TEST BANK
Transcultural Concepts in Nursing Care
Margaret M. Andrews, Joyceen S. Boyle, and John W. Collins
8th Edition
,Table of Contents
Chapter 01 Theoretical Foundations of Transcultural Nursing 1
Chapter 02 Culturally Competent Nursing Care 16
Chapter 03 Cultural Competence in the History and Physical Examination 31
Chapter 04 Influence of Cultural and Health Belief Systems on Health Care Practices 45
Chapter 05 Transcultural Perspectives in Childbearing 59
Chapter 06 Transcultural Perspectives in the Nursing Care of Children 72
Chapter 07 Transcultural Perspectives in the Care of Adults 85
Chapter 08 Transcultural Perspectives in the Care of Older Adults 98
Chapter 09 Creating Culturally Competent Health Care Organizations 112
Chapter 10 Transcultural Perspectives in Mental Health Nursing 127
Chapter 11 Culture, Family, and Community 141
Chapter 12 Religion, Culture, and Nursing 155
Chapter 13 Cultural Competence in Ethical Decision-Making 168
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Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
Test Generator Questions, Chapter 1, Theoretical Foundations
of Transcultural Nursing
1. Which component of transcultural nursing has been greatly supported
through the research conducted by anthropologists?
A) Nursing interventions planned on the basis of age and developmental
norms
B) Evaluation of the understanding of risk factors based on cognitive
function
C) Implementation of nursing care, respectful of the individual’s economic
status
D) Assessment of woman’s ability to function successfully in her role
within the family
2. Which is the basis to support the need for transcultural nursing in a
health care setting that serves a multicultural metropolitan community?
A) The nursing responsibility to provide nursing care for each client who
demonstrates respect and acceptance
B) The ever-expanding numbers of immigrants entering the United States
requiring physical and mental health care
C) The diversity seen in the values, beliefs, behaviors, as well as physical
and mental characteristics of the client population
D) The varying economic and social backgrounds represented in the
population present unique barriers to health care delivery
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1|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
3. Which assessment question shows an understanding of the impact of
cultural beliefs and behaviors on a client’s demonstration of pain?
A) “Can you describe the pain you are experiencing for me?”
B) “Do you understand the long-term effects of chronic pain?”
C) “Have you ever taken medication to help control your pain?”
D) “How can I help you deal with the pain you are experiencing?”
4. Which nursing intervention demonstrates an understanding of the full
scope on culturally sensitive nursing care?
A) When planning a teenaged focused educational program on sexuality,
both homosexual and heterosexual lifestyle choices are discussed
B) When assessing a recently immigrated client’s ability to both speak
and read the dominant language when preparing discharge teaching
C) Including both Eastern traditional folk treatments and Western medical
therapies into the care plan of a client of Chinese descent
D) Directing a discussion concerning treatment options for an Arab female
toward the family’s elder male members
5. Which questions should the nurse ask the client when assessing
culturally based care factors using Leininger’s transcultural nursing
principles? Select all that apply.
A) “In your culture, what do you do to stay healthy?”
B) “How is death handled in your culture?”
C) “When you get sick, why don’t you use Western medicine?”
D) “How do you determine if a person has a disability?”
E) “In your culture, what do you do when you are sick?”
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
6. Which nursing intervention demonstrates one of the strengths of the
transcultural nursing Theory of Culture Care Diversity and Universality?
A) Planning treatments around the prayer schedule of a client who
practices Islam
B) Encouraging a client of Chinese descent to explain the concept of “Ying
and Yang”
C) Assessing for stress factors affecting a client of Haitian descent as well
as the immediate family
D) Evaluating the reading comprehension of a client for whom the
dominant language is the second language
7. The nurse is caring for an unconscious client with a comfort dog at the
bedside. Which member of the interprofessional health care team should
provide the decision on behalf of the client for the most appropriate
treatment?
A) Physician
B) Daughter
C) Neighbor with medical power of attorney
D) Spiritual or traditional healer
8. Which nursing intervention demonstrates an avoidance of one of the
cited criticisms of current transcultural nursing theories?
A) Asking a client who practices Judaism whether he or she will need a
kosher diet menu
B) Making sure that a client who practices Catholicism has his or her
rosary beads always within easy reach
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3|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
C) Encouraging a veteran of World War II who fought for Germany to talk
about his or her military experiences
D) Suggesting that an obese client of Irish descent minimize consumption
of beer and potatoes
9. Which activity would best support the goals of transcultural nursing?
A) A multidisciplinary research project on the effects of culture on pain
management plans
B) Revising facility visitation policies to support cultures in which family
members remain with the client
C) Organizing a rally to raise awareness of the need for a local free clinic
to serve culturally diverse families
D) Providing staff education regarding the dietary traditions of both the
local Jewish and Arab populations
10. Which statement demonstrates a lack of knowledge concerning the
role eye contact plays in various cultures?
A) “It’s so important to maintain eye contact with the client while
providing discharge teaching.”
B) “Eye contact can be a difficult nonverbal communication to interpret
from a cultural standpoint.”
