Exam (elaborations)
Chapter 21 Ethnicity and Cultural Assessment
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 21 Ethnicity and Cultural Assessment
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DAWITChapter 21: Ethnicity and Cultural Assessment
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. A nursing faculty member is contrasting culture and ethnicity to students. Which statement is
most accurate?
a. Culture is biologically determined; ethnicity is chosen.
b. Culture is socially transmitted; ethnicity is identification with a group.
c. Culture is a chosen identity whereas ethnicity is biologically based.
d. Culture and ethnicity are similar constructs used interchangeably.
ANS: B
Culture refers to the learned, shared, and transmitted knowledge of values, beliefs, and ways
of life of a group that generally are transmitted from one generation to another and influence
the individual person‘s thinking, decisions, and actions in patterned or certain ways. Ethnicity
is the person‘s identification with or membership in a racial, national, or cultural group and
observation of the group‘s customs, beliefs, and language. The words may be used
interchangeably by some people, but this is not correct.
DIF: Understanding OBJ: 21.1
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
2. A nursing student wants to observe enculturation practices of an ethnic minority community.
N R I G B.C
What action by the student is bU
est?S N T O
a. Attend a community dance.
b. Learn to cook an ethnic meal.
c. Visit the group‘s worship service.
d. Observe a grandmother teaching a child.
ANS: D
Enculturation is the process of passing a culture down from generation to generation. Culture
can be taught directly, for instance, with the grandmother teaching the child. Culture can also
be taught indirectly as when a child observes a role in the community. The student observing
the grandmother teaching a child is the best example of enculturation.
DIF: Applying OBJ: 21.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
3. The student nurse learns that which item is the most important symbolic aspect of culture?
a. Flags
b. Language
c. Art
d. Music
ANS: B
NURSINGTB.COM
, DAWIT
Language is the most extensively used set of symbols in a culture. The other items are
important symbols but are not as important as language because words are used to represent
objects and ideas.
DIF: Remembering OBJ: 21.1
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
4. A charge nurse works on an inpatient unit in a diverse city. To provide culturally congruent
care to the patient, which action by the nurse would be most appropriate?
a. Using puns and sarcasm to help draw the patient into sharing information
b. Working to understand the socioeconomic status of the patient so teaching is
culturally sensitive and appropriate
c. Assuming a patient from a minority population does not have the economic means
to pay for home care follow-up
d. Admonishing a Hispanic patient for showing up for a preoperative teaching class
15 minutes late
ANS: B
Nurses need to be cognizant of the impact of a patient‘s socioeconomic status to health care
practices. The use of puns, sarcasm, and colloquialisms are not easily comprehended or
interpreted by those who speak a different primary language. While the level of poverty in
minority populations within all cultures is disproportionally higher, it is inappropriate to base
an action on an assumption. According to research, some Hispanics believe that time is
flexible and events will begin when they arrive. However, admonishment is not the best
approach to dealing with this behavior.
DIF: Applying OBJ: 21N .2URSINGTT OBP:.ICtegMrated Process: Caring
nO
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
5. A nurse has been told he has many obvious stereotypes about a specific cultural group. What
action by the nurse is best?
a. Ask to not care for members of this cultural group.
b. Ask to take care of as many members of this group as possible.
c. Begin to educate himself on aspects of this cultural group.
d. Vow to not allow his stereotypes to show when providing care.
ANS: C
Stereotypes are fixed ideas, often unfavorable, about groups of people. They occur because of
being unwilling to gather all the information needed to make fair determinations. The nurse
would benefit most from beginning to learn about this cultural group. Caring or not caring for
members of this group will not help him obtain new information. The nurse should not let
stereotypes show, but this is not the best option.
DIF: Applying OBJ: 21.2 TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
6. A nurse is caring for a homeless patient and tells the manager, ―I will make sure he doesn‘t
steal food from our nourishment center.‖ What action by the manager is best?
a. Tell the nurse she is right to monitor the patient‘s activity.
b. Inform the nurse that not all homeless people will steal.
NURSINGTB.COM
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