Chapter-5 Culturally Respectful Care
Questions, Assignment, Discusion Topics Answers and Case Study.
1. Despite the presence of a large number of older adult residents from Asian cultures, a long-term care
facility has not integrated the medical concept of hot and cold into meal planning. The nurses at the
facility should recognize this as an example of:
A. cultural blindness.
B. stereotyping.
C. cultural assimilation.
D. cultural imposition.
Answer: A
Rationale: Cultural blindness is characterized by ignoring cultural differences or considerations and
proceeding as if they do not exist. This phenomenon may underlie the failure to incorporate cultural
considerations into dietary choices. Stereotyping assumes homogeneity of members of other cultures.
Cultural assimilation involves the replacement of values with those of a dominant culture. Cultural
imposition presumes that everyone should conform to a majority belief system.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Reference: p. 99
2. Which statement is true of cultural assimilation?
A. Mutual cultural assimilation occurs when characteristics from two cultures are traded.
B. Cultural assimilation is the integration of a majority group into a minority group.
C. Cultural assimilation is the psychological discomfort one experiences on moving to a different culture.
D. Cultural assimilation is identifying with a collective cultural group, primarily based on common
heritage.
Answer: A
Rationale: Mutual cultural assimilation occurs with the trading of characteristics from both groups.
Cultural assimilation, in general, occurs as a minority group integrates into a majority group. Culture
shock is the psychological discomfort that can result from moving into a different cultural group.
Ethnicity means the collective cultural group one identifies with, primarily based on common heritage.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 98
3. An immigrant lives with relatives in a community with many households from the country of origin.
The client is taken to the emergency department following a fall at work and is admitted to the hospital
for observation. The nurse is aware that this client is at risk for:
A. cultural assimilation.
B. culture shock.
C. cultural imposition.
,D. cultural blindness.
Answer: B
Rationale: Culture shock refers to the feelings a person experiences when placed in a different culture
perceived as strange. Culture shock may result in psychological discomfort or disturbances, as the
patterns of behavior a person found acceptable and effective in the native culture may not be adequate or
even acceptable in the new one. The person may then feel foolish, fearful, incompetent, inadequate, or
humiliated. Cultural assimilation is the process in which a minority group or culture comes to resemble
those of a dominant group. Cultural imposition is the tendency of a person or group to impose their values
and patterns of behavior onto other persons. Cultural blindness is the phenomenon in which a person
follows the cultural tradition and values without judging that it is either good or bad.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Reference: p. 98
4. A client tells the nurse that a neighbor, who is a young housekeeper from another country, wears the
traditional clothing and head covering of the neighbor's native country. The client says of people like the
neighbor, "They are in our country and should dress like we do." What is this statement an example of?
A. Cultural assimilation
B. Cultural blindness
C. Cultural conflict
D. Cultural imposition
Answer: D
Rationale: A variety of factors may affect sensitivity to other cultures, especially when those from another
culture are perceived as holding beliefs that differ from the majority belief system. Cultural imposition is
the belief that everyone should conform to the majority belief system. Cultural conflict involves criticism
or ridicule of another's culture to make one feel better about one's own culture. Cultural blindness
involves not acknowledging differences in culture and acting as if they do not exist. Cultural assimilation
involves members of a minority culture adopting aspects of the majority culture in which they live.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 99
5. A nurse walks by a client's room and observes a shaman performing a healing ritual. The nurse remarks
to a coworker that the ritual is a waste of time and disruptive to the other clients on the floor. This nurse is
displaying:
A. cultural conflict.
B. cultural blindness.
C. stereotyping.
D. culture shock.
Answer: A
, Rationale: Cultural conflict occurs when people become aware of cultural differences, feel threatened,
and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about
their own values. Cultural blindness occurs when one ignores differences and proceeds as though they do
not exist. Stereotyping is the assumption that all members of a culture, ethnic group, or race act alike.
Culture shock refers to the feelings a person experiences when placed in a different culture that is
perceived as strange.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Reference: p. 99
6. A nurse is caring for a client who constantly requests pain medication. What should the nurse consider
when assessing the client's pain?
A. Most people react to pain in the same way.
B. Pain in adults is less intense than pain in children.
C. The client has a low pain tolerance.
D. Pain is what the client says it is.
Answer: D
Rationale: Pain is what the client says it is, and nursing care should always be individualized. The nurse
respects the client's right to respond to pain in whatever manner is culturally and individually appropriate
and never stereotypes a client's perceptions or responses to pain. Pain tolerance is subjective; again, the
client's pain is what he or she says it is.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 100
7. An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not
like the food here." What factor should the staff assess for this problem?
A. The client does not like to eat with other residents of the home.
B. The client is using this as a means of going home.
C. The food served may not be culturally appropriate.
D. The food served may violate religious beliefs.
Answer: C
Rationale: Residents in long-term care settings often do not have much choice of foods. As a result, they
may not be able to select cultural food preferences. When assessing the cause of decreased appetite in
clients, the nurse should determine whether the problem may be related to culture and diet. There is no
indication in the scenario that the client is not eating based on not liking to eat with other residents, a
religious belief, or wanting to go home.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Questions, Assignment, Discusion Topics Answers and Case Study.
