C HAPTER 04: T OWARD J USTICE
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. 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 sensitivit y. You are exhibiting:
a. acculturation.
b. cultural sensitivit y.
c. ethnocentrism.
d. Trans-culturalism.
ANS: B
Cultural sensitivit y refers to the affective capacit y to feel, convey, or
react to ideas, habits, customs, or traditions unique to a group of
people. In this situation, acknowledgement of the candidate ’s
background in relation to eye contact demonstrates cultural sensitivit y.
TOP: AONE competency: Communication and Relationship -
Building
2. Mary joins 5W nursing unit. Mary is a new graduate who is anxious to f it
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 sensitivit y.
c. acculturation.
d. cultural marginal it y.
ANS: C
In accepting the practices of the dominant group on the unit, Mary is
demonstrating acculturation.
TOP: AONE competency: Communication and Relationship -
Building
3. At Health Center XYZ, staff members on the rehabilitation unit have a
head nurse who is intolerant of error and publicl y 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 openl y discussed during periodic
meetings. New staff members are quickl y made to realize that silence is
expected. The situation described is an example of:
a. ethnicit y.
b. work environment.
c. work culture.
d. marginalization.
ANS: C
Culture develops over time, is essent ial to survival, is learned and
shared by members, and changes with difficult y.
, TOP: AONE competency: Knowledge of the Health Care
Environment
4. As a nurse manager, you have hired two new staff members who have
recentl y 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?
a. Anal yze a recent situation with them in which an order with a
physician was not clarified and explore their beliefs abo ut nurse-
physician relationships.
b. Expect them to behave in ways that are expected of staff who have
grown up and been educated in the United States.
c. Stress to these new staff that your unit is a “famil y” and that staff
members take pride in saying that the y are from Unit 4.
d. Recognize that culture develops over time and leave them alone to
figure out differences between their culture and that of the unit.
ANS: A
Acculturation refers to adapting to a particular culture. Assimilation
occurs when individuals now define themselves as members of the
dominant culture and is evidenced by when individuals say they are
from where they live and practice. When individuals grow up within a
culture and take on the characteristics of that culture, it is referred to
as socialization. Assisting the staff to recognize differences in the
relationships between physicians and nurses on the unit and those in
their country of origin is assisting adaptation or acculturation and is
promoting positive patient outcomes.
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. 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 sensitivit y. You are exhibiting:
a. acculturation.
b. cultural sensitivit y.
c. ethnocentrism.
d. Trans-culturalism.
ANS: B
Cultural sensitivit y refers to the affective capacit y to feel, convey, or
react to ideas, habits, customs, or traditions unique to a group of
people. In this situation, acknowledgement of the candidate ’s
background in relation to eye contact demonstrates cultural sensitivit y.
TOP: AONE competency: Communication and Relationship -
Building
2. Mary joins 5W nursing unit. Mary is a new graduate who is anxious to f it
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 sensitivit y.
c. acculturation.
d. cultural marginal it y.
ANS: C
In accepting the practices of the dominant group on the unit, Mary is
demonstrating acculturation.
TOP: AONE competency: Communication and Relationship -
Building
3. At Health Center XYZ, staff members on the rehabilitation unit have a
head nurse who is intolerant of error and publicl y 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 openl y discussed during periodic
meetings. New staff members are quickl y made to realize that silence is
expected. The situation described is an example of:
a. ethnicit y.
b. work environment.
c. work culture.
d. marginalization.
ANS: C
Culture develops over time, is essent ial to survival, is learned and
shared by members, and changes with difficult y.
, TOP: AONE competency: Knowledge of the Health Care
Environment
4. As a nurse manager, you have hired two new staff members who have
recentl y 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?
a. Anal yze a recent situation with them in which an order with a
physician was not clarified and explore their beliefs abo ut nurse-
physician relationships.
b. Expect them to behave in ways that are expected of staff who have
grown up and been educated in the United States.
c. Stress to these new staff that your unit is a “famil y” and that staff
members take pride in saying that the y are from Unit 4.
d. Recognize that culture develops over time and leave them alone to
figure out differences between their culture and that of the unit.
ANS: A
Acculturation refers to adapting to a particular culture. Assimilation
occurs when individuals now define themselves as members of the
dominant culture and is evidenced by when individuals say they are
from where they live and practice. When individuals grow up within a
culture and take on the characteristics of that culture, it is referred to
as socialization. Assisting the staff to recognize differences in the
relationships between physicians and nurses on the unit and those in
their country of origin is assisting adaptation or acculturation and is
promoting positive patient outcomes.
