Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 5, Transcultural Nursing in the Community
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | After discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which of the following comments? | |
| A) | “Dominant values are those held by the male head of the household in most American families.” | |
| B) | “The percentages of White European descent Americans are rising, while the percentages of other ethnicities are declining and this is projected to continue into the year 2050 at least.” | |
| C) | “Nurses maintain their original culture as they are socialized throughout the educational process.” | |
| D) | “America has become an amalgamation of people who have different values, ideals, and behaviors, rather than the melting pot that was once envisioned.” | |
| Ans: | A | |
| Feedback: | ||
| The beliefs and sanctions of the dominant or majority culture are called dominant values. The proportion of the population identified as White is projected to continue to fall below other ethnicities between 2010 and 2050. Nurses will still have the same culture as they did before they were socialized in the nursing educational process, but they may be able to see things differently. America is not the ideal melting pot once described, but rather an amalgamation of people who have different values, ideals, and behaviors. | ||
| 2. | The population that community health nurses serve in the United States is changing. Because of population shifts, nurses must become sensitive to the cultural differences and language differences among new community members. Which minority group currently represents the largest group? | |
| A) | African Americans | |
| B) | Hispanic Americans | |
| C) | Asian Americans | |
| D) | American Indians | |
| Ans: | B | |
| Feedback: | ||
| Significant minorities include Hispanic Americans, numbering more than 35 million in 2000 and over 42 million in 2005 and currently representing over 14% of the population; African Americans, numbering over 37 million or approximately 12.8% of the population; Asian Americans, numbering more than 12 million or approximately 4.3% of the population; and American Indians and Alaska Natives, numbering 2.8 million or 1% of the population. | ||
| 3. | While providing care to a community group, a community health nurse provides culturally sensitive care by avoiding which of the following? | |
| A) | Ethnocentrism | |
| B) | Ethnorelativism | |
| C) | Enculturation | |
| D) | Ethnicity | |
| Ans: | A | |
| Feedback: | ||
| Ethnocentrism is the belief or feeling that one’s own culture is best causing the person to believe that his or her way of doing things is right and to judge others’ methods as inferior, ignorant, or irrational. It blocks effective communication by creating biases and misconceptions. Ethnorelativism is seeing all behavior in a cultural context. Enculturation refers to the process of each person learning his or her culture through socialization with the family or significant group. Ethnicity refers to the group of qualities that mark a person’s association with a particular ethnic group (collection of people who have common origins and a shared culture and identity). | ||
| 4. | As a community health nurse, you overhear a colleague say, “I don’t understand why the Yang’s take their young teenage daughters to the Hmong New Year celebration and have them play these match-making games. The girls meet boys every day at school and they are too young to be looking for husbands.” Which of the following would be the most appropriate response? | |
| A) | “The Yang’s are very different from us; maybe in time we can convince them that their practices are not right.” | |
| B) | “Every culture has its differences; I think it is valuable that the Yang’s are keeping their cultural practices alive.” | |
| C) | “I know what you mean, I was thinking the same thing. You wouldn’t catch me doing something similar with my teens.” | |
| D) | “I feel sorry for those girls; they must feel funny in those cultural costumes. Let’s talk to the parents and tell them how teens in America feel about such things.” | |
| Ans: | B | |
| Feedback: | ||
| Community health nurses need to develop cultural sensitivity, becoming aware of own biases and preconceived values and beliefs. This would be evidenced by the statement about every culture having differences. The celebration is a part of the family’s culture, and the nurses should not attempt to convince them that it is not right nor should they attempt to impose their views, feelings, or beliefs on the family. | ||
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