Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Chapter 05: Cultural Influences in Nursing in Community Health .
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
5th Edition
MULTIPLE CHOICE
1. Which of the following best describes most Americans’ attitude toward immigrants?
a. Ambivalence because there are no clear solutions about how to address their needs
b. Strongly negative because immigrants take jobs that native-born Americans could
have instead
c. Strongly positive because immigrants bring useful job skills and often join
previous family members already in the United States
d. Strong opposition to further immigration because of the increasing population in
the United States
ANS: A
Most Americans are ambivalent about immigration, recognizing both the positive and
negative aspects involved and realizing that it is a complex issue that has no clear solutions.
Because Americans’ have an attitude of ambivalence, there is not strong negative or positive
attitudes towards immigrants. However, many times immigrants do enter the United States
because the have useful job skills or family ties. They are more likley to be a low-income
worker who works in low-wage, blue-collar jobs and industries.
2. A nurse is about to despair. Earlier in the week, she carefully taught a patient from a different
culture exactly how much medication to take and emphasized the importance of taking the
correct amount. However, theNpatient
RSIisNGbackB.C
in theM
hospital today with symptoms of an
U T O
overdose although the patient denies taking more than the label indicated. Which of the
following is the most likely explanation?
a. The patient was taking more mediation in the hope of getting well faster.
b. The patient was also taking folk medicines that had many of the same effects and
perhaps some of the same ingredients as the prescribed medication.
c. The patient truly did not understand and thought the dose being taken was correct.
d. The patient had a unique response to the medication and should have a smaller
dose ordered.
ANS: B
For fear of disapproval, a person may not tell the nurse that he or she is using folk medicine as
well as Western medication. The two medicines may have cumulative effects that could be
dangerous to the client. Nurses who lack cultural knowledge may develop feelings of
inadequacy and helplessness because they are often unable to effectively help their clients. It
is unlikely that tne patient was taking too much medication, taking the incorrect dose, or
having a unique reaction to the medication. Rather the nurse should first interview the patient
about use of folk medicine which may interact with the prescribed medication regimen.
3. 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
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, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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.
ANS: B
Cultural awareness requires self-examination and an in-depth exploration of one’s own beliefs
and values as they influence behavior. Cultural awareness is the first element in the model of
cultural competence. Following the development of cultural awareness, the next step is
cultural knowledge in which information about organizational elements of diverse cultures
and ethic groups is collected. The next stage of the model, cultural skill, occurs with the
effective integration of cultural awareness and cultural knowledge to obtain relevant cultural
data and meet the needs of culturally diverse clients. The fourth construct essential to this
model is cultural encounter which is the process that permits nurses to seek opportunities to
engage in cross-cultural interactions with clients of diverse cultures to modify existing beliefs
about a speciifc cultural group.
4. A nurse is caring for a client of another culture. Which of the following actions would be most
appropriate for the nurse to take?
a. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
b. Keep all behaviors culturally neutral to avoid misinterpretation.
c. Rely on friendly gestures to communicate caring for the client.
d. Avoid any pretense of prejudice by treating the client in the same way as any other
client.
ANS: A
Cultural competence in nursing includes adoption of culturally congruent behaviors.
Culturally skillful nurses use appropriate touch during conversation, modify the physical
distance between themselvesNand URothers,
SINGand TB.Cuse O M
strategies to avoid cultural
misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be
culturally competent respect people from other cultures and value diversity, which helps them
to provide more responsive care. Nurses should be knowledgeable of other cultures and
communicate with the client based on cultural norms. Cuturally skillful nurses understand the
unique difference among individuals within a given culture and work with those individuals to
learn more about their culture and provide culturally sensitive care.
5. A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his
opposite leg when collecting a client’s history. He stopped doing this around Muslim clients
after being told that Muslims were offended when he exposed the sole of his foot (shoe) to
their face. Which of the following was exhibited by the nurse when he changed his behavior?
a. Cultural accommodation
b. Cultural imposition
c. Cultural repatterning
d. Cultural skill
ANS: D
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Chapter 05: Cultural Influences in Nursing in Community Health .
