Quiz 4: Culture

Concepts For Nursing Practice

Nursing
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True/False
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Questions

Q1
Free

The nurse is triaging a hysterical patient in the ER. The patient is crying, with uncontrollable spasms, trembling, and shouting. It is important to identify manifestation of illness in order to effectively treat a patient. The nurse identifies this as a culture-bound syndrome called

Multiple Choice
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A) shenjing sharo.
B) loco de la cabeza.
C) ataque de nervios.
D) neuroasthenia.
Answer:
C) ataque de nervios.

Explanation:
Ataque de nervios is a Latin-Caribbean culture-bound syndrome that usually occurs in response to a specific stressor and is characterized by dissociation or trance-like states, crying, uncontrollable spasms, trembling, or shouting. Shenjeng sharo refers to weakness of nerves in Chinese culture; it is caused by a decrease in vital energy that reduces the function of the internal organ systems and lowers resistance to disease. Loco de la cabeza is a Spanish phrase meaning crazy in the mind and not necessarily manifested by physical symptoms. Neuroasthenia is an Asian term characterized by extreme fatigue after mental effort and bodily weakness of persistent duration.
Q2
Free

Understanding cultural differences in health care is important because it will help the nurse to understand the manner in which people decide on obtaining treatments and medical care. In independent cultures an individual will

Multiple Choice
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A) put himself first.
B) consult family members for advice.
C) ask for a second opinion.
D) travel great distances to receive the best care.
Answer:
A) put himself first.

Explanation:
In independent cultures, an individual will put himself first in the case of a life-threatening illness, whereas even in dire circumstances, members of collectivist cultures may still consult other family members for the best course of action. In independent cultures, an individual will not consult with other family members, ask for a second opinion, or travel great distances to receive the best care.
Q3
Free

When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-concept, a nurse should immediately

Multiple Choice
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A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
Answer:
B) prompt further to elicit additional questions or concerns.

Explanation:
When a nurse provides nutritional education to a patient who is from a culture that values greater power distance, it might appear that the patient is willing to accept all that the nurse suggests, when further prompting would elicit additional questions or concerns. The patient from a collectivist culture will usually consult family members for a best course of action. It is not acceptable for nurses to take it upon themselves to call the recognized elder or oldest male relative for help with decision making. While writing everything down may be OK for some cultures, with Asian patients it may be best to prompt further to elicit additional questions or concerns.
Q4

Women who are given the job of caretaker for aging relatives are subject to caregiver strain due to

Multiple Choice
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A) feminine attributes.
B) unequal gender.
C) fixed gender roles.
D) female inequality.
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Q5

Mr. Giuseppe is a 60-year-old Italian immigrant who presents for an annual physical. He is counseled about diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and pneumococcal vaccination. His reply is If it aint broke, dont try to fix it. Understanding that respect for traditions and fulfilling obligations is important in developing a nursing plan of care. Mr. Giuseppes cultural orientation is towards

Multiple Choice
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A) short term.
B) long term.
C) leisurely term.
D) noncommittal.
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Q6

The emphasis on understanding cultural influence on health care is important because of

Multiple Choice
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A) disability entitlements.
B) HIPAA requirements.
C) increasing global diversity.
D) litigious society.
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Q7

What interrelated constructs facilitate a nurse to become culturally competent?

Multiple Choice
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A) Cultural diversity, self-awareness, cultural skill, and cultural knowledge
B) Cultural desire, self-awareness, cultural knowledge, and cultural identity
C) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
D) Cultural desire, self-awareness, cultural knowledge, and cultural skill
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