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1. A nurse is caring for a client from a cultural background different from their own. Which
action demonstrates culturally competent nursing care?
A. Expecting the client to adapt to the hospital's routines
B. Asking the client about cultural preferences related to care
C. Assuming all members of the culture share the same beliefs
D. Avoiding discussions about culture
Answer: B. Asking the client about cultural preferences related to care
Rationale: Cultural competence begins with assessing each client's individual beliefs, values,
and preferences. Nurses should avoid stereotypes and recognize that cultural practices vary
among individuals, even within the same cultural group. Open-ended questions promote
individualized, patient-centered care.
2. Which statement best describes cultural competence?
A. Learning every cultural tradition in the world
B. Treating all clients exactly the same
C. Providing respectful, individualized care that considers cultural beliefs and values
D. Encouraging clients to adopt the dominant culture's health practices
Answer: C. Providing respectful, individualized care that considers cultural beliefs and
values
Rationale: Cultural competence involves delivering safe, respectful, and individualized care that
acknowledges each client's cultural beliefs and health practices while avoiding discrimination or
bias.
3. Which nursing action best demonstrates cultural humility?
,A. Assuming cultural expertise after attending one seminar
B. Recognizing personal biases and remaining open to learning from clients
C. Ignoring cultural differences during assessment
D. Advising clients to abandon cultural traditions
Answer: B. Recognizing personal biases and remaining open to learning from clients
Rationale: Cultural humility is a lifelong process of self-reflection, recognizing one's own
limitations, and learning directly from clients about their unique beliefs and preferences.
4. A client requests a same-gender healthcare provider for religious reasons. What is the
nurse's best response?
A. Explain that hospital policy does not allow requests
B. Respect the request whenever possible and notify the charge nurse
C. Tell the client such requests are unreasonable
D. Ignore the request
Answer: B. Respect the request whenever possible and notify the charge nurse
Rationale: Respecting religious and cultural preferences helps build trust and supports patient-
centered care. The nurse should advocate for reasonable accommodations whenever feasible.
5. Which communication technique is most appropriate when caring for clients with limited
English proficiency?
A. Speak louder
B. Use medical terminology
C. Arrange for a qualified medical interpreter
D. Ask a young child to interpret
Answer: C. Arrange for a qualified medical interpreter
Rationale: Qualified medical interpreters ensure accurate communication, maintain
confidentiality, and reduce the risk of medical errors. Family members, especially children,
should generally not serve as interpreters.
6. Which behavior by the nurse reflects ethnocentrism?
, A. Respecting cultural traditions
B. Believing one's own culture is superior to others
C. Learning another language
D. Asking about dietary practices
Answer: B. Believing one's own culture is superior to others
Rationale: Ethnocentrism occurs when individuals judge other cultures using their own cultural
standards and consider their own beliefs superior.
7. Which question best assesses a client's cultural dietary preferences?
A. "Do you eat unhealthy foods?"
B. "Are there foods you avoid because of your cultural or religious beliefs?"
C. "Do you follow the hospital diet?"
D. "Do you only eat traditional foods?"
Answer: B. "Are there foods you avoid because of your cultural or religious beliefs?"
Rationale: Open-ended questions encourage clients to discuss dietary restrictions without
assumptions, allowing the nurse to plan appropriate nutritional care.
8. Which concept refers to a person's belief about the causes of illness?
A. Cultural worldview
B. Health belief system
C. Medical diagnosis
D. Hospital policy
Answer: B. Health belief system
Rationale: Health belief systems influence how individuals perceive illness, seek treatment, and
follow healthcare recommendations.
9. Which nursing action promotes culturally safe care?
A. Ignoring cultural beliefs
B. Encouraging assimilation
C. Respecting the client's values during care planning
D. Assuming all clients have identical expectations