Chapter 15. Culture & Ethnicity

Chapter 15. Culture & Ethnicity

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident. When assessing this patient, the nurse must consider that he may possess which view of pain? He may:

a)	Believe in taboos against narcotic use to relieve pain
b)	Expect immediate and effective treatment to relieve pain
c)	Endure pain longer and report it less frequently than some patients do
d)	Use herbal teas, heat application, and prayers to manage his pain

 

 

ANS:  C

In general, patients of Mexican heritage may endure pain longer and report it less frequently than will some other patients. Patients of Japanese heritage may have taboos against narcotic use to relieve pain. Patients of Puerto Rican heritage may use herbal teas, heat application, and prayers to manage pain. Remember that all of these are archetypes, and are not necessarily true for all members of a cultural group.

 

Difficulty: Difficult

NursingPprocess: Assessment

Client Need: PHSI

Cognitive Level: Application

 

PTS:   1

 

2. Which of the following is considered a “practice” (as opposed to a belief or value)?

a)	Always drinking water after exercise
b)	Thinking often about cleanliness
c)	Placing an emphasis on success
d)	Maintaining youth

 

 

ANS:  A

A practice is a set of behaviors that one follows, such as always drinking water after exercise. Being preoccupied with cleanliness, placing an emphasis on success, and maintaining youth are examples of values that are dominant in U.S. culture.

 

Difficulty: Easy

Client Need: PSI

Cognitive Level: Comprehension

 

PTS:   1

 

3. The nurse is caring for a patient who emigrated from Puerto Rico. She can best care for this patient by learning about the:

a)	Practices of the patient’s ethnic group
b)	Patient’s individual cultural beliefs
c)	Values of her own culture
d)	Spanish-speaking community

 

 

ANS:  B

The nurse cares for this patient by becoming familiar with the patient’s individual cultural and ethnic beliefs and values. It is helpful to become familiar with the patient’s ethnic group and the Spanish-speaking community; however, the nurse should not assume that the individual holds the same values, beliefs, and practices as his ethnic group or community. The nurse should explore her own culture but not assume that the patient holds those same beliefs and practices.

 

Difficulty: Moderate

Nursing Process: Planning

Client Need: PSI

Cognitive Level: Application

 

PTS:   1

 

4. The nurse is teaching a clinic patient about hypertension. Which statement by the patient suggests that he is present-oriented?

a)	“I know I need to lose weight; I’ll have to begin an exercise program right away.”
b)	“If I change my diet and begin exercising, maybe I can control my blood pressure without medications.”
c)	“I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult.”
d)	“I will reduce the amount of calories, salt, and fat that I eat; I certainly do not want to have a stroke.”

 

 

ANS:  C

Knowing an action is needed, but giving reasons for not beginning it “just now” shows a focus on the present. The patient knows that he should reduce his sodium intake, but his present situation is preventing him from doing so. Therefore, he is disregarding the impact consuming sodium might have on his future. The other responses are future-oriented because they indicate that the patient is planning lifestyle changes that will affect his future.

 

Difficulty: Difficult

Nursing Process: Assessment

Client Need: PHSI

Cognitive Level: Analysis