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Test Bank Chapter 02- Cultural Competence

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Test Bank Chapter 02- Cultural Competence

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Physical Assessment in Healthcare

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10/16/24, 12:39 Test Bank Chapter 02- Cultural
PM Competence




Chapter 02: Cultural Competence
Jarvis: Physical Examination & Health Assessment, 7th
Edition
MULTIPLE CHOICE
1. The nurse is reviewing the development of culture. Which
statement is correct regarding the development of ones
culture? Culture is:
a. Genetically determined on the basis of racial background.
b. Learned through language acquisition and socialization.
c. A nonspecific phenomenon and is adaptive but unnecessary.
d. Biologically determined on the basis of physical characteristics.
ANS: B
Culture is learned from birth through language acquisition and
socialization. It is not biologically or genetically determined and is
learned by the individual.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 14
MSC: Client Needs: Psychosocial Integrity
2. During a class on the aspects of culture, the nurse shares
that culture has four basic characteristics. Which statement
correctly reflects one of these characteristics?
a. Cultures are static and unchanging, despite changes around them.
b. Cultures are never specific, which makes them hard to
identify. Culture is most clearly reflected in a persons
language and
c. behavior.
Culture adapts to specific environmental factors and available
d. natural resources.
ANS: D
Culture has four basic characteristics. Culture adapts to specific
conditions related to environmental and technical factors and to
the availability of natural resources, and it is dynamic and ever
changing. Culture is learned from birth through the process of
language acquisition and socialization, but it is not most clearly
reflected in ones language and behavior.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 14
MSC: Client Needs: Psychosocial Integrity
3. During a seminar on cultural aspects of nursing, the nurse
recognizes that the definition stating the specific and distinct
knowledge, beliefs, skills, and customs acquired by members of
a society reflects which term?




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,10/16/24, 12:39 Test Bank Chapter 02- Cultural
PM Competence




a. Mores
b. Norms
c. Culture
d. Social learning
ANS: C
The culture that develops in any given society is always specific
and distinctive, encompassing all of the knowledge, beliefs,
customs, and skills acquired by members of the society. The other
terms do not fit the given definition.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 14
MSC: Client Needs: Psychosocial Integrity
4. When discussing the use of the term subculture, the
nurse recognizes that it is best described as:
a. Fitting as many people into the majority culture as possible.
Defining small groups of people who do not want to be
identified
b. with the larger culture.
Singling out groups of people who suffer differential and unequal
c. treatment as a result of cultural variations.
Identifying fairly large groups of people with shared characteristics
d. that are not common to all members of a culture.
ANS: D
Within cultures, groups of people share different beliefs, values, and
attitudes. Differences occur because of ethnicity, religion,
education, occupation, age, and gender. When such groups function
within a large culture, they are referred to as subcultural groups.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 14
MSC: Client Needs: Psychosocial Integrity
fl. When reviewing the demographics of ethnic groups in the United
States, the nurse recalls that the largest and fastest growing
population is:
a. Hispanic.
b. Black.
c. Asian.
d. American Indian.
ANS: A




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, 10/16/24, 12:39 Test Bank Chapter 02- Cultural
PM Competence




Hispanics are the largest and fastest growing population in the
United States, followed by Asians, Blacks, American Indians and
Alaska natives, and other groups.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 11
MSC: Client Needs: General
6. During an assessment, the nurse notices that a patient is
handling a small charm that is tied to a leather strip around his
neck. Which action by the nurse is appropriate?
a. Ask the patient about the item and its significance.
Ask the patient to lock the item with other valuables in the hospitals
b. safe.
c. Tell the patient that a family member should take valuables home.
d. No action is necessary.
ANS: A
The nurse should inquire about the amulets meaning. Amulets,
such as charms, are often considered an important means of
protection from evil spirits by some cultures.
DIF: Cognitive Level: Applying (Application) REF: p. 1ff
MSC: Client Needs: Psychosocial Integrity
7. The nurse manager is explaining culturally competent care during
a staff meeting. Which statement accurately describes the concept
of culturally competent care? The caregiver:
a. Is able to speak the patients native language.
Possesses some basic knowledge of the patients cultural
b. background.
Applies the proper background knowledge of a patients cultural
c. background to provide the best possible health care.
Understands and attends to the total context of the patients
d. situation.
ANS: D
Culturally competent implies that the caregiver understands and
attends to the total context of the individuals situation. This
competency includes awareness of immigration status, stress
factors, other social factors, and cultural similarities and
differences. It does not require the caregiver to speak the patients
native language.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 24
MSC: Client Needs: Psychosocial Integrity




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