Chapter 4: Sociocultural Issues

Chapter 4: Sociocultural Issues

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client’s needs, attends every therapy session, and is active in the planning and implementing of the treatment plan. The granddaughter’s valuing of her grandmother is most likely due to her:

ANS:  B

Cultural beliefs develop over many generations and are a learned set of values, beliefs, and behaviors. Asian cultures commonly value their elderly family members. Ethnicity and religion do not explain the granddaughter’s behavior in that ethnicity describes customs and socialization patterns, and religion refers to an organized form of worship. Stereotyping is a preconceived belief about another cultural group, so it does not apply to this situation.

DIF:    Cognitive Level: Application           REF:   p. 31               OBJ:   1

TOP:   Characteristics of Culture                KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

2. A traditional Arab female client is brought to the emergency room by her husband. She complains of feeling very anxious and short of breath and has chest pain. What would likely be a hindrance to the care of this client?

ANS:  D

In some traditional Arab cultures, a woman will not make eye contact with any man except her husband and may not be touched by another man. Having only male staff in the emergency room on this shift would block necessary care. Arrangements would have to be made to have a female staff member come to the emergency room to assist in client care. The other options should not cause a problem.

DIF:    Cognitive Level: Application           REF:   p. 32               OBJ:   3

TOP:   Characteristics of Culture                KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Psychosocial Integrity

3. Disease is defined as _____ dysfunction.

ANS:  C

Disease differs from illness in that disease is an abnormal physical function, whereas illness refers to social, emotional, and intellectual dysfunction. Illness is affected by culture, but disease is not.

DIF:    Cognitive Level: Knowledge            REF:   p. 32               OBJ:   4

TOP:   Health and Illness Beliefs                KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Physiological Integrity

4. The nurse is caring for a 20-year-old woman from Puerto Rico. The client speaks English, but she is accompanied by her mother who does not. The client has a history of mental illness, and through the interpreter, the nurse learns that the mother, who has traditional Puerto Rican cultural beliefs, believes that the client’s mental illness is caused by:

ANS:  A

It is a common traditional Puerto Rican cultural belief that mental illness is caused by witchcraft, magic, or evil spells, as opposed to more traditional Western medicine, which believes that stress and chemical imbalances play a role in mental illness. A trance is considered a state of consciousness in some cultures.

DIF:    Cognitive Level: Comprehension     REF:   p. 33               OBJ:   4

TOP:   Health and Illness Beliefs                KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity