Chapter 5 Cultural Influences on Population Health

Chapter 5   Cultural Influences on Population Health

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The nurse is taking a class to become more culturally competent when providing care. In this class the nurse learns that the American work ethic is considered to be one that is hardworking and individualistic. The nurse should categorize the work ethic as being a part of:

1. Culture.
2. Ethnicity.
3. Nationality.
4. Acculturation.

Answer:  1

Explanation:  1. Culture is a universal experience and can transcend ethnic lines. Ethnicity can be part of culture. In culture, people act in prescribed behavior patterns, though the patterns may have variations from group to group. The American work ethic is considered a cultural characteristic of its citizens. Nationality is the country of birth. Ethnicity is an aggregate of cultural practices and social influences that shape a community’s distinct identity. Acculturation is the process of becoming cultured into a group.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Psychosocial Integrity

Cognitive Level:  Analysis

Learning Outcome:  5-1

2) Nursing students from various backgrounds enroll in a university’s nursing curriculum. The process by which they become nurses includes aspects of:

1. Culture.
2. Ethnicity.
3. Worldview.
4. Acculturation.

Answer:  4

Explanation:  4. Acculturation is cultural assimilation, where there is acquisition of some beliefs, values, and behaviors of another culture, in this case, nursing. While the students ultimately become part of the nursing culture, they have to be assimilated or undergo acculturation to become part of that culture. Ethnicity is an aggregate of cultural practices, social influences, and racial characteristics which is not a part of entering the nursing culture. Worldview refers to how a cultural group views the universe and their relationship to it.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  5-1

3) During a health history a patient states he is Asian American. What should the nurse realize this patient is describing?

1. Race.
2. Culture.
3. Ethnicity.
4. Nationality.

Answer:  3

Explanation:  3. Referring to oneself by placing the cultural group before the word American explains the patient’s ethnicity, which is an aggregate of cultural practices, social influences, and racial characteristics that shape a distinct identity. Many Americans of different national origins celebrate and practice customs that originated in their ancestors’ countries of birth. Nationality is the country of birth. Race is an artificial categorization based on genetic inheritance and appearance. Culture is the sum of the ways of thinking and acting within a group that defines the group. Ethnicity can be present in culture.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  5-1

4) The population health nurse notes that the African American population of the United States has a higher incidence of cardiovascular disease and diabetes. What aspect of this population’s diet should the nurse relate to these health problems?

1. High in fat and sugars.
2. Low in processed foods and fat.
3. Low in fiber-rich foods and exercise.
4. High in starchy vegetables and sugars.

Answer:  1

Explanation:  1. The traditional African American diet that relies on foods high in fat and sugars is connected to the high rates of cardiovascular disease and diabetes in the United States. It also has historical roots in foods that were affordable on very limited incomes, which tended to be the fattier meats and foods with sugar. A diet low in processed food and fats helps to eliminate these risk factors. Fiber rich foods in addition to exercise contribute to cardiovascular and diabetes prevention. While starchy vegetables and sugars can contribute to diabetes, the fat content is a determinant in cardiovascular disease.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  5-2