RN 402 Final Exam – Leadership Questions and Nursing Management Review
Guide
b. Wound management - correct answer ✔✔According to Leininger, "cultural imposition" is a
major concern in nursing because nurses have a tendency to impose their values, beliefs, and
practices on patients of other cultures. The discussion topic most likely to be without cultural
imposition would be:
a. Abortion.
b. Wound management.
c. Blood transfusion.
d. Advance directives.
c. Celebration of National Nurses Week with the focus on cultural care. - correct answer
✔✔Cultural diversity is the term used to describe a vast range of cultural differences. Events
have symbolic meanings for the nurse manager and the staff. The event that would be most
likely to provide symbolic meaning to a nurse manager and staff is a:
a. Task force formed to commemorate a New Year's celebration in the Western tradition.
b. Project to provide Christmas gifts to the children in a daycare program.
c. Celebration of National Nurses Week with the focus on cultural care.
d. Task force to develop a poster for the unit depicting religions of the world.
b. "What did you think when you learned she was Jamaican?" - correct answer ✔✔One of the
staff nurses on your unit makes the comment, "All this time I thought Mary was black. She says
she is Jamaican." The best response would be to say:
a. "Who cares what she is?"
b. "What did you think when you learned she was Jamaican?"
c. "Why did you assume she was black?"
d. "We have never had a Jamaican on this unit."
,d. Is stereotyping you without thinking?" - correct answer ✔✔As a nurse manager, you notice
that Maria, a Hispanic nurse aide, is visibly upset. When you ask her if something is wrong, she
becomes tearful and says, "Why is it that when John and I work together in giving patients care,
he jokes about my being "a little fat Mexican"? The nurse manager's best response is, "Do you
think he:
a. Is sensitive to your culture?"
b. Wants to learn more about you?"
c. Has been hurt and wants to hurt others?"
d. Is stereotyping you without thinking?"
d. Cultural sensitivity. - correct answer ✔✔The nurse manager of a unit is asked by a family
member of a dying Native American patient if it is possible to have the patient's eight-member
family recite the rosary by the bedside. The manager responds affirmatively. The nurse manager
is most likely exhibiting behavior related to:
a. Acculturation.
b. Ethnocentricity.
c. Cultural diversity.
d. Cultural sensitivity.
a. "How long have you been using acupuncture treatment?" - correct answer ✔✔A 66-year-old
native Chinese patient, hospitalized for a myocardial infarction, asks the nurse manager about
seeing his "acupuncture doctor" for treatment of his migraine headache. The best response to
this patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your migraines and treatment?"
d. "Have you tried nonprescription pain medication or been given a prescription drug for your
headaches?"
,c. Encourage conversation with patients and among staff that facilitates learning about cultural
beliefs and priorities in dying. - correct answer ✔✔Maintaining a culturally diverse staff and
working with a culturally diverse patient population is an important function of a nurse manager
who works in the hospital of a large medical center. On your palliative care unit, you have
recently received complaints from families about ineffective pain management for their family
members and you determine this occurs primarily when certain nurses are working. What
approach might you take to resolve the concerns of the families, patients, and potentially, the
staff?
a. Reinforce to staff that practice guidelines support as-needed analgesia for the terminally ill.
b. Ask staff input on the development of stricter guidelines to ensure that all terminally patients
are given sufficient analgesia.
c. Encourage conversation with patients and among staff that facilitates learning about cultural
beliefs and priorities in dying.
d. Advise families that the administration of analgesi
a. Behavior - correct answer ✔✔Because an increasing number of Hispanic patients are being
admitted, a nurse manager designs a staff-development program to help her staff understand
the Hispanic culture. A nurse should understand that culture is determined by which of the
following?
a. Behavior
b. Love for people
c. Shared vision
d. Genetic predisposition
a. Develops over time. - correct answer ✔✔The nurse manager for a unit's culturally diverse
staff creates a staff-development program so the professional nursing staff members can
enhance their understanding of cultures on the basis of published literature. The literature
reveals that the following characteristic is inherent in a culture. It:
a. Develops over time.
b. Maintains a strong work ethic.
c. Changes easily.
, d. Develops quickly.
a. Diabetes. - correct answer ✔✔In designing programs through your institution to address the
health needs of Hispanics in your community, you most likely would develop programs related
to:
a. Diabetes.
b. Cardiovascular disease.
c. Cancer.
d. Asthma.
b. The need to recognize diversity within groups. - correct answer ✔✔Within the deaf culture,
there is considerable disagreement about the use of SEE (Signed Exact English) and ASL
(American Sign Language). This is indicative of:
a. Dominant versus nondominant behaviors.
b. The need to recognize diversity within groups.
c. The impact of cross-culturalism.
d. How language separates subgroups.
d. Ethnicity - correct answer ✔✔When interviewing a candidate for a nursing position who has
an Aboriginal background, you recognize that the candidate's lack of eye contact reflects the
candidate's:
a. Lack of confidence.
b. Professional behavior.
c. Cultural sensitivity.
d. Ethnicity.
