Name: ________________________ Class: ___________________ Date: __________ ID: A
Unit 2a
1 The nurse is reviewing the characteristics of culture. Which statement is correct regarding the
development of one’s culture?
aLearned through language acquisition and socialization
bGenetically determined on the basis of racial background
cA nonspecific phenomenon and is adaptive but unnecessary
dBiologically determined on the basis of physical characteristics
2 During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which
statement correctly reflects one of the characteristics of culture?
aStatic and unchanging
bMembers share similar physical characteristics.
cMembers share a common geographic origin and religion.
dAdapted to specific conditions r/t environmental and technical factors
3 During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating “the
specific and distinct knowledge, beliefs, customs, and skills acquired by members of a society” reflects
which term?
aNorms
bCulture
cEthnicity
dAssimilation
4 The nurse is discussing the term subculture with a student nurse. Which statement by the nurse would
best describe subculture?
a“Fitting as many people as possible into the majority culture.”
b“Identifying small groups of people who do not want to be identified with the
larger culture.”
c“Singling out groups of people who suffer differential and unequal treatment as a
result of cultural variations.”
d“Recognizing fairly large groups of people with shared characteristics that are not
common to all members of a culture.”
5 When reviewing the demographics of ethnic groups in the United States, the nurse recalls that which is
the largest and fastest growing population?
aAsian
bHispanic
cAmerican Indian
dAfrican American/black
6 During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather
strip around his neck. Which action by the nurse is appropriate?
aAsk the patient about the item and its significance.
bAsk the patient to lock the item with other valuables in the hospital’s safe.
cTell the patient that a family member should take valuables home.
dNo action is necessary.
1
,Name: ________________________ ID: A
7 The nurse manager is explaining culturally competent care during a staff meeting. Which statement
accurately describes the concept of a culturally competent caregiver?
aAble to speak the patient’s native language
bPossesses some basic knowledge of the patient’s cultural background
cApplies the underlying background knowledge of a patient’s culture to provide the
best possible health care
dUnderstands and attends to the total context of the patient’s situation
8 After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the
concept of ethnicity with which statement?
a“Ethnicity is dynamic and ever changing.”
b“Ethnicity is the belief in a higher power.”
c“Ethnicity pertains to a social group that may possess shared traits such as religion
and language.”
d“Ethnicity is learned from birth through the processes of language acquisition and
socialization.”
9 The nurse is comparing the concepts of religion and spirituality. Which statement describes an
appropriate component of one’s spirituality?
aBelief in and the worship of God or gods
bBeing closely tied to one’s ethnic background
cAttendance at a specific church or place of worship
dA connection with something larger than oneself and belief in transcendence
10 A woman who has lived in the United States for a year after moving from Europe has learned to speak
English and is almost finished with her college studies. She now dresses like her peers and says that her
family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which
concept?
aIntegration
bAssimilation
cBiculturalism
dHeritage consistency
11 The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?
a“Do you smoke?”
b“What is your religion?”
c“Do you have a history of heart disease?”
d“How many years have you lived in the United States?”
12 The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such
as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of
illness?
aHolistic
bBiomedical
cNaturalistic
dMagicoreligious
2
,Name: ________________________ ID: A
13 An Asian-American woman is experiencing diarrhea, which is believed to be “cold” or “yin.” What
should the nurse recognize that the woman may likely to try to treat it?
aFoods that are “hot” or “yang”
bReadings and Eastern medicine meditations
cHigh doses of medicines believed to be “cold”
dNo treatment because diarrhea is an expected part of life
14 Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao.
Which statement most accurately reflects this philosophy’s view of “health”?
aA person is able to work and produce.
bA person is happy, stable, and feels good.
cAll aspects of the person are in perfect balance.
dA person is able to care for others and function socially.
15 Illness is caused by an imbalance or disharmony in the forces of nature. This statement most accurately
reflects the views about illness from which theory?
aGerm theory
bNaturalistic theory
cMagicoreligious theory
dBiomedical or scientific theory
16 What does an individual who believes the magicoreligious theory of illness and disease believe is the
cause of his or her illness?
aGerms and viruses
bSupernatural forces
cEating imbalanced (hot/cold) foods
dImbalance within his or her spiritual nature
17 What should the nurse, who is caring for an American Indian woman seeking help to regulate her
diabetes, anticipate or expect of the patient?
aWill comply with the treatment prescribed
bHas given up her belief in naturalistic causes of disease
cMay also be seeking the assistance of a shaman or medicine man
dWill need extra help in dealing with her illness and may be experiencing a crisis
of faith
18 An older Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit.
When admitting this patient, what would a culturally sensitive nurse do?
aContact the hospital administrator about the best course of action.
bArrange for a shaman for her, because requesting one herself is not culturally
appropriate.
cFurther assess the patient’s cultural beliefs and offer the patient assistance in
contacting a curandero or priest if she desires.
dAsk the family what they would like to do because Mexican-Americans
traditionally give control of decision making to their families.
