Chapter 10: Cultural Competency and Social Issues in Nursing and Health Care Cherry:
Contemporary Nursing: Issues, Trends, and Management, 9th Edition
MULTIPLE CHOICE
1. A priority action for thenurse who works with culturally diverse clients to complete initially is
completion of additional form of support? a. A sign language course
b. Cultural self-assessment
c. Cultural client assessment
d. A conversational Spanish course
ANS: B
The first step to becoming a culturally sensitive and competent health care provider is to
conduct a cultural self-assessment. Through identification of health-related attitudes, values,
beliefs, and practices, thenurse can better understand thecultural aspects of health care from
theclient‘s perspective.
DIF:Application
2. A nurse is caring for a recent Asian immigrant client and is overheard making thefollowing
comment, ―These rituals you believe in are false. You live in America now and must believe
in realistic health practices, like Americans do.‖ thenurse is exhibiting behavior associated with
what belief? a. Stereotyping
b. Ethnocentrism
c. Cultural accommodation
d. Empathy
ANS: B
Ethnocentrism is thebelief that one‘s own ethnic group, culture, or nation is best.
DIF:Comprehension
3. A nurse is submitting a grant application to improve access to health care and mortality for
minority groups. thegrant focuses on thesix causes of death that are identified as priorities for
minorities, which include what medical diagnosis?
a. Chronic obstructive pulmonary disease (COPD)
b. Malnutrition
c. Cirrhosis of theliver
d. Breast cancer
ANS: D
, Cancer is identified as a leading cause of excessive death among minority group members.
thesix leading causes are cancer, cardiovascular disease and stroke, chemical dependency,
diabetes, homicides/accidents, and infant mortality.
DIF:Comprehension
4. A nurse is given a referral to make a home visit to a Russian immigrant. thenurse knows very
little about thehealth beliefs of this ethnic group. To research this group, what term should
thenurse use in an Internet search?
a. Federally recognized minorities
b. Marginalized populations
c. Asian/Pacific Islander cultures
d. Latino cultures
ANS: B
Marginalized populations include recently arrived immigrants. Their lives and health care
needs are often kept secret and are understood only by them.
DIF:Application
5. Which statement is true regarding health care for minorities?
a. Federal legislation that provides free health insurance for minorities has resulted in
fewer minorities than members of thegeneral population who lack health
insurance.
b. Higher costs of health care coupled with lower wages for minorities have
prevented most minorities from seeking health care.
c. Because many Mexican Americans are highly skilled workers with comparable
wages, they have thelowest uninsured rate.
d. Asians, because of their quiet demeanor and unwillingness to challenge thehealth
care system, have thehighest rate of uninsured people.
ANS: B
Most families with racially or ethnically diverse backgrounds have a lower socioeconomic
status than is observed in thepopulation at large. Dramatic changes in technology and
specialization in thehealth care field have caused health care costs to skyrocket. Therefore,
not everyone can afford health care services.
Contemporary Nursing: Issues, Trends, and Management, 9th Edition
MULTIPLE CHOICE
1. A priority action for thenurse who works with culturally diverse clients to complete initially is
completion of additional form of support? a. A sign language course
b. Cultural self-assessment
c. Cultural client assessment
d. A conversational Spanish course
ANS: B
The first step to becoming a culturally sensitive and competent health care provider is to
conduct a cultural self-assessment. Through identification of health-related attitudes, values,
beliefs, and practices, thenurse can better understand thecultural aspects of health care from
theclient‘s perspective.
DIF:Application
2. A nurse is caring for a recent Asian immigrant client and is overheard making thefollowing
comment, ―These rituals you believe in are false. You live in America now and must believe
in realistic health practices, like Americans do.‖ thenurse is exhibiting behavior associated with
what belief? a. Stereotyping
b. Ethnocentrism
c. Cultural accommodation
d. Empathy
ANS: B
Ethnocentrism is thebelief that one‘s own ethnic group, culture, or nation is best.
DIF:Comprehension
3. A nurse is submitting a grant application to improve access to health care and mortality for
minority groups. thegrant focuses on thesix causes of death that are identified as priorities for
minorities, which include what medical diagnosis?
a. Chronic obstructive pulmonary disease (COPD)
b. Malnutrition
c. Cirrhosis of theliver
d. Breast cancer
ANS: D
, Cancer is identified as a leading cause of excessive death among minority group members.
thesix leading causes are cancer, cardiovascular disease and stroke, chemical dependency,
diabetes, homicides/accidents, and infant mortality.
DIF:Comprehension
4. A nurse is given a referral to make a home visit to a Russian immigrant. thenurse knows very
little about thehealth beliefs of this ethnic group. To research this group, what term should
thenurse use in an Internet search?
a. Federally recognized minorities
b. Marginalized populations
c. Asian/Pacific Islander cultures
d. Latino cultures
ANS: B
Marginalized populations include recently arrived immigrants. Their lives and health care
needs are often kept secret and are understood only by them.
DIF:Application
5. Which statement is true regarding health care for minorities?
a. Federal legislation that provides free health insurance for minorities has resulted in
fewer minorities than members of thegeneral population who lack health
insurance.
b. Higher costs of health care coupled with lower wages for minorities have
prevented most minorities from seeking health care.
c. Because many Mexican Americans are highly skilled workers with comparable
wages, they have thelowest uninsured rate.
d. Asians, because of their quiet demeanor and unwillingness to challenge thehealth
care system, have thehighest rate of uninsured people.
ANS: B
Most families with racially or ethnically diverse backgrounds have a lower socioeconomic
status than is observed in thepopulation at large. Dramatic changes in technology and
specialization in thehealth care field have caused health care costs to skyrocket. Therefore,
not everyone can afford health care services.
