RN 402 Final Exam Leadership
Questions with answers
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. - -b. Wound management
-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. - -c.
Celebration of National Nurses Week with the focus on cultural care.
-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." - -b. "What did you think when you
learned she was Jamaican?"
-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. Is stereotyping you without thinking?"
-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. - -d. Cultural sensitivity.
, -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?" - -a. "How long have you been using acupuncture
treatment?"
-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 - -c. Encourage conversation
with patients and among staff that facilitates learning about cultural beliefs and
priorities in dying.
-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. Behavior
-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. Develops over time.
-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. - -a. Diabetes.
-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. - -b. The need to recognize diversity within
groups.
-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. - -d. Ethnicity
-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:
a. Acculturation.
b. Cultural sensitivity.
c. Ethnocentrism.
d. Transculturalism. - -b. Cultural sensitivity.
-Mary joins 5W nursing unit. Mary is a new graduate who is anxious to fit in. She
soon learns that some of her "book learning" is being criticized by her colleagues, so
she adapts her practice to what others on the unit are doing. She is demonstrating:
a. Cultural awareness.
b. Cultural sensitivity.
c. Acculturation.
d. Cultural marginality. - -c. Acculturation.
-At Health Center XYZ, staff members on the rehab unit have a head nurse who is
intolerant of error and publicly chides anyone who makes a mistake. Over time, the
rules on the unit dictate that mistakes are hidden and that areas of concern related
to the functioning of the unit are discussed in tub rooms and are never openly
discussed during periodic meetings. New staff members are quickly made to realize
that silence is expected. The situation described is an example of:
a. Ethnicity.
b. Work environment.
c. Work culture.
d. Marginalization. - -c. Work culture
-As a nurse manager, you have hired two new staff members who have recently
come to the United States from other countries. Which of the following strategies
might indicate your efforts to assist these staff members with acculturation to your
unit?
Questions with answers
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. - -b. Wound management
-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. - -c.
Celebration of National Nurses Week with the focus on cultural care.
-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." - -b. "What did you think when you
learned she was Jamaican?"
-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. Is stereotyping you without thinking?"
-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. - -d. Cultural sensitivity.
, -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?" - -a. "How long have you been using acupuncture
treatment?"
-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 - -c. Encourage conversation
with patients and among staff that facilitates learning about cultural beliefs and
priorities in dying.
-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. Behavior
-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. Develops over time.
-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. - -a. Diabetes.
-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. - -b. The need to recognize diversity within
groups.
-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. - -d. Ethnicity
-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:
a. Acculturation.
b. Cultural sensitivity.
c. Ethnocentrism.
d. Transculturalism. - -b. Cultural sensitivity.
-Mary joins 5W nursing unit. Mary is a new graduate who is anxious to fit in. She
soon learns that some of her "book learning" is being criticized by her colleagues, so
she adapts her practice to what others on the unit are doing. She is demonstrating:
a. Cultural awareness.
b. Cultural sensitivity.
c. Acculturation.
d. Cultural marginality. - -c. Acculturation.
-At Health Center XYZ, staff members on the rehab unit have a head nurse who is
intolerant of error and publicly chides anyone who makes a mistake. Over time, the
rules on the unit dictate that mistakes are hidden and that areas of concern related
to the functioning of the unit are discussed in tub rooms and are never openly
discussed during periodic meetings. New staff members are quickly made to realize
that silence is expected. The situation described is an example of:
a. Ethnicity.
b. Work environment.
c. Work culture.
d. Marginalization. - -c. Work culture
-As a nurse manager, you have hired two new staff members who have recently
come to the United States from other countries. Which of the following strategies
might indicate your efforts to assist these staff members with acculturation to your
unit?
