Chapter 05: Cultural Influences in Nursing in Community Health

Foundations of Nursing in the Community 4e by Marcia Stanhope

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Chapter 05: Cultural Influences in Nursing in Community Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which of the following best describes most Americans’ attitude toward immigrants?
a. Ambivalence because there are no clear solutions about how to address their needs
b. Strongly negative because immigrants take jobs that native-born Americans could have instead
c. Strongly positive because immigrants bring useful job skills and often join previous family members already in the United States
d. Strong opposition to further immigration because of the increasing population in the United States

 

 

ANS:  A

Most Americans are ambivalent about immigration, recognizing both the positive and negative aspects involved and realizing that it is a complex issue that has no clear solutions.

 

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 62

 

  1. A nurse is about to despair. Earlier in the week, she carefully taught a patient from a different culture exactly how much medication to take and emphasized the importance of taking the correct amount. However, the patient is back in the hospital today with symptoms of an overdose, although the patient denies taking more than the label indicated. Which of the following is the most likely explanation?
a. The patient was taking more mediation in the hope of getting well faster.
b. The patient was also taking folk medicines that had many of the same effects and perhaps some of the same ingredients as the prescribed medication.
c. The patient truly did not understand and thought the dose being taken was correct.
d. The patient had a unique response to the medication and should have a smaller dose ordered.

 

 

ANS:  B

For fear of disapproval, a person may not tell the nurse that he or she is using folk medicine as well as Western medication. The two medicines may have cumulative effects that could be dangerous to the client. Nurses who lack cultural knowledge may develop feelings of inadequacy and helplessness because they are often unable to effectively help their clients.

 

DIF:    Cognitive Level: Analyze (Analysis)                                 REF:   p. 74

 

  1. 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 nurse’s community.
b. Consider how the nurse’s 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.

 

 

ANS:  B

Cultural awareness requires self-examination and an in-depth exploration of one’s own beliefs and values as they influence behavior.

 

DIF:    Cognitive Level: Analyze (Analysis)                                 REF:   p. 75

 

  1. 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.

 

 

ANS:  A

Cultural competence in nursing includes adoption of culturally congruent behaviors. Culturally skillful nurses use appropriate touch during conversation, modify the physical distance between themselves and others, and use strategies to avoid cultural misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be culturally competent respect people from other cultures and value diversity, which helps them to provide more responsive care.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 77

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