NCLEX FUNDAMENTALS OF NURSING
Culture and Ethnicity Exam Questions
With All Correct Answers Rated A+
Despite significant improvements in the overall health status of the U.S. population over
the past few decades, disparities among ethnic and racial minorities have
a. Decreased as education levels equal those of non-Hispanic whites.
b. Disappeared in relation to non-Hispanic white populations.
c. Remained a serious challenge locally and nationally.
d. Decreased faster than anticipated. - Answer- ANS: C
Despite significant improvements in the overall health status of the U.S. population over
the past few decades, the persistence of disparities in health status among ethnic and
racial minorities continues to be a serious local and national challenge. Hispanics,
African Americans, and some Asian subgroups are less likely than non-Hispanic whites
to have a high school education and often experience poorer access to care and lower
quality of preventive, primary, and specialty care.
Eliminating disparities in the health status of people from diverse racial, ethnic, and
cultural backgrounds has become one of the two most important priorities of Healthy
People 2020 because populations with health disparities have
a. Increased incidence of disease.
b. Lower levels of morbidity.
c. Lower mortality rates.
d. Decreased incidence of disease. - Answer- ANS: A
Populations with health disparities have a significantly increased incidence of disease or
increased morbidity and mortality when compared with the general population
According to the Office of Minority Health (OMH), the thoughts, communications,
actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social
groups are known as
a. Culture.
b. Subculture.
c. Ethnicity.
d. Cultural backlash. - Answer- ANS: A
The OMH describes culture as the thoughts, communications, actions, customs, beliefs,
values, and institutions of racial, ethnic, religious, or social groups. Subcultures
represent various ethnic, religious, and other groups with distinct characteristics from
the dominant culture. Ethnicity refers to a shared identity related to social and cultural
heritage such as values, language, geographical space, and racial characteristics.
Cultural backlash occurs when an individual rejects a new culture because experience
with a new or different culture is extremely negative.
, When asked to describe the differences between ethnicity and race, what should the
student nurse explain?
a. Ethnicity refers to a shared identity, whereas race is limited to biological attributes.
b. Ethnicity and race are actually the same and are based in cultural norms.
c. Ethnicity can be understood only through an ethic worldview.
d. Race refers to a shared identity, whereas ethnicity is limited to biological attributes. -
Answer- ANS: A
Ethnicity refers to a shared identity related to social and cultural heritage such as
values, language, geographical space, and racial characteristics. Ethnicity is different
from race, which is limited to the common biological attributes shared by a group such
as skin color or blood type. In any intercultural encounter, there is an insider or native
perspective (ethic worldview) and an outsider's perspective (ethic worldview). Ethnicity
is best understood by those who are a part of that ethnicity and have an "emic"
worldview.
Care that includes the nurse learning about cultural issues involved in the patient's
health care belief system and enable patients and families to achieve meaningful and
supportive care is known as
a. Ethnocentrism.
b. Culturally competent care.
c. Cultural imposition.
d. Culturally congruent care. - Answer- ANS: B
The goal of transcultural nursing is culturally congruent care, or care that fits the
person's valued life patterns and set of meanings. Culturally competent care reflects the
ability of a nurse to bridge cultural gaps in caring and enables patients and families to
achieve meaningful and supportive caring. It is a step toward reaching culturally
congruent care. Ethnocentrism is a tendency to hold one's own way of life as superior to
those of others. It is the cause of biases and prejudices. Cultural imposition is the use of
one's own values and lifestyles as the absolute guide in dealing with patients and
interpreting behaviors.
The nurse is caring for a Native American who has had recent surgery. In the patient's
culture, it is a sign of weakness to complain of pain. In the nurse's culture, people who
are having pain ask for pain medicine. The nurse has assumed that the patient has not
been having pain and does not need medication because he has not complained of
pain. What is the nurse doing?
a. Utilizing cultural imposition by not asking the patient about his pain
b. Striving to provide culturally congruent care by allowing the patient to suffer
c. Operating from an emic worldview of the patient's cultural beliefs
d. Practicing discrimination by not giving the patient pain medicine - Answer- ANS: A
Health care practitioners who have cultural ignorance or cultural blindness about
differences generally resort to cultural imposition and use their own values and lifestyles
as the absolute guide in dealing with patients and interpreting their behaviors. Culturally
competent care is the care provided by the nurse who attempts to bridge cultural gaps
in caring, work with cultural differences, and enable patients and families to achieve
meaningful and supportive caring. The nurse in this case has not been able to do this.
