Chapter 5: Cultural Influences in Nursing in Community Health

Chapter 5: Cultural Influences in Nursing in Community Health

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient’s daily prayers. This is an example of which of the following?

ANS:   A

Cultural accommodation involves including aspects of the patient’s religious beliefs and/or folk practices in the traditional health care system to implement essential treatment plans. For this patient, daily prayer in the tradition of Islam is important—from the patient’s perspective, possibly more important than medical treatment.

DIF:    Cognitive Level: Application             REF:    p. 66

2. A nurse states, “The best way to treat a client from another country is to care for them the same way we would want to be cared for. After all, we are all humans with the same wants and needs.” What does this statement reflect in relation to culture?

ANS:   B

Cultural blindness is the tendency to ignore differences between cultures and to act as if they do not exist. People from different cultures may have different expectations, wants, and needs.

DIF:    Cognitive Level: Knowledge             REF:    p. 77

3. What should a nurse caring for clients of another culture be sure to do?

ANS:   A

Cultural competence in nursing includes adoption of culturally congruent behaviors. Culturally skillful nurses use appropriate touch during conversation, modify the physical distance between themselves and others, and use strategies to avoid cultural misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be culturally competent respect people from other cultures and value diversity, which helps them to provide more responsive care.

DIF:    Cognitive Level: Knowledge             REF:    p. 67

4. A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when collecting a client’s history. He stopped doing this around Muslim clients after being told that Muslims were offended when he exposed the sole of his foot (shoe) to their face. What did the nurse exhibit when he changed his behavior?

ANS:   D

Cultural skill is the effective integration of cultural knowledge and awareness to meet client needs—in this case, the client’s need to not be offended by having the bottom of the nurse’s foot or shoe in view of the client’s face. The nurse using cultural skill makes sure nonverbal communication techniques take into consideration the client’s use of body language and space. Cultural accommodation involves negotiation with clients to include aspects of their folk practices with the traditional health care system to implement essential treatment plans. Cultural imposition is the process of imposing one’s values on others. Cultural repatterning is working with clients to make changes in their health practices if cultural behaviors are harmful or decrease their well-being.

DIF:    Cognitive Level: Application             REF:    p. 67