Deck 10: Cultural Competency and Social Issues in Nursing and Health Care

Question 1

A nurse is given a referral to make a home visit to a Russian immigrant.The nurse knows very little about the health beliefs of this ethnic group.To research this group,what term should the nurse use in an Internet search?

A) Federally recognized minorities
B) Marginalized populations
C) Asian/Pacific Islander cultures
D) Latino cultures

Answer 1

Marginalized populations

Question 2

A nurse is caring for a recent Asian immigrant client and is overheard making the following comment,"These rituals you believe in are false.You live in America now and must believe in realistic health practices,like Americans do." The nurse is exhibiting behavior associated with what belief?

A) Stereotyping
B) Ethnocentrism
C) Cultural accommodation
D) Empathy

Answer 2

Ethnocentrism

Question 3

A nurse is submitting a grant application to improve access to health care and mortality for minority groups.The grant focuses on the six causes of death that are identified as priorities for minorities,which include what medical diagnosis?

A) Chronic obstructive pulmonary disease (COPD)
B) Malnutrition
C) Cirrhosis of the liver
D) Breast cancer

Answer 3

Breast cancer

Question 4

Which statement is true regarding health care for minorities?

A) Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance.
B) Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.
C) Because many Mexican Americans are highly skilled workers with comparable wages,they have the lowest uninsured rate.
D) Asians,because of their quiet demeanor and unwillingness to challenge the health care system,have the highest rate of uninsured people.

Question 5

While completing a masters nursing degree in Virginia,a nurse who is interested in teaching in Laredo,Texas,enrolls in Spanish classes for 4 years,knowing that a high number of Mexican-Americans live there.This nurse is demonstrating what social value?

A) Cultural competence
B) Ethnocentrism
C) Prejudice
D) Stereotyping

Question 6

Six cultural phenomena that vary among cultural groups are known to affect health care.The influence of the consequences of these phenomena can be seen in which of the following? (Select all that apply. )

A) Asians and American Indians tend to be nonadherent with medications because they believe that the environment has no control over their fate.
B) Some cancers such as stomach cancer occur less frequently among blacks.
C) Blacks and American Indians often resist direct eye contact.
D) Mexican Americans are more likely to stand close and touch health care providers.
E) Whites are often late for health care appointments.

Question 7

An Asian teenager is admitted with an eating disorder which she contributes to not meeting the academic expectations of her parents.The nurse is overheard saying,"That isn't the reason;all Asians are really smart." This nurse is demonstrating is which cultural biases?

A) Cultural humility
B) Stereotyping
C) Cultural assimilation
D) Acculturation

Question 8

Although communication varies among members of different cultures,the greatest obstacle to providing multicultural care is differences in _____.

Question 9

A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs.What is the nurse's first step to ensure cultural competence and sensitivity?

A) Enrolling in a nursing theories course to increase knowledge about transcultural practices
B) Becoming immersed in nursing literature about culturally diverse clients
C) Participating in continuing education that focuses on health assessment variations among cultural groups
D) Conducting a cultural self-assessment to identify biases or prejudices

Question 10

A priority action for the nurse who works with culturally diverse clients to complete initially is completion of additional form of support?

A) A sign language course
B) Cultural self-assessment
C) Cultural client assessment
D) A conversational Spanish course

Question 11

A nurse involved in researching the leading causes of death for minorities considers the federally defined minority groups,which include what populations? (Select all that apply. )

A) Blacks
B) Russians
C) Hispanics
D) Asians or Pacific Islanders
E) Scandinavians