NUR 230 EXAM #3 CH. 11, 19, 21, 23, 24, 25 OBJECTIVES
QUESTIONS VERIFIED WITH CORRECT ANSWERS 2026
LATEST UPDATE
Signs of COPD - correct answers dyspnea, diminished breathing sounds, pursed lips, barrel
chest, chronic cough, emaciated (emphysema and bronchitis are included in COPD)
signs of pneumonia - correct answers Fever, increased sputum, purulent sputum, cough,
dyspnea, malaise, abnormal breath sounds
Spontaneous Pneumothorax - correct answers the rupture of a weakened area of the lung,
which allows air to escape into the pleural space
Chapter 11
1)Describe culture and its basic characteristics.
2)Explain how the interaction of culture, genetics, and environmental factors affect health
status.
3)Discuss how cultural competence in the role of the nurse is necessary to make accurate
assessments.
4)Describe your own tendency to stereotype and be ethnocentric.
5)Be aware of your own degree of cultural competence and ways to increase it.
6)Describe the parts of a cultural assessment.
7)Interview a client modifying your questions to be culturally sensitive.
,8)Complete an effective cultural assessment of a person from a different culture.
9)Recognize culture-based syndromes and the cultural groups most likely to accept them as
diseases.
10)Differentiate between skills needed for a general routine cultural screening versus skills
needed for a focused cultural assessment.
11)Analyze the data from the interview and assessment of a client's culture and form - correct
answers
1) Describe culture and its basic characteristics. - correct answers Culture is the "totality of
socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other
products of human work and thought characteristics of a population or people that guide their
worldview and decision making."
- Culture is a shared system of values, beliefs, and learned patterns of behavior
- Characteristics of Culture;
• learned from birth
• shared by others
• associated with adaptation to the environment
• universal
2) Explain how the interaction of culture, genetics, and environmental factors affect health
status.
CULTURE - correct answers Biomedical variations
Nutrition/dietary habits
Family roles and organization, patterns
Workforce issues
,High-risk behaviors
Pregnancy and childbirth practices
Death rituals
Religious and spiritual beliefs and practices
Health care practices
Health care practitioners
Environment
• Health care beliefs; a culturally competent nurse must understand the variation in beliefs
about causes of illness. Then it becomes fairly easy to understand what treatments will be
expected and from whom the treatments or care will be sought.
• Culture-bound syndromes are conditions that are perceived to exist in various cultures and
occur as a combination of psychiatric or psychological and physical symptoms.
• Culture-based treatments are often misinterpreted in Western health care settings, as they
frequently produce marks on the skin that are interpreted as evidence of abuse.
• Cultural variation concerning pregnancy and childbearing practices includes "sanctioned and
unsanctioned fertility practices; views toward pregnancy; and prescriptive, restrictive, and
taboo practices related to pregnancy, birthing, and the postpartum period"
• Different cultural views on pain, blood transfusion, organ transplants
2) Explain how the interaction of culture, genetics, and environmental factors affect health
status.
GENETICS - correct answers • Genes are identified increasingly as playing a role in most
diseases, even if only to increase or decrease a person's susceptibility to infectious or chronic
, diseases. Environment has also been proved to cause disease, but modern Western thought on
disease causation leans toward a mingling of genetics and environment.
• Asians and Native Americans have fewer functioning apocrine glands than do most Caucasians
and African Americans. The amount of sweating and body odor is directly related to the
function of apocrine glands, and has a genetic base. The odor is probably related to the
decomposition of lipids in the secretions. Prepubescent children, Asians, and Native Americans
have no or limited underarm sweat and body odor.
• difference in ear wax production between different ethnicities
• Lower extremity venous valves vary between Caucasians and African Blacks. African Blacks
have been noted to have fewer valves in the external iliac veins but many more valves lower in
the leg than do Caucasians.
• physical and motor development varies
• Drug metabolism differences, lactose intolerance, and malaria-related conditions—such as
sickle cell disease, thalassemia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and
Duffy blood group—are considered biochemical variations
2) Explain how the interaction of culture, genetics, and environmental factors affect health
status.
ENVIRONMENTAL - correct answers • Fair-skinned people, especially those with light eyes and
freckles, are at highest risk for developing skin cancers, although all people who are exposed to
high levels of intense sunlight are at risk. Because ozone depletion is a factor in skin cancer risk,
people living in Australia and southern Africa are at greater risk.