C) “I never assume a client’s interest in our conversation on the basis of
his or her willingness to maintain eye contact.”
D) “Many cultures are reluctant to maintain eye contact with nonfamily
members.”
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
11. Which consideration is the basis for the selection of an interpreter for
an older client who has a limited ability to speak and understand the
dominant language?
A) Younger adults are generally more understanding of American jargon
and so can translate it better.
B) Family members are generally considered good interpreters since they
share the same dialect.
C) The interpreter should ideally be of similar age and of the same gender
as the client.
D) The client should be allowed to select the interpreter as a means of
maintaining autonomy.
12. The nurse is caring for the following obstetric clients. Which action(s)
demonstrates the proper use of transcultural nursing theoretical
foundations? Select all that apply.
A) Instruct on ways to modify dishes from the client’s culture to achieve a
healthy glucose level with a client diagnosed with gestational diabetes.
B) Provide a lesbian couple the request for birth certificate and ask the
birth mother to complete the full names of the mother and father of the
newborn.
C) Assess the client traveling to other countries for potential exposure to
illness and signs and symptoms of illness.
D) Remove the hijab without asking from the head of a conscious client
after a motor vehicle incident to examine for potential injuries.
E) Teleconference an expert male obstetrician about a client who
expresses following traditional Islamic cultural beliefs to determine the next
steps of care.
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
13. The nurse is searching for the best evidence to make culturally
sensitive changes with care for the clients from Hmong culture in a United
States hospital using Leininger’s theory. Based upon the following (fictitious)
research studies, which should the nurse use as best evidence to improve
care?
A) “Randomized controlled trial of antihypertensives use among clients
from Southeast and East Asia”
B) “Perceptions of client form Hmong culture accessing health care in the
United States: A transcultural nursing approach”
C) “Ethnographic study of interactions of nurses with clients from Hmong
culture”
D) “Mixed methods study of clients from Hmong culture receiving prenatal
care in European hospitals”
14. A local hospital group is creating a local transcultural health care team
to assist with the health care of the community that has seen an influx of
refugees from other countries. Which will be necessary for each team
member to possess to be a part of the team? Select all that apply.
A) Membership in two nursing orientations whose focus is transcultural
nursing care
B) Proof of formal academic preparation at an accredited institution
C) Documentation proofing a work history in facilities that serve a
culturally diverse population
D) Appropriate licensure as required by the state
E) Official certification from the TCNS
______________________________________________________________________________________________
6|Page
Transcultural Concepts in Nursing Care
Margaret M. Andrews, Joyceen S. Boyle, and John W. Collins
8th Edition
,Table of Contents
Chapter 01 Theoretical Foundations of Transcultural Nursing 1
Chapter 02 Culturally Competent Nursing Care 16
Chapter 03 Cultural Competence in the History and Physical Examination 31
Chapter 04 Influence of Cultural and Health Belief Systems on Health Care Practices 45
Chapter 05 Transcultural Perspectives in Childbearing 59
Chapter 06 Transcultural Perspectives in the Nursing Care of Children 72
Chapter 07 Transcultural Perspectives in the Care of Adults 85
Chapter 08 Transcultural Perspectives in the Care of Older Adults 98
Chapter 09 Creating Culturally Competent Health Care Organizations 112
Chapter 10 Transcultural Perspectives in Mental Health Nursing 127
Chapter 11 Culture, Family, and Community 141
Chapter 12 Religion, Culture, and Nursing 155
Chapter 13 Cultural Competence in Ethical Decision-Making 168
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
Test Generator Questions, Chapter 1, Theoretical Foundations
of Transcultural Nursing
1. Which component of transcultural nursing has been greatly supported
through the research conducted by anthropologists?
A) Nursing interventions planned on the basis of age and developmental
norms
B) Evaluation of the understanding of risk factors based on cognitive
function
C) Implementation of nursing care, respectful of the individual’s economic
status
D) Assessment of woman’s ability to function successfully in her role
within the family
2. Which is the basis to support the need for transcultural nursing in a
health care setting that serves a multicultural metropolitan community?
A) The nursing responsibility to provide nursing care for each client who
demonstrates respect and acceptance
B) The ever-expanding numbers of immigrants entering the United States
requiring physical and mental health care
C) The diversity seen in the values, beliefs, behaviors, as well as physical
and mental characteristics of the client population
D) The varying economic and social backgrounds represented in the
population present unique barriers to health care delivery
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
3. Which assessment question shows an understanding of the impact of
cultural beliefs and behaviors on a client’s demonstration of pain?
A) “Can you describe the pain you are experiencing for me?”
B) “Do you understand the long-term effects of chronic pain?”
C) “Have you ever taken medication to help control your pain?”
D) “How can I help you deal with the pain you are experiencing?”
4. Which nursing intervention demonstrates an understanding of the full
scope on culturally sensitive nursing care?
