TESTBANK 220 QUESTIONS AND
CORRECT ANSWERS
A non-English speaking client enters the clinic and repeats the word "doctor."
What can the nurse do to assist this client?
a. Repeat the word "doctor" back to the client.
b. Assist this client to a chair in the waiting room.
c. Tell the client to sign the sign-in sheet.
d. Discuss this with the healthcare provider.
d. Discuss this with the healthcare provider.
This question demonstrates that the nurse does not have enough cultural
information to assist this client. The only real choice is for the nurse to
discuss this with the healthcare provider, who might be better able to assist
the client. Repeating the word, assisting the client back to the waiting room,
and having the client sign the sign-in sheet are not appropriate actions in
this situation.
A female Latino client turns to her husband when the nurse asks a question
about her health. The nurse realizes that this client is demonstrating which
type of culture?
a. Material
b. Non material
,c. Competence
d. Incomplete
b. Non material
Non material culture is composed of the verbal and nonverbal language,
beliefs, customs, and social structures. Material culture includes things such
as dress, art, utensils, and tools and the ways they are used. Competence
and incomplete are not types of culture.
A Spanish-speaking client needs educational materials about hepatitis. What
is the best action for the nurse to take to help this client?
a. Provide the client with the instructions written in English.
b. Contact an interpreter to read the printed English instructions to the client
in Spanish.
c. Tell the client that instructions do not exist for that health problem.
d. Determine that the client does not need the information.
b. Contact an interpreter to read the printed English instructions to the client
in Spanish.
instructions to the client in Spanish. According to the National Standards for
Culturally and Linguistically Appropriate Services in Healthcare, Standard 6
states that all clients with limited English proficiency (LEP) are to be provided
access to bilingual staff or interpretation services. If instructions are not
available written in Spanish, the next best thing is to ask an interpreter to
read the English instructions to the client in Spanish. Providing the
instructions in English, telling the client that instructions are not available for
that health problem, or deciding that the client doesn't need this information
are not appropriate nursing actions in this situation.
,The nurse is observed talking rudely to a client who is an immigrant. When
approached about this behavior, the nurse responds, "These people should
stay in their own country." This nurse is demonstrating:
a. competent cultural care
b. ethnocentrism
c. material culture
d. nonmaterial culture
b. ethnocentrism
Ethnocentrism is the tendency to believe that one's own beliefs, way of life,
values, and customs are superior to those of others. This can interfere with
collection and interpretation of data as well as the development of plans of
care to meet client needs. Competent cultural care includes understanding
and planning for the needs of culturally diverse clients or groups. Material
culture includes objects such as art and dress. Non material culture is
composed of language, beliefs,
The teenager of immigrant parents tells the nurse, "I have to make sure my
parents don't find out about my friends and that we play video games after
school. It would be disgraceful." The nurse realizes this client is
demonstrating:
a. assimilation
b. diversity
, c. race
d. ethnocentrism
a. assimilation
Assimilation refers to the adoption and incorporation of characteristics,
customs, and values of the dominant culture by those new to that culture.
Assimilation occurs more easily in second-generation immigrants. Diversity is
the state of being different. Race refers to the identification of an individual
or group by shared genetic heritage and biological and physical
characteristics. Ethnocentrism is the tendency to believe that one's own
beliefs are superior to those of others.
An Arab American tells the nurse, "I am sick because that man on the bus
gave me the evil eye." The nurse realizes this client is demonstrating:
a. a temporal relationship
b. a communication pattern
c. a health belief
d. a health practice
c. a health belief
Within the Arab American culture, one health belief is that illness is caused
by the evil eye. This is an example of a magico-religious belief system. A
temporal relationship refers to time orientation such as past, present, or
future. Health practices are influenced by health beliefs, knowledge, and
culture. Communication patterns refer to verbal and nonverbal
communication methods.