NRS 350 Exam 5 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is an illegal immigrant? - CORRECT ANSWER Not a citizen, but allowed to
both live and work in the US, known as a lawful permanent resident. They are able to get
medicare/medicaid because they are legal (green card holders).
What is a refugee? - CORRECT ANSWER Admitted outside the usual quota
restrictions, this is a person who has been forced to leave their country in order to escape war,
persecution due to their race, religion, social group, political views, or a natural disaster.
what is a nonimmigrant? - CORRECT ANSWER admitted to the US for a limited
duration and a specific purpose, but expected to leave, such as tourists, temporary workers,
students, and diplomats
Unauthorized immigrants - CORRECT ANSWER Also known as illegal aliens or
immigrants. They have crossed the border illegally or do not have legal permission. Not
eligible for health care insurance, only emergency medical services.
Culture - CORRECT ANSWER A set of beliefs, values, and assumptions about life
that are widely held among a group of people and are transmitted across generations.
Race - CORRECT ANSWER A biological designation whereby groups members share
features (e.g., skin color, bone structure, genetic traits such as blood groupings).
Ethnicity - CORRECT ANSWER A social division based on national origin, religion,
language, and often race. A shared feeling of peoplehood or togetherness amongst a group of
individuals.
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse
should include which factors as influenced by an individuals culture? (Select all)
A. Nutritional practice
B. Family structure
,C. Health care interactions
D. Biological variations
E. Views about illness - CORRECT ANSWER A, B, C, & E
Cultural Competence - CORRECT ANSWER Combo of culturally congruent
behaviors, practice attitudes and polices.
There are 4 principles:
-care is designed for the specific client
-care is based on the uniqueness of the persons values
-care includes self-employment strategies to facilitate client decision making
-care is provided with sensitivity and based on cultural uniqueness of the client
Why must a nurse be culturally competent? - CORRECT ANSWER 1. nurses culture
often is different from the client
2. Care that is not culturally competent may be more costly
3. Care that is not culturally competent may be ineffective
4. Specific objectives for persons of different cultures must be met as outlined in Healthy
people 2000
5. Racial and minority groups experience profound disparities in health and health care.
6. nursing is committed to social justice, providing safe quality care to all
7. Nurses are expected to respond to global infectious disease epidemics
8. Achieving cultural competence many take a lifetime, but it should be the ultimate goal
The principles and stages of developing cultural competence - CORRECT
ANSWER Two principles:
-maintain a board, objective and open attitude toward individuals and their culture.
-avoid seeing all individuals as the same.
3 stages:
-culturally incompetent
,-culturally sensitive
-culturally competent
Developing Cultural Competence - CORRECT ANSWER Three Dimensions of each
stage:
- Cognitive (thinking)
**incompetent: oblivious to differences
**sensitive: aware
**competent: knowledgeable
-Affective (feeling)
**incompetent: apathetic
**sensitive: sympathetic
**Competent: committed to change
-Psychomotor (doing)
**incompetent: unskilled
**sensitive: lacking skills
**competent: highly skilled
Developing Cultural Competence - CORRECT ANSWER Cultural awareness: self
exam, having awareness of the differences.
Cultural Knowledge: organizational elements of culture of ethnic groups, understanding
different groups.
Cultural Skill: taking the knowledge and integrating it. Appropriate touch, physical space, etc.
Cultural Encounter: seeking interactions so you can continue to build cultural competence.
, Cultural Desire: being motivated to not only learning it, but also integrating it.
(DEFINE) Developing Cultural Competence - CORRECT ANSWER Cultural
preservation: all about supporting and integrating the use of practice. Done as much as
possible.
-Ex: Acupressure & Acupuncture
Cultural accommodation: figuring out how you can take different cultural differences and
accommodate that into your nursing care.
-Ex: consider for practice of home burial of the placenta.
Cultural repatterning/restructuring: reordering or changing or modifying a practice
-Ex: a school nurse was invited to develop a health education program for Hispanic teenagers
in the local high school.
Cultural brokering: advocacy/negotiating for the clients that you are caring for.
-Ex: teach them about prevention, health maintenance, environmental sanitation & pesticides,
nutrition, because this may be one of the only opportunities the nurse may get to educate and
treat migrant workers.
A nurse wishes to develop cultural competence. Which of the following actions should the
nurse take first?
a. Complete a survey of all the various ethnicities represented in the nurse's community.
b. Consider how the nurse's own personal beliefs and decisions are reflective of his or her
culture.
c. Invite a family from another culture to join the nurse for an event.
d. Study the beliefs and traditions of persons living in other cultures. - CORRECT
ANSWER B
A nurse is caring for a client who is from a different culture than himself, When beginning
the cultural assessment, which actions should the nurse take first?
