NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
Culture: - (ANSWER)Integrated patterns of behavior acquired over time. They include beliefs, values,
customs, norms, habits, language, thoughts and ways of life.
Cultural diversity: - (ANSWER)Differences among people which may or may not be visible
Ethnicity: - (ANSWER)common social customs, values and beliefs of a group. Not race.
Cultural sensitivity - (ANSWER)
Health disparities: - (ANSWER)Differences in the incidence of health problems in minority groups
compared to the majority.
Cultural competence: - (ANSWER)Respecting all differences and not letting one's biases influence others.
2. Know the components and definitions in the ASKED model of cultural competence -
(ANSWER)Awareness:
Are you aware of your personal biases and prejudices toward cultures different from yours?
Skill:
Do you have the skill to conduct a cultural assessment and perform a culturally based physical
assessment?
Knowledge:
Do you have knowledge of the patient's worldview(how a person looks at the universe to form values in
their life and world)?
Encounters:
How many face to face encounters have you had with patients from diverse cultural backgrounds?
,NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
Desire:
What is your desire to want to be culturally competent?
Cultural humility - (ANSWER)
Describe the steps in developing cultural humility - (ANSWER)1) Maintain lifelong learning: Be curious
about your clients and their lives.
2) Engage in continuous self-reflection: Become aware of your personal history and biases in an effort to
become conscious of the assumptions you hold about people from a given group.
3) Become comfortable with "not knowing": It is impossible to know everything about another person or
another culture.
4) Recognize there may be power/privilege dynamics: Power dynamics can generate distance between
you and your clients.
What is culture shock? - (ANSWER)•A disorder that occurs in response to transition from one cultural
setting to another. A person's former behavior patterns are ineffective in such a setting and basic cue for
social behavior are absent. Expressions of shock may range from silence, immobility, agitation, rage or
fury.
•Can occur in hospitalized patients that have to adapt to a foreign situation.
What is acculturation? - (ANSWER)• An involuntary process of adopting to a dominant culture. The non-
dominant cultural group is often forced to learn the new culture to survive.
• Positives: Has been linked to better health care access and utilization, cultural enrichment.
,NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
• Negatives: Stress, anxiety, similar health outcomes as the dominant culture in future generations of
first-generation immigrants, alienation from culture of origin.
What is stereotyping? - (ANSWER)Assuming that all people from a particular culture are the same.
Madeline Leininger: - (ANSWER)Nurse anthropologist that provided knowledge on transcultural nursing.
Transcultural nursing: - (ANSWER)Focus on health, care and illness patterns of people with similarities
and differences in their cultural beliefs, values and practices.
What did Purnell's Domain propose? - (ANSWER)• Proposed 12 essential areas to assess and understand
a culture.
• Each domain includes concepts that need to be assessed when providing care to patients in various
settings.
• These domains can also be used to help nurses understand their own culture.
What are the different types of homelessness? - (ANSWER)•Absolute: Having no physical home
•Relative: Have some sort of shelter, but it may not be safe or sanitary.
The homeless avoid the health care community because: - (ANSWER)1) Mistrust of health care providers
2) Fear of discrimination
3) Language barriers
4) Inability to understand medical information
, NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
5) Inability to adhere to treatment
What issues do people who are homeless may possibly encounter? - (ANSWER)• Are prone to
cardiovascular disease, infection and mental disorders.
• Develop a simple treatment plan and consider obstacles to care when caring for the homeless.
What are guidelines for communicating with Non-English-speaking patients? - (ANSWER)• Use dialect-
specific interpreters who are the same gender and about the same age as the patient if possible.
•Use interpreters who are familiar with health and health care.
• Avoid the use of relatives to prevent bias and misinterpretation.
• Speak slowly and allow the patient time to translate and process what is being discussed.
• Use common words in the patient's language if known; become familiar with terms that are frequently
used in health care.
• Maintain eye contact with the patient and family while communicating, unless it is not culturally
acceptable.
• Remember that most patients can understand English better than they can speak it.
• Be careful with nonverbal facial expressions and body language.
