NURS 350 EXAM 3 QUESTIONS & ANSWERS
A Medicare recipient has elected to pay a monthly premium for Medicare that will cover
expenses such as laboratory services and equipment. Which of the following best
describes this part of Medicare?
a. Part A
b. Part B
c. Part C
d. Part D - Answers :ANS: B
Medicare Part B is a supplemental (voluntary) program; it provides coverage for
services that are not covered by Part A, such as laboratory services, ambulance
transportation, prostheses, equipment, and some supplies.
DIF: Cognitive Level: Apply (Application) REF: p. 142
Which of the following best describes most Americans' attitude toward immigrants?
A. Ambivalence because there are no clear solutions about how to address their needs
B. Strongly negative because immigrants take jobs that native-born Americans could
have instead
C. Strongly positive because immigrants bring useful job skills and often join previous
family members already in the United States
D. Strong opposition to further immigration because of the increasing population in the
United States - Answers :ANS: A
Ambivalence because there are no clear solutions about how to address their needs
Most Americans are ambivalent about immigration, recognizing both the positive and
negative aspects involved and realizing that it is a complex issue that has no clear
solutions.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 62
A nurse is about to despair. Earlier in the week, she carefully taught a patient from a
different culture exactly how much medication to take and emphasized the importance
of taking the correct amount. However, the patient is back in the hospital today with
symptoms of an overdose, although the patient denies taking more than the label
indicated. Which of the following is the most likely explanation?
A. The patient was taking more mediation in the hope of getting well faster.
B. The patient was also taking folk medicines that had many of the same effects and
perhaps some of the same ingredients as the prescribed medication.
C. The patient truly did not understand and thought the dose being taken was correct.
D. The patient had a unique response to the medication and should have a smaller
dose ordered. - Answers :ANS: B
,The patient was also taking folk medicines that had many of the same effects and
perhaps some of the same ingredients as the prescribed medication.
For fear of disapproval, a person may not tell the nurse that he or she is using folk
medicine as well as Western medication. The two medicines may have cumulative
effects that could be dangerous to the client. Nurses who lack cultural knowledge may
develop feelings of inadequacy and helplessness because they are often unable to
effectively help their clients.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 74
Explain the harmful effects of metamizole and recommend an alternative medication for
pain.
Cultural repatterning means that the nurse works with clients to help them reorder,
change, or modify their cultural practices when the practice is harmful to them.
DIF: Cognitive Level: Apply (Application) REF: pp. 78-79
A health care worker tells a nurse, "It does no good to try to teach those Medicaid
clients about nutrition because they will just eat what they want to no matter how much
we teach them." Which of the following is being demonstrated by this statement?
A. Cultural imposition
B. Ethnocentrism
C. Racism
D. Stereotyping - Answers :ANS: D Stereotyping
Stereotyping occurs when someone attributes certain beliefs and behaviors about a
group to an individual without giving adequate attention to individual differences. In this
instance, the health care worker makes the assumption that clients with low incomes
are not educable. The health care worker is guilty of making another assumption as
well: noncompliance among other Medicaid clients the worker has known may have
been related to an inability to afford nutritious food.
DIF: Cognitive Level: Apply (Application) REF: p. 79
A nurse says, "I'm not going to change the way I practice nursing based on where the
client is from, because research shows that Western health care technology and
research is best." Which of the following is being demonstrated by the nurse's
statement?
A. Ethnocentrism
B. Prejudice
C. Racism
D. Stereotyping - Answers :ANS: A Ethnocentrism
Ethnocentrism, a type of cultural prejudice at the cultural population level, is the belief
that one's own group determines the standards for behavior by which all other groups
,are to be judged. For example, some American nurses and providers may think, "The
way we do it is the only right way to provide this care."
DIF: Cognitive Level: Apply (Application) REF: p. 79
A nurse states, "The best way to treat a client from another country is to care for them
the same way we would want to be cared for. After all, we are all humans with the same
wants and needs." What does this statement reflect in relation to culture?
A. Awareness
B. Blindness
C. Knowledge
D. Preservation - Answers :ANS: B Blindness
Cultural blindness is the tendency to ignore differences between cultures and to act as if
they do not exist. People from different cultures may have different expectations, wants,
and needs.
DIF: Cognitive Level: Apply (Application) REF: p. 79
A family from Mexico comes to the public health department. No one in the family
speaks English, and nobody at the health department speaks Spanish. Which of the
following actions should be taken by the nurse?
A. Attempt communication using an English-Spanish phrase book.
B. Call the local hospital and arrange a referral.
C. Emphatically state, "No hablo Español" (I don't speak Spanish).
D. Obtain an interpreter to translate. - Answers :ANS: D Obtain an interpreter to
translate.
Communication with the client or family is required for a careful assessment. When
nurses do not speak or understand the client's language, they should obtain an
interpreter. The nurse must use strategies that will allow effective communication with
the client. The client has the right to receive effective care, to judge whether the care
was appropriate, and to follow up with appropriate action if the expected care was not
received.
DIF: Cognitive Level: Analyze (Analysis) REF: pp. 82-83
A nurse who is explaining to a client why it is important to take medication states, "The
medication takes a couple of weeks to be effective, but then you should feel better."
When the client is next seen, no medication has been purchased. Which of the following
is the most likely explanation?
A. The nurse emphasized that eventually the client would feel better, but the client
needed to feel better immediately so didn't bother with the drug.
B. The medication required a trip to the pharmacy, and the client just hadn't had time to
obtain the drug yet.
C. The medication was too expensive for the client's family.
, D. The client really hadn't understood why the medication was important. - Answers
:ANS: A
A nurse wishes to develop cultural competence. Which of the following actions should
the nurse take first?
A. Complete a survey of all the various ethnicities represented in the nurse's
community.
B. Consider how the nurse's own personal beliefs and decisions are reflective of his or
her culture.
C. Invite a family from another culture to join the nurse for an event.
D. Study the beliefs and traditions of persons living in other cultures. - Answers :ANS: B
Consider how the nurse's own personal beliefs and decisions are reflective of his or her
culture.
Cultural awareness requires self-examination and an in-depth exploration of one's own
beliefs and values as they influence behavior.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 75
A nurse is caring for a client of another culture. Which of the following actions would be
most appropriate for the nurse to take?
A. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
B. Keep all behaviors culturally neutral to avoid misinterpretation.
C. Rely on friendly gestures to communicate caring for the client.
D. Avoid any pretense of prejudice by treating the client in the same way as any other
client. - Answers :ANS: A
Alter personal nonverbal behaviors to reflect the cultural norms of the client.
Cultural competence in nursing includes adoption of culturally congruent behaviors.
Culturally skillful nurses use appropriate touch during conversation, modify the physical
distance between themselves and others, and use strategies to avoid cultural
misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be
culturally competent respect people from other cultures and value diversity, which helps
them to provide more responsive care.
DIF: Cognitive Level: Apply (Application) REF: p. 77
A male nurse had a habit of sitting with the lower part of one leg resting over the knee of
his opposite leg when collecting a client's history. He stopped doing this around Muslim
clients after being told that Muslims were offended when he exposed the sole of his foot
(shoe) to their face. Which of the following was exhibited by the nurse when he changed
his behavior?
A. Cultural accommodation
B. Cultural imposition
C. Cultural repatterning
A Medicare recipient has elected to pay a monthly premium for Medicare that will cover
expenses such as laboratory services and equipment. Which of the following best
describes this part of Medicare?
a. Part A
b. Part B
c. Part C
d. Part D - Answers :ANS: B
Medicare Part B is a supplemental (voluntary) program; it provides coverage for
services that are not covered by Part A, such as laboratory services, ambulance
transportation, prostheses, equipment, and some supplies.
DIF: Cognitive Level: Apply (Application) REF: p. 142
Which of the following best describes most Americans' attitude toward immigrants?
A. Ambivalence because there are no clear solutions about how to address their needs
B. Strongly negative because immigrants take jobs that native-born Americans could
have instead
C. Strongly positive because immigrants bring useful job skills and often join previous
family members already in the United States
D. Strong opposition to further immigration because of the increasing population in the
United States - Answers :ANS: A
Ambivalence because there are no clear solutions about how to address their needs
Most Americans are ambivalent about immigration, recognizing both the positive and
negative aspects involved and realizing that it is a complex issue that has no clear
solutions.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 62
A nurse is about to despair. Earlier in the week, she carefully taught a patient from a
different culture exactly how much medication to take and emphasized the importance
of taking the correct amount. However, the patient is back in the hospital today with
symptoms of an overdose, although the patient denies taking more than the label
indicated. Which of the following is the most likely explanation?
A. The patient was taking more mediation in the hope of getting well faster.
B. The patient was also taking folk medicines that had many of the same effects and
perhaps some of the same ingredients as the prescribed medication.
C. The patient truly did not understand and thought the dose being taken was correct.
D. The patient had a unique response to the medication and should have a smaller
dose ordered. - Answers :ANS: B
,The patient was also taking folk medicines that had many of the same effects and
perhaps some of the same ingredients as the prescribed medication.
For fear of disapproval, a person may not tell the nurse that he or she is using folk
medicine as well as Western medication. The two medicines may have cumulative
effects that could be dangerous to the client. Nurses who lack cultural knowledge may
develop feelings of inadequacy and helplessness because they are often unable to
effectively help their clients.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 74
Explain the harmful effects of metamizole and recommend an alternative medication for
pain.
Cultural repatterning means that the nurse works with clients to help them reorder,
change, or modify their cultural practices when the practice is harmful to them.
