TEST BANKS For Family Practice Guidelines 5th
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
competence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
2. An unconscious victim of a house fire is brought to the emergency department by the
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action
should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with thestate
laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
Which action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
low hemoglobin level. The patient is fully alert and competent and refuses to acceptthe blood
transfusion ordered by the physician. Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
,d. Ensure the patient understands possible consequences and then respect the patients wishes.
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribeda
special tea to be taken four times a day to open the airways. How should the nurse respond to this
situation?
a. Encourage the patient to continue drinking the tea.
b. Encourage the patient to drink only one cup of the tea each day.
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
d. Advise the patient to stop drinking the tea because of potential interactions with other
medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a
female nursing assistant. Which approach by the nurse is best?
a. Encourage the patients family to talk with him about his care.
b. Have a registered nurse (RN) help with his personal care.
c. Assign a male assistant to help with his personal care if one is available.
d. Explain to him that males and females take care of both genders in this hospital.
7. The nurse is providing medication instructions to a 45-year-old patient who does not
maintain eye contact. What should this patients behavior indicate to the nurse?
a. The patient is not interested.
b. The nurse threatens the patients ego.
c. The nurse is in a hierarchical position.
d. The patient does not intend to follow the instructions.
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
speak English. An interpreter is located to help with the assessment. What should the nurse do to
facilitate communication with this patient?
a. Use hand signals to determine the cause of the pain.
b. Ensure the interpreter is not left alone with the patient.
c. Maintain eye contact with the patient and the interpreter.
d. Use only physical examination data; do not rely on verbal communication.
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby
checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the nurse do
about this situation?
a. Teach the mother how to clean the coin daily and reapply it.
b. Explain to the mother that the coin is not necessary for healing.
,c. Tell the mother to remove the coin, because it could cause an infection.
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
10. An older patient who follows the Muslim religion is approaching death. The family says the
patients bed should be turned toward the opposite wall, so it can face Mecca to ensurean easier
passage into the next life. The wall they want the bed to face has wall suction and oxygen, which the
patient is using. Which action by the nurse is appropriate?
a. Get permission from the physician to move the bed.
b. Rearrange the furniture to accommodate the request.
c. Tell them you will move the bed when the patient is closer to death.
d. Tell them it is impossible because of the short tubing on the oxygen and suction.
11. A patient of northern European descent recovering from surgery denies postoperative pain;
however, vital signs indicate an elevated pulse and blood pressure. The patient refuses to move in
bed. Which nursing action would best ensure comfort and timely discharge?
a. Give the pain medicine as prescribed.
b. Ask the physician to prescribe the analgesics around the clock.
c. Explain that the pain medicine will help prevent complications.
d. Respect the patients denial of pain, and do not encourage the pain medicine.
12. A nurse who emigrated from China begins working on a medical unit. The preceptor explains
the unit routines, including the medication administration system. When the preceptor asks if the nurse
understands, the answer is always: Yes, I understand. What should the preceptordo to measure the
nurses comprehension?
a. Give the nurse a medication quiz.
b. Have the nurse repeat the instructions.
c. Have the nurse demonstrate the procedures.
d. Ask the nurse which information is hard to understand.
13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
practitioner visit to say prayers. How should the nurse respond to this request?
a. Report the request to the physician immediately.
b. Tell the patient that this is not permitted during hospitalization.
c. Tell the patient it is okay for the voodoo practitioner to say prayers.
d. Have the patient meet with the voodoo practitioner in the hospital lobby.
14. The nurse is caring for a patient from a non-English speaking culture. While providingcare,
the nurse shows an appreciation for and attention to arts, music, crafts, clothing, and foods
,belonging to the patients culture. What did the nurse demonstrate while caring for this patient?
a. Cultural beliefs
b. Cultural awareness
c. Cultural sensitivity
d. Cultural competence
15. A female Caucasian nurse, overhead discussing a patient from another culture, asks
why the patient wants to see a practitioner from his own culture, since everyone sees
physicianswhen they are ill. What characteristic is the nurse exhibiting?
