Chapter 20: Cultural Awareness

Chapter 20: Cultural Awareness

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is attempting to teach a patient how to perform wound care for when he goes home. Using the “teach back” method the nurse should do which of the following?

ANS:   A

The “teach back” technique is an ongoing process of asking patients for feedback, through explanation or demonstration, and presenting information in a new way until you feel confident that you communicated clearly and patients have a full understanding of the information presented. Using teach back can also help you identify explanations and communication strategies that patients most commonly understand. When using the “teach back” technique, do not ask the patient, “Do you understand? or “Do you have any questions?” Instead you should ask open-ended questions to verify the patient’s understanding.

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    539

OBJ:    Analyze the impact of culture on health, illness, and caring patterns.

TOP:    Nursing Process: Implementation      MSC:   NCLEX: Psychosocial Integrity

2. A student nurse is caring for a patient of Mexican descent. In an attempt to become culturally aware, the student should consciously think about which of the following?

ANS:   D

We must understand a person’s location in the intersections of socially constructed categories of privilege and oppression (e.g., race, class, gender, age, sexual orientation). This is necessary in order to, “fully understand a person’s actions, choices and outcomes.” Culture has historically been associated with norms, values, and traditions passed down through generations. Culture has also been perceived as synonymous with ethnicity, race, nationality, and language. These outdated ideas about culture lead to statements such as, “Mexicans believe this” or “Chinese patients are like this.” In reality, culture is much more dynamic and includes race, ethnicity, gender, sexual orientation, class, immigration status, and other axes of identification. All of us are members of multiple social groups at the same time. These intersecting identities impact our experience of the world around us.

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    532                  OBJ:    Describe steps toward developing cultural competence.

TOP:    Nursing Process: Implementation      MSC:   NCLEX: Psychosocial Integrity

3. When dealing with cultural awareness, the nurse realizes that the term oppression involves which of the following?

ANS:   A

Oppression involves systems that maintain advantages and disadvantages based on social group membership and operate intentionally and unintentionally, at individual, cultural, and institutional levels.

PTS:    1                      DIF:    Cognitive Level: Understanding (Comprehension)

REF:    532                  OBJ:    Use cultural assessment to plan culturally competent care.

TOP:    Nursing Process: Planning                 MSC:   NCLEX: Psychosocial Integrity

4. The student nurse has been studying different cultures in relationship to nursing. She understands that transcultural nursing has been developed as a distinct discipline and can be defined as which of the following?

ANS:   C

Leininger defines transcultural nursing as a comparative study of cultures to understand similarities (culture universal) and differences (culture-specific) across human groups. The goal of transcultural nursing is culturally congruent care, or care that fits a person’s life patterns, values, and a set of meanings. Patterns and meanings are generated from people themselves rather than predetermined criteria. Culturally congruent care is sometimes different from the values and meanings of the professional health care system. To provide culturally congruent care, it is important for you to distinguish between disease and illness. Illness is the way that individuals and families react to disease, whereas disease is a malfunctioning of biological or psychological processes.

PTS:    1                      DIF:    Cognitive Level: Understanding (Comprehension)

REF:    533 | 534

OBJ:    Describe social and cultural influences in health, illness, and caring patterns.

TOP:    Nursing Process: Planning                 MSC:   NCLEX: Psychosocial Integrity