Question 1

A nurse went to a convention in a large city with which the nurse was unfamiliar.The nurse was somewhat anxious about finding the convention center,but once there,the nurse relaxed and eagerly entered into interaction with other attendees.Which of the following would have been the most likely reason the nurse became comfortable?

Accepted Answer

A) Enjoyment in learning more about topics that were relevant to current practice 
B) Understanding the perspective of most nurses 
C) Eagerness about hearing the keynote speaker 
D) Being an extrovert who loved interacting with people

Question 2

A male nurse was admitting a woman from Italy who spoke perfect English.The nurse had no idea what would be considered appropriate behavior for a male nurse with a female client from outside the United States.Which of the following statements should be made by the nurse?

Accepted Answer

A) "Can you tell me about Italy? I've always wanted to go there." 
B) "I don't know much about care in your country.Could you tell me what you expect from a nurse in a hospital?" 
C) "I understand you have national health care in your country,but you do understand that here you will have to pay for all your care?" 
D) "You'll probably prefer a female nurse.I'll have a female colleague come in shortly."

Question 3

A nurse was very excited at being given the opportunity to spend a year working in Botswana.After 2 months,however,the nurse was feeling both depressed and angry.Knowing the agreement was to stay a calendar year made the nurse feel panic-stricken.Which of the following problems is the nurse most likely experiencing?

Accepted Answer

A) Culture shock from being in a culture very different from that at home 
B) Fatigue from having to constantly ask a translator to explain what clients are saying 
C) Frustration because high-technology equipment is not available in this developing country 
D) Tiredness from learning all the differences in nursing techniques in this clinical setting

Question 4

What is the relationship between race and ethnicity?

Accepted Answer

A) Race is biologic,whereas ethnicity is psychologic. 
B) Race is skin color,whereas ethnicity is shared beliefs. 
C) Both race and ethnicity mean "visible subgroup." 
D) Race means "common physiology," and ethnicity means "common culture."

Question 5

A nurse has been assigned to care for a bisexual client.Which of the following would be important for the nurse to recognize about this client?

Accepted Answer

A) The client may have experienced disparities in health status and care. 
B) The client has received care similar to that of all other U.S.citizens. 
C) The client may be resistant to education by the nurse. 
D) The client has resisted mainstream lifestyles and behaviors.

Question 6

The administrative team at a home care agency is discussing how they meet the Culturally and Linguistically Appropriate Services (CLAS)standards.Which of the following actions demonstrates the incorporation of these standards in practice?

Accepted Answer

A) Requiring a small fee so that all patients will have a translator immediately available 
B) Using hand motions,pantomime,and touch to convey information 
C) Requiring all staff nurses employed in the hospital to be bilingual 
D) Using a computer to print index cards with essential phrases both in English and in the patient's language

Question 7

Which of the following statistics related to diversity in the United States is accurate?

Accepted Answer

A) One per five people belongs to an ethnic or racial minority. 
B) One per three people identifies with an ethnic or racial minority. 
C) The percentage of people identifying with a minority group is decreasing. 
D) The percentage of people identifying with a minority culture has become the majority.

Question 8

Why will the concept of ethnicity decrease in value to health professionals in the future?

Accepted Answer

A) Assessment and treatment will become more accurate according to a person's race. 
B) Ethnicity as a concept mainly helps clients have a sense of belonging and loyalty. 
C) Persons from different ethnic groups are intermarrying,and their children are multiracial. 
D) The concept of ethnicity is less informative than the term race.

Question 9

Which of the following is the best definition of a family for a nurse to use when planning nursing care?

Accepted Answer

A) Related legally or by blood 
B) Considered "family" by the legal system 
C) Living in the same household 
D) Any person the client reports as being family

Question 10

A nurse saw a man from an Arab country asking a physician how his wife was doing.As the physician responded to the question,the physician backed away.The man again moved up close to the physician to ask another question,which the physician answered while again backing up.Which of the following conclusions can be drawn by the nurse?

Accepted Answer

A) Both were trying to arrange the space between them to be comfortable. 
B) The man had poor personal hygiene,so the physician was distancing himself from the client. 
C) The physician did not want to stand that close to an Arab. 
D) These things happen;there is no particular meaning to this event.

Question 11

Which of the following is the best way for a nurse to determine a client's ethnicity?

Accepted Answer

A) Analyzing the client's actions and communication patterns 
B) Closely observing behaviors and customs 
C) Discussing with anthropologists how to recognize the various ethnic groups 
D) Querying "How do you identify yourself?"

Question 12

A nurse was proud of having completed a professional education program on cultural care of Hispanics.It was surprising when the Hispanic client for whom the nurse had been caring did not seem to act very "Hispanic." Which of the following considerations is the nurse not taking?

Accepted Answer

A) The client may have been trying to demonstrate behaviors to please the nurse. 
B) The client may have customs that are not identical with the Hispanic culture. 
C) The client may be in too much pain to demonstrate cultural behaviors 
D) The client may not have been truthful when claiming to be Hispanic.

Exam 10: Relevance of Culture and Values for Communitypublic Health Nursing