a. Stereotyping
b. Ethnocentrism
c. Cultural sensitivity
d. Cultural generalization
16. During an assessment, the nurse determines that a patient from a non-English
speakingculture practices activities that are past-oriented. What behavior did the nurse assess
in this patient?
a. Investing time and money
b. Enjoying each day as it comes
c. Worshipping ancestors and maintaining traditions
d. Learning from the past to avoid making the same mistakes in the future
17. The nurse notes that a patient of Arab descent is not eating anything on the meal
trays.What should the nurse do about this situation?
a. Wait for the patient to ask for specific foods.
b. Ask if the patient has special food preferences.
c. Consult with a physician of Arab descent on staff.
d. Contact the dietitian to find out what patients of Arab descent patients like to eat.
18. The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing
acoin on the childs back. The coin leaves red marks. What should the nurse do about this
observation?
a. Report the possibility of child abuse.
b. Do not allow the mother to be alone with her child.
c. Explain to the mother that she cannot do this in the hospital.
d. Add a statement to the care plan that the family practices coining.
19. The family of an older Arab-American patient does not want the patient to be informed
,of a diagnosis of cancer. What should the nurse do?
a. Call a religious counselor.
b. Respect the familys wishes.
c. Insist that the family tell the patient about the diagnosis.
d. Tell the patient anyway, because patients have a right to know.
20. A patient with diabetes mellitus who comes to the clinic for a routine examination
agrees to have a diagnostic test, but is concerned that her transportation will not wait for the
testto be performed. What should the nurse do?
a. Contact the department to have the test done now.
b. Ask the patient to schedule an appointment for the test.
c. Refer the patient to the community health nurse practitioner.
d. Schedule the test for the next time the patient comes to the clinic.
21. The nurse is assessing a patient who believes in a balance of yin and yang in the body,
has a brother with stomach cancer, and frequently uses acupuncture for headache treatment.
Thenurse should validate that the patient is a member of which cultural group?
a. Hispanic/Latino
b. Asian American
c. African American
d. American Indian/Native Alaskan
22. An older patient is observed wearing a copper bracelet to relieve the pain of
arthritis.What type of practice should the nurse realize this patient is demonstrating?
a. Allopathy
b. Acupressure
c. Reflexology
d. Folk medicine
23. The nurse is preparing discharge teaching for an older patient who immigrated to
theUnited States a few years ago. What should the nurse remember when preparing these
instructions?
a. The patient most likely has limited financial resources.
b. The patient will prefer to follow cultural medical practices.
c. The patient will most likely live with other family members.
d. The patient will attend all follow-up appointments as needed.
24. During a home visit to a family of a non-English speaking culture, the nurse observes
,the male parent becoming upset when the youngest child refuses to speak the native
language inthe home. What should the nurse realize is occurring within the family at this
time?
a. Ethnocentrism
b. Cultural shock
c. Cultural conflict
d. Cultural assimilation
25. An tolder tmale tpatient tis tadmitted tto tthe thospital tfor ttreatment tof ta tchronic
tdisease. tThetspouse tis tat tthe tbedside tfor tmost thours tof tthe tday, tand tthe tpatients tchildren
tcome tto tvisit tevery tday tafter twork tto tdiscuss tactivities tand task tfor tadvice. tWhat tshould tthe
tnurse trealize tabout tthe tsocial torganization tof tthis tfamily?
a. The tmale tpatient tis tthe thead tof tthe thousehold.
b. The tspouse tdoes tnot ttrust thealth tcare tproviders.
c. The tchildren twant tto tlearn teverything tbefore tthe tpatient tdies.
d. The tchildren tare tconcerned tthat tthe tpatient tis tnot treceiving tadequate
tcare.tMultiple tResponse
Identify tone tor tmore tchoices tthat tbest tcomplete tthe tstatement tor tanswer tthe tquestion.
t 26. tThe tnurse tis tplanning tcare tfor ta tpatient tfrom ta tnon-English tspeaking tculture. tWhich
tcultural tfactors tshould tthe tnurse tbe taware tof tin torder tto tprovide tculturally tcompetent tcare
tto tthistpatient? t(Select tall tthat tapply.)
