Foundations of Nursing in the Community 4e by Marcia Stanhope
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
| 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:Â 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:Â Â Â Cognitive Level: Understand (Comprehension)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 62
| 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:Â 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:Â Â Â Cognitive Level: Analyze (Analysis)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 74
| 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:Â B
Cultural awareness requires self-examination and an in-depth exploration of one’s own beliefs and values as they influence behavior.
DIF:Â Â Â Cognitive Level: Analyze (Analysis)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 75
| 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:Â 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:Â Â Â Cognitive Level: Apply (Application)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 77
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