1. What are the characteristics of one’s culture?
a. Colour of skin and hair
b. System of beliefs and practices
c. Food preferences
d. Language and religion
Health Assessment for Nursing Practice 6th Edition Wilson Test Bank
Chapter 05: Cultural Assessment
Wilson: Health Assessment for Nursing Practice, 6th Edition
MULTIPLE CHOICE
1. What are the characteristics of one’s culture?
a. Color of skin and hair
b. System of beliefs and practices
c. Food preferences
d. Language and religion
ANS: B
System of beliefs and practices is part of the definition of culture. Skin and hair color are
examples of racial characteristics based on genetics. Food preferences are an example of
ethnicity. Language and religion are examples of ethnicity.
DIF: Cognitive Level: Remember REF: p. 48
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
2. Which example below best characterizes a patient’s race?
a. The language spoken in the patient’s home is Tagalog.
b. The patient’s family follows a kosher diet.
c. The patient and his family have blonde hair and fair skin.
d. The patient’s grandparents came to the United States from Germany.
ANS: C NURSINGTB.COM
Blonde hair and fair skin indicate genetics and race. The language spoken at home refers to
ethnicity. A kosher diet refers to ethnicity. Although the patient and grandparents may share
the same race, that the grandparents came to the United States from Germany does not relate
to race.
DIF: Cognitive Level: Understand REF: p. 48
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
3. A Hispanic patient tells an African-American nurse, “You are African-American and can’t
possibly understand how a person like me feels.” What is an appropriate response by the nurse
at this time?
a. Find a nurse who is not African-American to interview the patient.
b. Ask the patient, “Why do you think that, since we just met?”
c. Note that the patient is very defensive about being racially different.
d. Encourage the patient to describe what he means by his statement.
ANS: D
This study source was downloaded by 100000857259159 from CourseHero.com on 11-17-2022 14:44:38 GMT -06:00
, Health Assessment for Nursing Practice 6th Edition Wilson Test Bank
By encouraging the patient to describe what he means by his statement, the nurse is
demonstrating cultural awareness and sensitivity by gathering more data about the unique
beliefs and value systems of this patient. Finding a nurse who is not African-American to
interview the patient is neither necessary nor practical. Asking the patient “Why do you think
that, since we just met?” sounds defensive and may not facilitate further communication.
Making an assumption “that the patient is very defensive about being racially different” is not
based on any data.
DIF: Cognitive Level: Apply REF: p. 50
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
4. A male nurse is assigned to the care of a gay male with alcoholism. This sexual orientation is
inconsistent with the beliefs of the nurse. What actions, if any, can the nurse take to provide
patient-centered care to this patient?
a. No action is necessary at this time.
b. Examine his own feelings about alcoholism and homosexuality.
c. Determine the patient’s degree of risk for contracting the human
immunodeficiency virus.
d. Discuss homosexuality and alcoholism with the patient.
ANS: B
Examining one’s own feelings about alcoholism and gay men specifically and identifying
one’s own beliefs and values generally is part of the process for developing cultural
competence, which should allow one to recognize the uniqueness of patients and to
demonstrate respect for individuals. Not acting will not facilitate patient-centered care. The
nurse needs to reflect on his feelings about this patient. Determining the patient’s degree of
N immunodeficiency
risk for contracting the human U
RSINGTB.COvirus M is based on an assumption that
because the patient is gay, he has or will have the human immunodeficiency virus. A
discussion with the patient may help the nurse understand him, but will not necessarily
provide insight into the nurse’s beliefs and feelings.
DIF: Cognitive Level: Apply REF: p. 50
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Psychosocial Integrity: Cultural Diversity
5. Which nursing behaviors indicate culturally competent care?
a. Recognizing that there are different definitions of health and illness
b. Complying with the stated plan of treatment despite the patient’s differing opinion
c. Understanding that there is diversity even among people of the same cultural group
d. Helping patients of different cultures adopt the beliefs and behaviors of the
dominant culture
ANS: C
This study source was downloaded by 100000857259159 from CourseHero.com on 11-17-2022 14:44:38 GMT -06:00
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