Chapter 15. Culture & Ethnicity

Chapter 15. Culture & Ethnicity

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice            

Identify the choice that best completes the statement or answers the question.

 

____    1.         North American healthcare culture typically reflects which culture?

1)

Asian

2)

European American

3)

Latino

4)

African American

 

ANS:   2

Although the demographics are changing in this recent decade with increasing Hispanic and Asian inhabitants, North American healthcare culture typically reflects the dominant (European American) culture because most healthcare providers belong to that culture.

 

PTS:    1          DIF:    Easy    REF:    p. 317

KEY:   Nursing process: N/A | Client need: PSI | Cognitive level: Recall

 

 

 

____    2.         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?

1)

A belief in taboos against narcotic use to relieve pain

2)

Expectation of immediate treatment for relief of pain

3)

Endurance of pain longer and report it less frequently than some patients do

4)

Use of herbal teas, heat application, and prayers to manage his pain

 

ANS:   3

In general, patients of Mexican heritage may endure pain longer and report it less frequently than some. 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.

 

PTS:    1          DIF:    Difficult          REF:    p. 329

KEY:   Nursing process: Assessment | Client need: PHSI | Cognitive level: Application

 

 

 

____    3.         The nurse is caring for a 42-year-old Chinese American patient who underwent emergency coronary artery bypass graft surgery. He is self-employed and has no health insurance. Each day members of his family spend hours at his bedside. Which is the most important factor for the nurse to focus on when planning the patient’s discharge?

1)

Ethnic background

2)

Family support

3)

Employment status

4)

Healthcare coverage

 

ANS:   2

The nurse should focus on the patient’s strengths and resources for health restoration and self-care. In this case, that is the patient’s family. His family can be a great support for him when he is discharged (e.g., preparing healthy meals, helping him manage exercise and treatment regimens). Although the patient’s ethnic background is very important to his care, discharge planning should revolve around his available resources. Insurance should not be the focus at this time, although at some point the nurse has probably obtained data about these topics.

 

PTS:    1          DIF:    Moderate         REF:    pp. 320, 326

KEY:   Nursing process: Planning | Client need: PSI | Cognitive level: Application

 

 

 

____    4.         A patient who came from Central America is admitted with diabetes mellitus. The nurse is collecting biographical information. Which information provided by the patient represents his ethnicity?

1)

Latino

2)

Catholic

3)

White

4)

Teacher

 

ANS:   1

Ethnicity refers to groups whose members share a common cultural heritage. This patient came from a Spanish-speaking country in Central America; therefore, his ethnicity is considered Latino. Catholic is his religion, white is his race, and teacher is his occupation.

 

PTS:    1          DIF:    Moderate         REF:    p. 318

KEY:   Nursing process: Assessment | Client need: PSI | Cognitive level: Application