GUIDE | PRACTICE QUESTIONS &
ANSWERS
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Updated 2026 Questions and Answers
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Rationales Included
,Culture attributes -culture is learned
-culture is changing and adapting
-shared beliefs, values, and behaviors
Theoretical links to culture -Leininger's theory of culture care diversity and universality
-Interprofessional theory of social suffering
Lingers theory of culture care diversity and universality World view
-emic (within)
-etic (discover universal application)
-Avoid stereotyping
-Treat the individual
-See every patient encounter as cross-cultural
Intersectionality Iceberg analogy
-Most aspects of a persons world view are hidden
-understanding the different levels of oppression and where you stand helps you
develop cultural competence
Iceberg Analogy -unconscious bias
-implicit bias
-culturally congruent care
-cultural competence
Health disparities a particular type of health difference that is closely linked with social, economic,
and/or environmental disadvantage
social determinants of health The conditions in which people are born, grow, live, work, and age
Marginalized groups -gay/lesbian/bisexual/transgender
-People of color
-physically or mentally challenged
-not college educated
Cultural competence -Meaningful and useful care strategies based on knowledge of the cultural
heritage, beliefs, attitudes and behaviors of those to whom they render care
, Cultural competency in nursing -expected component of nursing education and professional nursing practice
-requires underlying acceptance of patients health and beliefs
Requires adapting care to meet unique needs and perspectives of individual
Care measures -key quality indicators that help health care institutions improve performance,
increase accountability and reduce costs
-intended to reduce health disparities
-all patients regardless of cultural and socioeconomic status are to be treated
equally because the standard of care applies to all
4 interrelated concepts -self/cultural awareness
-Cultural knowledge
-cultural skill
-cultural desire
Transcultural care culturally congruent when it fits a persons life patterns, values, and system of
meaning
Cultural encounter goals -communicate in a way that generates a wide variety of responses
-interact to validate, refine, or modify existing values, beliefs, and practices about
a cultural group
Cultural desire having the motivation to engage patients so that you understand them from a
cultural perspective
LEARN model L: listen
E: explain
A: acknowledge
R: recommend
N: negotiate
RESPECT model 1. what do you call the problem?
2. what do you think has caused the problem?
3. why do you think it started when it did?
4. What do you think the sickness does? how does it work?
5. how severe is the sickness? will it have a long or short course?
6. What kind of treatment do you think the patient should receive?
7. what are the chief problems the sickness has caused?
8. What do you fear most about the sickness?
Individualism vs. Collectivism -interpersonal vs intrapersonal
Power distance -acceptance of unequal distribution of power as legitimate or fair