NURS 311 EXAM 3 QUIZ QUESTIONS AND ANSWERS | LATEST NURS
311 STUDY GUIDE & PRACTICE TEST 2026/2027
The nurse is caring for a frail elderly client who immigrated to the United States from China in 1935. The
client is able to speak English but has lived in a Chinese neighborhood with extended family since
arriving in the U.S. Which factor should influence the nurse when planning care for this client?
A. Health care practices, rituals, religious beliefs and food patterns need to be identified.
B. The family will provide most of the assistance that this client needs.
C. This client will have special needs because of having always lived with Chinese people.
D. This client has lived in the U.S. for so many years that it will not be necessary to consider any special
cultural practices. - correct answer ✔✔A. Health care practices, rituals, religious beliefs and food
patterns need to be identified.
Feedback: The nurse needs to identify health practices, rituals and food patterns that are central to
ethnic identity for this person, not assume practices based on ethnic background. Cultural values and
beliefs are part of our life long experience. Just because this client has lived many years in the US doesn't
mean the nurse can plan care according to assumptions (Buddhism, family care etc.). The nurse needs to
foster the collaborative planning by asking the client about their current health care practices and
evaluate if they differ from those of the American culture.
The nurse is admitting an American client to a Mexican hospital in a small town. The client was raised in
a country where medical care is easy to obtain. The nurse notices the patient is feeling embarrassed and
anxious and is becoming frustrated. The nurse knows the patient is showing signs of which of the
following?
A. Disintegration.
B. Culture stress.
C. Disequilibrium.
D. Culture shock. - correct answer ✔✔D. Culture shock
Feedback: culture shock is the feelings a person perceives when they are placed in a different culture
that is strange to the person. These person may feel embarrassed, foolish, fearful, incompetent,
inadequate, humiliated, or inferior. These may lead to frustration, anxiety, and loss of self-esteem.
The nurse is taking care of a young Russian woman who has recently been admitted for high blood
pressure. Which of the following approaches by the nurse is essential for the delivery of culturally
sensitive care for this patient?
A. Technical competence.
B. Nonjudgmental attitude.
C. Speak very slowly and loudly when you greet the patient.
D. Avoid eye contact with the patient. - correct answer ✔✔B. Nonjudgmental attitude
Feedback: Nonjudgmental attitude is essential for providing culturally sensitive care. Speaking loudly and
slowly will not overcome language barriers. You should not avoid eye contact because this could mean
, disrespect to the patient. You can be very technically competent and still not provide culturally sensitive
care.
A nurse is providing discharge instructions for a client who is of Chinese heritage. Throughout the
teaching, the client avoids all eye contact with the nurse. How should the nurse respond?
A. Continue teaching and verify client understanding.
B. Stop teaching and request that the client have eye contact.
C. Continue teaching and plan on educating other family members because the client is not listening.
D. Stop teaching and return at a later time. - correct answer ✔✔A. Continue teaching and verify client
understanding
Feedback: Avoiding eye contact is a cultural norm for many Chinese. The Chinese maintain a formal
distance with others. Avoiding eye contact is a form of respect for the culture. Forcing eye contact would
show disrespect to the client. Other family members may react in the same way if they ascribe to the
same cultural norms.
The nurse is caring for a client who has recently immigrated from India. Which action by the nurse is
most appropriate when developing the nursing care plan?
A. Ensure there is no alcohol based products on the dinner tray.
B. Order a diet with no pork products.
C. Assign the client to an east-facing room.
D. Perform a cultural assessment. - correct answer ✔✔D. Perform a cultural assessment
Feedback: The nurse should perform a cultural needs assessment. Just because the client is a recent
immigrant from India does not mean that he/she belongs to a particular religion or has any specific
cultural preferences.
A Caucasion nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping
while holding several small feathers bound by a beaded leather thong. The nurse should consider the
possibility that this is:
A. An interesting trinket to brighten the atmosphere.
B. A gift from his grandchildren to make him feel closer to the family.
C. An important item used in native healing practices.
D. An item that might introduce microorganisms into the hospital environment. - correct answer ✔✔C.
An important item used in native healing practices
The nurse is caring for a young girl from a Middle Eastern country who is dying. Her parents ask the
nurses to allow their daughter to be prepared for death by being dressed in a special garment and
headdress that needs to be put on every day. The parents are not able to be at the hospital everyday to
do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally
competent care?
