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. - ANS-B. Adapted to and
adopted the American culture.
Assimilation results when an individual gradually adopts and incorporates the characteristics of
the dominant culture.
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. - ANS-D. Enculturation.
Socialization into one's primary culture as a child is known as enculturation.
A child's immunization may cause discomfort during administration, but the benefits of
protection from disease, both for the individual and society, outweigh the temporary discomforts.
Which principle is involved in this situation?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Respect for autonomy - ANS-B. Beneficence
The immunization is a clear effort to provide benefit. Beneficence refers to "doing good." Fidelity
refers more to keeping promises. Nonmaleficence refers to the commitment to avoid harm.
Respect for autonomy refers to the commitment to include patients in the decision-making
process regarding health care plans.
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. - ANS-A. She won't resume sexual relations
until her baby is weaned.
In some African cultures such as in Ghana and Sierra Leone some women will not resume
sexual relations with their husbands until the baby is weaned.
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. - ANS-C. Explore what has prevented her
from being at the clinic in time for her appointment
Present-time orientation is in conflict with the dominant organizational norm in health care that
emphasizes punctuality and adherence to appointments. Nurses need to expect conflicts and
make adjustments when caring for ethnic groups.
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. - ANS-C. Influence of
socioeconomic factors in morbidity and mortality.
Health disparity populations are populations that have a significant increased incidence or
prevalence of disease or that have increased morbidity, mortality, or survival rates compared to
the health status of the general population.
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 - ANS-C. African American
Certain genetic disorders are linked with specific ethnic groups such as malignant hypertension
among African Americans.
A precise definition for the word quality is difficult to articulate when it comes to quality of life.
Why? (Select all that apply.)
A. Quality of life is measured by potential income, and average income varies in different
regions of the country.
B. Community values are subject to change, and communities influence definitions of "quality."
C. Individual experiences influence perceptions of quality in potentially different ways, making
consensus difficult.
D. Placing measurable value on elusive elements such as cognitive skills, ability to perform
meaningful work, and relationship to family is challenging. - ANS-B. Community values are
subject to change, and communities influence definitions of "quality."
C. Individual experiences influence perceptions of quality in potentially different ways, making
consensus difficult.
D. Placing measurable value on elusive elements such as cognitive skills, ability to perform
meaningful work, and relationship to family is challenging.
Definitions of quality depend on individual experience and value integrated into community
standards, but value refers to elements beyond monetary value.
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?" - ANS-C. "Do you bathe and
use deodorant more than one time a week?"
Nurses need to avoid stereotypes or unwarranted generalizations about any particular group
that prevents further assessment of the individual's unique characteristics.
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.
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