1. Despite the presence of a large number of older adult residents from Asian cultures, a long-term care
facility has not integrated the medical concept of hot and cold into meal planning. The nurses at the
facility should recognize this as an example of:
A. cultural blindness.
B. stereotyping.
C. cultural assimilation.
D. cultural imposition.
Answer: A
Rationale: Cultural blindness is characterized by ignoring cultural differences or considerations and
proceeding as if they do not exist. This phenomenon may underlie the failure to incorporate cultural
considerations into dietary choices. Stereotyping assumes homogeneity of members of other cultures.
Cultural assimilation involves the replacement of values with those of a dominant culture. Cultural
imposition presumes that everyone should conform to a majority belief system.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Reference: p. 99
2. Which statement is true of cultural assimilation?
A. Mutual cultural assimilation occurs when characteristics from two cultures are traded.
B. Cultural assimilation is the integration of a majority group into a minority group.
C. Cultural assimilation is the psychological discomfort one experiences on moving to a different culture.
D. Cultural assimilation is identifying with a collective cultural group, primarily based on common
heritage.
Answer: A
Rationale: Mutual cultural assimilation occurs with the trading of characteristics from both groups.
Cultural assimilation, in general, occurs as a minority group integrates into a majority group. Culture
shock is the psychological discomfort that can result from moving into a different cultural group.
Ethnicity means the collective cultural group one identifies with, primarily based on common heritage.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 98
3. An immigrant lives with relatives in a community with many households from the country of origin.
The client is taken to the emergency department following a fall at work and is admitted to the hospital
for observation. The nurse is aware that this client is at risk for:
A. cultural assimilation.
B. culture shock.
C. cultural imposition.
,D. cultural blindness.
Answer: B
Rationale: Culture shock refers to the feelings a person experiences when placed in a different culture
perceived as strange. Culture shock may result in psychological discomfort or disturbances, as the
patterns of behavior a person found acceptable and effective in the native culture may not be adequate or
even acceptable in the new one. The person may then feel foolish, fearful, incompetent, inadequate, or
humiliated. Cultural assimilation is the process in which a minority group or culture comes to resemble
those of a dominant group. Cultural imposition is the tendency of a person or group to impose their values
and patterns of behavior onto other persons. Cultural blindness is the phenomenon in which a person
follows the cultural tradition and values without judging that it is either good or bad.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Reference: p. 98
4. A client tells the nurse that a neighbor, who is a young housekeeper from another country, wears the
traditional clothing and head covering of the neighbor's native country. The client says of people like the
neighbor, "They are in our country and should dress like we do." What is this statement an example of?
A. Cultural assimilation
B. Cultural blindness
C. Cultural conflict
D. Cultural imposition
Answer: D
Rationale: A variety of factors may affect sensitivity to other cultures, especially when those from another
culture are perceived as holding beliefs that differ from the majority belief system. Cultural imposition is
the belief that everyone should conform to the majority belief system. Cultural conflict involves criticism
or ridicule of another's culture to make one feel better about one's own culture. Cultural blindness
involves not acknowledging differences in culture and acting as if they do not exist. Cultural assimilation
involves members of a minority culture adopting aspects of the majority culture in which they live.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 99
5. A nurse walks by a client's room and observes a shaman performing a healing ritual. The nurse remarks
to a coworker that the ritual is a waste of time and disruptive to the other clients on the floor. This nurse is
displaying:
A. cultural conflict.
B. cultural blindness.
C. stereotyping.
D. culture shock.
Answer: A
, Rationale: Cultural conflict occurs when people become aware of cultural differences, feel threatened,
and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about
their own values. Cultural blindness occurs when one ignores differences and proceeds as though they do
not exist. Stereotyping is the assumption that all members of a culture, ethnic group, or race act alike.
Culture shock refers to the feelings a person experiences when placed in a different culture that is
perceived as strange.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Culture and Spirituality
Reference: p. 99
6. A nurse is caring for a client who constantly requests pain medication. What should the nurse consider
when assessing the client's pain?
A. Most people react to pain in the same way.
B. Pain in adults is less intense than pain in children.
C. The client has a low pain tolerance.
D. Pain is what the client says it is.
Answer: D
Rationale: Pain is what the client says it is, and nursing care should always be individualized. The nurse
respects the client's right to respond to pain in whatever manner is culturally and individually appropriate
and never stereotypes a client's perceptions or responses to pain. Pain tolerance is subjective; again, the
client's pain is what he or she says it is.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 100
7. An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not
like the food here." What factor should the staff assess for this problem?
A. The client does not like to eat with other residents of the home.
B. The client is using this as a means of going home.
C. The food served may not be culturally appropriate.
D. The food served may violate religious beliefs.
Answer: C
Rationale: Residents in long-term care settings often do not have much choice of foods. As a result, they
may not be able to select cultural food preferences. When assessing the cause of decreased appetite in
clients, the nurse should determine whether the problem may be related to culture and diet. There is no
indication in the scenario that the client is not eating based on not liking to eat with other residents, a
religious belief, or wanting to go home.
Question format: Multiple Choice
Chapter 5: Culturally Respectful Care
Cognitive Level: Apply