a. The tpatients tnutritional thabits
b. The tpatients tcommunication tstyle
c. The tpatients tsense tof tpersonal tspace
d. Complementary ttherapies tthe tpatient tis tusing
e. The tprescribed tmedications tthe tpatient tis ttaking
t 27. tA tfemale tnurse tis tproviding tsmoking tcessation tcounseling tand teducation tduring ta
tcommunity thealth tfair. tThe tnurse tshould tavoid tphysical tcloseness, tshaking thands, tor
ttouchingtduring tinstruction twith twhich tof tthe tfollowing? t(Select tall tthat tapply.)
a. A t35-year-old tman tof tAsian tdescent
b. A t45-year-old twoman tof tArab tdescent
c. A t28-year-old tman tof tHispanic tdescent
d. A t52-year-old twoman tof tAfrican tAmerican tdescent
e. A t41-year-old twoman tof tAmerican tIndian tdescent
t 28. tThe tnurse tis tproviding tcare tin ta tclinic twith ta tculturally tdiverse tpatient tpopulation.
,Which tactions tshould tthe tnurse ttake tto tensure tcare tis tculturally tappropriate? t(Select tall
tthattapply.)
a. Awareness tof tcultural tbias
b. Desire tto tbe tculturally tcompetent
c. Educational ttraining trelated tto tworld tpolitics
d. Awareness tof tpersonal tcommunication tpatterns
e. Number tof tface-to-face tencounters twith tpeople tfrom tvarious tcultural tbackgrounds
29. The tstaff tdevelopment tinstructor tis tplanning ta tseminar ton timproving tcultural
tsensitivitytwhen tproviding tpatient tcare. tWhat tshould tthe tinstructor tinclude tin tthis tseminar?
t(Select tall tthat tapply.)
a. Information tabout tdifferent tcultural tgroups
b. Recognition tthat tpatient tare tunique tand tnot tdefined tby ttheir tculture
c. Ways tto tenhance tcultural tassimilation tin tthe thealth tcare tenvironment
d. The timportance tof tnurses tknowing tinformation tabout ttheir town tcultural tgroup
e. Strategies tto tincorporate tpatients tcultural tvalues tand tpractices tinto tthe tplan tof tcare
30. The tnurse tis tvisiting tthe thome tof ta tpatient twho trecently timmigrated tto tthe tUnited
tStatestfrom tBuenos tAires. tWhich tobservations tin tthe tpatients thome tshould tthe tnurse
tquestion tto tdetermine tthe tpatients thealth tbeliefs? t(Select tall tthat tapply.)
a. Black tbracelet twoven twith ta tcross tbeing tworn ton tthe tpatients tleft twrist
b. A tlit tcandle tburning tnear ta tpicture tof ta tsaint ton ta tside ttable tin tthe tliving troom
c. Cup tof thot tblack tliquid tthat tthe tpatient tis tsipping tfrom tperiodically tduring tthe tvisit
d. A tcopy tof ta tmagazine tprinted tin tSpanish tsitting ton tthe tcoffee ttable tin tthe tliving troom
e. A tpillow tplaced tbetween tthe tpatient tand tthe tnurse tafter tthe tnurse tsits tdown ton tthe tcouch
Chapter t4. tCultural tInfluences ton tNursing
tCaretAnswer tSection
MULTIPLE tCHOICE
1. ANS: tD
D. tCultural tsensitivity tis tusing tlanguage tand tstatements tthat tdo tnot toffend tanother tpersons
tcultural tbeliefs. tCultural tcompetence tincludes tthe tskills tand tknowledge trequired tto tprovide
teffective tnursing tcare. tThe tuse tof ttraditional thealers tand thealing ttherapies tis tcommon tfor
tAsiantindividuals, tand tassessing tthe tpatients tdesire tto tuse tsuch thealers tor ttherapies tshows
tthe tnurse tis
, culturally tsensitive tand tcompetent tto tprovide tcare. tB. tThis tstatement trepresents ta
tstereotypean topinion tor tbelief tabout ta tgroup tof tpeople twhich tis tascribed tto tan tindividual. tC.