• cultural considerations that come into play are related to dependence on poorly maintained
automobiles or bicycles, lack of use of protective gear, inadequate and unsafe housing, and
QUESTIONS VERIFIED WITH CORRECT ANSWERS 2026
LATEST UPDATE
Signs of COPD - correct answers dyspnea, diminished breathing sounds, pursed lips, barrel
chest, chronic cough, emaciated (emphysema and bronchitis are included in COPD)
signs of pneumonia - correct answers Fever, increased sputum, purulent sputum, cough,
dyspnea, malaise, abnormal breath sounds
Spontaneous Pneumothorax - correct answers the rupture of a weakened area of the lung,
which allows air to escape into the pleural space
Chapter 11
1)Describe culture and its basic characteristics.
2)Explain how the interaction of culture, genetics, and environmental factors affect health
status.
3)Discuss how cultural competence in the role of the nurse is necessary to make accurate
assessments.
4)Describe your own tendency to stereotype and be ethnocentric.
5)Be aware of your own degree of cultural competence and ways to increase it.
6)Describe the parts of a cultural assessment.
7)Interview a client modifying your questions to be culturally sensitive.
,8)Complete an effective cultural assessment of a person from a different culture.
9)Recognize culture-based syndromes and the cultural groups most likely to accept them as
diseases.
10)Differentiate between skills needed for a general routine cultural screening versus skills
needed for a focused cultural assessment.
11)Analyze the data from the interview and assessment of a client's culture and form - correct
answers
1) Describe culture and its basic characteristics. - correct answers Culture is the "totality of
socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other
products of human work and thought characteristics of a population or people that guide their
worldview and decision making."
- Culture is a shared system of values, beliefs, and learned patterns of behavior
- Characteristics of Culture;
• learned from birth
• shared by others
• associated with adaptation to the environment
• universal
2) Explain how the interaction of culture, genetics, and environmental factors affect health
status.
CULTURE - correct answers Biomedical variations
Nutrition/dietary habits
Family roles and organization, patterns
Workforce issues
,High-risk behaviors
Pregnancy and childbirth practices
Death rituals
Religious and spiritual beliefs and practices
Health care practices
Health care practitioners
Environment
• Health care beliefs; a culturally competent nurse must understand the variation in beliefs
about causes of illness. Then it becomes fairly easy to understand what treatments will be
expected and from whom the treatments or care will be sought.
• Culture-bound syndromes are conditions that are perceived to exist in various cultures and
occur as a combination of psychiatric or psychological and physical symptoms.
• Culture-based treatments are often misinterpreted in Western health care settings, as they
frequently produce marks on the skin that are interpreted as evidence of abuse.
• Cultural variation concerning pregnancy and childbearing practices includes "sanctioned and
unsanctioned fertility practices; views toward pregnancy; and prescriptive, restrictive, and
taboo practices related to pregnancy, birthing, and the postpartum period"
• Different cultural views on pain, blood transfusion, organ transplants
2) Explain how the interaction of culture, genetics, and environmental factors affect health
status.
GENETICS - correct answers • Genes are identified increasingly as playing a role in most
diseases, even if only to increase or decrease a person's susceptibility to infectious or chronic
, diseases. Environment has also been proved to cause disease, but modern Western thought on
disease causation leans toward a mingling of genetics and environment.
• Asians and Native Americans have fewer functioning apocrine glands than do most Caucasians
and African Americans. The amount of sweating and body odor is directly related to the
function of apocrine glands, and has a genetic base. The odor is probably related to the
decomposition of lipids in the secretions. Prepubescent children, Asians, and Native Americans
have no or limited underarm sweat and body odor.
• difference in ear wax production between different ethnicities
• Lower extremity venous valves vary between Caucasians and African Blacks. African Blacks
have been noted to have fewer valves in the external iliac veins but many more valves lower in
the leg than do Caucasians.
• physical and motor development varies
• Drug metabolism differences, lactose intolerance, and malaria-related conditions—such as
sickle cell disease, thalassemia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and
Duffy blood group—are considered biochemical variations
2) Explain how the interaction of culture, genetics, and environmental factors affect health
status.
ENVIRONMENTAL - correct answers • Fair-skinned people, especially those with light eyes and
freckles, are at highest risk for developing skin cancers, although all people who are exposed to
high levels of intense sunlight are at risk. Because ozone depletion is a factor in skin cancer risk,
people living in Australia and southern Africa are at greater risk.
• cultural considerations that come into play are related to dependence on poorly maintained
automobiles or bicycles, lack of use of protective gear, inadequate and unsafe housing, and
