Test Bank Transcultural Nursing Assessment and Intervention 6th Edition GigerTable ofContents Chapter 1: Introduction to Transcultural Nursing
... [Show More] ................................ .................. 1
Chapter 2: Communication ................................ ................................ ..... 5 Chapter 3: Space ................................ ................................ ............. 11 Chapter 4: Social Organization ................................ ................................ . 14 Chapter 5: Time ................................ ................................ ............. 22 Chapter 6: Environmental Control ................................ .............................. 25 Chapter 7: Biological Variations ................................ ................................ 27 Chapter 8: African-Americans ................................ ................................ .. 30 Chapter 9: Mexican Americans ................................ ................................ . 34 Chapter 10: Navajos ................................ ................................ .......... 37 Chapter 12: American Eskimos: The Yup'ik and Inupiat ................................ ............ 39 Chapter 13: Japanese Americans................................ ................................ 41 Chapter 14: Afghans and Afghan Americans ................................ ...................... 43 Chapter 15: Russian Americans ................................ ................................ 45 Chapter 16: Chinese Americans ................................ ................................ 46 Chapter 17: Filipino Americans................................ ................................ . 48 Chapter 18: Vietnamese Americans ................................ ............................. 50 Chapter 19: East Indian Hindu Americans................................ ........................ 53 Chapter 21: Jewish Americans ................................ ................................ . 55 Chapter 22: Korean Americans ................................ ................................ . 57 Chapter 24: Puerto Rican Americans ................................ ............................ 58 Chapter 25: Nigerian Americans................................ ................................ 60 Chapter 26: Ugandan Americans................................ ................................ 62 Chapter 27: Jordanian Americans................................ ............................... 64 Chapter 28: Cuban Americans................................ ................................ .. 66 Chapter 30: Irish Americans ................................ ................................ ... 68
Chapter 1: Introduction to Transcultural Nursing MULTIPLE CHOICE
1. The use of transcultural nursing knowledge is founded on the goal of:
A .
B .
1 | P a g e Increasing client compliance to the Western medical model. Delivering culturally sensitive care that is free of inherent biases.C
.
D
.
Eliminating cultural differences.
Establishing system-centered health policy.
ANS: B DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Safe, Effective Care Environment
2. The major purpose of culturally congruent nursing care is to enable the
nurse to:
A
.
B
.
C
.
D
.
Be aware of his or her own cultural beliefs and values.
Change his or her beliefs to meet the patient’s needs.
Provide care in a culturally sensitive manner.
Refrain from making judgments when patients are wrong.
ANS: C DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Health Promotion and Maintenance
3. Transcultural nursing is viewed as a culturally competent practice field that
is:
A
.
B
.
C
.
D
.
2 | P a g e
Nurse centered and research focused.
Client centered and research focused.
Spiritually centered and research focused.
Concerned with differences between but not within cultural groups.WWW.THENURSINGMASTERY.COM
ANS: B DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Safe, Effective Care Environment
4. The principle that is most important to the provision
ofculturally competent care is the nurse’s:
A
.
B
.
C
.
D
.
Awareness of personal stereotypes based on culture.
Knowledge of specific behavior that is typical of persons in a given culture.
Sensitivity to what the physician says about persons in the cultural group of the
patient.
Awareness of actions that can be expected of persons in a given culture.
ANS: A DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
5. Which of these cultural phenomena are among
those considered essential and are evidenced among
all cultural groups? Mark all that apply.
A Communication
-
3 | P a g e.
B
.
C
.
D
.
E
.
F
.
Space
Social organization
Time
Environmental control
Biological variations
ANS: F DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
6. The nurse responding to patients from diverse
cultureswith interpersonal awareness, knowledge, skill,
and sensitivity is known as having:
A
.
B
.
Enculturation.
Culture care preservation.
WWW.THENURSINGMASTERY.COM
C
.
D
.
Cultural competence.
Culture care accommodation.
ANS: C DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Implementation
MSC: NCLEX Category: Health Promotion and Maintenance
4 | P a g e7. The nurse is preparing a healthy diet plan for Mrs. O. In doing so, she takes
the time to include the Polish foods that Mrs. O. favors. This isan
example of the nurse’s demonstrat ing:
A
.
