Chapter 02: Cultural Competency

Chapter 02: Cultural Competency

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator?

a.	Race
b.	Rite
c.	Ritual
d.	Norm

 

 

ANS:  A

Race is a physical, not a cultural, differentiator. Rite is a prescribed, formal, customary observance. Ritual is a stereotypic behavior regulating religious, social, and professional behaviors. A norm is a prescribed standard of allowable behavior within a group.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 22

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

2. Which statement is true regarding the relationship of physical characteristics and culture?

a.	Physical characteristics should be used to identify members of cultural groups.
b.	There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics.
c.	To be a member of a specific culture, an individual must have certain identifiable physical characteristics.
d.	Gender and race are the two essential physical characteristics used to identify cultural groups.

 

 

ANS:  B

Physical characteristics are not used to identify cultural groups; there is a difference between the two, and they are considered separately. Physical characteristics should not be used to identify members of cultural groups. To be a member of a specific culture, an individual does not need to have certain identifiable physical characteristics. You should not confuse physical characteristics with cultural characteristics. Gender and race are physical characteristics, not cultural characteristics, and are not used to identify cultural groups.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 22

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

3. An image of any group that rejects its potential for originality or individuality is known as a(n):

a.	acculturation.
b.	norm.
c.	stereotype.
d.	ethnos.

 

 

ANS:  C

A fixed image of any group that rejects its potential for originality or individuality is the definition of stereotype. Acculturation is the process of adopting another culture’s behaviors. A norm is a standard of allowable behavior within a group. Ethnos implies the same race or nationality.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 22

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

4. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son tells you that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?

a.	“With your father’s permission, we will examine the stone and request that it be returned to him.”
b.	“The stone must be sent to the lab for examination and therefore cannot be kept.”
c.	“We cannot let him keep his stone because it violates our infection control policy.”
d.	“We don’t know yet if your father has another kidney stone, so we must analyze this one.”

 

 

ANS:  A

We should be willing to modify the delivery of health care in a manner that is respectful and in keeping with the patient’s cultural background. “With your father’s permission, we will examine the stone and request that it be returned to him” is the most appropriate response. “The stone must be sent to the lab for examination and therefore cannot be kept” and “We don’t know yet if your father has another kidney stone, so we must analyze this one” do not support the patient’s request. “We cannot let him keep his stone because it violates our infection control policy” does not provide a reason that it would violate an infection control policy.

 

DIF:    Cognitive Level: Analyzing (Analysis)                              REF:   p. 24

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

5. The motivation of the health care professional to “want to” engage in the process of becoming culturally competent, not “have to,” is called:

a.	cultural knowledge.
b.	cultural awareness
c.	cultural desire
d.	cultural skill.

 

 

ANS:  C

Cultural encounters are the continuous process of interacting with patients from culturally diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of one’s biases, stereotypes, prejudices, assumptions and “-isms” that one holds about individuals and groups who are different from them. Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally and ethnically diverse groups. Cultural skill is the ability to collect culturally relevant data regarding the patient’s presenting problem, as well as accurately performing a culturally based physical assessment in a culturally sensitive manner. Cultural desire is the motivation of the health care professional to want to engage in the process of becoming culturally competent, not have to.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 22

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation