Chapter 02: Cultural Competency
MULTIPLE CHOICE
1. 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.
ANS: 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. 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)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. 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.
ANS: C
A fixed image of any group that rejects its potential for originality or individuality is the
defi i i fee e. Acc l a i i he ce f ad iga he c l e beha i . A norm
is a standard of allowable behavior within a group. Ethnos implies the same race or nationality.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. M . L
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. Wi h fa he e i i , e ill e a i e he e a d equest that it be e ed hi .
https://pasinggrades.com/
, b. The e be e he lab f ea iai a d he ef e ca be
ke .
c. We ca le hi kee hi e beca e i i la e i fec i c l lic .
d. We d k e if fa he ha a he kid e e, e a al e hi e.
ANS: A
We should be willing to modify the delivery of health care in a manner that is respectful and i kee i g i
h he a ie c l al backg d. Wi h fa he e i i , e ill e a i e he e a d e e ha i be e ed hi i
he appropriate response. The e be e he lab f e a i a i a d he ef e ca be ke a d We
d k e if fa he ha a he kid e e, e a al e hi ed
he a ie e e . We ca le hi kee his stone because it violates our
i fec i c l lic d e ide a ea ha i ld i la e a i fec i c l
policy.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The i a i f he heal hca e fe i al a e gage i he ce f bec i g c l all c e e , ha e , i called:
a. cultural knowledge.
b. cultural awareness
c. cultural desire
d. cultural skill.
ANS: 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 e bia e , e e e , ej dice , a i , a d -i
ha e h ld ab
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. C l al kill i he
abili c llec c l all ele a da a ega di g he a ie ee ig
problem, as well as accurately performing a culturally based physical assessment in a
culturally sensitive manner. Cultural desire is the motivation of the healthcare professional to want to
engage in the process of becoming culturally competent, not have to.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: 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 e i ha he e ial f e l i g a a ie c l al belief ela ed a health problem?
a. H f e d ha e edical e a iai ?
b. Wha i age, ace, a d ed ca i al le el?
MULTIPLE CHOICE
1. 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.
ANS: 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. 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)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. 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.
ANS: C
A fixed image of any group that rejects its potential for originality or individuality is the
defi i i fee e. Acc l a i i he ce f ad iga he c l e beha i . A norm
is a standard of allowable behavior within a group. Ethnos implies the same race or nationality.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. M . L
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. Wi h fa he e i i , e ill e a i e he e a d equest that it be e ed hi .
https://pasinggrades.com/
, b. The e be e he lab f ea iai a d he ef e ca be
ke .
c. We ca le hi kee hi e beca e i i la e i fec i c l lic .
d. We d k e if fa he ha a he kid e e, e a al e hi e.
ANS: A
We should be willing to modify the delivery of health care in a manner that is respectful and i kee i g i
h he a ie c l al backg d. Wi h fa he e i i , e ill e a i e he e a d e e ha i be e ed hi i
he appropriate response. The e be e he lab f e a i a i a d he ef e ca be ke a d We
d k e if fa he ha a he kid e e, e a al e hi ed
he a ie e e . We ca le hi kee his stone because it violates our
i fec i c l lic d e ide a ea ha i ld i la e a i fec i c l
policy.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The i a i f he heal hca e fe i al a e gage i he ce f bec i g c l all c e e , ha e , i called:
a. cultural knowledge.
b. cultural awareness
c. cultural desire
d. cultural skill.
ANS: 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 e bia e , e e e , ej dice , a i , a d -i
ha e h ld ab
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. C l al kill i he
abili c llec c l all ele a da a ega di g he a ie ee ig
problem, as well as accurately performing a culturally based physical assessment in a
culturally sensitive manner. Cultural desire is the motivation of the healthcare professional to want to
engage in the process of becoming culturally competent, not have to.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: 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 e i ha he e ial f e l i g a a ie c l al belief ela ed a health problem?
a. H f e d ha e edical e a iai ?
b. Wha i age, ace, a d ed ca i al le el?
