Be A Better Socialite - Cultural and Ethnic Considerations

1. A female patient from Saudi Arabia wearing a Hijab was told to take of her clothes and change to a hospital gown for a physical examination. The patient became upset and refused to do so. The nurse allowed her to remain in her own clothes. Why?

The hospital gown she was asked to use was out of style

As a Moslem, the patient must keep her body covered as much as possible

The patient is noncompliant

The patient cannot disrobe in front of another female

p. 178

Explanation

p. 178

2. Both Moslems and Jewish normally do not eat pork. The reason is basically.

Political

Economic

Religious

Nutritional

p. 176

Explanation

p. 176

3. A nurse assigned to a Moslem patient from the Philippines found her patient kneeling on the ground, facing the sun, with his face on the floor. What should she do next?

Pick up the patient and asses for bruises

Quietly leave the room and give patient privacy for prayer

Interrupt the patient and tell him it is time for care

Tell the patient that praying in a hospital room is not allowed.

p. 179, number 11

Explanation

p. 179, number 11

4. When you think that your beliefs and practices are superior and better than other cultures, what do you call this?

Jingoism

Ethnocentrism

Chauvinism

Bigotry

p. 159

Explanation

p. 159

5. An African-American nurse was assigned to care for a new 86-year old male resident. When she enters his room, he shouts racial slurs. What would be a proper response?

Refuse to give care to the patient

React with anger and retaliate

Go to the supervisor and tell her that she will no longer deal with male Caucasian patients

p. 179, number 10

Explanation

p. 179, number 10

6. A preconceived idea that all members of a particular group posses the same attributes is known as ____________________.

Racial profiling

Stereotyping

Transcultural wisdom

Ignorance

p. 178

Explanation

p. 178

7. Which of these groups eat rice with almost every meal. Traditionally, a woman who just gave birth from this group does not see her child for the next 12 to 24 hours.

Chinese American

African American

Mexican American

Native American

p. 176

Explanation

p. 176

8. The women of this group are not allowed to sign consent forms or make a decision regarding family planning. It is mandatory for the husband to be present. Women are very modest and frequently wear clothes that cover all of the body. They prefer female doctors. For 40 days after giving birth and also during menstruation, a woman is exempt from prayer because it is a time for cleansing for her.

Amish community

Latter Day Saints

Mormons

Islam

p. 168

Explanation

p. 168

9. _____________nursing is practiced when the nurse consistently attempt to apply knowledge about culture to all aspects of care

Holistic

Transcultural

Skilled

Hospice

p. 178

Explanation

p. 178

10. A Mexican American is pregnant with her second child. During the interview, the patient states that she never drinks milk. What could be a cultural reason for this?

The patient does not like the taste of milk

Milk is not allowed in her culture

Lactose intolerance occurs often among Mexican Americans

The patient cannot afford to buy milk

p. 179, number 12

Explanation

p. 179, number 12

11. Four basic concepts of health beliefs. Select all that apply:

Biomedical health belief system

Folk health belief system

Scientology belief system

Alternative or complementary belief

Holistic health belief system

p. 170

Explanation

p. 170

Submit

12. When the nurse is aware of her own cultural beliefs, the beliefs and practices of other cultures, and has the ability to interact effectively with individuals from other cultures, the nurse is said to be:

Stereotyping

Ethnocentric

Culturally aware

Culturally competent

p. 179, number 15

Explanation

p. 179, number 15

13. What do you need to achieve cultural competence? Select all that apply:

Understand your own cultural beliefs and practices

Perceive the health care setting from a patient's point of view

Be open and sensitive to a patient's cultural values

Uphold and defend your own beliefs before anything else

p. 178

Explanation

p. 178

Submit

14. When caring for a patient who speaks a foreign language, it would be incorrect of the nurse to use impaired verbal communication as a nursing diagnosis because:

An inability to understand each other is the problem, not impaired verbal communication

The patient is using a different health belief system that interferes with communication

The patient is following acceptable communication guidelines within his or her culture

