Chapter 09: Cultural Diversity in Health Care

Leading and Managing in Nursing 5th Edition by Patricia S. Yoder-Wise

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Chapter 09: Cultural Diversity in Health Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. According to Leininger, “cultural imposition” is a major concern in nursing because nurses have a tendency to impose their values, beliefs, and practices on those of other cultures. The discussion topic most likely to be without cultural imposition would be:
a. Abortion.
b. Wound management.
c. Blood transfusion.
d. Advance directives.

 

ANS:   B

Abortion, blood transfusion, and advance directives are heavily imbued with values, beliefs, and practices that may be different between patients and nurses.

 

REF:    Pages 167, 168

TOP:    AONE competency: Communication and Relationship-Building

 

  1. Cultural diversity is the term used to describe a vast range of cultural differences. Events have symbolic meanings for the nurse manager and the staff. The event that would be most likely to provide symbolic meaning to a nurse manager and staff is a:
a. Task force formed to commemorate a New Year’s celebration in the Western tradition.
b. Project to provide Christmas gifts to the children in a daycare program.
c. Celebration of National Nurses’ Week with the focus on cultural care.
d. Task force to develop a poster for the unit depicting religions of the world.

 

ANS:   C

Symbols define and reflect a culture. Nursing week, with a focus on nursing interests, reflects the culture of nursing.

 

REF:    Page 161

TOP:    AONE competency: Communication and Relationship-Building

 

  1. One of the staff nurses on your unit makes the comment, “All this time I thought Mary was black. She says she is Jamaican.” The best response would be to say:
a. “Who cares what she is?”
b. “What did you think when you learned she was Jamaican?”
c. “Why did you assume she was black?”
d. “We have never had a Jamaican on this unit.”

 

ANS:   B

The response of the nurse manager invites cultural awareness, which involves self-examination and in-depth exploration of one’s own biases, prejudices, and assumptions.

 

REF:    Page 164

TOP:    AONE competency: Communication and Relationship-Building

 

  1. As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset. When you ask her if something is wrong, she becomes tearful and says, “Why is it that when John and I work together in giving patients care, he jokes about my being “a little fat Mexican”? The nurse manager’s best response is, “Do you think he:
a. Is sensitive to your culture?”
b. Wants to learn more about you?”
c. Has been hurt and wants to hurt others?”
d. Is stereotyping you without thinking?”

 

ANS:   D

Stereotyping and prejudice enable us to predict behaviors and make sense of situations but constrain our understanding and development of new insights.

 

REF:    Page 164

TOP:    AONE competency: Communication and Relationship-Building

 

  1. The nurse manager of a unit is asked by a family member of a dying Native American patient if it is possible to have the patient’s eight-member family recite the rosary by the bedside. The manager responds affirmatively. The nurse manager is most likely exhibiting behavior related to:
a. Acculturation.
b. Ethnocentricity.
c. Cultural diversity.
d. Cultural sensitivity.

 

ANS:   D

Cultural sensitivity involves the capacity to feel or react to ideas, customs, and traditions unique to a group of people.

 

REF:    Pages 162, 163

TOP:    AONE competency: Communication and Relationship-Building

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