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742 Cultural

Total questions: 32

Worksheet time: 16mins

Name
Class
Date
1.

An integrated pattern of thoughts, beliefs, values, communication, action, customs, and assumptions about life that are widely held by a group of people and transmitted intergenerationally.

a)

Culture

b)

Counter Culture

c)

Cultural Diversity

d)

Subculture

2.

Refers to the differences among people – particularly those related to values, attitudes, beliefs, norms, behaviors, customs, and ways of living

a)

Culture

b)

Counter Culture

c)

Cultural Diversity

d)

Subculture

3.

When there are multiple individuals within a cultural group who share certain additional characteristics not shared by the cultural group at large.

a)

Culture

b)

Counter Culture

c)

Cultural Diversity

d)

Subculture

4.

When a group within a culture has its own distinctive characteristics that are in opposition to the dominant culture

a)

Culture

b)

Counter Culture

c)

Cultural Diversity

d)

Subculture

5.

When there is a perceived threat from a misunderstanding of expectations  to another individual’s cultural practice because of unfamiliarity or disagreement with the practice

a)

Cultural Shock

b)

Cultural Conflict

c)

Cultural Imposition

d)

Cultural Competence

6.

When someone is unable to respond to behaviors or is disoriented by behaviors from another cultural group because it is so strange, unfamiliar, and incompatible with their own perspectives and expectations. They feel discomfort, anxious and helpless.

a)

Cultural Shock

b)

Cultural Conflict

c)

Cultural Imposition

d)

Cultural Competence

7.

To impose or force our own beliefs, values, and patterns of behaviors on individuals from other cultures from based on a belief that one’s own culture is superior

a)

Cultural Shock

b)

Cultural Conflict

c)

Cultural Imposition

d)

Cultural Competence

8.

Being respectful and understanding the values and beliefs of a certain cultural group so that one can function effectively in a caring relationship with members of that specific cultural group

a)

Cultural Shock

b)

Cultural Conflict

c)

Cultural Imposition

d)

Cultural Competence

9.

When a nurse supports and facilitates the use of scientifically supported cultural practices from one’s culture along with the biomedical system of health care. The nurse works to retain and preserve traditional values tp maintain, promote, and restore health.

a)

Cultural Accommodation

b)

Cultural Preservation

c)

Cultural Brokering

d)

Cultural Repatterning

10.

When nurses allow, assist, facilitate, or enable the patient and family to use their cultural practices to achieve satisfying health care outcomes when said practices are not harmful.

a)

Cultural Accommodation

b)

Cultural Preservation

c)

Cultural Brokering

d)

Cultural Repatterning

11.

When the nurse works with the patient to help them re-order, change, or modify cultural practices when those practices are harmful for them.

a)

Cultural Accommodation

b)

Cultural Preservation

c)

Cultural Brokering

d)

Cultural Repatterning

12.

When a nurse works with a client to uphold their cultural preferences in the health care setting – the nurse advocates, mediates, negotiates, or intervenes between the client’s culture and the biomedical health care culture.

a)

Cultural Accommodation

b)

Cultural Preservation

c)

Cultural Brokering

d)

Cultural Repatterning

13.

Biological variation within population groups based on physical markers from genetic ancestry; individuals of the same race can have different cultures.

a)

Ethnicity

b)

Norms

c)

Race

d)

Values

14.

Shared feeling of peoplehood among a group of individuals related to cultural factors such as beliefs, values, language, traditions, nationality, geographic region, and ancestry. It is a social identity that membership in a group that over time creates a common history that is resistant to change.

a)

Ethnicity

b)

Norms

c)

Race

d)

Values

15.

Refers to desirable or undesirable states of affairs which are universal to all cultures – but the types and expressions vary.

a)

Ethnicity

b)

Norms

c)

Race

d)

Values

16.

Rules by which human behavior is governed resulting from cultural values held by the group

a)

Ethnicity

b)

Norms

c)

Race

d)

Values

17.

An overgeneralization about a member of a particular category of people, usually referring to race, ethnicity, immigration status, or sexual orientation

a)

Discrimination

b)

Ethnocentrism

c)

Prejudice

d)

Racism

e)

Stereotyping

18.

An emotional manifestation of deeply held beliefs (stereotypes) about a group. that is not based on reason or experience, but rather on negative or favorable preconceived feelings.

a)

Discrimination

b)

Ethnocentrism

c)

Prejudice

d)

Racism

e)

Stereotyping

19.

The outward manifestation of thoughts, beliefs, and attitudes based on prejudice and put into practices and policies.

a)

Discrimination

b)

Ethnocentrism

c)

Prejudice

d)

Racism

e)

Stereotyping

20.

A form of prejudice that occurs through the exercise of power by individuals and institutions against people who are judged to be inferior on the basis of intelligence, morals, beauty, inheritance, and self-worth.

a)

Discrimination

b)

Ethnocentrism

c)

Prejudice

d)

Racism

e)

Stereotyping

21.