QUESTIONS AND CORRECT ANSWERS
What is an illegal immigrant? - CORRECT ANSWER Not a citizen, but allowed to
both live and work in the US, known as a lawful permanent resident. They are able to get
medicare/medicaid because they are legal (green card holders).
What is a refugee? - CORRECT ANSWER Admitted outside the usual quota
restrictions, this is a person who has been forced to leave their country in order to escape war,
persecution due to their race, religion, social group, political views, or a natural disaster.
what is a nonimmigrant? - CORRECT ANSWER admitted to the US for a limited
duration and a specific purpose, but expected to leave, such as tourists, temporary workers,
students, and diplomats
Unauthorized immigrants - CORRECT ANSWER Also known as illegal aliens or
immigrants. They have crossed the border illegally or do not have legal permission. Not
eligible for health care insurance, only emergency medical services.
Culture - CORRECT ANSWER A set of beliefs, values, and assumptions about life
that are widely held among a group of people and are transmitted across generations.
Race - CORRECT ANSWER A biological designation whereby groups members share
features (e.g., skin color, bone structure, genetic traits such as blood groupings).
Ethnicity - CORRECT ANSWER A social division based on national origin, religion,
language, and often race. A shared feeling of peoplehood or togetherness amongst a group of
individuals.
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse
should include which factors as influenced by an individuals culture? (Select all)
A. Nutritional practice
B. Family structure
,C. Health care interactions
D. Biological variations
E. Views about illness - CORRECT ANSWER A, B, C, & E
Cultural Competence - CORRECT ANSWER Combo of culturally congruent
behaviors, practice attitudes and polices.
There are 4 principles:
-care is designed for the specific client
-care is based on the uniqueness of the persons values
-care includes self-employment strategies to facilitate client decision making
-care is provided with sensitivity and based on cultural uniqueness of the client
Why must a nurse be culturally competent? - CORRECT ANSWER 1. nurses culture
often is different from the client
2. Care that is not culturally competent may be more costly
3. Care that is not culturally competent may be ineffective
4. Specific objectives for persons of different cultures must be met as outlined in Healthy
people 2000
5. Racial and minority groups experience profound disparities in health and health care.
6. nursing is committed to social justice, providing safe quality care to all
7. Nurses are expected to respond to global infectious disease epidemics
8. Achieving cultural competence many take a lifetime, but it should be the ultimate goal
The principles and stages of developing cultural competence - CORRECT
ANSWER Two principles:
-maintain a board, objective and open attitude toward individuals and their culture.
-avoid seeing all individuals as the same.
3 stages:
-culturally incompetent
,-culturally sensitive
-culturally competent
Developing Cultural Competence - CORRECT ANSWER Three Dimensions of each
stage:
- Cognitive (thinking)
**incompetent: oblivious to differences
**sensitive: aware
**competent: knowledgeable
-Affective (feeling)
**incompetent: apathetic
**sensitive: sympathetic
**Competent: committed to change
-Psychomotor (doing)
**incompetent: unskilled
**sensitive: lacking skills
**competent: highly skilled
Developing Cultural Competence - CORRECT ANSWER Cultural awareness: self
exam, having awareness of the differences.
Cultural Knowledge: organizational elements of culture of ethnic groups, understanding
different groups.
Cultural Skill: taking the knowledge and integrating it. Appropriate touch, physical space, etc.
Cultural Encounter: seeking interactions so you can continue to build cultural competence.
, Cultural Desire: being motivated to not only learning it, but also integrating it.
(DEFINE) Developing Cultural Competence - CORRECT ANSWER Cultural
preservation: all about supporting and integrating the use of practice. Done as much as
possible.
-Ex: Acupressure & Acupuncture
Cultural accommodation: figuring out how you can take different cultural differences and
accommodate that into your nursing care.
-Ex: consider for practice of home burial of the placenta.
Cultural repatterning/restructuring: reordering or changing or modifying a practice
-Ex: a school nurse was invited to develop a health education program for Hispanic teenagers
in the local high school.
Cultural brokering: advocacy/negotiating for the clients that you are caring for.
-Ex: teach them about prevention, health maintenance, environmental sanitation & pesticides,
nutrition, because this may be one of the only opportunities the nurse may get to educate and
treat migrant workers.
A nurse wishes to develop cultural competence. Which of the following actions should the
nurse take first?
a. Complete a survey of all the various ethnicities represented in the nurse's community.
b. Consider how the nurse's own personal beliefs and decisions are reflective of his or her
culture.
c. Invite a family from another culture to join the nurse for an event.
d. Study the beliefs and traditions of persons living in other cultures. - CORRECT
ANSWER B
A nurse is caring for a client who is from a different culture than himself, When beginning
the cultural assessment, which actions should the nurse take first?