tThis tstatement texemplifies tethnocentrism tor tthe ttendency tfor tpeople tto tthink tthat ttheir
tways tof tthinking, tacting,tand tbelieving tare tthe tonly tright, tproper, tand tnatural tways. tA. tThis tis
tan tassessment tdesigned tto telicit tthe tpatients temotional treaction tto tthe tsurgery. tThis tmay tbe
tan timportant tpart tof tadult tlearning, tbut tit tis tnot tthe tbest toption tto trepresent tcultural
tcompetence.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPsychosocial tIntegrity t| tCognitive tLevel: tAnalysis
2. ANS: tA
A. Often tfolk tpractices tare tnot tharmful tand tcan tbe tadded tto tthe tpatients tplan tof tcare.
tTape tthetemblem tin tplace tto tkeep tit tfrom tgetting tlost tor tdamaged. tC. tD. tRemoving tit
tcould tbe tvery tdistressing tto tthe tpatient. tB. tThe titem tcould tget tlost tif tnothing tis tdone twith
tit.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPsychosocial tIntegrity t| tCognitive tLevel: tApplication
3. ANS: tC
C. tA tPap tsmear tcan tprovide timportant thealth tinformation. tThe tpatient tmay trefuse tit, tbecause
tshetdoes tnot tunderstand twhat tit tis. tA. tB. tTeaching tis ta tnursing taction tand tdoes tnot tneed tto
tbe tapproved tby ta tphysician tor tsupervisor. tD. tThe tstate tlaw tsimply tsays tthe tpatient tmust tbe
toffered tthe ttest, tnot tthat tshe tmust taccept tit.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPhysiological tIntegrityReduction tof tRisk tPotential t| tCognitive tLevel:tApplication
4. ANS: tD
D. tPatients tbeliefs tshould tbe trespected, teven twhen ttheir tdecisions tgo tagainst tmedical tadvice.
tThetpatient tneeds tto tunderstand tthe tconsequences tof this tdecision. tA. tB. tC. tAdministering tthe
tblood twithout tthe tpatients tknowledge tor tconsent tis tunethical.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPsychosocial tIntegrity t| tCognitive tLevel: tApplication
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
competence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
2. An unconscious victim of a house fire is brought to the emergency department by the
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action
should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with thestate
laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
Which action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
low hemoglobin level. The patient is fully alert and competent and refuses to acceptthe blood
transfusion ordered by the physician. Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
,d. Ensure the patient understands possible consequences and then respect the patients wishes.
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribeda
special tea to be taken four times a day to open the airways. How should the nurse respond to this
situation?
a. Encourage the patient to continue drinking the tea.
b. Encourage the patient to drink only one cup of the tea each day.
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
d. Advise the patient to stop drinking the tea because of potential interactions with other
medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a
female nursing assistant. Which approach by the nurse is best?
a. Encourage the patients family to talk with him about his care.
b. Have a registered nurse (RN) help with his personal care.
c. Assign a male assistant to help with his personal care if one is available.
d. Explain to him that males and females take care of both genders in this hospital.
7. The nurse is providing medication instructions to a 45-year-old patient who does not
maintain eye contact. What should this patients behavior indicate to the nurse?
a. The patient is not interested.
b. The nurse threatens the patients ego.
c. The nurse is in a hierarchical position.
d. The patient does not intend to follow the instructions.
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
speak English. An interpreter is located to help with the assessment. What should the nurse do to
facilitate communication with this patient?
a. Use hand signals to determine the cause of the pain.
b. Ensure the interpreter is not left alone with the patient.
c. Maintain eye contact with the patient and the interpreter.
d. Use only physical examination data; do not rely on verbal communication.
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby
checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the nurse do
about this situation?
a. Teach the mother how to clean the coin daily and reapply it.
b. Explain to the mother that the coin is not necessary for healing.
,c. Tell the mother to remove the coin, because it could cause an infection.
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
10. An older patient who follows the Muslim religion is approaching death. The family says the
patients bed should be turned toward the opposite wall, so it can face Mecca to ensurean easier
passage into the next life. The wall they want the bed to face has wall suction and oxygen, which the
patient is using. Which action by the nurse is appropriate?
a. Get permission from the physician to move the bed.
b. Rearrange the furniture to accommodate the request.
c. Tell them you will move the bed when the patient is closer to death.
d. Tell them it is impossible because of the short tubing on the oxygen and suction.
