NSG 411 Exam 2 ACTUAL UPDATED
Exam Questions and CORRECT Answers
culture - CORRECT ANSWER - - design for living
- provides a set of norms and values that offer stability and security for members of a society
race - CORRECT ANSWER - - biologically designated groups of people whose
distinguishing features such as skin color, are inherited
ethnic group - CORRECT ANSWER - - collection of people who have common origins
and a shared culture and identity
- may share a common geographic origin, race, language, religion, traditions, values, and food
preferences
ethnicity - CORRECT ANSWER - - group who share cultural and/or physical
characteristics including one or more of the following: history, political system, religion,
language, geographical origin, traditions, myths, behaviors, foods, genetic similarities, and
physical features
ethnocentrism - CORRECT ANSWER - - bias that person's own culture is best and others
are wrong or inferior
- can block effective communication by creating biases and misconceptions about human
behavior
- this can cause serious damage to interpersonal relationships and interfere with the effectiveness
of nursing interventions
ethnorelativism - CORRECT ANSWER - - seeing all behaviors in a cultural context
cultural humility - CORRECT ANSWER - - lifelong commitment to self evaluation and
self critique; ever-changing dependent upon what is going on with us and our patients
- humble about our knowledge of patients' beliefs and values
,- aware of our own assumptions and prejudices
- address power imbalance in the provider-patient relationship
culture shock - CORRECT ANSWER - - a state of anxiety that results from cross-cultural
misunderstanding and an inability to interact appropriately in the new context
- entering a new culture and anxiety and frustration occur due to unfamiliarity with foods,
language, expectations for dress, gestures and even facial expression may be misunderstood
- nurses working in unfamiliar countries
cultural adaptation - CORRECT ANSWER - - successful adjustment to cultural changes
- ex: using chopsticks
what are the 5 characteristics of culture - CORRECT ANSWER - - learned from others:
beliefs, dress, diet, language, expressions of emotions such as sadness, grief, joy and happiness
- integrated system of customs and traits: social norms and religious beliefs
- shared: values- what is good, right, just and fair. ex: catnip tea for wellbeing, working with
community leaders and educating regarding amount
- mostly tacit (ingrained): mostly unexpressed at the unconscious level. ex: food offered,
touching, nurses must bring to conscious to develop awareness, patience and acceptance of
cultural differences when doing a cultural assessment
- dynamic: cultures change over time
biomedical view of health - CORRECT ANSWER - - Western Society
- relies on scientific principles and sees diseases and injuries as life events controlled by physical
and biochemical processes
- treatments can be aggressive including medication, surgery and even genetic engineering
magicoreligious view of health - CORRECT ANSWER - - control of health and illness by
supernatural forces
- disease occur as a result of "committing sins" or "going against God's will"
, - prayer to god or other religious figures used to cope with illness. evil eye
holistic view of health - CORRECT ANSWER - - *harmonious balance*
- principles guiding natural laws to maintain order are disturbed, an imbalance in the forces of
nature is created, resulting in chaos and disease
- physical, mental, emotional and spiritual must be in balance
- use of specific foods, beverages, and herbs to balance hot or cold disease states
- Ex: chinese concept of yin and yang, in which forces of nature are balances
transcultural nursing principles - CORRECT ANSWER - 1. develop *cultural self
awareness*: recognizing own values, beliefs and practices that make up one's own culture and
becoming sensitive to the impact of one's culturally based responses
2. *cultivate cultural sensitivity*: recognizing that culturally based values, beliefs and practices
influence people's health and lifestyles and need to be considered in plans for service
3. *assess* client's groups' culture
4. show *respect and patience* while learning other cultures
5. examine *culturally derived health practices*
categories for cultural assessment - CORRECT ANSWER - 1. ethnic/racial background
2. language and communication patterns
3. cultural values and norms
4. biocultural factors
5. religious beliefs and practices
6. health beliefs and practices
core values of Appalachian culture - CORRECT ANSWER - - strong sense of community
- strong family support systems and social ties
- religious affiliation
