A 6-month-old child from Guatemala was adopted by an American family in Indiana. The child's socialization into the American midwestern culture is best described as:
A) Assimilation.
B) Acculturation.
C) Biculturalism.
D) Enculturation.
Enculturation.
A 46-year-old woman from Bosnia came ...
a 6 month old child from guatemala was adopted by an american family in indiana the c
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Nurs 333 Exam 3
A 6-month-old child from Guatemala was adopted by an American family in Indiana.
The child's socialization into the American midwestern culture is best described as:
A) Assimilation.
B) Acculturation.
C) Biculturalism.
D) Enculturation. - Answer Enculturation.
A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she
did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with
her family now. This woman has experienced assimilation into the culture of the United
States because she:
A) Chose to be bicultural.
B) Adapted to and adopted the American culture.
C) Had an extremely negative experience with the American culture.
D) Gave up part of her ethnic identity in favor of the American culture. - Answer Adapted
to and adopted the American culture.
To enhance their cultural awareness, nursing students need to make an in-depth self-
examination of their own:
A) Motivation and commitment to caring.
B) Social, cultural, and biophysical factors.
C) Engagement in cross-cultural interactions.
D) Background, recognizing her biases and prejudices. - Answer Background,
recognizing her biases and prejudices.
Which of the following is required in the delivery of culturally congruent care?
A) Learning about vast cultures
B) Motivation and commitment to caring
C) Influencing treatment and care of patients
D) Acquiring specific knowledge, skills, and attitudes - Answer Acquiring specific
knowledge, skills, and attitudes
A registered nurse is admitting a patient of French heritage to the hospital. Which
question asked by the nurse indicates that the nurse is stereotyping the patient?
A) "What are your dietary preferences?"
B) "What time do you typically go to bed?"
C) "Do you bathe and use deodorant more than one time a week?"
D) "Do you have any health issues that we should know about?" - Answer "Do you
bathe and use deodorant more than one time a week?"
When action is taken on one's prejudices:
A) Discrimination occurs.
B) Delivery of culturally congruent care is ensured.
C) Effective intercultural communication develops.
D) Sufficient comparative knowledge of diverse groups is obtained. - Answer
Discrimination occurs.
,Nurs 333 Exam 3
A nursing student is doing a community health rotation in an inner-city public health
department. The student investigates sociodemographic and health data of the people
served by the health department, and detects disparities in health outcomes between
the rich and poor. This is an example of a(n):
A) Illness attributed to natural and biological forces.
B) Creation of the student's interpretation and descriptions of the data.
C) Influence of socioeconomic factors in morbidity and mortality.
D) Combination of naturalistic, religious, and supernatural modalities. - Answer
Influence of socioeconomic factors in morbidity and mortality.
Culture strongly influences pain expression and need for pain medication. However,
cultural pain is:
A) Not expressed verbally or physically.
B) Expressed only to others from a similar culture.
C) Usually more intense than physical pain.
D) Suffered by a patient whose valued way of life is disregarded by practitioners. -
Answer Suffered by a patient whose valued way of life is disregarded by practitioners.
Which of the following best represents the dominant values in American society on
individual autonomy and self-determination?
A) Physician orders
B) Advance directive
C) Durable power of attorney
D) Court-appointed guardian - Answer Advance directive
The nurse at an outpatient clinic asks a patient who is Chinese American with newly
diagnosed hypertension if he is limiting his sodium intake as directed. The patient does
not make eye contact with the nurse but nods his head. What should the nurse do next?
A) Ask the patient how much salt he is consuming each day
B) Discuss the health implications of sodium and hypertension
C) Remind the patient that many foods such as soy sauce contain "hidden" sodium
D) Suggest some low-sodium dietary alternatives - Answer Ask the patient how much
salt he is consuming each day
A female Jamaican immigrant has been late to her last two clinic visits, which in turn
had to be rescheduled. The best action that the nurse could take to prevent the patient
from being late to her next appointment is:
A) Give her a copy of the city bus schedule.
B) Call her the day before her appointment as a reminder to be on time.
C) Explore what has prevented her from being at the clinic in time for her appointment.
D) Refer her to a clinic that is closer to her home. - Answer Explore what has prevented
her from being at the clinic in time for her appointment.
,Nurs 333 Exam 3
A nursing student is taking postoperative vital signs in the postanesthesia care unit. She
knows that some ethnic groups are more prone to genetic disorders. Which of the
following patients is most at risk for developing malignant hypertension?
A) Ashkenazi Jew
B) Chinese American
C) African American
D) Filipino - Answer African American
A community health nurse is making a healthy baby visit to a new mother who recently
emigrated to the United States from Ghana. When discussing contraceptives with the
new mom, the mother states that she won't have to worry about getting pregnant for the
time being. The nurse understands that the mom most likely made this statement
because:
A) She won't resume sexual relations until her baby is weaned.
B) She is taking the medroxyprogesterone (Depo-Provera) shot.
C) Her husband was recently deployed to Afghanistan.
D) She has access to free condoms from the clinic. - Answer She won't resume sexual
relations until her baby is weaned.
During their clinical post-conference meeting, several nursing students were discussing
their patients with their instructor. One student from a middle-class family shared that
her patient was homeless. This is an example of caring for a patient from a different:
A) Ethnicity.
B) Culture.
C) Heritage.
D) Religion. - Answer Culture.
When interviewing a Native American patient on admission to the hospital emergency
department, which questions are appropriate for the nurse to ask? (Select all that
apply.)
A) Do you use any folk remedies?
B) Do you have a family physician?
C) Do you use a Shaman?
D) Does your family have a history of alcohol abuse? - Answer Do you use any folk
remedies?
Do you have a family physician?
Do you use a Shaman?
Acculturation - Answer Process of adapting to and adopting a new culture.
Assimilation - Answer To become absorbed into another culture and adopt its
characteristics.
Culture - Answer Integrated patterns of human behavior that include the language,
thoughts, communications, actions, customs, beliefs, values, and institutions of racial,
ethnic, religious, or social groups.
, Nurs 333 Exam 3
Cultural care accommodation or negotiation - Answer Adapting or negotiating with the
patient/families to achieve beneficial or satisfying health outcomes.
Cultural care preservation or maintenance - Answer Retaining and/or preserving
relevant care values so patients are able to maintain their well-being, recover from
illness, or face handicaps and/or death.
Cultural care repatterning or restructuring - Answer Reordering, changing, or greatly
modifying a patient's/family's customs for a new, different, and beneficial health care
pattern.
Cultural competence - Answer Process in which the health care professional continually
strives to achieve the ability and availability to work effectively with individuals, families,
and communities.
Cultural imposition - Answer Using one's own values and customs as an absolute guide
in interpreting behaviors.
Cultural pain - Answer Feeling that a patient has after a health care worker disregards
the patient's valued way of life.
Culturally congruent care - Answer Care that fits people's valued life patterns and sets
of meanings generated from the people themselves. Sometimes this differs from the
professionals' perspective on care.
Emic worldview - Answer Insider or native perspective.
Ethnicity - Answer Shared identity related to social and cultural heritage such as values,
language, geographical space, and racial characteristics.
Ethnohistory - Answer Significant historical experiences of a particular group.
Ethnocentrism - Answer Tendency to hold one's own way of life as superior to that of
others.
Etic worldview - Answer Outsider's perspective.
Fictive - Answer Nonblood kin; considered family in some collective cultures.
Matrilineal - Answer Kinship that is limited to only the mother's side.
Subcultures - Answer Various ethnic, religious, and other groups with distinct
characteristics from the dominant culture.
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