A. Allowing the parents to dress the patient in the garment and headdress when they are by her side.
B. Consulting the chaplain as to the meaning of the ritual in the Middle East.
311 STUDY GUIDE & PRACTICE TEST 2026/2027
The nurse is caring for a frail elderly client who immigrated to the United States from China in 1935. The
client is able to speak English but has lived in a Chinese neighborhood with extended family since
arriving in the U.S. Which factor should influence the nurse when planning care for this client?
A. Health care practices, rituals, religious beliefs and food patterns need to be identified.
B. The family will provide most of the assistance that this client needs.
C. This client will have special needs because of having always lived with Chinese people.
D. This client has lived in the U.S. for so many years that it will not be necessary to consider any special
cultural practices. - correct answer ✔✔A. Health care practices, rituals, religious beliefs and food
patterns need to be identified.
Feedback: The nurse needs to identify health practices, rituals and food patterns that are central to
ethnic identity for this person, not assume practices based on ethnic background. Cultural values and
beliefs are part of our life long experience. Just because this client has lived many years in the US doesn't
mean the nurse can plan care according to assumptions (Buddhism, family care etc.). The nurse needs to
foster the collaborative planning by asking the client about their current health care practices and
evaluate if they differ from those of the American culture.
The nurse is admitting an American client to a Mexican hospital in a small town. The client was raised in
a country where medical care is easy to obtain. The nurse notices the patient is feeling embarrassed and
anxious and is becoming frustrated. The nurse knows the patient is showing signs of which of the
following?
A. Disintegration.
B. Culture stress.
C. Disequilibrium.
D. Culture shock. - correct answer ✔✔D. Culture shock
Feedback: culture shock is the feelings a person perceives when they are placed in a different culture
that is strange to the person. These person may feel embarrassed, foolish, fearful, incompetent,
inadequate, humiliated, or inferior. These may lead to frustration, anxiety, and loss of self-esteem.
The nurse is taking care of a young Russian woman who has recently been admitted for high blood
pressure. Which of the following approaches by the nurse is essential for the delivery of culturally
sensitive care for this patient?
A. Technical competence.
B. Nonjudgmental attitude.
C. Speak very slowly and loudly when you greet the patient.
D. Avoid eye contact with the patient. - correct answer ✔✔B. Nonjudgmental attitude
Feedback: Nonjudgmental attitude is essential for providing culturally sensitive care. Speaking loudly and
slowly will not overcome language barriers. You should not avoid eye contact because this could mean
, disrespect to the patient. You can be very technically competent and still not provide culturally sensitive
care.
A nurse is providing discharge instructions for a client who is of Chinese heritage. Throughout the
teaching, the client avoids all eye contact with the nurse. How should the nurse respond?
A. Continue teaching and verify client understanding.
B. Stop teaching and request that the client have eye contact.
C. Continue teaching and plan on educating other family members because the client is not listening.
D. Stop teaching and return at a later time. - correct answer ✔✔A. Continue teaching and verify client
understanding
Feedback: Avoiding eye contact is a cultural norm for many Chinese. The Chinese maintain a formal
distance with others. Avoiding eye contact is a form of respect for the culture. Forcing eye contact would
show disrespect to the client. Other family members may react in the same way if they ascribe to the
same cultural norms.
The nurse is caring for a client who has recently immigrated from India. Which action by the nurse is
most appropriate when developing the nursing care plan?
A. Ensure there is no alcohol based products on the dinner tray.
B. Order a diet with no pork products.
C. Assign the client to an east-facing room.
D. Perform a cultural assessment. - correct answer ✔✔D. Perform a cultural assessment
Feedback: The nurse should perform a cultural needs assessment. Just because the client is a recent
immigrant from India does not mean that he/she belongs to a particular religion or has any specific
cultural preferences.
A Caucasion nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping
while holding several small feathers bound by a beaded leather thong. The nurse should consider the
possibility that this is:
A. An interesting trinket to brighten the atmosphere.
B. A gift from his grandchildren to make him feel closer to the family.
C. An important item used in native healing practices.
D. An item that might introduce microorganisms into the hospital environment. - correct answer ✔✔C.
An important item used in native healing practices
The nurse is caring for a young girl from a Middle Eastern country who is dying. Her parents ask the
nurses to allow their daughter to be prepared for death by being dressed in a special garment and
headdress that needs to be put on every day. The parents are not able to be at the hospital everyday to
do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally
competent care?
A. Allowing the parents to dress the patient in the garment and headdress when they are by her side.
B. Consulting the chaplain as to the meaning of the ritual in the Middle East.
