are using them

9. Which type of culturally competent care is the nurse practicing when incorporating the use of a translator into patient care:​ a. Skill​ ​b. Knowledge​ ​c. Awareness​ ​d. Encounters​

a. skill