Giger: Transcultural Nursing, 6th Edition
Giger & Davidhizar's Culturally Competent Test Bank: NCLEX-RN
Review
Chapter 4: Social Organization
MULTIPLE CHOICE
1. A nurse is caring for four terminal patients with diverse cultural backgrounds. Which
of the following clients should the nurse anticipate will wish to engage in end-of-life pro-
cedures, such as making a will, a living will, and funeral arrangements?
A A single Native American who had worked as a forest ranger
.
B A female immigrant from China who is an acupuncturist
.
C A refugee laborer from a war-torn Western African country
.
D A fourth-generation New England male who is an accountant
.
ANS: D DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
2. A 23-year-old Jehovah’s Witness is scheduled for an appendectomy. The client has
expressed concern related to receiving blood during the surgery. The best response of the
nurse is:
A “Your surgeon is very competent and will do only what is necessary to save your
. life.”
B “You don’t have to worry about contamination of the blood supply because it is
. always tested.”
C “I will have the hospital chaplain interpret the Bible for you to show you there is
. no religious objection to blood transfusions.”
D “Transfusions are not routine for this procedure; however, I will call and alert
. your surgeon of your beliefs and wishes.”
ANS: D DIF: Cognitive Level: Application
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Psychosocial Integrity
3. To avoid cultural conflicts with a client, the nurse should:
A Assure him that he is receiving quality health care.
.
B Provide the client with information about the dominant culture.
.
, C Ask the client about his expectations about nursing care and procedures.
.
D Thoroughly explain necessary nursing interventions that might cause the client
. embarrassment.
ANS: C DIF: Cognitive Level: Application
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
4. Belief that one’s culture is superior to all others is called:
A Discrimination.
.
B Stereotyping.
.
C Ethnocentrism.
.
D Racism.
.
ANS: C DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Psychosocial Integrity
5. Culture is best defined as the:
A Worldview and traditions transmitted by a group from generation to generation.
.
B Classification of people according to shared biological characteristics.
.
C Religious or racial characteristics of a group that set it apart from the larger socie-
. ty of which it is a part.
D Assumption of attitudes, values, and beliefs held by a particular cultural group
. that have been passed down from one generation to the next.
ANS: D DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Health Promotion and Maintenance
6. Cultural behavior, or how one acts in certain situations, is:
A Socially acquired.
.
B Genetically acquired.
.
C Stereotyping.
.
D Institutional.
Giger & Davidhizar's Culturally Competent Test Bank: NCLEX-RN
Review
Chapter 4: Social Organization
MULTIPLE CHOICE
1. A nurse is caring for four terminal patients with diverse cultural backgrounds. Which
of the following clients should the nurse anticipate will wish to engage in end-of-life pro-
cedures, such as making a will, a living will, and funeral arrangements?
A A single Native American who had worked as a forest ranger
.
B A female immigrant from China who is an acupuncturist
.
C A refugee laborer from a war-torn Western African country
.
D A fourth-generation New England male who is an accountant
.
ANS: D DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
2. A 23-year-old Jehovah’s Witness is scheduled for an appendectomy. The client has
expressed concern related to receiving blood during the surgery. The best response of the
nurse is:
A “Your surgeon is very competent and will do only what is necessary to save your
. life.”
B “You don’t have to worry about contamination of the blood supply because it is
. always tested.”
C “I will have the hospital chaplain interpret the Bible for you to show you there is
. no religious objection to blood transfusions.”
D “Transfusions are not routine for this procedure; however, I will call and alert
. your surgeon of your beliefs and wishes.”
ANS: D DIF: Cognitive Level: Application
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Psychosocial Integrity
3. To avoid cultural conflicts with a client, the nurse should:
A Assure him that he is receiving quality health care.
.
B Provide the client with information about the dominant culture.
.
, C Ask the client about his expectations about nursing care and procedures.
.
D Thoroughly explain necessary nursing interventions that might cause the client
. embarrassment.
ANS: C DIF: Cognitive Level: Application
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
4. Belief that one’s culture is superior to all others is called:
A Discrimination.
.
B Stereotyping.
.
C Ethnocentrism.
.
D Racism.
.
ANS: C DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Psychosocial Integrity
5. Culture is best defined as the:
A Worldview and traditions transmitted by a group from generation to generation.
.
B Classification of people according to shared biological characteristics.
.
C Religious or racial characteristics of a group that set it apart from the larger socie-
. ty of which it is a part.
D Assumption of attitudes, values, and beliefs held by a particular cultural group
. that have been passed down from one generation to the next.
ANS: D DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Health Promotion and Maintenance
6. Cultural behavior, or how one acts in certain situations, is:
A Socially acquired.
.
B Genetically acquired.
.
C Stereotyping.
.
D Institutional.