3
, Name: ________________________ ID: A
19 A 63-year-old Chinese-American man who recently found out his wife has cancer enters the hospital with
complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects
the nurse’s best course of action?
aThe nurse should focus on psychosomatic complaints.
bThe nurse should focus on performing a full cardiac assessment.
cThe nurse should send him home with instructions to contact his physician.
dThe nurse should perform both physical and psychosocial assessments.
20 Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a
true statement regarding pain?
aNurses’ attitudes toward their patients’ pain are unrelated to their own experiences
with pain.
bNurses need to recognize that many cultures practice silent suffering as a response
to pain.
cA nurse’s area of clinical practice will most likely determine his or her assessment
of a patient’s pain.
dA nurse’s years of clinical experience and current position are strong indicators of
his or her response to patient pain.
21 The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?
aAll patients will behave the same way when in pain.
bJust as patients vary in their perceptions of pain, so will they vary in their
expressions of pain.
cCultural norms have very little to do with pain tolerance, because pain tolerance is
always biologically determined.
dA patient’s expression of pain is largely dependent on the amount of tissue injury
associated with the pain.
22 During a class on religion and spirituality, the nurse is asked to define spirituality. Which statement by
the nurse best describes spirituality?
a“Is a personal search to discover a supreme being.”
b“Is an organized system of beliefs concerning the cause, nature, and purpose of the
universe.”
c“Is a belief that each person exists forever in some form, such as a belief in
reincarnation or the afterlife.”
d“Focuses on a connection with something bigger than oneself and a belief in
transcendence.”
23 When caring for children with a different cultural perspective, what should the nurse recognize may pose
a challenge?
aChildren have spiritual needs that are influenced by their stages of development.
bChildren have spiritual needs that are direct reflections of what is occurring in
their homes.
cReligious beliefs rarely affect the parents’ perceptions of the illness.
dParents are often the decision makers, and they have no knowledge of their
children’s spiritual needs.
4
Unit 2a
1 The nurse is reviewing the characteristics of culture. Which statement is correct regarding the
development of one’s culture?
aLearned through language acquisition and socialization
bGenetically determined on the basis of racial background
cA nonspecific phenomenon and is adaptive but unnecessary
dBiologically determined on the basis of physical characteristics
2 During a class on the aspects of culture, the nurse shares that culture has four basic characteristics. Which
statement correctly reflects one of the characteristics of culture?
aStatic and unchanging
bMembers share similar physical characteristics.
cMembers share a common geographic origin and religion.
dAdapted to specific conditions r/t environmental and technical factors
3 During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating “the
specific and distinct knowledge, beliefs, customs, and skills acquired by members of a society” reflects
which term?
aNorms
bCulture
cEthnicity
dAssimilation
4 The nurse is discussing the term subculture with a student nurse. Which statement by the nurse would
best describe subculture?
a“Fitting as many people as possible into the majority culture.”
b“Identifying small groups of people who do not want to be identified with the
larger culture.”
c“Singling out groups of people who suffer differential and unequal treatment as a
result of cultural variations.”
d“Recognizing fairly large groups of people with shared characteristics that are not
common to all members of a culture.”
5 When reviewing the demographics of ethnic groups in the United States, the nurse recalls that which is
the largest and fastest growing population?
aAsian
bHispanic
cAmerican Indian
dAfrican American/black
6 During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather
strip around his neck. Which action by the nurse is appropriate?
aAsk the patient about the item and its significance.
bAsk the patient to lock the item with other valuables in the hospital’s safe.
cTell the patient that a family member should take valuables home.
dNo action is necessary.
1
,Name: ________________________ ID: A
7 The nurse manager is explaining culturally competent care during a staff meeting. Which statement
accurately describes the concept of a culturally competent caregiver?
aAble to speak the patient’s native language
bPossesses some basic knowledge of the patient’s cultural background
cApplies the underlying background knowledge of a patient’s culture to provide the
best possible health care
dUnderstands and attends to the total context of the patient’s situation
8 After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the
concept of ethnicity with which statement?
a“Ethnicity is dynamic and ever changing.”
b“Ethnicity is the belief in a higher power.”
c“Ethnicity pertains to a social group that may possess shared traits such as religion
and language.”
d“Ethnicity is learned from birth through the processes of language acquisition and
socialization.”
