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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.
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A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and head covering. A 50-year-old patient tells the nurse, They are in America and should dress like we do. What is this statement an example of?
- A. cultural assimilation
- B. cultural blindness
- C. cultural conflict
- D. cultural imposition
Correct Answer: D
Rationale: The patient's statement reflects cultural imposition, which is the belief that one's own cultural norms should be adopted by others.
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.
A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other patients on the floor. This nurse is displaying the feelings associated with:
- A. culture conflict
- B. cultural blindness
- C. stereotyping
- D. cultural shock
Correct Answer: A
Rationale: The nurse's dismissive attitude reflects culture conflict, which arises when differing cultural practices clash.
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).
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.