A) When planning a teenaged focused educational program on sexuality,
both homosexual and heterosexual lifestyle choices are discussed
B) When assessing a recently immigrated client’s ability to both speak
and read the dominant language when preparing discharge teaching
C) Including both Eastern traditional folk treatments and Western medical
therapies into the care plan of a client of Chinese descent
D) Directing a discussion concerning treatment options for an Arab female
toward the family’s elder male members
5. Which questions should the nurse ask the client when assessing
culturally based care factors using Leininger’s transcultural nursing
principles? Select all that apply.
A) “In your culture, what do you do to stay healthy?”
B) “How is death handled in your culture?”
C) “When you get sick, why don’t you use Western medicine?”
D) “How do you determine if a person has a disability?”
E) “In your culture, what do you do when you are sick?”
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
6. Which nursing intervention demonstrates one of the strengths of the
transcultural nursing Theory of Culture Care Diversity and Universality?
A) Planning treatments around the prayer schedule of a client who
practices Islam
B) Encouraging a client of Chinese descent to explain the concept of “Ying
and Yang”
C) Assessing for stress factors affecting a client of Haitian descent as well
as the immediate family
D) Evaluating the reading comprehension of a client for whom the
dominant language is the second language
7. The nurse is caring for an unconscious client with a comfort dog at the
bedside. Which member of the interprofessional health care team should
provide the decision on behalf of the client for the most appropriate
treatment?
A) Physician
B) Daughter
C) Neighbor with medical power of attorney
D) Spiritual or traditional healer
8. Which nursing intervention demonstrates an avoidance of one of the
cited criticisms of current transcultural nursing theories?
A) Asking a client who practices Judaism whether he or she will need a
kosher diet menu
B) Making sure that a client who practices Catholicism has his or her
rosary beads always within easy reach
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
C) Encouraging a veteran of World War II who fought for Germany to talk
about his or her military experiences
D) Suggesting that an obese client of Irish descent minimize consumption
of beer and potatoes
9. Which activity would best support the goals of transcultural nursing?
A) A multidisciplinary research project on the effects of culture on pain
management plans
B) Revising facility visitation policies to support cultures in which family
members remain with the client
C) Organizing a rally to raise awareness of the need for a local free clinic
to serve culturally diverse families
D) Providing staff education regarding the dietary traditions of both the
local Jewish and Arab populations
10. Which statement demonstrates a lack of knowledge concerning the
role eye contact plays in various cultures?
A) “It’s so important to maintain eye contact with the client while
providing discharge teaching.”
B) “Eye contact can be a difficult nonverbal communication to interpret
from a cultural standpoint.”
C) “I never assume a client’s interest in our conversation on the basis of
his or her willingness to maintain eye contact.”
D) “Many cultures are reluctant to maintain eye contact with nonfamily
members.”
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
11. Which consideration is the basis for the selection of an interpreter for
an older client who has a limited ability to speak and understand the
dominant language?
A) Younger adults are generally more understanding of American jargon
and so can translate it better.
B) Family members are generally considered good interpreters since they
share the same dialect.
C) The interpreter should ideally be of similar age and of the same gender
as the client.
D) The client should be allowed to select the interpreter as a means of
maintaining autonomy.
12. The nurse is caring for the following obstetric clients. Which action(s)
demonstrates the proper use of transcultural nursing theoretical
foundations? Select all that apply.
A) Instruct on ways to modify dishes from the client’s culture to achieve a
healthy glucose level with a client diagnosed with gestational diabetes.
B) Provide a lesbian couple the request for birth certificate and ask the
birth mother to complete the full names of the mother and father of the
newborn.
C) Assess the client traveling to other countries for potential exposure to
illness and signs and symptoms of illness.
D) Remove the hijab without asking from the head of a conscious client
after a motor vehicle incident to examine for potential injuries.
E) Teleconference an expert male obstetrician about a client who
expresses following traditional Islamic cultural beliefs to determine the next
steps of care.
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Transcultural Concepts in Nursing Care, 8th Edition (Andrews, 2020)
13. The nurse is searching for the best evidence to make culturally
sensitive changes with care for the clients from Hmong culture in a United
States hospital using Leininger’s theory. Based upon the following (fictitious)
research studies, which should the nurse use as best evidence to improve
care?
A) “Randomized controlled trial of antihypertensives use among clients
from Southeast and East Asia”
B) “Perceptions of client form Hmong culture accessing health care in the
United States: A transcultural nursing approach”
C) “Ethnographic study of interactions of nurses with clients from Hmong
culture”
D) “Mixed methods study of clients from Hmong culture receiving prenatal
care in European hospitals”
14. A local hospital group is creating a local transcultural health care team
to assist with the health care of the community that has seen an influx of
refugees from other countries. Which will be necessary for each team
member to possess to be a part of the team? Select all that apply.
A) Membership in two nursing orientations whose focus is transcultural
nursing care
B) Proof of formal academic preparation at an accredited institution
C) Documentation proofing a work history in facilities that serve a
culturally diverse population
D) Appropriate licensure as required by the state
E) Official certification from the TCNS
______________________________________________________________________________________________
6|Page
