1. While caring for a Native American client, the nurse notices that the client
does not make contact. Even when the nurse is providing education. The
nurse responds appropriately to the behavior by doing which of the
following?
*a. Being aware that eye contact may be culturally determined and adjusting
her teaching accordingly
b. Asking the client to look at the nurse during the education session
c. Assuming that perhaps some form of abuse may be the cause for this
behavior
d. asking a family member why the client avoids eye contact
2. The nurse is caring for a patient who speaks only Spanish. To facilitate
communication, which of the following is an appropriate action by the nurse?
*a. Follow the agency’s policies to obtain an interpreter
b. Obtain an order form the physician for an interpreter
c. Ask a relative of the patient to act as an interpreter
d. Find a Spanish-speaking employee to be the interpreter
3. The nurse is admitting an Asian-American patient to the medical-surgical
floor. When calling the dietary department, the nurse tells the dietitian that
all Asians eat rice. What attitude is the nurse displaying?
a. Ethnocentrism
b. Cultural sensitivity
c. Cultural humility
*d. Stereotyping
4. Which of the following concepts characterizes transcultural nursing?
a. Performing health-related activities restoring wellness
b. Acknowledging clients with the same skin have similar social situations
*c. Planning care compatible with the client’s health belief system
d. Influencing culture by specific conditions related to an environment
5. Which term refers to Leininger’s description of the learned and transmitted
knowledge about values, beliefs, rules of behavior and lifestyle practices that
guide designated group in thinking and acting in patterned ways?
,*a. Culture
b. Minority
c. Race
d. Subculture
6. Which of the following is a process by which a nurse consistently works in
the cultural context of the client, family and community?
a. Stereotyping
b. Ethnicity
*c. Cultural competence
d. Subculture
7. What is the process by which members of a cultural group adapt or learn
how to take on the behaviors of another group?
*a. Acculturation
b. cultural blindness
c. cultural taboos
d. cultural imposition
8. The nurse caring for a Hispanic client is performing a cultural assessment.
Which of the following statements or questions avoids stereotyping?
a. “How do you celebrate Thanksgiving?”
b. “I will ask the dietitian if any Hispanic items are on the menu today.”
*c. “Tell me about your cultural preferences
d. “When did you arrive in this country?”
9. A Nurse is taking a history. The client has limited English proficiency. When
communicating with this client the nurse should:
*a. Speak slowly (not loudly) use simple words and short sentences, and
avoid jargon.
b. record each session to avoid any later confusion or disputes over what
was said
c. include someone on staff with teaching experience
, d. speak slowly and loudly and use broad hand gestures or expensive body
language as necessary
10. SBAR (Situation, Background, Assessment and Recommendation)
communication, which of the following is the correct order?
1. “She is a 53-year old female who was admitted 2 days ago with
pneumonia and was started on Levaquin at 5 pm yesterday. She
complains of a poor appetite”.
2. “The patient reported feeling very nauseated after her dose of
Levaquin an hour ago”.
3. “Would you like to make a change in antibiotics, or could we give her
nutritional supplement before her medication?”
4. “The patient started complaining of nausea yesterday evening and has
vomited several times during the night.”
a. 1,3,4,2
*b. 4,1,2,3
c. 2, 1, 3, 4
d. 4,2,1,3
11. The quality improvement team at a large, urban hospital has recognized
the need to better integrate the principles of transcultural nursing into
patient care. When explaining the concept of transcultural nursing to
uninitiated nurses, how should the team members describe it?
a. Transcultural nursing is the comparative analysis of the health benefits
and risks of recognizable ethnic groups
*b. Transcultural nursing refers to research-focused practice that
focuses on patient-centered, culturally, competent nursing
c. Transcultural nursing refers to a systematic and evidence-based effort to
improve health outcomes in patients born outside of the United States.
d. Transcultural nursing is a term used to describe interventions that seek
to address language barriers in nursing practice.
12. A nurse would expect that a woman from which of the following would
want only female physician to examine her
*a. Arab
b. Asian
c. Japanese
, d. Latin American
13. A nurse is caring for an elderly woman who predominantly identifies with
an East Asian culture. How can the nurse best demonstrate an awareness of
culturally congruent care?
a. Maintain eye contact at all times
b. Try to speak the patient’s native language
c. Use touch when communicating
*d. Establish effective communication
14. It is important for the nurse to acknowledge cultural differences that
many influence the delivery of healthcare. In order to do this, the nurse must
do which of the following?
a. Be clear with the client about the nurse's own cultural perspective
*b. Comfort the nurse’s own bias and influence on his or her culture
c. talk to the client about the nature's own cultural heritage
d. be aware that ethnic culture does not change
15. Of the following nurse theorists, which one is considered the founder of
transcultural nursing?
a. Dorthea Orem
*b. Madeline Leininger
c. Jean Watson
d. Patricia Benner
16. Which is the best thing the nurse can do to provide culturally sensitive
care?
a. Become familiar with physical differences among ethnic groups.
b. Provide the proper food for nourishment
*c. Accept each client as a unique individual
d. facilitate rituals that bring comfort to the client
17. The nurse is preparing to educate a patient about the home care of an
abdominal wound. What patient behaviors does the nurse notice that
demonstrate readiness to learn? (Select all that apply.)
