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 pre-conceived belief about another cultural group, so it does not apply to this situation.

DIF:    Cognitive Level: Application           REF:   Page 29          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:   Page 30          OBJ:   3

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

MSC:  Client Needs: Psychosocial Integrity

3. On what is Western medicine primarily based?

ANS:  C

Western medicine typically disregards what cannot be explained by scientific research.  Empirical knowledge serves as the basis for folk medicine and refers to knowledge that comes from observation. It encompasses cause and effect without knowledge of why something happens. Religious customs do not form the basis of Western medicine.

DIF:    Cognitive Level: Knowledge            REF:   Page 29          OBJ:   4

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

MSC:  Client Needs: Psychosocial Integrity

4. The nurse is performing an admission assessment on a Greek couple seeking care from a family counseling center. Although the couple is talking, the wife states that she wants to work as a teaching assistant at their daughter’s school, but her husband adamantly objects to the idea. If the wife were to work outside the home, she most likely would be seen in their culture as:

ANS:  A

Traditional Greek cultural beliefs see the husband as the head of the household, and it is a dishonor if the wife works outside the home. The behavior is deemed eccentric or deviant. Strong-willed, self-sufficient, and dependent would not be adjectives that would describe feelings about the wife in this cultural situation.

DIF:    Cognitive Level: Comprehension     REF:   Page 30          OBJ:   3

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

MSC:   Client Needs: Psychosocial Integrity