Health Assessment For Nursing Practice 5th Edition by Wilson
Health Assessment For Nursing Practice 5th Edition by Wilson
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Chapter 5: Ethnic, Cultural, and Spiritual Considerations
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Color of skin and hair |
| b. | System of beliefs and practices |
| c. | Food preferences |
| d. | Language and religion |
ANS: B
| Feedback | |
| A | Skin and hair color are examples of racial characteristics based on genetics. |
| B | System of beliefs and practices is part of the definition of culture. |
| C | Food preferences are an example of ethnicity. |
| D | Language and religion are examples of ethnicity. |
DIF: Cognitive Level: Remember REF: 47
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
| a. | The language spoken in the patient’s home is Tagalog. |
| b. | The patient’s family follows a kosher diet. |
| c. | The patient and his family have blonde hair and fair skin. |
| d. | The patient’s grandparents came to the United States from Germany. |
ANS: C
| Feedback | |
| A | The language spoken at home refers to ethnicity. |
| B | A kosher diet refers to ethnicity. |
| C | Blonde hair and fair skin indicate genetics and race. |
| D | Although the patient and grandparents may share the same race, that the grandparents came to the United States from Germany does not relate to race. |
DIF: Cognitive Level: Understand REF: 47
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
| a. | Adapting interventions based on cultural practices (Tailoring) |
| b. | Gaining information about cultural differences (Knowledge) |
| c. | Considering the effects of another’s values and experiences (Understanding) |
| d. | Showing appreciation for cultural differences (Respect) |
ANS: A
| Feedback | |
| A | The nurse changed (adapted) the usual procedure after death by opening the window, which was a practice of this Native American family. |
| B | Gaining information is the first step, but is insufficient to adapt an intervention as described in this example. |
| C | Understanding develops after knowledge, but does not involve taking action. |
| D | Respect is the step before Adaptation, when nurses comprehend the cultural differences, but do not adapt nursing care. |
DIF: Cognitive Level: Apply REF: 49
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
| a. | Find a nurse who is not African American to interview the patient. |
| b. | Ask the patient, “Why do you think that, since we just met?” |
| c. | Note that the patient is very defensive about being racially different. |
| d. | Encourage the patient to describe what he means by his statement. |
ANS: D
| Feedback | |
| A | Finding a nurse who is not African American to interview the patient is neither necessary nor practical. |
| B | Asking the patient “Why do you think that, since we just met?” sounds defensive and may not facilitate further communication. |
| C | Making an assumption “that the patient is very defensive about being racially different” is not based on any data. |
| D | By encouraging the patient to describe what he means by his statement, the nurse is demonstrating cultural awareness and sensitivity by gathering more data about the unique beliefs and value systems of this patient. |
DIF: Cognitive Level: Apply REF: 50
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
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