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
5th Edition
MULTIPLE CHOICE
1. Which of the following best describes most Americans’ attitude toward immigrants?
a. Ambivalence because there are no clear solutions about how to address their needs
b. Strongly negative because immigrants take jobs that native-born Americans could
have instead
c. Strongly positive because immigrants bring useful job skills and often join
previous family members already in the United States
d. Strong opposition to further immigration because of the increasing population in
the United States
ANS: A
Most Americans are ambivalent about immigration, recognizing both the positive and
negative aspects involved and realizing that it is a complex issue that has no clear solutions.
Because Americans’ have an attitude of ambivalence, there is not strong negative or positive
attitudes towards immigrants. However, many times immigrants do enter the United States
because the have useful job skills or family ties. They are more likley to be a low-income
worker who works in low-wage, blue-collar jobs and industries.
2. A nurse is about to despair. Earlier in the week, she carefully taught a patient from a different
culture exactly how much medication to take and emphasized the importance of taking the
correct amount. However, theNpatient
RSIisNGbackB.C
in theM
hospital today with symptoms of an
U T O
overdose although the patient denies taking more than the label indicated. Which of the
following is the most likely explanation?
a. The patient was taking more mediation in the hope of getting well faster.
b. The patient was also taking folk medicines that had many of the same effects and
perhaps some of the same ingredients as the prescribed medication.
c. The patient truly did not understand and thought the dose being taken was correct.
d. The patient had a unique response to the medication and should have a smaller
dose ordered.
ANS: B
For fear of disapproval, a person may not tell the nurse that he or she is using folk medicine as
well as Western medication. The two medicines may have cumulative effects that could be
dangerous to the client. Nurses who lack cultural knowledge may develop feelings of
inadequacy and helplessness because they are often unable to effectively help their clients. It
is unlikely that tne patient was taking too much medication, taking the incorrect dose, or
having a unique reaction to the medication. Rather the nurse should first interview the patient
about use of folk medicine which may interact with the prescribed medication regimen.
3. 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
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:05:29 GMT -05:00
https://www.coursehero.com/file/58535623/05pdf/ NURSINGTB.COM
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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.
ANS: B
Cultural awareness requires self-examination and an in-depth exploration of one’s own beliefs
and values as they influence behavior. Cultural awareness is the first element in the model of
cultural competence. Following the development of cultural awareness, the next step is
cultural knowledge in which information about organizational elements of diverse cultures
and ethic groups is collected. The next stage of the model, cultural skill, occurs with the
effective integration of cultural awareness and cultural knowledge to obtain relevant cultural
data and meet the needs of culturally diverse clients. The fourth construct essential to this
model is cultural encounter which is the process that permits nurses to seek opportunities to
engage in cross-cultural interactions with clients of diverse cultures to modify existing beliefs
about a speciifc cultural group.
4. A nurse is caring for a client of another culture. Which of the following actions would be most
appropriate for the nurse to take?
a. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
b. Keep all behaviors culturally neutral to avoid misinterpretation.
c. Rely on friendly gestures to communicate caring for the client.
d. Avoid any pretense of prejudice by treating the client in the same way as any other
client.
ANS: A
Cultural competence in nursing includes adoption of culturally congruent behaviors.
Culturally skillful nurses use appropriate touch during conversation, modify the physical
distance between themselvesNand URothers,
SINGand TB.Cuse O M
strategies to avoid cultural
misunderstandings while meeting mutually agreed-upon goals. Nurses who strive to be
culturally competent respect people from other cultures and value diversity, which helps them
to provide more responsive care. Nurses should be knowledgeable of other cultures and
communicate with the client based on cultural norms. Cuturally skillful nurses understand the
unique difference among individuals within a given culture and work with those individuals to
learn more about their culture and provide culturally sensitive care.
5. A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his
opposite leg when collecting a client’s history. He stopped doing this around Muslim clients
after being told that Muslims were offended when he exposed the sole of his foot (shoe) to
their face. Which of the following was exhibited by the nurse when he changed his behavior?
a. Cultural accommodation
b. Cultural imposition
c. Cultural repatterning
d. Cultural skill
ANS: D
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:05:29 GMT -05:00
https://www.coursehero.com/file/58535623/05pdf/ NURSINGTB.COM
