Chapter 3: Cultural Considerations
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care to a Muslim patient who presents to the
emergency department (ED) with abdominal pain and vaginal bleeding. The patient’s
spouse asks that only a female examines the patient. Which is the most culturally
appropriate statement by the nurse in response to this request?
1. “Your spouse will be covered so it will not matter what the gender of the examiner
is.”
2. “The male and female providers here both respect privacy.”
3. “Your request is unreasonable and cannot be honored at this time.”
4. “Every attempt will be made to honor your request regarding the care of your spouse.”
____ 2. The nurse is caring for a Chinese patient who is one day postoperative for
abdominal surgery. The patient’s nonverbal cues indicate pain, but the patient denies
the need for pain medication. Which action by the nurse is appropriate?
1. Seeking out a family member to convince the patient to take the medication
2. Consulting the health-care provider about administering medication without the
patient’s knowledge
3. Offering the medication again stating that providing comfort is a priority
4. Allowing the patient to suffer in silence
____ 3. The nurse is providing care to an infant who is experiencing colic. The
infant’s family immigrated to the United States six months ago. The mother explains
that she believes that an herbal remedy, prepared by the village doctor, is the best way
to treat the infant’s colic. Which action by the nurse is most appropriate?
1. Ask the mother what the ingredients are in the remedy.
2. Give the mother an alternate remedy for colic.
3. Explain how herbal ingredients may be harmful to the infant.
4. Tell the mother not to use the remedy because there is no way to know what the
ingredients’ scientific effect may be.
____ 4. During a sexual history, the patient states, “I have always felt like a man
trapped in a woman’s body.” Which conclusion about the patient is potentially
accurate?
1. Bisexuality
2. Heterosexuality
,3. Homosexuality
4. Transgender
____ 5. The nurse is working with a number of patients at a free clinic. Which
population is at the highest risk for low levels of health care?
1. Immigrants
2. Adolescents
3. Older adults
4. Newborns
____ 6. Which treatment program should the nurse include in the plan of care for a
homeless client whose Type 1 diabetes mellitus (DM) requires daily insulin
injections?
1. Home health care
2. Outpatient clinic
3. Partial hospitalization
4. Inpatient hospital-based care
____ 7. The novice nurse working in an inner-city hospital that serves a diverse
patient population states, “I want to learn everything possible about all of the
patients.” Which response by the seasoned nurse is appropriate?
1. “I will give you a great book that describes all of the critical factors.”
2. “You should always be nonjudgmental.”
3. “This will come with time as you get to know clients and then encounter problems.”
4. “You need to first understand who you are.”
____ 8. Which acculturation behavior will the nurse observe in a patient who has
emigrated from Mexico to the United States?
1. The client buys all needed products from the local store owned by people from
Mexico.
2. The client lives in a neighborhood that is populated predominantly with people from
Mexico.
3. The client speaks Spanish only.
4. The client attends a church service in the neighboring community to meet new people.
____ 9. A male nurse enters the room of a female patient to obtain the patient's vital
signs. The patient’s spouse appears uncomfortable with the nurse and moves closer to
the patient. Which action by the nurse is most appropriate?
, 1. Ask a female staff member to obtain the patient’s vital signs.
2. Ask the spouse to leave the patient’s room to obtain the vital signs.
3. Perform the intervention without discussion with the patient or spouse.
4. Explain the procedure to both the patient and the spouse.
____ 10. The nurse is providing care to an adult patient from another country and
notices that the patient consults with her mother on all health-care decisions. Which
action by the nurse is the most appropriate?
1. Ask the patient why the parent is being consulted for every decision.
2. Accept the behavior of the patient and family member.
3. Ask the patient's mother to leave the room to provide the patient with more privacy.
4. Confront the patient’s mother to state the importance of the patient making her own
decisions.
____ 11. When preparing an in-service for staff nurses regarding health disparity,
which definition should the nurse include in the presentation?
1. Factors that help explain why some people experience poorer health than others.
2. Describes the health of a person or community along with the many measures that
contribute to this health.
3. Achieved when every person has the opportunity to attain his or her health potential
and no one is disadvantaged.
4. Differences in the incidence, prevalence, mortality rate, and burden of diseases that
exist among specific populations.
____ 12. Which of these should the nurse focus on to decrease health disparities
among Hispanic patients?
1. Translation services
2. Nutritional education
3. Pediatric immunizations
4. Hypertension prevention
____ 13. Which traditional Chinese medical treatment includes the insertion of
needles into precise points along the channel system of flow of the qi?
1. Cupping
2. Moxibustion
3. Acupuncture
4. Skin pinching
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care to a Muslim patient who presents to the
emergency department (ED) with abdominal pain and vaginal bleeding. The patient’s
spouse asks that only a female examines the patient. Which is the most culturally
appropriate statement by the nurse in response to this request?
1. “Your spouse will be covered so it will not matter what the gender of the examiner
is.”
2. “The male and female providers here both respect privacy.”
3. “Your request is unreasonable and cannot be honored at this time.”
4. “Every attempt will be made to honor your request regarding the care of your spouse.”
____ 2. The nurse is caring for a Chinese patient who is one day postoperative for
abdominal surgery. The patient’s nonverbal cues indicate pain, but the patient denies
the need for pain medication. Which action by the nurse is appropriate?
1. Seeking out a family member to convince the patient to take the medication
2. Consulting the health-care provider about administering medication without the
patient’s knowledge
3. Offering the medication again stating that providing comfort is a priority
4. Allowing the patient to suffer in silence
____ 3. The nurse is providing care to an infant who is experiencing colic. The
infant’s family immigrated to the United States six months ago. The mother explains
that she believes that an herbal remedy, prepared by the village doctor, is the best way
to treat the infant’s colic. Which action by the nurse is most appropriate?
1. Ask the mother what the ingredients are in the remedy.
2. Give the mother an alternate remedy for colic.
3. Explain how herbal ingredients may be harmful to the infant.
4. Tell the mother not to use the remedy because there is no way to know what the
ingredients’ scientific effect may be.
____ 4. During a sexual history, the patient states, “I have always felt like a man
trapped in a woman’s body.” Which conclusion about the patient is potentially
accurate?
1. Bisexuality
2. Heterosexuality
,3. Homosexuality
4. Transgender
____ 5. The nurse is working with a number of patients at a free clinic. Which
population is at the highest risk for low levels of health care?
1. Immigrants
2. Adolescents
3. Older adults
4. Newborns
____ 6. Which treatment program should the nurse include in the plan of care for a
homeless client whose Type 1 diabetes mellitus (DM) requires daily insulin
injections?
1. Home health care
2. Outpatient clinic
3. Partial hospitalization
4. Inpatient hospital-based care
____ 7. The novice nurse working in an inner-city hospital that serves a diverse
patient population states, “I want to learn everything possible about all of the
patients.” Which response by the seasoned nurse is appropriate?
1. “I will give you a great book that describes all of the critical factors.”
2. “You should always be nonjudgmental.”
3. “This will come with time as you get to know clients and then encounter problems.”
4. “You need to first understand who you are.”
____ 8. Which acculturation behavior will the nurse observe in a patient who has
emigrated from Mexico to the United States?
1. The client buys all needed products from the local store owned by people from
Mexico.
2. The client lives in a neighborhood that is populated predominantly with people from
Mexico.
3. The client speaks Spanish only.
4. The client attends a church service in the neighboring community to meet new people.
____ 9. A male nurse enters the room of a female patient to obtain the patient's vital
signs. The patient’s spouse appears uncomfortable with the nurse and moves closer to
the patient. Which action by the nurse is most appropriate?
, 1. Ask a female staff member to obtain the patient’s vital signs.
2. Ask the spouse to leave the patient’s room to obtain the vital signs.
3. Perform the intervention without discussion with the patient or spouse.
4. Explain the procedure to both the patient and the spouse.
____ 10. The nurse is providing care to an adult patient from another country and
notices that the patient consults with her mother on all health-care decisions. Which
action by the nurse is the most appropriate?
1. Ask the patient why the parent is being consulted for every decision.
2. Accept the behavior of the patient and family member.
3. Ask the patient's mother to leave the room to provide the patient with more privacy.
4. Confront the patient’s mother to state the importance of the patient making her own
decisions.
____ 11. When preparing an in-service for staff nurses regarding health disparity,
which definition should the nurse include in the presentation?
1. Factors that help explain why some people experience poorer health than others.
2. Describes the health of a person or community along with the many measures that
contribute to this health.
3. Achieved when every person has the opportunity to attain his or her health potential
and no one is disadvantaged.
4. Differences in the incidence, prevalence, mortality rate, and burden of diseases that
exist among specific populations.
____ 12. Which of these should the nurse focus on to decrease health disparities
among Hispanic patients?
1. Translation services
2. Nutritional education
3. Pediatric immunizations
4. Hypertension prevention
____ 13. Which traditional Chinese medical treatment includes the insertion of
needles into precise points along the channel system of flow of the qi?
1. Cupping
2. Moxibustion
3. Acupuncture
4. Skin pinching
