Chapter 21: Nursing in a Culturally Diverse World

Chapter 21: Nursing in a Culturally Diverse World

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Variations of life passage events such as the bar mitzvah for 13-year-old Jewish boys and the quinceañero party for 15-year-old Hispanic girls are examples of which cultural event?

1. Cultural universals
2. Cultural awareness
3. Cultural sensitivity
4. Cultural competence

Correct Answer: 1

Rationale: Most cultures have ceremonies to celebrate the passage from childhood to adulthood; this practice is a culture universal. However, different cultural groups celebrate this important life event in very different ways. Variations of life passage events such as the bar mitzvah for 13-year-old Jewish boys and the quinceañero party for 15-year-old Hispanic girls are examples of this. Cultural awareness is the conscious and informed recognition of the differences and similarities between varied cultural or ethnic groups. Cultural sensitivity is the respect and appreciation for cultural behaviors based on an understanding of the other person’s perspective. Cultural competence is having the knowledge, abilities, and skills to deliver care congruent with the client’s cultural beliefs and practices.

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.2. Describe how diverse cultural, ethnic, and social backgrounds function as sources of patient, family, and community values.

AACN Essential Competencies: I.5. Apply knowledge of social and cultural factors to the care of diverse populations.

NLN Competencies: Relationship Centered Care: Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Analyze concepts related to cultural diversity in nursing.

Page Number: p. 397

 

Question 2

A 38-year-old female who speaks very little English has been admitted to the emergency department with abdominal pain. What is the best way to communicate with this client?

1. Ask a nursing student who is fluent in Spanish to interpret.
2. Communicate by using hand gestures to supplement words.
3. Use a translator provided by the hospital or a community agency.
4. Use the client’s 14-year-old son as a translator because he is fluent in both English and Spanish.

Correct Answer: 3

Rationale: Translators are important to facilitate communications between nurses and their clients if they don’t speak the same language. Nurses must ensure that the translators are communicating effectively with the client by monitoring the client’s nonverbal communications. Also, the nurse should speak to the client and have the translator translate as closely as possible to the words used by the nurse. This will engender trust and make the client the centerpiece of the discussion. Some nursing schools do not permit nursing students to translate for a procedure consent because of lack of knowledge about the procedure may lead the student to give inaccurate information. Communicating with limited speech and verbal gestures may lead to miscommunication. Children should not be used as translators. The patient not wishing family members to know about his or her problem may not provide complete or accurate information.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.2. Describe how diverse cultural, ethnic, and social backgrounds function as sources of patient, family, and community values.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care: Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Analyze concepts related to cultural diversity in nursing.

Page Number: p. 409

 

Question 3

What can be stated regarding diversity in the United States?

1. Diversity is decreasing in the United States.
2. Diversity is increasing in the United States.
3. Diversity is relatively stable in the United States.
4. There has been no change in diversity within the last 40 years.

Correct Answer: 2

Rationale: According to the U.S. Census Bureau (2013), minorities are now approximately one-third of the U.S. population, and are expected to become one-half of the U.S. population by 2043. This pattern requires that nurses be proactive in understanding their own and prevalent cultures to better provide culturally competent care. This is an ongoing education necessary for the nurse to provide an accurate client assessment and care plan.

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.2. Describe how diverse cultural, ethnic, and social backgrounds function as sources of patient, family, and community values.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care: Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Analyze concepts related to cultural diversity in nursing.

Page Number: p. 395

 

Question 4

Which statements are true about culture? (Select all that apply.)

1. Culture includes food preferences and ways of dressing.
2. Culture cannot be changed.
3. Culture is learned.
4. Culture is reinforced by family and community members.
5. All people of the same ethnic background have the same culture.

Correct Answer: 1, 3, 4

Rationale: Culture is defined as “the learned, shared, and transmitted values, beliefs, norms, and lifeway practices of a particular group that guide thinking, decisions, and actions in patterned ways.” Culture includes many things and can be changed in a person’s lifetime, such as food preferences and ways of dressing. Also, culture is learned, and it is reinforced by family and community members. It is important to not assume that all people of the same ethnic background have the same culture. The nurse should assess the patient’s culture by having the patient describe it during the health assessment interview.

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.2. Describe how diverse cultural, ethnic, and social backgrounds function as sources of patient, family, and community values.

AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

NLN Competencies: Relationship Centered Care: Knowledge; The role of family, culture, and community in a person’s development

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Discuss components of culture pertinent to nursing care.

Page Number: pp. 398, 400