b. Cultural sensitivity. - correct answer ✔✔When interviewing a candidate for a nursing position
who has an Aboriginal background, you recognize that the candidate's lack of eye contact
reflects the candidate's cultural sensitivity. You are exhibiting:
Guide
b. Wound management - correct answer ✔✔According to Leininger, "cultural imposition" is a
major concern in nursing because nurses have a tendency to impose their values, beliefs, and
practices on patients of other cultures. The discussion topic most likely to be without cultural
imposition would be:
a. Abortion.
b. Wound management.
c. Blood transfusion.
d. Advance directives.
c. Celebration of National Nurses Week with the focus on cultural care. - correct answer
✔✔Cultural diversity is the term used to describe a vast range of cultural differences. Events
have symbolic meanings for the nurse manager and the staff. The event that would be most
likely to provide symbolic meaning to a nurse manager and staff is a:
a. Task force formed to commemorate a New Year's celebration in the Western tradition.
b. Project to provide Christmas gifts to the children in a daycare program.
c. Celebration of National Nurses Week with the focus on cultural care.
d. Task force to develop a poster for the unit depicting religions of the world.
b. "What did you think when you learned she was Jamaican?" - correct answer ✔✔One of the
staff nurses on your unit makes the comment, "All this time I thought Mary was black. She says
she is Jamaican." The best response would be to say:
a. "Who cares what she is?"
b. "What did you think when you learned she was Jamaican?"
c. "Why did you assume she was black?"
d. "We have never had a Jamaican on this unit."
,d. Is stereotyping you without thinking?" - correct answer ✔✔As a nurse manager, you notice
that Maria, a Hispanic nurse aide, is visibly upset. When you ask her if something is wrong, she
becomes tearful and says, "Why is it that when John and I work together in giving patients care,
he jokes about my being "a little fat Mexican"? The nurse manager's best response is, "Do you
think he:
a. Is sensitive to your culture?"
b. Wants to learn more about you?"
c. Has been hurt and wants to hurt others?"
d. Is stereotyping you without thinking?"
d. Cultural sensitivity. - correct answer ✔✔The nurse manager of a unit is asked by a family
member of a dying Native American patient if it is possible to have the patient's eight-member
family recite the rosary by the bedside. The manager responds affirmatively. The nurse manager
is most likely exhibiting behavior related to:
a. Acculturation.
b. Ethnocentricity.
c. Cultural diversity.
d. Cultural sensitivity.
a. "How long have you been using acupuncture treatment?" - correct answer ✔✔A 66-year-old
native Chinese patient, hospitalized for a myocardial infarction, asks the nurse manager about
seeing his "acupuncture doctor" for treatment of his migraine headache. The best response to
this patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your migraines and treatment?"
d. "Have you tried nonprescription pain medication or been given a prescription drug for your
headaches?"
,c. Encourage conversation with patients and among staff that facilitates learning about cultural
beliefs and priorities in dying. - correct answer ✔✔Maintaining a culturally diverse staff and
working with a culturally diverse patient population is an important function of a nurse manager
who works in the hospital of a large medical center. On your palliative care unit, you have
recently received complaints from families about ineffective pain management for their family
members and you determine this occurs primarily when certain nurses are working. What
approach might you take to resolve the concerns of the families, patients, and potentially, the
staff?
a. Reinforce to staff that practice guidelines support as-needed analgesia for the terminally ill.
b. Ask staff input on the development of stricter guidelines to ensure that all terminally patients
are given sufficient analgesia.
c. Encourage conversation with patients and among staff that facilitates learning about cultural
beliefs and priorities in dying.
d. Advise families that the administration of analgesi
a. Behavior - correct answer ✔✔Because an increasing number of Hispanic patients are being
admitted, a nurse manager designs a staff-development program to help her staff understand
the Hispanic culture. A nurse should understand that culture is determined by which of the
following?
a. Behavior
b. Love for people
c. Shared vision
d. Genetic predisposition
a. Develops over time. - correct answer ✔✔The nurse manager for a unit's culturally diverse
staff creates a staff-development program so the professional nursing staff members can
enhance their understanding of cultures on the basis of published literature. The literature
reveals that the following characteristic is inherent in a culture. It:
a. Develops over time.
b. Maintains a strong work ethic.
c. Changes easily.
, d. Develops quickly.
a. Diabetes. - correct answer ✔✔In designing programs through your institution to address the
health needs of Hispanics in your community, you most likely would develop programs related
to:
a. Diabetes.
b. Cardiovascular disease.
c. Cancer.
d. Asthma.
b. The need to recognize diversity within groups. - correct answer ✔✔Within the deaf culture,
there is considerable disagreement about the use of SEE (Signed Exact English) and ASL
(American Sign Language). This is indicative of:
a. Dominant versus nondominant behaviors.
b. The need to recognize diversity within groups.
c. The impact of cross-culturalism.
d. How language separates subgroups.
d. Ethnicity - correct answer ✔✔When interviewing a candidate for a nursing position who has
an Aboriginal background, you recognize that the candidate's lack of eye contact reflects the
candidate's:
a. Lack of confidence.
b. Professional behavior.
c. Cultural sensitivity.
d. Ethnicity.
b. Cultural sensitivity. - correct answer ✔✔When interviewing a candidate for a nursing position
who has an Aboriginal background, you recognize that the candidate's lack of eye contact
reflects the candidate's cultural sensitivity. You are exhibiting:
