Concept 4: Culture(FREE) My Nursing Test Banks

Concept 4: Culture

Test Bank

MULTIPLE CHOICE

1. The nurse is triaging a hysterical patient in the ER. The patient is crying, with uncontrollable spasms, trembling, and shouting. It is important to identify manifestation of illness in order to effectively treat a patient. The nurse identifies this as a culture-bound syndrome called

a.

shenjing sharo.

b.

loco de la cabeza.

c.

ataque de nervios.

d.

neuroasthenia.

ANS: C

Ataque de nervios is a Latin-Caribbean culture-bound syndrome that usually occurs in response to a specific stressor and is characterized by dissociation or trance-like states, crying, uncontrollable spasms, trembling, or shouting. Shenjeng sharo refers to weakness of nerves in Chinese culture; it is caused by a decrease in vital energy that reduces the function of the internal organ systems and lowers resistance to disease. Loco de la cabeza is a Spanish phrase meaning crazy in the mind and not necessarily manifested by physical symptoms. Neuroasthenia is an Asian term characterized by extreme fatigue after mental effort and bodily weakness of persistent duration.

REF: 30

OBJ: NCLEX Client Needs Category: Psychosocial Integrity and Physiological Integrity: Basic Care and Comfort

2. Understanding cultural differences in health care is important because it will help the nurse to understand the manner in which people decide on obtaining treatments and medical care. In independent cultures an individual will

a.

put himself first.

b.

consult family members for advice.

c.

ask for a second opinion.

d.

travel great distances to receive the best care.

ANS: A

In independent cultures, an individual will put himself first in the case of a life-threatening illness, whereas even in dire circumstances, members of collectivist cultures may still consult other family members for the best course of action. In independent cultures, an individual will not consult with other family members, ask for a second opinion, or travel great distances to receive the best care.

REF: 31 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

3. When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-concept, a nurse should immediately

a.

write everything down for the patient to refer to later.

b.

prompt further to elicit additional questions or concerns.

c.

call the recognized elder for this patient.

d.

call the oldest male relative for help with decision making.

ANS: B

When a nurse provides nutritional education to a patient who is from a culture that values greater power distance, it might appear that the patient is willing to accept all that the nurse suggests, when further prompting would elicit additional questions or concerns. The patient from a collectivist culture will usually consult family members for a best course of action. It is not acceptable for nurses to take it upon themselves to call the recognized elder or oldest male relative for help with decision making. While writing everything down may be OK for some cultures, with Asian patients it may be best to prompt further to elicit additional questions or concerns.

REF: 31 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

4. Women who are given the job of caretaker for aging relatives are subject to caregiver strain due to

a.

feminine attributes.

b.

unequal gender.

c.

fixed gender roles.

d.

female inequality.

ANS: C

In cultures with more fixed gender roles, women are usually given the role of caretaker for aging relatives and may suffer the stresses of caregiver strain. Feminine attributes refers to harmonious relationships, modesty, and taking care of others. Unequal gender refers to roles of males and females being unevenly distributed. Female inequality refers to female gender and roles being less than or unequal to male roles.

REF: 31 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

5. Mr. Giuseppe is a 60-year-old Italian immigrant who presents for an annual physical. He is counseled about diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and pneumococcal vaccination. His reply is If it aint broke, dont try to fix it. Understanding that respect for traditions and fulfilling obligations is important in developing a nursing plan of care. Mr. Giuseppes cultural orientation is towards

a.

short term.

b.

long term.

c.

leisurely term.

d.

noncommittal.

ANS: A

Short-term cultural orientation is towards the present or past and emphasizes quick results. Long-term cultural orientation is towards the future and long-term rewards. Long-term-oriented cultures favor thrift, perseverance, and adopting to changing circumstances. Leisurely term and noncommittal are undefined in cultural orientation.

REF: 31-32 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

6. The emphasis on understanding cultural influence on health care is important because of

a.

disability entitlements.

b.

HIPAA requirements.

c.

increasing global diversity.

d.

litigious society.

ANS: C

Culture is an essential aspect of health care because of increasing diversity. Disability entitlements refer to defined benefits for eligible mental or physically disabled beneficiaries in relation to housing, employment, and health care. HIPAA requirements refers to the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety.

Litigious society refers to excessively ready to go to law or initiate a lawsuit.

REF: 29 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance

7. What interrelated constructs facilitate a nurse to become culturally competent?

a.

Cultural diversity, self-awareness, cultural skill, and cultural knowledge

b.

Cultural desire, self-awareness, cultural knowledge, and cultural identity

c.

Cultural desire, self-awareness, cultural knowledge, and cultural diversity

d.

Cultural desire, self-awareness, cultural knowledge, and cultural skill

ANS: D

The process of cultural competence consists of four interrelated constructs: cultural desire, self-awareness, cultural knowledge, and cultural skill. Cultural diversity in the context of health care refers to achieving the highest level of health care for all people by addressing societal inequalities and historical and contemporary injustices. Cultural identity is the norms, values, beliefs, and behaviors of a culture learned through families and group members.

REF: 34 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

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