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2
Chapter 01: Cultural Competency
MULTIPLE CHOICE
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son tells you
that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he
has been using. What is your most appropriate response?
a. ―With your father’s permission, we will examine the stone and request that it be returned to him..
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.
c. ―We cannot let him keep his stone because it violates our infection control policy..
d. ―We don’t know yet if your father has another kidney stone, so we must analyze this one..
ACTUAL ANSWER;- A
We should be willing to modify the delivery of health care in a manner that is respectful and in keeping with the
patient’s cultural background. ―With your father’s permission, we will examine the stone and request that it be
returned to him. is the most appropriate response.
―The stone must be sent to the lab for examination and therefore cannot be kept. and ―We don’t know yet if
your father has another kidney stone, so we must analyze this one. do not support the patient’s request. ―We
cannot let him keep his stone because it violates our infection control policy. does not provide a reason that it
would violate an infection control policy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Which statement is true regarding the relationship of physical characteristics and culture?
a. Physical characteristics should be used to identify members of cultural groups.
b. There is a difference between distinguishing cultural characteristics and distinguishing physical
characteristics.
c. To be a member of a specific culture, an individual must have certain identifiable physical
characteristics.
d. Gender and race are the two essential physical characteristics used to identify cultural groups.
ACTUAL ANSWER;- B
Physical characteristics are not used to identify cultural groups; there is a difference between the two, and they
are considered separately. Physical characteristics should not be used to identify members of cultural groups. To
be a member of a specific culture, an individual does not need to have certain identifiable physical characteristics.
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3
You should not confuse physical characteristics with cultural characteristics. Gender and race are physical
characteristics, not cultural characteristics, and are not used to identify cultural groups.
DIF:Cognitive Level: Understanding (Comprehension)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. An image of any group that rejects its potential for originality or individuality is known as a(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ACTUAL ANSWER;- C
A fixed image of any group that rejects its potential for originality or individuality is the definition of stereotype.
Acculturation is the process of adopting another culture’s behaviors. A norm is a standard of allowable behavior
within a group. Ethnos implies the same race or nationality.
DIF:Cognitive Level: Remembering (Knowledge)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The motivation of the healthcare professional to ―want to. engage in the process of becoming
culturally competent, not ―have to,. is called
a. cultural knowledge.
b. cultural awareness.
c. cultural desire.
d. cultural skill.
ACTUAL ANSWER;- C
Cultural encounters are the continuous process of interacting with patients from culturally diverse backgrounds to
validate, refine, or modify existing values, beliefs, and practices about a cultural group and to develop cultural
desire, cultural awareness, cultural skill, and cultural knowledge. Cultural awareness is deliberate self-examination
and in-depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-isms. that one holds about
individuals and groups who are different from them. Cultural knowledge is the process of
seeking and obtaining a sound educational base about culturally and ethnically diverse groups. Cultural skill is the
ability to collect culturally relevant data regarding the patient’s presenting problem, as well as accurately
performing a culturally based physical assessment in a culturally sensitive manner. Cultural desire is the
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motivation of the healthcare professional to want to engage in the process of becoming culturally competent, not
have to.
DIF:Cognitive Level: Understanding (Comprehension)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which
question has the most potential for exploring a patient’s cultural beliefs related to a health problem?
a. ―How often do you have medical examinations?.
b. ―What is your age, race, and educational level?.
c. ―What types of symptoms have you been having?.
d. ―Why do you think you are having these symptoms?.
ACTUAL ANSWER;- D
―Why do you think you are having these symptoms?. is an open-ended question that avoids stereotyping, is
sensitive and respectful toward the individual, and allows for cultural data to be exchanged. The other questions
do not explore the patient’s cultural beliefs about health problems.
DIF:Cognitive Level: Analyzing (Analysis)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. The definition of ill or sick is based on a
a. stereotype.
b. cultural behavior.
c. belief system.
d. cultural attitude.
ACTUAL ANSWER;- C
The definition of ill or sick is based on the individual’s belief system and is determined in large part by his or her
enculturation.
DIF:Cognitive Level: Understanding (Comprehension)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact
and COMPETE ANSWER:wers questions only by saying, ―Yeah,. ―No,. or ―I guess so.. Which of the
following is appropriate for the interviewer to say or ask?
a. ―We will be able to communicate better if you look at me..
b. ―It’s hard for me to gather useful information because your COMPETE ANSWER:wers are so short..
c. ―Are you uncomfortable talking with me?.
d. ―Does your religion make it hard for you to COMPETE ANSWER:wer my questions?.
ACTUAL ANSWER;- C
It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk about it; the other
choices are less respectful.
DIF:Cognitive Level: Applying (Application)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. As you explain your patient’s condition to her husband, you notice that he is leaning toward you and
pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this
behavior is to
a. tell him that you understand his need to be alone.
b. ask whether he has any questions.
c. ask whether he would prefer to speak to the clinician.
d. tell him that it is all right to be angry.
ACTUAL ANSWER;- B
The English worry about being overheard and tend to speak in modulated voices so, when they lean in toward
you, they are probably poised to ask a question.
DIF:Cognitive Level: Analyzing (Analysis)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
9. An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native
AmericCOMPETE ANSWER:, AsiCOMPETE ANSWER:, and Middle Eastern groups is Western medicine’s
attempts to
a. use a holistic approach that views a particular medical problem as part of a bigger picture.
b. determine a specific cause for every problem in a precise way.
c. establish harmony between a person and the entire cosmos.
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2
Chapter 01: Cultural Competency
MULTIPLE CHOICE
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son tells you
that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he
has been using. What is your most appropriate response?
a. ―With your father’s permission, we will examine the stone and request that it be returned to him..
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.
c. ―We cannot let him keep his stone because it violates our infection control policy..
d. ―We don’t know yet if your father has another kidney stone, so we must analyze this one..
ACTUAL ANSWER;- A
We should be willing to modify the delivery of health care in a manner that is respectful and in keeping with the
patient’s cultural background. ―With your father’s permission, we will examine the stone and request that it be
returned to him. is the most appropriate response.
―The stone must be sent to the lab for examination and therefore cannot be kept. and ―We don’t know yet if
your father has another kidney stone, so we must analyze this one. do not support the patient’s request. ―We
cannot let him keep his stone because it violates our infection control policy. does not provide a reason that it
would violate an infection control policy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Which statement is true regarding the relationship of physical characteristics and culture?
a. Physical characteristics should be used to identify members of cultural groups.
b. There is a difference between distinguishing cultural characteristics and distinguishing physical
characteristics.
c. To be a member of a specific culture, an individual must have certain identifiable physical
characteristics.
d. Gender and race are the two essential physical characteristics used to identify cultural groups.
ACTUAL ANSWER;- B
Physical characteristics are not used to identify cultural groups; there is a difference between the two, and they
are considered separately. Physical characteristics should not be used to identify members of cultural groups. To
be a member of a specific culture, an individual does not need to have certain identifiable physical characteristics.
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3
You should not confuse physical characteristics with cultural characteristics. Gender and race are physical
characteristics, not cultural characteristics, and are not used to identify cultural groups.
DIF:Cognitive Level: Understanding (Comprehension)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. An image of any group that rejects its potential for originality or individuality is known as a(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ACTUAL ANSWER;- C
A fixed image of any group that rejects its potential for originality or individuality is the definition of stereotype.
Acculturation is the process of adopting another culture’s behaviors. A norm is a standard of allowable behavior
within a group. Ethnos implies the same race or nationality.
DIF:Cognitive Level: Remembering (Knowledge)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The motivation of the healthcare professional to ―want to. engage in the process of becoming
culturally competent, not ―have to,. is called
a. cultural knowledge.
b. cultural awareness.
c. cultural desire.
d. cultural skill.
ACTUAL ANSWER;- C
Cultural encounters are the continuous process of interacting with patients from culturally diverse backgrounds to
validate, refine, or modify existing values, beliefs, and practices about a cultural group and to develop cultural
desire, cultural awareness, cultural skill, and cultural knowledge. Cultural awareness is deliberate self-examination
and in-depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-isms. that one holds about
individuals and groups who are different from them. Cultural knowledge is the process of
seeking and obtaining a sound educational base about culturally and ethnically diverse groups. Cultural skill is the
ability to collect culturally relevant data regarding the patient’s presenting problem, as well as accurately
performing a culturally based physical assessment in a culturally sensitive manner. Cultural desire is the
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4
motivation of the healthcare professional to want to engage in the process of becoming culturally competent, not
have to.
DIF:Cognitive Level: Understanding (Comprehension)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which
question has the most potential for exploring a patient’s cultural beliefs related to a health problem?
a. ―How often do you have medical examinations?.
b. ―What is your age, race, and educational level?.
c. ―What types of symptoms have you been having?.
d. ―Why do you think you are having these symptoms?.
ACTUAL ANSWER;- D
―Why do you think you are having these symptoms?. is an open-ended question that avoids stereotyping, is
sensitive and respectful toward the individual, and allows for cultural data to be exchanged. The other questions
do not explore the patient’s cultural beliefs about health problems.
DIF:Cognitive Level: Analyzing (Analysis)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. The definition of ill or sick is based on a
a. stereotype.
b. cultural behavior.
c. belief system.
d. cultural attitude.
ACTUAL ANSWER;- C
The definition of ill or sick is based on the individual’s belief system and is determined in large part by his or her
enculturation.
DIF:Cognitive Level: Understanding (Comprehension)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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5
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact
and COMPETE ANSWER:wers questions only by saying, ―Yeah,. ―No,. or ―I guess so.. Which of the
following is appropriate for the interviewer to say or ask?
a. ―We will be able to communicate better if you look at me..
b. ―It’s hard for me to gather useful information because your COMPETE ANSWER:wers are so short..
c. ―Are you uncomfortable talking with me?.
d. ―Does your religion make it hard for you to COMPETE ANSWER:wer my questions?.
ACTUAL ANSWER;- C
It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk about it; the other
choices are less respectful.
DIF:Cognitive Level: Applying (Application)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. As you explain your patient’s condition to her husband, you notice that he is leaning toward you and
pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this
behavior is to
a. tell him that you understand his need to be alone.
b. ask whether he has any questions.
c. ask whether he would prefer to speak to the clinician.
d. tell him that it is all right to be angry.
ACTUAL ANSWER;- B
The English worry about being overheard and tend to speak in modulated voices so, when they lean in toward
you, they are probably poised to ask a question.
DIF:Cognitive Level: Analyzing (Analysis)
OBJECTIVE:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
9. An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native
AmericCOMPETE ANSWER:, AsiCOMPETE ANSWER:, and Middle Eastern groups is Western medicine’s
attempts to
a. use a holistic approach that views a particular medical problem as part of a bigger picture.
b. determine a specific cause for every problem in a precise way.
c. establish harmony between a person and the entire cosmos.
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