Chapter 4--Culturally Sensitive Care

Chapter 4–Culturally Sensitive Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client from a different culture is having difficulty adjusting to living in the United States. The nurse realizes this client is experiencing:

1.	an expected reaction.
2.	culture shock.
3.	remorse.
4.	guilt.

 

 

ANS:  2

Culture shock is alienation, disorientation, and uncertainty that can occur during the process of adjusting to a new cultural group. The client having difficulty adjusting to living in the United States is an example of culture shock. Difficulty adjusting to living in the United States is not an expected reaction, remorse, or guilt.

 

PTS:   1                    DIF:    Analyze         REF:   Culture

 

2. A client from the Japanese culture tells the nurse that she is a member of an organization for Japanese information technology professionals. The nurse realizes this client is describing:

1.	an ethnic group.
2.	cultural norms.
3.	a subculture.
4.	personal preferences.

 

 

ANS:  3

Subculture refers to the membership in a smaller group within a larger culture. Membership in a Japanese information technology professionals group is an example of a subculture. The Japanese information technology professionals group is not an example of an ethnic group, cultural norm, or personal preference.

 

PTS:   1                    DIF:    Analyze         REF:   Subculture

 

3. The nurse is providing care to a client from the Native American ethnic group. The nurse realizes that which of the following would be a health belief for this client?

1.	Illness is punishment from God.
2.	The body must be intact upon death.
3.	Hospitals are a place to die.
4.	Illness is a price to be paid from a past or future event.

 

 

ANS:  4

A heath belief of individuals within the Native American ethnic group is that illness is a price to be paid from a past or future event. Individuals within the African American ethnic group have a health belief that illness is a punishment from God. Individuals within the Chinese ethnic group have a health belief that the body must be intact upon death. Individuals from the Hispanic ethnic group have a health belief that hospitals are a place to die.

 

PTS:   1                    DIF:    Analyze

REF:   Table 4-2 The Health Values/Beliefs and Customs/Practices of Cultures in the United States

 

4. While assessing a client from a different culture, the nurse passes over several sections because of previous experience with other clients from the same culture. Which of the following is this nurse demonstrating?

1.	Stereotyping
2.	Diversity
3.	Cultural sensitivity
4.	Time management

 

 

ANS:  1

Stereotyping is generalizing characteristics of a culture as being the same for everyone within that cultural group. The nurse should avoid stereotyping when conducting assessments with clients of different cultures. The nurse is not demonstrating diversity, cultural sensitivity, or time management.

 

PTS:   1                    DIF:    Analyze

REF:   Values of Different Cultural Groups in the United States

 

5. The nurse, using an interpreter to communicate with a client from a different culture, is concerned that the client’s body language does not match the content the interpreter provides. Which of the following communication issues does this situation describe?

1.	Stereotyping
2.	Intrinsic distortion
3.	Conflict
4.	Extrinsic distortion

 

 

ANS:  2

Intrinsic distortion occurs when information is passed from one person to another through an interpreter. Distortions can occur through vocal tones, eye contact, phrasing, and body language. Extrinsic distortion occurs when the interpreter is improperly prepared due to not being familiar with medical terminology or regional dialect issues. Stereotyping and conflict are not communication issues.

 

PTS:   1                    DIF:    Analyze         REF:   Transcultural Communication