Deck 10: Cultural Diversity in Health Care

Question 1

The nurse manager for a unit's culturally diverse staff creates a staff-development program so that the professional nursing staff members can enhance their understanding of cultures on the basis of published literature.The literature reveals that what characteristics are inherent in a culture?

A) It develops over time.
B) It maintains a strong work ethic.
C) It changes easily.
D) It develops quickly.

Answer 1

It develops over time.

Question 2

The nurse manager of a unit is asked by a family member of a dying Inuit patient if it is possible to for the patient's eight-member family to recite the rosary by the patient's bedside.The manager responds affirmatively.The nurse manager is most likely exhibiting behaviour related to

A) acculturation.
B) ethnocentricity.
C) cultural diversity.
D) cultural sensitivity.

Answer 2

cultural sensitivity.

Question 3

According to Leininger (2002),"cultural imposition" is a major concern in nursing because nurses have a tendency to impose their values,beliefs,and practices on people of other cultures.The discussion topic most likely to be without cultural imposition would be

A) abortion.
B) wound management.
C) blood transfusion.
D) advance directives.

Answer 3

wound management.

Question 4

Cultural diversity is the term used to describe a vast range of cultural differences.Events have symbolic meanings for the nurse manager and the staff.The event that would be most likely to provide symbolic meaning to a nurse manager and staff is

A) the formation of a task force to commemorate a New Year's celebration in the Western tradition.
B) a project to provide Christmas gifts to the children in a daycare program.
C) celebration of National Nurses' Week with the focus on cultural care.
D) the formation of a task force to develop a poster for the unit depicting religions of the world.

Question 5

During managers' meetings,Lindsay is surprised by the forthrightness of male managers.She finds that,during discussions,she would be more likely to say

A) "I wonder if we should consider changing our policy on performance appraisals? What do you think?"
B) "Sean, your approach to appraisal is completely off track and does not reflect available evidence."
C) "The system that has been developed needs to be implemented. We have already spent enough time in discussion."
D) "Forget about change in this policy. It is fine as it is."

Question 6

Within the deaf community,there is considerable disagreement about the use of SEE (Signed Exact English)and ASL (American Sign Language).This is indicative of

A) dominant versus nondominant behaviours.
B) the need to recognize diversity within groups.
C) the effect of cross-culturalism.
D) how language separates subgroups.

Question 7

Which principle of The Canada Health Act is frequently not upheld in rural and remote areas of the country?

A) Comprehensiveness
B) Public administration
C) Accessibility
D) Portability

Question 8

A 66-year-old native Chinese patient,hospitalized for a myocardial infarction,asks the nurse manager about seeing his "acupuncture doctor" for treatment of his migraine headache.The best response to this patient would be

A) "How long have you been using acupuncture treatment?"
B) "Do you think acupuncture relieves your pain satisfactorily?"
C) "What have you told your heart specialist about your migraines and treatment?"
D) "Have you tried nonprescription pain medication or been given a prescription drug for your headaches?"

Question 9

A non-English-speaking patient arrives at the nursing unit.The nurse knows that when patient communication is hampered by the inability to communicate in the same language,it may lead to

A) inequities in accessing health care services.
B) inability to obtain health insurance.
C) a decrease in patient morbidity.
D) lack of portability with health care coverage.

Question 10

Maintaining a culturally diverse staff is an important function of a nurse manager who works in the hospital of a large medical centre.According to Health Canada (2008),which cultural group represents about 2% of registered nurses employed in Canada?

A) Men
B) Aboriginal
C) French Canadian
D) African Canadian

Question 11

When interviewing a candidate for a nursing position who has an Aboriginal background,a non-Aboriginal nurse recognize that the candidate's lack of eye contact reflects the candidate's

A) lack of confidence.
B) professional behaviour.
C) cultural sensitivity.
D) ethnicity.

Question 12

At Health Centre XYZ,staff members on the rehabilitation unit have a head nurse who is intolerant of error and publicly chides anyone who makes a mistake.Over time,the rules on the unit dictate that mistakes are hidden and that areas of concern related to the functioning of the unit are discussed in privacy and are never openly discussed during periodic meetings.New staff members are quickly made to realize that silence is expected.The situation described is an example of

A) ethnicity.
B) work environment.
C) work culture.
D) marginalization.

Question 13

Which of the following enables people to make sense of situations that they may encounter that differ from their circle of familiarity?