Culture and Ethnicity Exam Questions
With All Correct Answers Rated A+
Despite significant improvements in the overall health status of the U.S. population over
the past few decades, disparities among ethnic and racial minorities have
a. Decreased as education levels equal those of non-Hispanic whites.
b. Disappeared in relation to non-Hispanic white populations.
c. Remained a serious challenge locally and nationally.
d. Decreased faster than anticipated. - Answer- ANS: C
Despite significant improvements in the overall health status of the U.S. population over
the past few decades, the persistence of disparities in health status among ethnic and
racial minorities continues to be a serious local and national challenge. Hispanics,
African Americans, and some Asian subgroups are less likely than non-Hispanic whites
to have a high school education and often experience poorer access to care and lower
quality of preventive, primary, and specialty care.
Eliminating disparities in the health status of people from diverse racial, ethnic, and
cultural backgrounds has become one of the two most important priorities of Healthy
People 2020 because populations with health disparities have
a. Increased incidence of disease.
b. Lower levels of morbidity.
c. Lower mortality rates.
d. Decreased incidence of disease. - Answer- ANS: A
Populations with health disparities have a significantly increased incidence of disease or
increased morbidity and mortality when compared with the general population
According to the Office of Minority Health (OMH), the thoughts, communications,
actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social
groups are known as
a. Culture.
b. Subculture.
c. Ethnicity.
d. Cultural backlash. - Answer- ANS: A
The OMH describes culture as the thoughts, communications, actions, customs, beliefs,
values, and institutions of racial, ethnic, religious, or social groups. Subcultures
represent various ethnic, religious, and other groups with distinct characteristics from
the dominant culture. Ethnicity refers to a shared identity related to social and cultural
heritage such as values, language, geographical space, and racial characteristics.
Cultural backlash occurs when an individual rejects a new culture because experience
with a new or different culture is extremely negative.
, When asked to describe the differences between ethnicity and race, what should the
student nurse explain?
a. Ethnicity refers to a shared identity, whereas race is limited to biological attributes.
b. Ethnicity and race are actually the same and are based in cultural norms.
c. Ethnicity can be understood only through an ethic worldview.
d. Race refers to a shared identity, whereas ethnicity is limited to biological attributes. -
Answer- ANS: A
Ethnicity refers to a shared identity related to social and cultural heritage such as
values, language, geographical space, and racial characteristics. Ethnicity is different
from race, which is limited to the common biological attributes shared by a group such
as skin color or blood type. In any intercultural encounter, there is an insider or native
perspective (ethic worldview) and an outsider's perspective (ethic worldview). Ethnicity
is best understood by those who are a part of that ethnicity and have an "emic"
worldview.
Care that includes the nurse learning about cultural issues involved in the patient's
health care belief system and enable patients and families to achieve meaningful and
supportive care is known as
a. Ethnocentrism.
b. Culturally competent care.
c. Cultural imposition.
d. Culturally congruent care. - Answer- ANS: B
The goal of transcultural nursing is culturally congruent care, or care that fits the
person's valued life patterns and set of meanings. Culturally competent care reflects the
ability of a nurse to bridge cultural gaps in caring and enables patients and families to
achieve meaningful and supportive caring. It is a step toward reaching culturally
congruent care. Ethnocentrism is a tendency to hold one's own way of life as superior to
those of others. It is the cause of biases and prejudices. Cultural imposition is the use of
one's own values and lifestyles as the absolute guide in dealing with patients and
interpreting behaviors.
The nurse is caring for a Native American who has had recent surgery. In the patient's
culture, it is a sign of weakness to complain of pain. In the nurse's culture, people who
are having pain ask for pain medicine. The nurse has assumed that the patient has not
been having pain and does not need medication because he has not complained of
pain. What is the nurse doing?
a. Utilizing cultural imposition by not asking the patient about his pain
b. Striving to provide culturally congruent care by allowing the patient to suffer
c. Operating from an emic worldview of the patient's cultural beliefs
d. Practicing discrimination by not giving the patient pain medicine - Answer- ANS: A
Health care practitioners who have cultural ignorance or cultural blindness about
differences generally resort to cultural imposition and use their own values and lifestyles
as the absolute guide in dealing with patients and interpreting their behaviors. Culturally
competent care is the care provided by the nurse who attempts to bridge cultural gaps
in caring, work with cultural differences, and enable patients and families to achieve
meaningful and supportive caring. The nurse in this case has not been able to do this.
