TEST BANK
Transcultural Nursing: Assessment and Intervention
Joyce Newman Giger, and Yolanda M. Powell-Young
9th Edition
,Table of Contents
Chapter 01: Introduction to Transcultural Nursing 1
Chapter 02: Communication 3
Chapter 03: Space 7
Chapter 04: Social Organization 9
Chapter 05: Time 15
Chapter 06: Environmental Control 17
Chapter 07: Biological Variations 19
Chapter 08: African-Americans 22
Chapter 09: Mexican Americans 25
Chapter 10: Navajos 27
Chapter 11: Appalachians 29
Chapter 12: American Eskimos: The Yup'ik and Inupiat 30
Chapter 13: Japanese Americans 31
Chapter 14: Afghans and Afghan Americans 32
Chapter 15: Russian Americans 33
Chapter 16: Chinese Americans 34
Chapter 17: Filipino Americans 36
Chapter 18: Vietnamese Americans 38
Chapter 19: East Indian Hindu Americans 40
Chapter 20: Haitian Americans 41
Chapter 21: Jewish Americans 42
Chapter 22: Korean Americans 43
Chapter 23: French Canadians of Québec Origin 44
Chapter 24: Puerto Rican Americans 45
Chapter 25: Nigerian Americans 46
Chapter 26: Ugandan Americans 47
Chapter 27: Jordanian Americans 49
Chapter 28: Cuban Americans 50
Chapter 29: Amish Americans 51
Chapter 30: Irish Americans 52
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Test Bank - Transcultural Nursing: Assessment and Intervention, 9th Edition (Giger, 2025)
Chapter 01: Introduction to Transcultural Nursing
Giger: Transcultural Nursing: Assessment and Intervention, 9th Edition
MULTIPLE CHOICE
1. The use of transcultural nursing knowledge is founded on the goal of:
A. Increasing client compliance to the Western medical model.
B. Delivering culturally sensitive care that is free of inherent biases.
C. Eliminating cultural differences.
D. 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. Be aware of his or her own cultural beliefs and values.
B. Change his or her beliefs to meet the patient’s needs.
C. Provide care in a culturally sensitive manner.
D. 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. Nurse centered and research focused.
B. Client centered and research focused.
C. Spiritually centered and research focused.
D. Concerned with differences between but not within cultural groups.
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 of culturally competent care is the
nurse’s:
A. Awareness of personal stereotypes based on culture.
B. Knowledge of specific behavior that is typical of persons in a given culture.
C. Sensitivity to what the physician says about persons in the cultural group of the
patient.
D. 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
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Test Bank - Transcultural Nursing: Assessment and Intervention, 9th Edition (Giger, 2025)
5. The nurse responding to patients from diverse cultures with interpersonal awareness,
knowledge, skill, and sensitivity is known as having:
A. Enculturation.
B. Culture care preservation.
C. Cultural competence.
D. Culture care accommodation.
ANS: C DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Implementation
MSC: NCLEX Category: Health Promotion and Maintenance
6. 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 is an example of the nurse’s
demonstrating:
A. Cultural competence.
B. Bicultural values.
C. Ethnocentrism.
D. Assimilation.
ANS: A DIF: Cognitive Level: Application
KEY: Nursing Process: Planning
MSC: NCLEX Category: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. Which of these cultural phenomena are among those considered essential and are evidenced
among all cultural groups? Mark all that apply.
A. Communication
B. Space
C. Social organization
D. Time
E. Environmental control
F. Biological variations
ANS: A, B, C, D, E, F DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
,______________________________________________________________________________________________
Test Bank - Transcultural Nursing: Assessment and Intervention, 9th Edition (Giger, 2025)
Chapter 02: Communication
Giger: Transcultural Nursing: Assessment and Intervention, 9th Edition
MULTIPLE CHOICE
1. Communication approaches the nurse can use while providing culturally appropriate nursing
care for a client with limited understanding of English include all of the following except:
A. Using a lot of hand gestures.
B. Asking questions that require a yes or no response.
C. Repeating the message with different words.
D. 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. Verbalize to an interpreter how to cough and breathe deeply.
C. Demonstrate how to cough and breathe deeply postoperatively.
D. 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
C. Amish
D. 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. Do a cultural assessment on each patient.
C. Have “lived experience” with the culture of the patients served.
D. 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
, ______________________________________________________________________________________________
Test Bank - Transcultural Nursing: Assessment and Intervention, 9th Edition (Giger, 2025)
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 control
nature.
B. Social organization refers to the differences that exist within the family unit in a
culture.
C. Verbal communication differences exist among cultures, and nonverbal
communication differences exist between cultures.
D. 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.
C. Speak slowly and clearly to ensure effective communication.
D. 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. Speak to the client using his ethnic dialect.
C. Ask the client for clarification if you don’t understand what he is saying.
D. 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. The nurse responds, “Please explain that to me again.”
C. Explain in Italian dialect, “I’ma not understandinga you.”
D. 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
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