A nurse caring for patients in a culturally diverse neighborhood knows that culture affects the nurses interactions with patients. Which of the following is a characteristic of culture? Select all that apply.
- A. Culture guides what is acceptable behavior for people in a specific group.
- B. Modeling behavior is the primary means of transmitting culture.
- C. Culture is generally not affected by the groups social and physical environment.
- D. Cultural practices and beliefs mainly remain constant as long as they satisfy a groups needs.
- E. Culture influences the way people of a group view themselves, have expectations, and behave.
- F. Because of individual influences, there are differences both within and among cultures.
Correct Answer: A,D,E,F
Rationale: Culture guides behavior (A), remains stable if needs are met (D), influences self-perception and behavior (E), and varies within and among groups (F). Modeling (B) is not the primary means, and culture is affected by environment (C).
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In which of the following populations should the nurse carefully assess the patients use of over-the-counter medications?
- A. African American
- B. Hispanic
- C. White middle class
- D. Asian
Correct Answer: C
Rationale: White middle-class patients may have greater access to over-the-counter medications and should be assessed for their use to prevent adverse effects.
A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?
- A. unemployed father
- B. stay-at-home mother
- C. grandmother
- D. children
Correct Answer: D
Rationale: Children typically learn new languages faster due to their exposure in school and cognitive adaptability.
Which of the following statements is true of cultural assimilation?
- A. Mutual cultural assimilation occurs when characteristics from two groups are traded.
- B. Cultural assimilation is the integration of a majority group with a minority group.
- C. Moving to a different culture may result in psychological discomfort.
- D. Cultural assimilation is identifying with a collective cultural group, primarily based on common heritage.
Correct Answer: A
Rationale: Mutual cultural assimilation involves exchanging characteristics between groups. Option B is incorrect as assimilation typically involves a minority adopting majority traits. Option C refers to culture shock, and D describes cultural identity.
Which of the following statements accurately describe cultural factors that may influence healthcare? Select all that apply.
- A. Nurses and patients generally agree upon the health practices that are being instituted.
- B. Certain racial and ethnic groups are more prone to developing specific diseases and conditions.
- C. Although pain affects people differently, most people react to pain in the same manner.
- D. Most mental health norms are based on research and observations made of white, middle-class people.
- E. In many cultures, the man is the dominant figure and generally makes decisions for all family members.
- F. When people move to the United States, they may speak their own language fluently but have difficulty speaking English.
Correct Answer: B,D,E,F
Rationale: Certain groups have higher disease risks (B), mental health norms are often based on white, middle-class standards (D), patriarchal decision-making is common in some cultures (E), and language barriers exist for immigrants (F). Agreement on practices (A) is not universal, and pain responses vary (C).
A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
- A. The patient is embarrassed by the questions.
- B. This is culturally appropriate behavior.
- C. The patient dislikes the nurse.
- D. The patient does not understand what is being asked.
Correct Answer: B
Rationale: In some Hispanic cultures, avoiding eye contact is a sign of respect, not embarrassment or misunderstanding.
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