The patient has deficient knowledge, not impaired verbal communication

p. 179, number 14

Explanation

p. 179, number 14

15. Which of the following cannot be a part TRANSCULTURAL NURSING?

Understanding different variables and integrating personal understanding into all aspects of nursing care

Ethnocentricity and stereotyping are tools for transcultural nursing

Cultural beliefs also affect diet and nutrition for which we have to be cognizant

p. 160

Explanation

p. 160

16. Since they believe that unbaptized children are cut off from heaven, infant baptism is mandatory. For newborns who are gravely ill, still borns and all aborted fetuses (unless marked by tissue necrosis and prolonged death are present ) emergency baptism is required. The nurse needs to call a priest to do the baptism. In worse case scenario, anyone can do the baptism by pouring warm water on the baby's head and saying "I baptize you in the name of the Father, and of the Son, and of the Holy Spirit!

Eastern Orthodox

Orthodox Judaism

Roman Catholics

Manicheism

p. 166

Explanation

p. 166

17. A patient with slanted eyes, stiff accent, and dark olive skin is admitted to the hospital with diffuse symptoms such as nausea, vomiting, weight loss and headaches. During the interview, the patient uses some foreign words and discloses that she just arrived from Nepal. Which intervention would be appropriate for this patient?

Adhere to the philosophy, "I treat all my patents the same".

Instruct the patient that in America, English is the only language accepted

Contact an adviser familiar with her culture

Allow the patient to use an inhaling device she brought while she is hospitalized

p. 178, number 2

Explanation

p. 178, number 2

18. When a patient who just arrived from Honduras comes to a clinic, she asks the nurse to allow her 10-year old son to remain with her in the examining room. What should the nurse do?

Ask the son to leave to maintain privacy of the patient

Explain to the patient that children are not allowed in the examining room because of infection control

Ignore the child and pretend he is not there

Consider that the son might be there to serve as an interpreter for the mother

p. 178, number 5

Explanation

p. 178, number 5

19. A group of people who share biological physical characteristics and hereditary traits.

Race

Nationality

Ethnicity

Culture

p. 161

Explanation

p. 161

20. A nurse was assigned to work with a family who lives at Pilsen, a Hispanic neighborhood in the suburbs of Chicago. What is the best way to learn about their culture?

Do an internet research

Schedule a home visit with the family

Eat in a Hispanic-owned restaurant

Watch a movie with a Hispanic cast

p. 178, number 1

Explanation

p. 178, number 1

21. The nurse is planning to do a cultural assessment of a patient who just migrated from Singapore a year ago. It would be best if the nurse

Sits in front of the patient

Touches the patient frequently to convey concern

Positions the chair so that the nurse sits at right angle to the patient

Maintains good eye contact while asking questions

p. 179, number 9 - Singapore is an Asian country with strong Chinese cultural inflence

Explanation

p. 179, number 9 - Singapore is an Asian country with strong Chinese cultural inflence

22. Which of the following are allowed in a Moslem diet? Select all that apply:

Pork

Alcohol

Halal

Kosher

p. 168

Explanation

p. 168

23. In Western cultures, what is the distance between people that can be considered comfortable in a casual or public setting during a conversation?

1 to 2 feet

6 to 10 feet

3 to 6 feet

0 to 3 feet

p. 163

Explanation

p. 163

24. Prohibits birth control except for abstinence and natural family planning methods. Sterilization is prohibited unless there is an overriding medical reason

Jehovah's Witness

Lutherans

Pentecostals

Roman Catholics

p. 166

Explanation

p. 166

25. For Orthodox Jews, when are products with unleavened bread not allowed?

During Good Friday

During Christmas

During Passover

During Hanukkah

p. 165

Explanation

p. 165

26. A patient tells the nurse instructor that he is sick because the natural balance of his body was upset when he entered PCCTI. He sniffs dried papaya leaves before he takes exams to make his mind clear. What is his possible health belief system?