9 The nurse is comparing the concepts of religion and spirituality. Which statement describes an
appropriate component of one’s spirituality?
aBelief in and the worship of God or gods
bBeing closely tied to one’s ethnic background
cAttendance at a specific church or place of worship
dA connection with something larger than oneself and belief in transcendence
10 A woman who has lived in the United States for a year after moving from Europe has learned to speak
English and is almost finished with her college studies. She now dresses like her peers and says that her
family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which
concept?
aIntegration
bAssimilation
cBiculturalism
dHeritage consistency
11 The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?
a“Do you smoke?”
b“What is your religion?”
c“Do you have a history of heart disease?”
d“How many years have you lived in the United States?”
12 The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such
as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of
illness?
aHolistic
bBiomedical
cNaturalistic
dMagicoreligious
2
,Name: ________________________ ID: A
13 An Asian-American woman is experiencing diarrhea, which is believed to be “cold” or “yin.” What
should the nurse recognize that the woman may likely to try to treat it?
aFoods that are “hot” or “yang”
bReadings and Eastern medicine meditations
cHigh doses of medicines believed to be “cold”
dNo treatment because diarrhea is an expected part of life
14 Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao.
Which statement most accurately reflects this philosophy’s view of “health”?
aA person is able to work and produce.
bA person is happy, stable, and feels good.
cAll aspects of the person are in perfect balance.
dA person is able to care for others and function socially.
15 Illness is caused by an imbalance or disharmony in the forces of nature. This statement most accurately
reflects the views about illness from which theory?
aGerm theory
bNaturalistic theory
cMagicoreligious theory
dBiomedical or scientific theory
16 What does an individual who believes the magicoreligious theory of illness and disease believe is the
cause of his or her illness?
aGerms and viruses
bSupernatural forces
cEating imbalanced (hot/cold) foods
dImbalance within his or her spiritual nature
17 What should the nurse, who is caring for an American Indian woman seeking help to regulate her
diabetes, anticipate or expect of the patient?
aWill comply with the treatment prescribed
bHas given up her belief in naturalistic causes of disease
cMay also be seeking the assistance of a shaman or medicine man
dWill need extra help in dealing with her illness and may be experiencing a crisis
of faith
18 An older Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit.
When admitting this patient, what would a culturally sensitive nurse do?
aContact the hospital administrator about the best course of action.
bArrange for a shaman for her, because requesting one herself is not culturally
appropriate.
cFurther assess the patient’s cultural beliefs and offer the patient assistance in
contacting a curandero or priest if she desires.
dAsk the family what they would like to do because Mexican-Americans
traditionally give control of decision making to their families.
3
, Name: ________________________ ID: A
19 A 63-year-old Chinese-American man who recently found out his wife has cancer enters the hospital with
complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects
the nurse’s best course of action?
aThe nurse should focus on psychosomatic complaints.
bThe nurse should focus on performing a full cardiac assessment.
cThe nurse should send him home with instructions to contact his physician.
dThe nurse should perform both physical and psychosocial assessments.
20 Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a
true statement regarding pain?
aNurses’ attitudes toward their patients’ pain are unrelated to their own experiences
with pain.
bNurses need to recognize that many cultures practice silent suffering as a response
to pain.
cA nurse’s area of clinical practice will most likely determine his or her assessment
of a patient’s pain.
dA nurse’s years of clinical experience and current position are strong indicators of
his or her response to patient pain.
21 The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?
aAll patients will behave the same way when in pain.
bJust as patients vary in their perceptions of pain, so will they vary in their
expressions of pain.
cCultural norms have very little to do with pain tolerance, because pain tolerance is
always biologically determined.
dA patient’s expression of pain is largely dependent on the amount of tissue injury
associated with the pain.
22 During a class on religion and spirituality, the nurse is asked to define spirituality. Which statement by
the nurse best describes spirituality?
a“Is a personal search to discover a supreme being.”
b“Is an organized system of beliefs concerning the cause, nature, and purpose of the
universe.”
c“Is a belief that each person exists forever in some form, such as a belief in
reincarnation or the afterlife.”
d“Focuses on a connection with something bigger than oneself and a belief in
transcendence.”
23 When caring for children with a different cultural perspective, what should the nurse recognize may pose
a challenge?
aChildren have spiritual needs that are influenced by their stages of development.
bChildren have spiritual needs that are direct reflections of what is occurring in
their homes.
cReligious beliefs rarely affect the parents’ perceptions of the illness.
dParents are often the decision makers, and they have no knowledge of their
children’s spiritual needs.
4
