RN 402 Final Exam Leadership Questions
With Correct 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. - ANSWER 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. -
ANSWER 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." - ANSWER 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?" - ANSWER 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. - ANSWER 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?" - ANSWER 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 - ANSWER 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 - ANSWER 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. - ANSWER 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. - ANSWER 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. - ANSWER 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. - ANSWER 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. - ANSWER 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.
With Correct 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. - ANSWER 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. -
ANSWER 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." - ANSWER 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?" - ANSWER 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. - ANSWER 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?" - ANSWER 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 - ANSWER 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 - ANSWER 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. - ANSWER 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. - ANSWER 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. - ANSWER 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. - ANSWER 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. - ANSWER 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.
