CLAS 150C1 FINAL EXAM
COMPREHENSIVE REVIEW PAPER WITH
SOLVED QUESTIONS
◉ Intercultural communication
Answer: The exchange of information between individuals who
are unalike culturally
◉ The term describing the belief that one's own culture is best
and should be adopted by all is
A. ethnocentrism.
B. cultural relativism.
C cultural blinding.
D cultural competence.
Answer: A ethnocentrism
◉ Leinginger's Theory of Cultural Care
Answer: • Leininger's theory is to provide care measures that are
in harmony with an individual or group's cultural beliefs,
practices, and values.
• In the 1960's she coined the term culturally congruent care,
which is the primary goal of transcul- tural nursing practice.
◉ Purnell's Model
,Answer: • To understand any culture thoroughly, examining it
with the use of a conceptual framework is helpful.
• Purnell and Paulanka's model is an example of a conceptual
framework that is geared specifically to health care providers.
• This model identifies 12 aspects (or domains) of every culture
that health care providers should consider.
• Communication is an important part of culture for the nurse to
assess.
◉ Which of the following statements is true regarding the use of
interpreters?
A. The nurse should give the interpreter a summary of the goals of
the interaction.
B. Family members should not be encouraged to serve as an
interpreter, to promote disclosure and decrease bias.
C. The nurse should pause while the interpreter is speaking and
allow adequate time for the client to respond.
D. The nurse should maintain eye contact with the client in order
to convey client-centered care.
D. All of the above
Answer: D. All of the above
◉ Communication principles (LEARN)
Answer: Listen carefully
Explain what the client needs to understand,
Acknowledge cultural differences
, Recommend what the client should do
Negotiate mutually agreeable strategies
◉ Moral distress
Answer: When an identified ethical dilemma and morally right
thing to do is known. Restraints make it impossible to go forward
with the right action.
◉ Principalism
Answer: Methodology to resolve dilemmas by appealing to
abstract moral principles
◉ Narrative ethics
Answer: Core set of principles (autonomy, beneficence, justice,
nonmaleficence) used for ethical decision making
◉ Ethics committees
Answer: Policy development, Education, Case consultations,
Research
◉ Licensure
Answer: Nurse practice acts (NPAs) First mandate for licensure
was for registered nurses (RNs) State-mandated licensure of
professional (RN) and practicing nursing (LVN or LPN)
COMPREHENSIVE REVIEW PAPER WITH
SOLVED QUESTIONS
◉ Intercultural communication
Answer: The exchange of information between individuals who
are unalike culturally
◉ The term describing the belief that one's own culture is best
and should be adopted by all is
A. ethnocentrism.
B. cultural relativism.
C cultural blinding.
D cultural competence.
Answer: A ethnocentrism
◉ Leinginger's Theory of Cultural Care
Answer: • Leininger's theory is to provide care measures that are
in harmony with an individual or group's cultural beliefs,
practices, and values.
• In the 1960's she coined the term culturally congruent care,
which is the primary goal of transcul- tural nursing practice.
◉ Purnell's Model
,Answer: • To understand any culture thoroughly, examining it
with the use of a conceptual framework is helpful.
• Purnell and Paulanka's model is an example of a conceptual
framework that is geared specifically to health care providers.
• This model identifies 12 aspects (or domains) of every culture
that health care providers should consider.
• Communication is an important part of culture for the nurse to
assess.
◉ Which of the following statements is true regarding the use of
interpreters?
A. The nurse should give the interpreter a summary of the goals of
the interaction.
B. Family members should not be encouraged to serve as an
interpreter, to promote disclosure and decrease bias.
C. The nurse should pause while the interpreter is speaking and
allow adequate time for the client to respond.
D. The nurse should maintain eye contact with the client in order
to convey client-centered care.
D. All of the above
Answer: D. All of the above
◉ Communication principles (LEARN)
Answer: Listen carefully
Explain what the client needs to understand,
Acknowledge cultural differences
, Recommend what the client should do
Negotiate mutually agreeable strategies
◉ Moral distress
Answer: When an identified ethical dilemma and morally right
thing to do is known. Restraints make it impossible to go forward
with the right action.
◉ Principalism
Answer: Methodology to resolve dilemmas by appealing to
abstract moral principles
◉ Narrative ethics
Answer: Core set of principles (autonomy, beneficence, justice,
nonmaleficence) used for ethical decision making
◉ Ethics committees
Answer: Policy development, Education, Case consultations,
Research
◉ Licensure
Answer: Nurse practice acts (NPAs) First mandate for licensure
was for registered nurses (RNs) State-mandated licensure of
professional (RN) and practicing nursing (LVN or LPN)
