Nokea
Which cultural group would most likely consider the direct eye contact impolite?
- A. African Americans
- B. Hispanics
- C. Canadians
- D. Native Americans
Correct Answer: D
Rationale: Eye contact is a culturally determined behavior. Although most nurses have been taught to maintain eye contact when speaking with patients, some people from certain cultural backgrounds may interpret this behavior differently. For example, some Asians, Native Americans, Indo-Chinese, Arabs, and Appalachians may consider direct eye contact impolite or aggressive, and they may avert their own eyes when talking with nurses and others whom they perceive to be in positions of authority.
You may also like to solve these questions
How can this goal be best accomplished?
- A. By offering multicultural health studies in nursing curricula
- B. By enhancing the content of community nursing classes
- C. By requiring students to care primarily for patients from other ethnic groups
- D. By screening applicants according to their cultural competence
Correct Answer: A
Rationale: Nursing programs are exploring creative ways to promote cultural competence and humanistic care in nursing students, including offering multicultural health studies in their curricula. Enhancing the content of community nursing classes would not necessarily achieve this goal. Matching students to patients from other cultures is often impractical and applicants are not screened by their cultural competence.
What would you include in your assessment? Select all that apply.
- A. Family structure
- B. Subgroups
- C. Cultural beliefs
- D. Health practices
- E. Values
Correct Answer: A,C,D,E
Rationale: Cultural nursing assessment refers to a systematic appraisal or examination of individuals, families, groups, and communities in terms of their cultural beliefs, values, and practices. Subgroups are not a specific focus of this assessment.
Which of the following policies are congruent with the principles of culturally competent nursing care? Mark all that apply.
- A. A policy that outlines the appropriate use of translation services
- B. A policy guiding staff in the care of patients with different values
- C. A policy that requires staff from different cultures on each unit
- D. A policy that establishes flexible regulations pertaining to visitors
- E. A policy that gives priority to patients born outside the United States
Correct Answer: A,B,D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors (number, frequency, and length of visits), provide translation services for nonEnglish-speaking patients, and train staff to provide care for patients with different cultural values. Cultural competence does not depend on culturally diverse staff on every unit and it does not necessarily prioritize the interests of individuals born outside the country.
When explaining the concept of transcultural nursing to uninitiated nurses, how should the team members describe it?
- A. Transcultural nursing is the comparative analysis of the health benefits and risks of recognizable ethnic groups.
- B. Transcultural nursing refers to research-focused practice that focuses on patient-centered, culturally competent nursing.
- C. Transcultural nursing refers to a systematic and evidence-based effort to improve health outcomes in patients born outside the United States.
- D. Transcultural nursing is a term used to describe interventions that seek to address language barriers in nursing practice.
Correct Answer: B
Rationale: Transcultural nursing, a term sometimes used interchangeably with cross-cultural, intercultural, or multicultural nursing, refers to research-focused practice that focuses on patient-centered, culturally competent nursing. It is not limited to language barriers and foreign-born patients. It does not focus solely on health risks and benefits in ethnic groups.
The nurses behavior is an example of what?
- A. Acculturation
- B. Cultural blindness
- C. Cultural imposition
- D. Cultural taboos
Correct Answer: C
Rationale: The nurses behavior is an example of cultural imposition, defined as the tendency to impose ones cultural beliefs, values, and patterns of behavior on a person from a different culture. Acculturation is the process by which members of a cultural group adapt to or learn how to take on the behaviors of another group. Cultural blindness is the inability of people to recognize their own values, beliefs, and practices and those of others because of strong ethnocentric tendencies. Cultural taboos are activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group.