1
C. Discrimination
D. Retention
DWETCN 2026 Multiple Choice Quiz Practice 9. A culturally competent nurse should:
A. Enforce hospital rules strictly
Topic: Cultural Competence, Traditions, and Healthcare
B. Ignore folk practices
Beliefs
C. Respect different health beliefs
D. Avoid discussing spirituality
Part I: Culture and Nursing Practice (Handout 1) 10. Which of the following is not a benefit of cultural
competence?
1. What is cultural competence in healthcare?
A. Improved patient trust
A. Memorizing cultural facts
B. Enhanced communication
B. Avoiding conversations about beliefs
C. Increased conflict
C. Delivering effective care that respects
D. Better patient outcomes
diverse values
11. Which best describes a culturally competent
D. Teaching patients the hospital’s values
nurse?
2. Which of the following is a barrier to cultural
A. One who avoids learning about other
competence?
cultures
A. Active listening
B. One who adapts care to the patient’s beliefs
B. Stereotyping
C. One who relies solely on hospital protocols
C. Open-mindedness
D. One who teaches their own values to
D. Cultural assessment
patients
3. Ethnocentrism is best defined as:
12. A major cause of cultural misunderstandings in
A. Learning another culture
healthcare is:
B. Believing one’s culture is superior
A. Professional training
C. Cultural relativism
B. Ethnocentrism
D. Respecting all traditions
C. Empathy
4. Which concept involves forcing your cultural
D. Cross-cultural education
beliefs on others?
13. Cultural sensitivity involves:
A. Cultural sensitivity
A. Imposing beliefs
B. Cultural imposition
B. Avoiding cultural discussions
C. Acculturation
C. Respecting differences
D. Assimilation
D. Agreeing with all practices
5. Cultural awareness begins with:
14. Which of the following is a sign of cultural
A. Memorizing customs
imposition?
B. Avoiding cross-cultural interactions
A. Listening to patients
C. Self-examination of your own beliefs
B. Adjusting care based on culture
D. Studying other religions
C. Forcing your practices on others
6. Acculturation is:
D. Asking open-ended questions
A. Complete rejection of your culture
15. A nurse who reflects on their own cultural
B. Gradual adoption of another culture’s traits
background is practicing:
C. Isolation from cultural groups
A. Cultural blindness
D. Refusal to change traditions
B. Cultural imposition
7. Which of the following promotes effective
C. Cultural awareness
cross-cultural communication?
D. Cultural superiority
A. Assuming similarity
16. Which of the following terms describes total
B. Using medical jargon
absorption of a dominant culture?
C. Active listening and validation
A. Enculturation
D. Talking louder if misunderstood
B. Acculturation
8. Which term refers to the gradual process of
C. Assimilation
integrating into another culture?
D. Integration
A. Assimilation
B. Imposition
, 2
17. Effective communication in multicultural settings 26. Which of the following best describes cultural
requires: imposition?
A. Avoiding eye contact A. Avoiding cultural differences
B. Using only written forms B. Forcing one’s values on others
C. Cultural competence C. Respecting patient traditions
D. Relying on slang D. Promoting multiculturalism
18. A culturally competent approach includes: 27. A nurse who adjusts a patient’s care plan to
A. Stereotyping include traditional healing practices
B. Bias demonstrates:
C. Respect for diversity A. Cultural destructiveness
D. Assumptions B. Cultural blindness
19. Which action violates cultural competence? C. Cultural accommodation
A. Asking about dietary preferences D. Cultural dominance
B. Assuming the patient’s needs 28. The Sunrise Model includes which of the
C. Including family in care discussions following as key factors influencing care?
D. Recognizing spiritual beliefs A. Genetic predispositions
20. One result of culturally competent care is: B. Socioeconomic, religious, and kinship
A. Increased patient anxiety systems
B. Better health outcomes C. Medication compliance only
C. Decreased compliance D. Hospital guidelines
D. Cultural conflicts 29. Which statement best defines cultural
21. What is the primary goal of transcultural awareness?
nursing? A. Recognizing the superiority of one’s culture
A. Eliminate cultural barriers B. Knowing one’s own cultural background
B. Promote Western healthcare values C. Ignoring cultural norms
C. Provide culturally congruent care D. Applying a single model to all patients
D. Unify healthcare systems worldwide 30. What is cultural humility?
22. Who is considered the founder of transcultural A. Memorizing all cultures’ traditions
nursing? B. Assuming expertise over cultural groups
A. Jean Watson C. Lifelong self-reflection and openness to
B. Madeleine Leininger learning
C. Florence Nightingale D. Avoiding patient discussions
D. Virginia Henderson 31. Which is an example of cultural
23. Leininger’s theory emphasizes: destructiveness?
A. Human needs A. Using an interpreter
B. Interpersonal relationships B. Ignoring a patient’s religious fasting
C. Culture care diversity and universality C. Asking about herbal remedies
D. Technological competence D. Providing vegetarian meal options
24. What model did Leininger develop for 32. What is a major benefit of culturally congruent
understanding cultural care? care?
A. Health Belief Model A. Lower treatment cost
B. Transcultural Adaptation Model B. Improved patient trust and outcomes
C. Sunrise Model C. Faster discharge times
D. Cultural Continuum Model D. Standardized documentation
25. Cultural competence involves: 33. What is the best approach to develop cultural
A. Avoiding traditional beliefs knowledge?
B. Adapting care to suit one’s own beliefs A. Rely on stereotypes
C. Delivering care that meets patients’ cultural B. Engage in cultural education and
needs experiences
D. Memorizing rituals C. Avoid cultural topics
D. Generalize based on ethnicity
C. Discrimination
D. Retention
DWETCN 2026 Multiple Choice Quiz Practice 9. A culturally competent nurse should:
A. Enforce hospital rules strictly
Topic: Cultural Competence, Traditions, and Healthcare
B. Ignore folk practices
Beliefs
C. Respect different health beliefs
D. Avoid discussing spirituality
Part I: Culture and Nursing Practice (Handout 1) 10. Which of the following is not a benefit of cultural
competence?
1. What is cultural competence in healthcare?
A. Improved patient trust
A. Memorizing cultural facts
B. Enhanced communication
B. Avoiding conversations about beliefs
C. Increased conflict
C. Delivering effective care that respects
D. Better patient outcomes
diverse values
11. Which best describes a culturally competent
D. Teaching patients the hospital’s values
nurse?
2. Which of the following is a barrier to cultural
A. One who avoids learning about other
competence?
cultures
A. Active listening
B. One who adapts care to the patient’s beliefs
B. Stereotyping
C. One who relies solely on hospital protocols
C. Open-mindedness
D. One who teaches their own values to
D. Cultural assessment
patients
3. Ethnocentrism is best defined as:
12. A major cause of cultural misunderstandings in
A. Learning another culture
healthcare is:
B. Believing one’s culture is superior
A. Professional training
C. Cultural relativism
B. Ethnocentrism
D. Respecting all traditions
C. Empathy
4. Which concept involves forcing your cultural
D. Cross-cultural education
beliefs on others?
13. Cultural sensitivity involves:
A. Cultural sensitivity
A. Imposing beliefs
B. Cultural imposition
B. Avoiding cultural discussions
C. Acculturation
C. Respecting differences
D. Assimilation
D. Agreeing with all practices
5. Cultural awareness begins with:
14. Which of the following is a sign of cultural
A. Memorizing customs
imposition?
B. Avoiding cross-cultural interactions
A. Listening to patients
C. Self-examination of your own beliefs
B. Adjusting care based on culture
D. Studying other religions
C. Forcing your practices on others
6. Acculturation is:
D. Asking open-ended questions
A. Complete rejection of your culture
15. A nurse who reflects on their own cultural
B. Gradual adoption of another culture’s traits
background is practicing:
C. Isolation from cultural groups
A. Cultural blindness
D. Refusal to change traditions
B. Cultural imposition
7. Which of the following promotes effective
C. Cultural awareness
cross-cultural communication?
D. Cultural superiority
A. Assuming similarity
16. Which of the following terms describes total
B. Using medical jargon
absorption of a dominant culture?
C. Active listening and validation
A. Enculturation
D. Talking louder if misunderstood
B. Acculturation
8. Which term refers to the gradual process of
C. Assimilation
integrating into another culture?
D. Integration
A. Assimilation
B. Imposition
, 2
17. Effective communication in multicultural settings 26. Which of the following best describes cultural
requires: imposition?
A. Avoiding eye contact A. Avoiding cultural differences
B. Using only written forms B. Forcing one’s values on others
C. Cultural competence C. Respecting patient traditions
D. Relying on slang D. Promoting multiculturalism
18. A culturally competent approach includes: 27. A nurse who adjusts a patient’s care plan to
A. Stereotyping include traditional healing practices
B. Bias demonstrates:
C. Respect for diversity A. Cultural destructiveness
D. Assumptions B. Cultural blindness
19. Which action violates cultural competence? C. Cultural accommodation
A. Asking about dietary preferences D. Cultural dominance
B. Assuming the patient’s needs 28. The Sunrise Model includes which of the
C. Including family in care discussions following as key factors influencing care?
D. Recognizing spiritual beliefs A. Genetic predispositions
20. One result of culturally competent care is: B. Socioeconomic, religious, and kinship
A. Increased patient anxiety systems
B. Better health outcomes C. Medication compliance only
C. Decreased compliance D. Hospital guidelines
D. Cultural conflicts 29. Which statement best defines cultural
21. What is the primary goal of transcultural awareness?
nursing? A. Recognizing the superiority of one’s culture
A. Eliminate cultural barriers B. Knowing one’s own cultural background
B. Promote Western healthcare values C. Ignoring cultural norms
C. Provide culturally congruent care D. Applying a single model to all patients
D. Unify healthcare systems worldwide 30. What is cultural humility?
22. Who is considered the founder of transcultural A. Memorizing all cultures’ traditions
nursing? B. Assuming expertise over cultural groups
A. Jean Watson C. Lifelong self-reflection and openness to
B. Madeleine Leininger learning
C. Florence Nightingale D. Avoiding patient discussions
D. Virginia Henderson 31. Which is an example of cultural
23. Leininger’s theory emphasizes: destructiveness?
A. Human needs A. Using an interpreter
B. Interpersonal relationships B. Ignoring a patient’s religious fasting
C. Culture care diversity and universality C. Asking about herbal remedies
D. Technological competence D. Providing vegetarian meal options
24. What model did Leininger develop for 32. What is a major benefit of culturally congruent
understanding cultural care? care?
A. Health Belief Model A. Lower treatment cost
B. Transcultural Adaptation Model B. Improved patient trust and outcomes
C. Sunrise Model C. Faster discharge times
D. Cultural Continuum Model D. Standardized documentation
25. Cultural competence involves: 33. What is the best approach to develop cultural
A. Avoiding traditional beliefs knowledge?
B. Adapting care to suit one’s own beliefs A. Rely on stereotypes
C. Delivering care that meets patients’ cultural B. Engage in cultural education and
needs experiences
D. Memorizing rituals C. Avoid cultural topics
D. Generalize based on ethnicity