11. A patient of northern European descent recovering from surgery denies postoperative pain;
however, vital signs indicate an elevated pulse and blood pressure. The patient refuses to move in
bed. Which nursing action would best ensure comfort and timely discharge?
a. Give the pain medicine as prescribed.
b. Ask the physician to prescribe the analgesics around the clock.
c. Explain that the pain medicine will help prevent complications.
d. Respect the patients denial of pain, and do not encourage the pain medicine.
12. A nurse who emigrated from China begins working on a medical unit. The preceptor explains
the unit routines, including the medication administration system. When the preceptor asks if the nurse
understands, the answer is always: Yes, I understand. What should the preceptordo to measure the
nurses comprehension?
a. Give the nurse a medication quiz.
b. Have the nurse repeat the instructions.
c. Have the nurse demonstrate the procedures.
d. Ask the nurse which information is hard to understand.
13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
practitioner visit to say prayers. How should the nurse respond to this request?
a. Report the request to the physician immediately.
b. Tell the patient that this is not permitted during hospitalization.
c. Tell the patient it is okay for the voodoo practitioner to say prayers.
d. Have the patient meet with the voodoo practitioner in the hospital lobby.
14. The nurse is caring for a patient from a non-English speaking culture. While providingcare,
the nurse shows an appreciation for and attention to arts, music, crafts, clothing, and foods
,belonging to the patients culture. What did the nurse demonstrate while caring for this patient?
a. Cultural beliefs
b. Cultural awareness
c. Cultural sensitivity
d. Cultural competence
15. A female Caucasian nurse, overhead discussing a patient from another culture, asks
why the patient wants to see a practitioner from his own culture, since everyone sees
physicianswhen they are ill. What characteristic is the nurse exhibiting?
a. Stereotyping
b. Ethnocentrism
c. Cultural sensitivity
d. Cultural generalization
16. During an assessment, the nurse determines that a patient from a non-English
speakingculture practices activities that are past-oriented. What behavior did the nurse assess
in this patient?
a. Investing time and money
b. Enjoying each day as it comes
c. Worshipping ancestors and maintaining traditions
d. Learning from the past to avoid making the same mistakes in the future
17. The nurse notes that a patient of Arab descent is not eating anything on the meal
trays.What should the nurse do about this situation?
a. Wait for the patient to ask for specific foods.
b. Ask if the patient has special food preferences.
c. Consult with a physician of Arab descent on staff.
d. Contact the dietitian to find out what patients of Arab descent patients like to eat.
18. The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing
acoin on the childs back. The coin leaves red marks. What should the nurse do about this
observation?
a. Report the possibility of child abuse.
b. Do not allow the mother to be alone with her child.
c. Explain to the mother that she cannot do this in the hospital.
d. Add a statement to the care plan that the family practices coining.
19. The family of an older Arab-American patient does not want the patient to be informed
,of a diagnosis of cancer. What should the nurse do?
a. Call a religious counselor.
b. Respect the familys wishes.
c. Insist that the family tell the patient about the diagnosis.
d. Tell the patient anyway, because patients have a right to know.
20. A patient with diabetes mellitus who comes to the clinic for a routine examination
agrees to have a diagnostic test, but is concerned that her transportation will not wait for the
testto be performed. What should the nurse do?
a. Contact the department to have the test done now.
b. Ask the patient to schedule an appointment for the test.
c. Refer the patient to the community health nurse practitioner.
d. Schedule the test for the next time the patient comes to the clinic.
21. The nurse is assessing a patient who believes in a balance of yin and yang in the body,
has a brother with stomach cancer, and frequently uses acupuncture for headache treatment.
Thenurse should validate that the patient is a member of which cultural group?
a. Hispanic/Latino
b. Asian American
c. African American
d. American Indian/Native Alaskan
22. An older patient is observed wearing a copper bracelet to relieve the pain of
arthritis.What type of practice should the nurse realize this patient is demonstrating?
a. Allopathy
b. Acupressure
c. Reflexology
d. Folk medicine
23. The nurse is preparing discharge teaching for an older patient who immigrated to
theUnited States a few years ago. What should the nurse remember when preparing these
instructions?
a. The patient most likely has limited financial resources.
b. The patient will prefer to follow cultural medical practices.
c. The patient will most likely live with other family members.
d. The patient will attend all follow-up appointments as needed.
24. During a home visit to a family of a non-English speaking culture, the nurse observes
,the male parent becoming upset when the youngest child refuses to speak the native
language inthe home. What should the nurse realize is occurring within the family at this
time?
a. Ethnocentrism
b. Cultural shock
c. Cultural conflict
d. Cultural assimilation
25. An tolder tmale tpatient tis tadmitted tto tthe thospital tfor ttreatment tof ta tchronic
tdisease. tThetspouse tis tat tthe tbedside tfor tmost thours tof tthe tday, tand tthe tpatients tchildren
tcome tto tvisit tevery tday tafter twork tto tdiscuss tactivities tand task tfor tadvice. tWhat tshould tthe
tnurse trealize tabout tthe tsocial torganization tof tthis tfamily?
a. The tmale tpatient tis tthe thead tof tthe thousehold.
b. The tspouse tdoes tnot ttrust thealth tcare tproviders.
c. The tchildren twant tto tlearn teverything tbefore tthe tpatient tdies.
d. The tchildren tare tconcerned tthat tthe tpatient tis tnot treceiving tadequate
tcare.tMultiple tResponse
Identify tone tor tmore tchoices tthat tbest tcomplete tthe tstatement tor tanswer tthe tquestion.
t 26. tThe tnurse tis tplanning tcare tfor ta tpatient tfrom ta tnon-English tspeaking tculture. tWhich
tcultural tfactors tshould tthe tnurse tbe taware tof tin torder tto tprovide tculturally tcompetent tcare
tto tthistpatient? t(Select tall tthat tapply.)
a. The tpatients tnutritional thabits
b. The tpatients tcommunication tstyle
c. The tpatients tsense tof tpersonal tspace
d. Complementary ttherapies tthe tpatient tis tusing
e. The tprescribed tmedications tthe tpatient tis ttaking
t 27. tA tfemale tnurse tis tproviding tsmoking tcessation tcounseling tand teducation tduring ta
tcommunity thealth tfair. tThe tnurse tshould tavoid tphysical tcloseness, tshaking thands, tor
ttouchingtduring tinstruction twith twhich tof tthe tfollowing? t(Select tall tthat tapply.)
a. A t35-year-old tman tof tAsian tdescent
b. A t45-year-old twoman tof tArab tdescent
c. A t28-year-old tman tof tHispanic tdescent
d. A t52-year-old twoman tof tAfrican tAmerican tdescent
e. A t41-year-old twoman tof tAmerican tIndian tdescent
t 28. tThe tnurse tis tproviding tcare tin ta tclinic twith ta tculturally tdiverse tpatient tpopulation.
,Which tactions tshould tthe tnurse ttake tto tensure tcare tis tculturally tappropriate? t(Select tall
tthattapply.)
a. Awareness tof tcultural tbias
b. Desire tto tbe tculturally tcompetent
c. Educational ttraining trelated tto tworld tpolitics
d. Awareness tof tpersonal tcommunication tpatterns
e. Number tof tface-to-face tencounters twith tpeople tfrom tvarious tcultural tbackgrounds
29. The tstaff tdevelopment tinstructor tis tplanning ta tseminar ton timproving tcultural
tsensitivitytwhen tproviding tpatient tcare. tWhat tshould tthe tinstructor tinclude tin tthis tseminar?
t(Select tall tthat tapply.)
a. Information tabout tdifferent tcultural tgroups
b. Recognition tthat tpatient tare tunique tand tnot tdefined tby ttheir tculture
c. Ways tto tenhance tcultural tassimilation tin tthe thealth tcare tenvironment
d. The timportance tof tnurses tknowing tinformation tabout ttheir town tcultural tgroup
e. Strategies tto tincorporate tpatients tcultural tvalues tand tpractices tinto tthe tplan tof tcare
30. The tnurse tis tvisiting tthe thome tof ta tpatient twho trecently timmigrated tto tthe tUnited
tStatestfrom tBuenos tAires. tWhich tobservations tin tthe tpatients thome tshould tthe tnurse
tquestion tto tdetermine tthe tpatients thealth tbeliefs? t(Select tall tthat tapply.)
a. Black tbracelet twoven twith ta tcross tbeing tworn ton tthe tpatients tleft twrist
b. A tlit tcandle tburning tnear ta tpicture tof ta tsaint ton ta tside ttable tin tthe tliving troom
c. Cup tof thot tblack tliquid tthat tthe tpatient tis tsipping tfrom tperiodically tduring tthe tvisit
d. A tcopy tof ta tmagazine tprinted tin tSpanish tsitting ton tthe tcoffee ttable tin tthe tliving troom
e. A tpillow tplaced tbetween tthe tpatient tand tthe tnurse tafter tthe tnurse tsits tdown ton tthe tcouch
Chapter t4. tCultural tInfluences ton tNursing
tCaretAnswer tSection
MULTIPLE tCHOICE
1. ANS: tD
D. tCultural tsensitivity tis tusing tlanguage tand tstatements tthat tdo tnot toffend tanother tpersons
tcultural tbeliefs. tCultural tcompetence tincludes tthe tskills tand tknowledge trequired tto tprovide
teffective tnursing tcare. tThe tuse tof ttraditional thealers tand thealing ttherapies tis tcommon tfor
tAsiantindividuals, tand tassessing tthe tpatients tdesire tto tuse tsuch thealers tor ttherapies tshows
tthe tnurse tis
, culturally tsensitive tand tcompetent tto tprovide tcare. tB. tThis tstatement trepresents ta
tstereotypean topinion tor tbelief tabout ta tgroup tof tpeople twhich tis tascribed tto tan tindividual. tC.
tThis tstatement texemplifies tethnocentrism tor tthe ttendency tfor tpeople tto tthink tthat ttheir
tways tof tthinking, tacting,tand tbelieving tare tthe tonly tright, tproper, tand tnatural tways. tA. tThis tis
tan tassessment tdesigned tto telicit tthe tpatients temotional treaction tto tthe tsurgery. tThis tmay tbe
tan timportant tpart tof tadult tlearning, tbut tit tis tnot tthe tbest toption tto trepresent tcultural
tcompetence.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPsychosocial tIntegrity t| tCognitive tLevel: tAnalysis
2. ANS: tA
A. Often tfolk tpractices tare tnot tharmful tand tcan tbe tadded tto tthe tpatients tplan tof tcare.
tTape tthetemblem tin tplace tto tkeep tit tfrom tgetting tlost tor tdamaged. tC. tD. tRemoving tit
tcould tbe tvery tdistressing tto tthe tpatient. tB. tThe titem tcould tget tlost tif tnothing tis tdone twith
tit.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPsychosocial tIntegrity t| tCognitive tLevel: tApplication
3. ANS: tC
C. tA tPap tsmear tcan tprovide timportant thealth tinformation. tThe tpatient tmay trefuse tit, tbecause
tshetdoes tnot tunderstand twhat tit tis. tA. tB. tTeaching tis ta tnursing taction tand tdoes tnot tneed tto
tbe tapproved tby ta tphysician tor tsupervisor. tD. tThe tstate tlaw tsimply tsays tthe tpatient tmust tbe
toffered tthe ttest, tnot tthat tshe tmust taccept tit.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPhysiological tIntegrityReduction tof tRisk tPotential t| tCognitive tLevel:tApplication
4. ANS: tD
D. tPatients tbeliefs tshould tbe trespected, teven twhen ttheir tdecisions tgo tagainst tmedical tadvice.
tThetpatient tneeds tto tunderstand tthe tconsequences tof this tdecision. tA. tB. tC. tAdministering tthe
tblood twithout tthe tpatients tknowledge tor tconsent tis tunethical.
PTS: t1 tDIF: tModerate
KEY: tClient tNeed: tPsychosocial tIntegrity t| tCognitive tLevel: tApplication