A) Paradox
B) Prejudices
C) Power.
D) Position

Question 14

One of the staff nurses on your unit makes the comment,"All this time I thought Mary was Black.She says she is Jamaican." The best response would be

A) "Who cares what she is?"
B) "What did you think when you learned she was Jamaican?"
C) "Why did you assume she was Black?"
D) "We have never had a Jamaican on this unit before."

Question 15

Recognizing that the Aboriginal candidate's lack of eye contact is different from her own,the non-Aboriginal nurse is exhibiting

A) acculturation.
B) cultural sensitivity.
C) ethnocentrism.
D) transculturalism.

Question 16

Rajib,RN,asks you,a senior staff member,how your mother (a patient on another unit)is doing.This question reflects

A) lack of concern for your cultural orientation.
B) lack of understanding about his role.
C) caring and concern for you.
D) how individuals in his culture relate to persons in authority.

Question 17

During performance appraisal,you praise Xia for her attention and care to nursing details.You suggest that her care would be further enhanced by greater acknowledgement of patients' feelings.Xia bursts into tears and leaves the office.Later,you learn that in Xia's culture,criticism is perceived as akin to failure.You reflect on how you could modify your approach in the future to acknowledge different cultural interpretations of feedback.Your response is indicative of

A) bias.
B) cultural awareness.
C) cultural diversity.
D) ethnocentricity.

Question 18

Individuals living with asthma who also live in poverty are much less likely to seek early care than to go to emergency rooms for assistance.This example reflects

A) stereotyping.
B) cultural diversity.
C) ethnocentricity.
D) transcultural care.

Question 19

Because an increasing number of Aboriginal patients are being admitted,a nurse manager designs a staff-development program for her staff to help them understand Aboriginal culture.A nurse should understand that culture is determined by which of the following?

A) Behaviour
B) Love for people
C) Shared vision
D) Rapid time passage

Question 20

As a nurse manager,you notice that Sharon,an Aboriginal licenced practical nurse aide,is visibly upset.When you ask her if something is wrong,she becomes tearful and says,"Why is it that when Nick and I work together in giving patients care,he jokes about my being 'a little fat Eskimo'? The nurse manager's best response is,"Do you think he

A) is sensitive to your culture?"
B) wants to learn more about you?"
C) has been hurt and wants to hurt others?"
D) is stereotyping you without thinking?"

Question 21

In coaching Monique to become more culturally sensitive when a patient has requested a smudge ceremony at the bedside,you suggest which of the following?

A) "Explain to Jim that there is no smoking in the hospital."
B) "Inform Jim that fires are not allowed in the hospital."
C) "Insist that he give you his tobacco because it is unhealthy for him."
D) "Ask him what he means by a 'smudge ceremony' and what meaning it has for him."

Question 22

As a nurse manager,you have to be effective in managing a culturally diverse staff.Which of the following attributes of a nurse manager would assist you in addressing the cultural needs of your staff?

A)Stereotyping of others
B)Respect for others
C)Positive reinforcement
D)Knowledge about your staff
E)Age bias
F)Disrespect for others

Question 23

A new graduate registered nurse joins your unit.After a few weeks,she complains about some of her peers on the unit and compares their practices negatively to what she learned in her nursing program.She also is vocal about how she has learned so much here that she did not in her program.She is best described as

A) having cultural sensitivity.
B) experiencing cultural diversity.
C) experiencing cultural marginality.
D) experiencing acculturation.

Question 24

Serena,RN,complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking.In responding to Serena,you consider that differences across cultures that are relevant to this situation include

A) eye contact.
B) personal space.
C) harassment.
D) expressions of feeling.

Question 25

Monique,one of your registered nurses,tells you that she cannot understand why Jim,an Aboriginal patient,wants to have a smudge ceremony.Monique's response is based on her

A) cultural marginality.
B) circle of familiarity.
C) cultural understanding.
D) acculturation.

Question 26

In caring for a patient from an East Indian culture,staff members express frustration that many friends and family members are in the room at any one time,which interferes with care.As the nurse manager,you provide leadership in understanding that this behaviour of the family and friend network reflects

A) lack of understanding of the seriousness of the patient's illness.
B) lack of communication between family members.
C) the social organization of friendships and family networks in East Indian culture.
D) lack of caring about the hospital environment by the friends and family.