Culture: - (ANSWER)Integrated patterns of behavior acquired over time. They include beliefs, values,
customs, norms, habits, language, thoughts and ways of life.
Cultural diversity: - (ANSWER)Differences among people which may or may not be visible
Ethnicity: - (ANSWER)common social customs, values and beliefs of a group. Not race.
Cultural sensitivity - (ANSWER)
Health disparities: - (ANSWER)Differences in the incidence of health problems in minority groups
compared to the majority.
Cultural competence: - (ANSWER)Respecting all differences and not letting one's biases influence others.
2. Know the components and definitions in the ASKED model of cultural competence -
(ANSWER)Awareness:
Are you aware of your personal biases and prejudices toward cultures different from yours?
Skill:
Do you have the skill to conduct a cultural assessment and perform a culturally based physical
assessment?
Knowledge:
Do you have knowledge of the patient's worldview(how a person looks at the universe to form values in
their life and world)?
Encounters:
How many face to face encounters have you had with patients from diverse cultural backgrounds?
,NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
Desire:
What is your desire to want to be culturally competent?
Cultural humility - (ANSWER)
Describe the steps in developing cultural humility - (ANSWER)1) Maintain lifelong learning: Be curious
about your clients and their lives.
2) Engage in continuous self-reflection: Become aware of your personal history and biases in an effort to
become conscious of the assumptions you hold about people from a given group.
3) Become comfortable with "not knowing": It is impossible to know everything about another person or
another culture.
4) Recognize there may be power/privilege dynamics: Power dynamics can generate distance between
you and your clients.
What is culture shock? - (ANSWER)•A disorder that occurs in response to transition from one cultural
setting to another. A person's former behavior patterns are ineffective in such a setting and basic cue for
social behavior are absent. Expressions of shock may range from silence, immobility, agitation, rage or
fury.
•Can occur in hospitalized patients that have to adapt to a foreign situation.
What is acculturation? - (ANSWER)• An involuntary process of adopting to a dominant culture. The non-
dominant cultural group is often forced to learn the new culture to survive.
• Positives: Has been linked to better health care access and utilization, cultural enrichment.
,NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
• Negatives: Stress, anxiety, similar health outcomes as the dominant culture in future generations of
first-generation immigrants, alienation from culture of origin.
What is stereotyping? - (ANSWER)Assuming that all people from a particular culture are the same.
Madeline Leininger: - (ANSWER)Nurse anthropologist that provided knowledge on transcultural nursing.
Transcultural nursing: - (ANSWER)Focus on health, care and illness patterns of people with similarities
and differences in their cultural beliefs, values and practices.
What did Purnell's Domain propose? - (ANSWER)• Proposed 12 essential areas to assess and understand
a culture.
• Each domain includes concepts that need to be assessed when providing care to patients in various
settings.
• These domains can also be used to help nurses understand their own culture.
What are the different types of homelessness? - (ANSWER)•Absolute: Having no physical home
•Relative: Have some sort of shelter, but it may not be safe or sanitary.
The homeless avoid the health care community because: - (ANSWER)1) Mistrust of health care providers
2) Fear of discrimination
3) Language barriers
4) Inability to understand medical information
, NU 300 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS.
5) Inability to adhere to treatment
What issues do people who are homeless may possibly encounter? - (ANSWER)• Are prone to
cardiovascular disease, infection and mental disorders.
• Develop a simple treatment plan and consider obstacles to care when caring for the homeless.
What are guidelines for communicating with Non-English-speaking patients? - (ANSWER)• Use dialect-
specific interpreters who are the same gender and about the same age as the patient if possible.
•Use interpreters who are familiar with health and health care.
• Avoid the use of relatives to prevent bias and misinterpretation.
• Speak slowly and allow the patient time to translate and process what is being discussed.
• Use common words in the patient's language if known; become familiar with terms that are frequently
used in health care.
• Maintain eye contact with the patient and family while communicating, unless it is not culturally
acceptable.
• Remember that most patients can understand English better than they can speak it.
• Be careful with nonverbal facial expressions and body language.