B
.
C
.
D
.
Cultural competence.
Bicultural values.
Ethnocentrism.
Assimilation.
ANS: A DIF: Cognitive Level: Application
KEY: Nursing Process: Planning
MSC: NCLEX Category: Health Promotion and Maintenance
A
.
B
.
C
. C
D
. M
Using a lot of hand gestures.
Asking questions that require a yes or
no response.
Repeating the message with different words.
Speaking slowly and distinctly.
Chapter 2: Communication
MULTIPLE CHOICE
5 | P a g e1. Communication approaches the nurse can use while providing culturally appropriate
nursing care for a client with limited understanding of English include all of the follow-
ing except:
A
.
Using a lot of hand gestures.
B
.
C
.
D
.
Asking questions that require a yes or no response.
Repeating the message with different words.
Speaking slowly and distinctly.
ANS: B
DIF: Cognitive Level: Application
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
2. To determine if a client with a limited English vocabulary understands the pre-
operative teaching related to coughing and deep breathing, the nurse should ask the client
to:
A
.
Verbalize what was learned regarding coughing and deep breathing.
B
.
C
.
D
.
Verbalize to an interpreter how to cough and breathe deeply.
Demonstrate how to cough and breathe deeply postoperatively.
Interpret the meaning of the client’s facial expressions and nonverbal cues.
ANS: C
DIF: Cognitive Level: Application
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Physiological Integrity
3. While planning discharge teaching, the nurse knows the client with which of the
following family backgrounds is most likely to hold to traditional values?
A
.
Chinese
B Indian
6 | P a g e.
C
.
D
.
Amish
African American
ANS: C
DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Planning
MSC: NCLEX Category: Psychosocial Integrity
4. The nurse is working with a culturally diverse patient population in a clinic. In order
to deliver culturally competent care, it is essential for the nurse to:
A
.
Do a physical examination on each patient.
B
.
C
.
D
.
Do a cultural assessment on each patient.
Have “lived experience” with the culture of the patients served.
Observe each patient for his or her unique behavior.
ANS: B
DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Health Promotion and Maintenance
5. Cultural groups vary greatly. Which of the following is false concerning these
differences?
A
.
Environmental control refers to the ability of a group to plan activities that con-
trol nature.
B
.
C
.
D
.
Social organization refers to the differences that exist within the family unit in a
culture.
Verbal communication differences exist among cultures, and nonverbal commu-
nication differences exist between cultures.
The personal space and its meaning vary from one culture to another.
ANS: B
DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
6. When planning nursing care for a client with a different cultural background, the
nurse should:
A
.
Identify how cultural variables affect the health problem.
B Try to explain how the client can adapt to hospital routines.
7 | P a g e.
C .
D .
Speak slowly and clearly to ensure effective communication. Allow the family to provide care during the hospital stay. ANS: C DIF: Cognitive Level: Application
KEY: Nursing Process: Planning MSC: NCLEX Category: Psychosocial Integrity
7. Which of the following interventions is helpful in communicating with a client who speaks a language other than yours? A .
Reassure the client that you have friends of his ethnic or racial background.
B .
C .
D .
Speak to the client using his ethnic dialect. Ask the client for clarification if you don’t understand what he is saying. At the initial meeting, address the client by his first name. ANS: C DIF: Cognitive Level: Application
KEY: Nursing Process: Implementation MSC: NCLEX Category: Health Promotion and Maintenance
8. Mr. Cappelini is a 40-year-old Italian man who just arrived in the United States. His English is limited, and the nurse does not speak Italian. Which intervention would be helpful in communicating with Mr. Cappelini? A .
The nurse tells him, “I have Italian friends, so I have a good idea what you mean.”
B .
C .
D .
The nurse responds, “Please explain that to me again.” Explain in Italian dialect, “I’ma not understandinga you.” The nurse greets him with, “Well, Gino, how are you today?” ANS: B DIF: Cognitive Level: Application
KEY: Nursing Process: Intervention MSC: NCLEX Category: Psychosocial Integrity
9. Which of the following is an appropriate guideline for overcoming language barriers? A .
Ask often if the person understands. B Avoid nouns and conjunctions. [Show Less]