Biomedical

Folk

Holistic

Alternative medicine

p. 178, number 4

Explanation

p. 178, number 4

27. Which of the following statements about cultural competence is not true?

One way to identify cultural beliefs and practices is to do a self-assessment

Sometimes nurses are so concerned about treating everyone the same that they ignore cultural differences

Understanding your personal beliefs gives you an ability to respond to those from different cultures with openness.

p. 159 - It is not possible to act the same with all patients and still give effective, individualized, holistic care.

Explanation

p. 159 - It is not possible to act the same with all patients and still give effective, individualized, holistic care.

28. Babies are named by the father 8 days after birth when traditional circumcision (may be postponed when in bad health) done. A mohel performs the circumcision. Female babies are named during the reading of the Torah. Nurses need to be sensitive when caring for babies who have not yet been named.

Eastern Orthodox

Reform Jews

Orthodox Judaism

Roman Catholic

p. 165

Explanation

p. 165

29. Which of the following statements about cultural behavior is NOT TRUE?

Cultural behavior is socially acquired, not genetically inherited

Self-concept is also influenced by culture and cultural identity

In patriarchal societies, the older men usually make most of the decisions

All family structures are based on biological relationships

A common mistake is to assume that every family is a traditional nuclear family

p. 164 - Some family structures are biological. Some are based on meeting basic needs by forming a group among unrelated individuals.

Explanation

p. 164 - Some family structures are biological. Some are based on meeting basic needs by forming a group among unrelated individuals.

30. According to biological variations, there are certain diseases which tend to be more prevalent among a certain group. Match the group on the left with a corresponding disease that the group is more inclined to have

sickle cell anemia

diabetes

those with Chinese descent

Tay-sachs disease

p. 171

Explanation

p. 171

Submit

31. You are aware of your own cultural beliefs and practices and how they relate to those of others, which will be different

Cultural knowledge

Cultural skills

Cultural competence

Cultural awareness

p. 159

Explanation

p. 159

32. Refers to a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biologic characteristics. They often share social practices such as language, religion, dress, music and food.

Race

Nationality

Ethnicity

Culture

p. 161

Explanation

p. 161

33. Match the health belief system on the left with a brief characteristic on the right

biomedical heath belief system

folk health belief system

holisitc health belief system

alternative or complementary belief system

p. 171

Explanation

p. 171

Submit

34. A concept of time implying that it is possible to recover future activities but not present ones

Flexibility

Elasticity

Spasticity

Tardiness

p. 164

Explanation

p. 164

35. Variations within a cultural group that causes differences. Select all that apply

Age, gender identity, roles

Religion and socioeconomic background

Dialect or language spoken, geographic location of country of origin or current residence

Degree to which values in current country are adopted

Form of government and type of constitution

page 159

Explanation

page 159

Submit

36. Common characteristics of culture. Select all that apply

Every culture is more or less superior or inferior than the other when referring to civilizational hierarchy

p. 159

Explanation

p. 159

Submit

37. When doing a culturally related assessment, which areas do you need to explore? Select all that apply:

Space and time

Religious beliefs and health practices

Social organizations

Biologic variations

Consumer preferences

p. 162

Explanation

p. 162

Submit

38. Match the following cultural concepts on the left with its specific definition on the right

Culture

Society

Subculture

Stereotype

Ethnic stereotype

Ethnocentrism

Mores

pages 158-159

Explanation

pages 158-159

Submit

39. Eye contact also has significant cultural interpretations. Match the group of people on the left with their unique sense of eye contact on the right

People in the United States

Some Asian cultures and American Indians

East Indian cultures

Some Appalachian people

p. 163

Explanation

p. 163

Submit

40. A student asks her instructor, "Why is it that Chinese-Americans do not grieve for their dying father". The instructor will respond based on the knowledge that the student nurse is somewhat....

Subculturally oriented

Stereotyping

Ethnocentric

Racist

p. 178, number 6

Explanation

p. 178, number 6

41. Orthodox Judaism mandates that their food be Kosher. Which of the following statements support this law? Select all that apply

No mixing of milk and meat at a meal

No consumption of food or any derivative thereof from animals that are not slaughtered according to their law.

Utensils for milk and milk products should be separated

During Yom Kippur (a day of atonement), fasting from sunset to sunrise is required

p. 165 - During Yom Kippur, a Day of atonement, a 24-hour fast is required

Explanation

p. 165 - During Yom Kippur, a Day of atonement, a 24-hour fast is required

Submit

42. Match a practice on the left with a cultural health belief system that it belongs

Health is the absence of disease or signs and symptoms of disease

This system classifies diseases as natural or unnatural; God made or man made.

holistic health belief system

Alternative or complementary belief system

p. 171

Explanation

p. 171

Submit

43. Silence may mean different things for different people . Match the group of people on the left with the meaning of silence for them on the right

American Indian, Chinese, Japanese culture

Russians, French and Spanish

Asian cultures

Mexicans

p. 163

Explanation

p. 163

Submit

44. A woman is considered to be in a ritual state of impurity whenever blood is coming from her uterus, such as menstruation or after the birth of a child. At this time, the husband will have not physical contact with her. Nurses need to be aware of this practice because the husband will not touch the wife. He cannot assist her in moving her to bed, so the nurse will have to do this alone. A man in this group will not touch any other woman except his wife, his daughters and mother. Home health care workers need to know this.

Eastern Orthodox

Reform Jews

Orthodox Judaism

Roman Catholic

p. 165

Explanation

p. 165

45. Death rites vary according to cultural beliefs, ethnic origin and religion. Match the specific group on the left with a unique belief about death on the right.

Mexican Americans

African Amercans

Chinese Americans

Moslem Americans

American Indians

p. 177

Explanation

p. 177

Submit

46. Based on cultural factors, there are certain nursing diagnoses that are particularly problematic. What are they? Select all that apply:

Deficient knowledge

Impaired verbal communication

Ineffective health maintenance

Disturbed sensory perception

Noncompliance

p. 172

Explanation

p. 172

Submit

47. The measurement of time and the rhythms of people's activities and interactions often have different meanings in various cultures. Match the group of people on the left with their perception of time on the right

Northern Europeans, Japanese Americans

Eastern cultures: Chinese, East Indian Hindu, Filipino and Korean

Mexican Americans

Hispanics and American Indians

p. 164

Explanation

p. 164

Submit

48. Which of the following groups would most likely follow a holistic belief system in caring for their health? Select all that apply

Contemporary Caucasians

Malaysians

People from Kuwait

Algonquins

Fourth generation African Americans

p. 174

Explanation

p. 174

Submit

49. Which groups will have family members take turns staying with a dying person? Select all that apply:

Mexican Americans

African Americans

Chinese Americans

Moslem Americans

Native Americans

p. 177

Explanation

p. 177

Submit

50. Which groups have a high incidence of lactose intolerance? Select all that apply:

Mexican Americans

African Americans

Chinese Americans

Moslem Americans

Native Americans

p. 176

Explanation

p. 176

Submit

Be A Better Socialite - Cultural and Ethnic Considerations

1. A female patient from Saudi Arabia wearing a Hijab was told to take of her clothes and change to a hospital gown for a physical examination. The patient became upset and refused to do so. The nurse allowed her to remain in her own clothes. Why?

2.

What first name or nickname would you like us to use?

2. Both Moslems and Jewish normally do not eat pork. The reason is basically.

3. A nurse assigned to a Moslem patient from the Philippines found her patient kneeling on the ground, facing the sun, with his face on the floor. What should she do next?

4. When you think that your beliefs and practices are superior and better than other cultures, what do you call this?

5. An African-American nurse was assigned to care for a new 86-year old male resident. When she enters his room, he shouts racial slurs. What would be a proper response?

6. A preconceived idea that all members of a particular group posses the same attributes is known as ____________________.

7. Which of these groups eat rice with almost every meal. Traditionally, a woman who just gave birth from this group does not see her child for the next 12 to 24 hours.

9. _____________nursing is practiced when the nurse consistently attempt to apply knowledge about culture to all aspects of care

10. A Mexican American is pregnant with her second child. During the interview, the patient states that she never drinks milk. What could be a cultural reason for this?

11. Four basic concepts of health beliefs. Select all that apply:

12. When the nurse is aware of her own cultural beliefs, the beliefs and practices of other cultures, and has the ability to interact effectively with individuals from other cultures, the nurse is said to be:

13. What do you need to achieve cultural competence? Select all that apply:

14. When caring for a patient who speaks a foreign language, it would be incorrect of the nurse to use impaired verbal communication as a nursing diagnosis because:

15. Which of the following cannot be a part TRANSCULTURAL NURSING?

18. When a patient who just arrived from Honduras comes to a clinic, she asks the nurse to allow her 10-year old son to remain with her in the examining room. What should the nurse do?

19. A group of people who share biological physical characteristics and hereditary traits.

20. A nurse was assigned to work with a family who lives at Pilsen, a Hispanic neighborhood in the suburbs of Chicago. What is the best way to learn about their culture?

21. The nurse is planning to do a cultural assessment of a patient who just migrated from Singapore a year ago. It would be best if the nurse

22. Which of the following are allowed in a Moslem diet? Select all that apply:

23. In Western cultures, what is the distance between people that can be considered comfortable in a casual or public setting during a conversation?

24. Prohibits birth control except for abstinence and natural family planning methods. Sterilization is prohibited unless there is an overriding medical reason

25. For Orthodox Jews, when are products with unleavened bread not allowed?

26. A patient tells the nurse instructor that he is sick because the natural balance of his body was upset when he entered PCCTI. He sniffs dried papaya leaves before he takes exams to make his mind clear. What is his possible health belief system?

27. Which of the following statements about cultural competence is not true?

28. Babies are named by the father 8 days after birth when traditional circumcision (may be postponed when in bad health) done. A mohel performs the circumcision. Female babies are named during the reading of the Torah. Nurses need to be sensitive when caring for babies who have not yet been named.

29. Which of the following statements about cultural behavior is NOT TRUE?

30. According to biological variations, there are certain diseases which tend to be more prevalent among a certain group. Match the group on the left with a corresponding disease that the group is more inclined to have

31. You are aware of your own cultural beliefs and practices and how they relate to those of others, which will be different

32. Refers to a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biologic characteristics. They often share social practices such as language, religion, dress, music and food.

33. Match the health belief system on the left with a brief characteristic on the right

34. A concept of time implying that it is possible to recover future activities but not present ones

35. Variations within a cultural group that causes differences. Select all that apply

36. Common characteristics of culture. Select all that apply

37. When doing a culturally related assessment, which areas do you need to explore? Select all that apply:

38. Match the following cultural concepts on the left with its specific definition on the right

39. Eye contact also has significant cultural interpretations. Match the group of people on the left with their unique sense of eye contact on the right

40. A student asks her instructor, "Why is it that Chinese-Americans do not grieve for their dying father". The instructor will respond based on the knowledge that the student nurse is somewhat....

41. Orthodox Judaism mandates that their food be Kosher. Which of the following statements support this law? Select all that apply

42. Match a practice on the left with a cultural health belief system that it belongs

43. Silence may mean different things for different people . Match the group of people on the left with the meaning of silence for them on the right

45. Death rites vary according to cultural beliefs, ethnic origin and religion. Match the specific group on the left with a unique belief about death on the right.

46. Based on cultural factors, there are certain nursing diagnoses that are particularly problematic. What are they? Select all that apply:

47. The measurement of time and the rhythms of people's activities and interactions often have different meanings in various cultures. Match the group of people on the left with their perception of time on the right

48. Which of the following groups would most likely follow a holistic belief system in caring for their health? Select all that apply

49. Which groups will have family members take turns staying with a dying person? Select all that apply:

50. Which groups have a high incidence of lactose intolerance? Select all that apply: