Chapter 19. Culture as a Variable in Practice
MULTIPLE CHOICE
1. A patient states, I have knowledge about my diet and how to do my insulin injections, so I
can get on with my life. In which stage of illness is this patient?
a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation
ANS: D
Feedback
A. The person in the first stage believes that the symptoms do not really represent
illness and will go away.
B. At the second stage the person is angry at the body for not functioning
properly or displaces anger onto self or others.
C. The person in the third stage usually seeks help and knowledge as ways to
gain control.
D. Acceptance and participation is the final stage in the adjustment to an illness.
A person in this stage is ready to participate in decisions about treatment.
2. A contemporary view of the sick role includes
a. patient as partner with the health care provider.
b. patient as submissive to the health care provider.
c. patient noncompliant with the health care provider.
d. moving away from cultural values when making health care decisions.
, ANS: A
Feedback
A. A contemporary view of the sick role includes partnering with patients in
making health care decisions.
B. Patient as submissive to health care provider is a paternalistic perspective.
C. Patients are expected to want to get well, and the patient who wants to get well
will comply with the prescribed treatment.
D. All health care needs to be culturally sensitive.
3. A patient tells the nurse, Ill let you do whatever you think is best for me. The patient does
very little independently without calling for assistance. The nurses conclude that the
patient is demonstrating which personality characteristic?
a. Acceptance
b. Sense of control
c. Coping
d. Dependence
ANS: D
Feedback
A. The person demonstrating acceptance will acknowledge the situation.
B. The person demonstrating sense of control would be actively
C. seeking ways to manage the situation.
D. The person who is coping is looking to decrease the threat in the situation or to
increase his or her resources to deal with the threat.
E. Some people assume a passive attitude and rely on others to care for them.
This can occur with or without illness.
MULTIPLE CHOICE
1. A patient states, I have knowledge about my diet and how to do my insulin injections, so I
can get on with my life. In which stage of illness is this patient?
a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation
ANS: D
Feedback
A. The person in the first stage believes that the symptoms do not really represent
illness and will go away.
B. At the second stage the person is angry at the body for not functioning
properly or displaces anger onto self or others.
C. The person in the third stage usually seeks help and knowledge as ways to
gain control.
D. Acceptance and participation is the final stage in the adjustment to an illness.
A person in this stage is ready to participate in decisions about treatment.
2. A contemporary view of the sick role includes
a. patient as partner with the health care provider.
b. patient as submissive to the health care provider.
c. patient noncompliant with the health care provider.
d. moving away from cultural values when making health care decisions.
, ANS: A
Feedback
A. A contemporary view of the sick role includes partnering with patients in
making health care decisions.
B. Patient as submissive to health care provider is a paternalistic perspective.
C. Patients are expected to want to get well, and the patient who wants to get well
will comply with the prescribed treatment.
D. All health care needs to be culturally sensitive.
3. A patient tells the nurse, Ill let you do whatever you think is best for me. The patient does
very little independently without calling for assistance. The nurses conclude that the
patient is demonstrating which personality characteristic?
a. Acceptance
b. Sense of control
c. Coping
d. Dependence
ANS: D
Feedback
A. The person demonstrating acceptance will acknowledge the situation.
B. The person demonstrating sense of control would be actively
C. seeking ways to manage the situation.
D. The person who is coping is looking to decrease the threat in the situation or to
increase his or her resources to deal with the threat.
E. Some people assume a passive attitude and rely on others to care for them.
This can occur with or without illness.