*a. The patient shows the motivation to learn
does not make contact. Even when the nurse is providing education. The
nurse responds appropriately to the behavior by doing which of the
following?
*a. Being aware that eye contact may be culturally determined and adjusting
her teaching accordingly
b. Asking the client to look at the nurse during the education session
c. Assuming that perhaps some form of abuse may be the cause for this
behavior
d. asking a family member why the client avoids eye contact
2. The nurse is caring for a patient who speaks only Spanish. To facilitate
communication, which of the following is an appropriate action by the nurse?
*a. Follow the agency’s policies to obtain an interpreter
b. Obtain an order form the physician for an interpreter
c. Ask a relative of the patient to act as an interpreter
d. Find a Spanish-speaking employee to be the interpreter
3. The nurse is admitting an Asian-American patient to the medical-surgical
floor. When calling the dietary department, the nurse tells the dietitian that
all Asians eat rice. What attitude is the nurse displaying?
a. Ethnocentrism
b. Cultural sensitivity
c. Cultural humility
*d. Stereotyping
4. Which of the following concepts characterizes transcultural nursing?
a. Performing health-related activities restoring wellness
b. Acknowledging clients with the same skin have similar social situations
*c. Planning care compatible with the client’s health belief system
d. Influencing culture by specific conditions related to an environment
5. Which term refers to Leininger’s description of the learned and transmitted
knowledge about values, beliefs, rules of behavior and lifestyle practices that
guide designated group in thinking and acting in patterned ways?
,*a. Culture
b. Minority
c. Race
d. Subculture
6. Which of the following is a process by which a nurse consistently works in
the cultural context of the client, family and community?
a. Stereotyping
b. Ethnicity
*c. Cultural competence
d. Subculture
7. What is the process by which members of a cultural group adapt or learn
how to take on the behaviors of another group?
*a. Acculturation
b. cultural blindness
c. cultural taboos
d. cultural imposition
8. The nurse caring for a Hispanic client is performing a cultural assessment.
Which of the following statements or questions avoids stereotyping?
a. “How do you celebrate Thanksgiving?”
b. “I will ask the dietitian if any Hispanic items are on the menu today.”
*c. “Tell me about your cultural preferences
d. “When did you arrive in this country?”
9. A Nurse is taking a history. The client has limited English proficiency. When
communicating with this client the nurse should:
*a. Speak slowly (not loudly) use simple words and short sentences, and
avoid jargon.
b. record each session to avoid any later confusion or disputes over what
was said
c. include someone on staff with teaching experience
, d. speak slowly and loudly and use broad hand gestures or expensive body
language as necessary
10. SBAR (Situation, Background, Assessment and Recommendation)
communication, which of the following is the correct order?
1. “She is a 53-year old female who was admitted 2 days ago with
pneumonia and was started on Levaquin at 5 pm yesterday. She
complains of a poor appetite”.
2. “The patient reported feeling very nauseated after her dose of
Levaquin an hour ago”.
3. “Would you like to make a change in antibiotics, or could we give her
nutritional supplement before her medication?”
4. “The patient started complaining of nausea yesterday evening and has
vomited several times during the night.”
a. 1,3,4,2
*b. 4,1,2,3
c. 2, 1, 3, 4
d. 4,2,1,3
11. The quality improvement team at a large, urban hospital has recognized
the need to better integrate the principles of transcultural nursing into
patient care. When explaining the concept of transcultural nursing to
uninitiated nurses, how should the team members describe it?
a. Transcultural nursing is the comparative analysis of the health benefits
and risks of recognizable ethnic groups
*b. Transcultural nursing refers to research-focused practice that
focuses on patient-centered, culturally, competent nursing
c. Transcultural nursing refers to a systematic and evidence-based effort to
improve health outcomes in patients born outside of the United States.
d. Transcultural nursing is a term used to describe interventions that seek
to address language barriers in nursing practice.
12. A nurse would expect that a woman from which of the following would
want only female physician to examine her
*a. Arab
b. Asian
c. Japanese
, d. Latin American
13. A nurse is caring for an elderly woman who predominantly identifies with
an East Asian culture. How can the nurse best demonstrate an awareness of
culturally congruent care?
a. Maintain eye contact at all times
b. Try to speak the patient’s native language
c. Use touch when communicating
*d. Establish effective communication
14. It is important for the nurse to acknowledge cultural differences that
many influence the delivery of healthcare. In order to do this, the nurse must
do which of the following?
a. Be clear with the client about the nurse's own cultural perspective
*b. Comfort the nurse’s own bias and influence on his or her culture
c. talk to the client about the nature's own cultural heritage
d. be aware that ethnic culture does not change
15. Of the following nurse theorists, which one is considered the founder of
transcultural nursing?
a. Dorthea Orem
*b. Madeline Leininger
c. Jean Watson
d. Patricia Benner
16. Which is the best thing the nurse can do to provide culturally sensitive
care?
a. Become familiar with physical differences among ethnic groups.
b. Provide the proper food for nourishment
*c. Accept each client as a unique individual
d. facilitate rituals that bring comfort to the client
17. The nurse is preparing to educate a patient about the home care of an
abdominal wound. What patient behaviors does the nurse notice that
demonstrate readiness to learn? (Select all that apply.)
*a. The patient shows the motivation to learn
