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A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic patients. What does this statement imply about the nurse?
- A. The nurses knowledge and skills are not adequate to care for patients with acute illnesses.
- B. The nurse respects and values providing culturally competent care.
- C. The nurse is attempting to overcome cultural blindness.
- D. This employment makes the nurse feel superior to a minority group of people.
Correct Answer: B
Rationale: Enjoying work with a specific cultural group suggests the nurse values culturally competent care.
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Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives. He is taken to the ER following a fall at work and is admitted to the hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at risk for?
- A. cultural assimilation
- B. cultural shock
- C. cultural imposition
- D. cultural blindness
Correct Answer: B
Rationale: Mr. Perez, as an immigrant in a new environment, is at risk for cultural shock, which involves psychological discomfort due to unfamiliar cultural settings.
A nurse is caring for an Appalachian patient following her hysterectomy. Which of the following Appalachian values and beliefs should be considered when planning nursing care for this patient? Select all that apply.
- A. Isolation is considered as a way of life.
- B. Dependence and self-determination are valued.
- C. Balance is more important than compliance with healthcare issues.
- D. They may be fatalistic about losses and deaths.
- E. They may have a deep respect for nature and the environment.
- F. Death is seen as a part of life and not feared.
Correct Answer: A,B,D,F
Rationale: Appalachian values include isolation (A), self-determination (B), fatalism about loss (D), and acceptance of death (F). Balance (C) is not a noted value, and nature respect (E) is misstated.
Which of the following are considered cultural norms of the healthcare system? Select all that apply.
- A. inability to define health and illness
- B. frequent use of jargon and documentation
- C. professional deference to pecking order
- D. use of a problem-solving methodology
- E. belief in the fallibility of technology
- F. use of certain procedures for birth and death
Correct Answer: B,C,D,F
Rationale: Healthcare norms include jargon/documentation (B), hierarchical deference (C), problem-solving approaches (D), and specific procedures for birth/death (F). Defining health/illness (A) is possible, and technology is generally trusted (E).
How is culture learned by each new generation?
- A. ethnic heritage
- B. involvement in religious activities
- C. formal and informal experiences
- D. belonging to a subculture
Correct Answer: C
Rationale: Culture is learned through formal (e.g., education) and informal (e.g., family, social interactions) experiences, which shape individuals' understanding of cultural norms and values.
What is one way in which nurses can develop cultural self-awareness?
- A. Ask peers and colleagues about practicing cultural competence.
- B. Objectively examine own beliefs, values, and practices.
- C. Realize nothing can be done to change ones values and beliefs.
- D. Assert to others that personal biases cannot be changed.
Correct Answer: B
Rationale: Self-awareness is a key method for developing cultural competence by reflecting on one's own cultural influences.