DIF: Cognitive Level: Apply (Application) REF: pp. 78-79
A health care worker tells a nurse, "It does no good to try to teach those Medicaid
clients about nutrition because they will just eat what they want to no matter how much
we teach them." Which of the following is being demonstrated by this statement?
A. Cultural imposition
B. Ethnocentrism
C. Racism
D. Stereotyping - Answers :ANS: D Stereotyping
Stereotyping occurs when someone attributes certain beliefs and behaviors about a
group to an individual without giving adequate attention to individual differences. In this
instance, the health care worker makes the assumption that clients with low incomes
are not educable. The health care worker is guilty of making another assumption as
well: noncompliance among other Medicaid clients the worker has known may have
been related to an inability to afford nutritious food.
DIF: Cognitive Level: Apply (Application) REF: p. 79
A nurse says, "I'm not going to change the way I practice nursing based on where the
client is from, because research shows that Western health care technology and
research is best." Which of the following is being demonstrated by the nurse's
statement?
A. Ethnocentrism
B. Prejudice
C. Racism
D. Stereotyping - Answers :ANS: A Ethnocentrism
Ethnocentrism, a type of cultural prejudice at the cultural population level, is the belief
that one's own group determines the standards for behavior by which all other groups
,are to be judged. For example, some American nurses and providers may think, "The
way we do it is the only right way to provide this care."
DIF: Cognitive Level: Apply (Application) REF: p. 79
A nurse states, "The best way to treat a client from another country is to care for them
the same way we would want to be cared for. After all, we are all humans with the same
wants and needs." What does this statement reflect in relation to culture?
A. Awareness
B. Blindness
C. Knowledge
D. Preservation - Answers :ANS: B Blindness
Cultural blindness is the tendency to ignore differences between cultures and to act as if
they do not exist. People from different cultures may have different expectations, wants,
and needs.
DIF: Cognitive Level: Apply (Application) REF: p. 79
A family from Mexico comes to the public health department. No one in the family
speaks English, and nobody at the health department speaks Spanish. Which of the
following actions should be taken by the nurse?
A. Attempt communication using an English-Spanish phrase book.
B. Call the local hospital and arrange a referral.
C. Emphatically state, "No hablo Español" (I don't speak Spanish).
D. Obtain an interpreter to translate. - Answers :ANS: D Obtain an interpreter to
translate.
Communication with the client or family is required for a careful assessment. When
nurses do not speak or understand the client's language, they should obtain an
interpreter. The nurse must use strategies that will allow effective communication with
the client. The client has the right to receive effective care, to judge whether the care
was appropriate, and to follow up with appropriate action if the expected care was not
received.
DIF: Cognitive Level: Analyze (Analysis) REF: pp. 82-83
A nurse who is explaining to a client why it is important to take medication states, "The
medication takes a couple of weeks to be effective, but then you should feel better."
When the client is next seen, no medication has been purchased. Which of the following
is the most likely explanation?
A. The nurse emphasized that eventually the client would feel better, but the client
needed to feel better immediately so didn't bother with the drug.
B. The medication required a trip to the pharmacy, and the client just hadn't had time to
obtain the drug yet.
C. The medication was too expensive for the client's family.
, D. The client really hadn't understood why the medication was important. - Answers
:ANS: A
A nurse wishes to develop cultural competence. Which of the following actions should
the nurse take first?
A. Complete a survey of all the various ethnicities represented in the nurse's
community.
B. Consider how the nurse's own personal beliefs and decisions are reflective of his or
her culture.
C. Invite a family from another culture to join the nurse for an event.
D. Study the beliefs and traditions of persons living in other cultures. - Answers :ANS: B
Consider how the nurse's own personal beliefs and decisions are reflective of his or her
culture.
Cultural awareness requires self-examination and an in-depth exploration of one's own
beliefs and values as they influence behavior.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 75
A nurse is caring for a client of another culture. Which of the following actions would be
most appropriate for the nurse to take?
A. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
B. Keep all behaviors culturally neutral to avoid misinterpretation.
C. Rely on friendly gestures to communicate caring for the client.
D. Avoid any pretense of prejudice by treating the client in the same way as any other
client. - Answers :ANS: A
Alter personal nonverbal behaviors to reflect the cultural norms of the client.
Cultural competence in nursing includes adoption of culturally congruent behaviors.
Culturally skillful nurses use appropriate touch during conversation, modify the physical
distance between themselves and others, and use strategies to avoid cultural
misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be
culturally competent respect people from other cultures and value diversity, which helps
them to provide more responsive care.
DIF: Cognitive Level: Apply (Application) REF: p. 77
A male nurse had a habit of sitting with the lower part of one leg resting over the knee of
his opposite leg when collecting a client's history. He stopped doing this around Muslim
clients after being told that Muslims were offended when he exposed the sole of his foot
(shoe) to their face. Which of the following was exhibited by the nurse when he changed
his behavior?
A. Cultural accommodation
B. Cultural imposition
C. Cultural repatterning