The belief that one’s own cultural group is superior to all others and determines the standards by which other groups are judged.

a)

Discrimination

b)

Ethnocentrism

c)

Prejudice

d)

Racism

e)

Stereotyping

22.

Which statement best describes religion?

a)

An organized system of beliefs concerning the cause, nature, and purpose of the universe.

b)

Belief in a divine or superhuman spirit to be obeyed and worshiped.

c)

Affiliation with one of the 1200 recognized religions in the United States

d)

The following of established rituals, especially in conjunction with health-seeking behaviors

23.

The major factor contributing to the need for cultural care nursing is:The major factor contributing to the need for cultural care nursing is:

a)

An increasing birth rate.

b)

Limited access to health care services.

c)

Demographic change.

d)

A decreasing rate of immigration.

24.

You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication??

a)

Maintaining a professional, respectful demeanor.

b)

Allowing for additional time to complete the process

c)

Providing the patient with a paper and pencil so answers can be written

d)

. Obtaining interpreter services so the family does not need to translate

25.

The first step in cultural competency by a nurse is to:

a)

Identify the meaning of health to the patient.

b)

Understand how a health care delivery system works.

c)

Develop a frame of reference to traditional health care practices.

d)

Understand their heritage and its basis in cultural values.

26.

Which statement is most appropriate to use when initiating an assessment of cultural beliefs with a patient?

a)

Are you of the Christian faith?

b)

Do you want to see a Medicine man?

c)

How often do you seek help from medical providers?”

d)

“What cultural or spiritual beliefs are important to you?”

27.

Which statement best reflects the biomedical causation of illness?

a)

. Each being is only a part of a larger structure in the world of nature as it relates to health and illness.

b)

Causal relationship exists, leading to expression of illness.

c)

Belief in the struggle between good and evil is reflected in the regulation of health and illness.

d)

Illness occurs as a result of disturbances between hot and cold reactions.

28.

You are caring for a Jewish patient who needs a leg amputation. The patient is concerned about what will happen to the leg after amputation and becomes visibly distraught when you inform him it will be disposed of by the hospital. What should you do?

a)

Provide information on postoperative prosthetics so he understands that loss of the limb does not limit physical ability.

b)

Provide education on the surgical procedure and what to expect in the immediate post-operative period so he feels more prepared.

c)

Ask if he would like you to contact friends, family, or the hospital chaplain so he can talk about how he feels.

d)

Ask about his cultural beliefs and whether there is anything the hospital can do to support him before, during, and after surgery.

29.

You are a nurse in the university health center. You notice that X.L. is on your list for the fourth time in the past three months. Her previous complaints include weight loss and fatigue. Today, she is in the clinic for irregular periods and appears pale with hollow cheekbones. She is a 19-year-old first-year student with an uneventful past medical history. She is a first-generation college student whose parents immigrated from Iran 20 years ago. What questions would be included in a cultural assessment. (Select All That Apply)

a)

 Are there any foods that you are unable to eat due to cultural beliefs?

b)

. Are you using any complementary or alternative treatments currently?

c)

Could pregnancy be the reason for your irregular periods and illness?

d)

What is your favorite food to eat?

e)

How are you doing in your classes? Have you been able to make friends?

30.

During further investigation you discover that X.L. follows a Halal diet. You know very little about the diet. What is the most appropriate next step?

a)

Ask X.L. about the diet she follows and whether she has access to appropriate food in the university dining facility.

b)

Complete a physical assessment to determine the cause of her progressive symptoms.

c)

. Make a note of the diet in her chart and plan to do research on the diet prior to seeing your next patient

d)

Complete a thorough health history to determine if she has experienced any changes in health since her last appointment.

31.

During report on a 39-year-old Hispanic male, you learn that the patient had surgery yesterday but has refused all pain medication and denies any pain. As you assess the patient, you notice an elevated heart rate and blood pressure as well as grimacing with abdominal palpation, but the patient continues to deny pain. You:

a)

continue the assessment believing that if a patient is in pain, they will tell you.

b)

. recognize that pain expression may vary based on culture and that all Hispanic men do not take pain medications

c)

recognize that pain expression may vary based on culture and ask appropriate cultural assessment questions

d)

recognize that men do not respond to pain the same way as women, and they may not feel pain the same way

32.

You are caring for a patient who requests that a shaman (medicine man) visit him while he is hospitalized. He would like a smudging ritual completed prior to his upcoming treatment. You know that smudging involves the burning of sage. Your best response is:

a)

We cannot allow that ritual in the hospital because we do not allow open flames.

b)

Call your shaman and have him come any time. Just make sure to close the door.

c)

Let’s work with the shaman to determine the best way to complete the ritual in a safe manner.

d)

Don’t worry. Dr. Smith is the best, so you have nothing to worry about.