- pride in family and self
Exam Questions and CORRECT Answers
culture - CORRECT ANSWER - - design for living
- provides a set of norms and values that offer stability and security for members of a society
race - CORRECT ANSWER - - biologically designated groups of people whose
distinguishing features such as skin color, are inherited
ethnic group - CORRECT ANSWER - - collection of people who have common origins
and a shared culture and identity
- may share a common geographic origin, race, language, religion, traditions, values, and food
preferences
ethnicity - CORRECT ANSWER - - group who share cultural and/or physical
characteristics including one or more of the following: history, political system, religion,
language, geographical origin, traditions, myths, behaviors, foods, genetic similarities, and
physical features
ethnocentrism - CORRECT ANSWER - - bias that person's own culture is best and others
are wrong or inferior
- can block effective communication by creating biases and misconceptions about human
behavior
- this can cause serious damage to interpersonal relationships and interfere with the effectiveness
of nursing interventions
ethnorelativism - CORRECT ANSWER - - seeing all behaviors in a cultural context
cultural humility - CORRECT ANSWER - - lifelong commitment to self evaluation and
self critique; ever-changing dependent upon what is going on with us and our patients
- humble about our knowledge of patients' beliefs and values
,- aware of our own assumptions and prejudices
- address power imbalance in the provider-patient relationship
culture shock - CORRECT ANSWER - - a state of anxiety that results from cross-cultural
misunderstanding and an inability to interact appropriately in the new context
- entering a new culture and anxiety and frustration occur due to unfamiliarity with foods,
language, expectations for dress, gestures and even facial expression may be misunderstood
- nurses working in unfamiliar countries
cultural adaptation - CORRECT ANSWER - - successful adjustment to cultural changes
- ex: using chopsticks
what are the 5 characteristics of culture - CORRECT ANSWER - - learned from others:
beliefs, dress, diet, language, expressions of emotions such as sadness, grief, joy and happiness
- integrated system of customs and traits: social norms and religious beliefs
- shared: values- what is good, right, just and fair. ex: catnip tea for wellbeing, working with
community leaders and educating regarding amount
- mostly tacit (ingrained): mostly unexpressed at the unconscious level. ex: food offered,
touching, nurses must bring to conscious to develop awareness, patience and acceptance of
cultural differences when doing a cultural assessment
- dynamic: cultures change over time
biomedical view of health - CORRECT ANSWER - - Western Society
- relies on scientific principles and sees diseases and injuries as life events controlled by physical
and biochemical processes
- treatments can be aggressive including medication, surgery and even genetic engineering
magicoreligious view of health - CORRECT ANSWER - - control of health and illness by
supernatural forces
- disease occur as a result of "committing sins" or "going against God's will"
, - prayer to god or other religious figures used to cope with illness. evil eye
holistic view of health - CORRECT ANSWER - - *harmonious balance*
- principles guiding natural laws to maintain order are disturbed, an imbalance in the forces of
nature is created, resulting in chaos and disease
- physical, mental, emotional and spiritual must be in balance
- use of specific foods, beverages, and herbs to balance hot or cold disease states
- Ex: chinese concept of yin and yang, in which forces of nature are balances
transcultural nursing principles - CORRECT ANSWER - 1. develop *cultural self
awareness*: recognizing own values, beliefs and practices that make up one's own culture and
becoming sensitive to the impact of one's culturally based responses
2. *cultivate cultural sensitivity*: recognizing that culturally based values, beliefs and practices
influence people's health and lifestyles and need to be considered in plans for service
3. *assess* client's groups' culture
4. show *respect and patience* while learning other cultures
5. examine *culturally derived health practices*
categories for cultural assessment - CORRECT ANSWER - 1. ethnic/racial background
2. language and communication patterns
3. cultural values and norms
4. biocultural factors
5. religious beliefs and practices
6. health beliefs and practices
core values of Appalachian culture - CORRECT ANSWER - - strong sense of community
- strong family support systems and social ties
- religious affiliation
- pride in family and self
