1| FUNDA Theory Study Guide # 5 for Chapter 18.

Culturally Responsive Nursing Care

STUDY GUIDE # 5

CULTURALLY RESPONSIVE NURSING CARE

Instructions:

a) Refer to the following pages for your answers: 276-279, 283-284, 286-287 of your book in a pdf file. If
you’re using an actual book, please be the one to identify from the pdf its corresponding pages in your
book.

b) The number before each question is just for organization purposes because there are test items that
will be merged in iStudy, thus, only then a perfect score will be known.

c) The answers will be entered into iStudy and will close on March 4, 11:59 PM

1. Nurses’ worldview is influenced by the culture of the nursing profession and the culture of the
organization that he or she represents. Therefore, every nurse-client interaction is a cultural 2)
encounter.

To deliver a care that integrates client’s values and beliefs, the nurse must first develop (3) self-
awareness of his or her own culture, attitudes, and beliefs, and examine the (4) biases and (5)
assumptions he or she holds about different cultures. Next, the nurse needs to gain the necessary (6)
knowledge and skills to create an environment where (7) trust can be developed with the client. This
knowledge must include an understanding of health (8) disparities as well as the (9) historical and
current portrayals of racial and ethnic groups in society.

10. Cultural knowledge can help the nurse to better understand different perspective, while recognizing
that cultural generalizations may not hold true at the individual level.

11. Cultural assessment skills are essential in understanding the client’s viewpoint more fully, and
learning what the client values as important.

12. In culturally responsive care, the nurse must respond to the client’s needs.

13. Only through self-awareness, deliberate cultural assessment, and incorporation of the client’s
culture into the plan of care can a nurse optimally care for a client.

14. Culture is the thoughts, communications, actions, customs, beliefs, values, and institutions of racial,
ethnic, religious, or social groups”.

15. Multicultural is used to describe a person who has multiple patterns of identification or crosses
several cultures, lifestyle, and set of values.

16. Diversity, occurs not only between cultural groups but also within a cultural group

17. Ethnicity is not a fixed concept.

18. The practice of religion is revealed in numerous denominations, organizations, sects, and cults.
19. Ethnicity and religion are related, and one’s religion is often determined by one’s ethnic group.

20. Generalizations may not hold true at the individual level, and should serve only as openings for
individuals to better understand each other.

Four categories of determinants of health by the National Partnership for Action to End Health
Disparities (2011):

21. Social determinants of health

22. Behavioral determinants of health

23. Environmental determinants of health

24. Biological and genetic determinants of health

25. The efforts to address disparities are aimed at achieving health equity – the highest possible
standard of health for all people, especially those risk for poor health.

26. The involuntary process of acculturation occurs when people incorporate traits from another
culture.

27. Communicating effectively with clients of various ethnic and cultural backgrounds are critical to
providing culturally competent nursing care.

28. For the client whose language is not the same as that of the health care provider, an intermediary
may be necessary.

29. Avoid asking a member of the client’s family, especially a child or spouse, to act as interpreter.

30. A child who is used as interpreter may be exposed to language and concepts they are not
developmentally ready for.

31. In some Asian cultures only certain older people are permitted to touch the head of others, and
children are never patted on the head.

32. Cultures dictate what forms of touch are appropriate for individuals of the same and opposite
gender.

33. The nurse should watch interaction among clients and families for cues to the appropriate degree of
touch in that culture.

34. The nurse should inquire about client’s preferences, and inform clients before touching them, and
whenever possible proceed after obtaining (35) permission.

36. Facial expression can also vary among cultures.

37. Eye movement during communication has cultural foundations.

38. The nurse must consider the cultural context to avoid misinterpreting avoidance of eye contact.

39. All phases of the nursing process are affected by the client’s and the nurse’s cultural values, beliefs,
and behaviors.
40. Self-awareness of personal biases can enable nurses to develop modifying behaviors or (if they are
unable to do so) to remove themselves from situations where care may be compromised.

41. Nurses can become more aware of their own culture through values clarification.

42. In doing cultural assessment, how and when questions are asked requires sensitivity and clinical
judgement.

43. Timing is important in introducing questions.

44. Sensitivity is needed in phrasing questions.

45. Trust must be established before clients can be expected to volunteer and share sensitive
information.

46. The nurse needs to spend time with clients and convey a genuine desire to understand their values
and beliefs.

47. Before conducting a cultural assessment, determine what language the client speaks and the client’s
degree of fluency in the English language.

48. It is important to learn about the client’s communication patterns and space orientation.

The implementation of cultural nursing care includes

49. Cultural preservation and maintenance

50. Cultural accommodation and negotiation

The tasks of accommodating a client’s viewpoint and negotiating appropriate care require expert
communication skills such as

51. Responding empathetically

52. Validating information

53. Effectively summarizing content

54. Family members of a Cuban-American client who is terminally ill are visibly upset and crying loudly in
the hallways. Which intervention should the nurse implement?

A. Direct the family members to the chapel.

B. Close the doors of the other client’s rooms.
C. Provide a private room for the family and client.
D. Ask the family to quiet down when in the hallways.

55. When the client is providing care for a client who is not fluent in the English language, what is the
INITIAL nursing action?

A. Determine the client’s primary language.

B. Obtain translation dictionary for the client
C. Establish a means of communication using gestures and hand movements
D. Obtain a pad and paper so that the client can write and draw to express needs.
56. A client who speaks limited English requires instructions for a test. No one at your agency speaks the
person’s language. What is the nurse’s best approach?

A. Provide the instructions in writing.

B. Locate a professional interpreter.
C. Ask a family member to translate on the phone.
D. Document that the required instruction is not possible.

57. Which of the following factors are most likely to be influenced by culture as opposed to personal
characteristics?

SELECT ALL THAT APPLY.

1. Value of older people in society

2. Gender roles

3. Nonverbal gestures

4. Skill with technology

5. Intelligence

6. Diet

A. 4&5
B. 1, 2, 3
C. 2, 4, 6
D. 1, 2, 3, 6

58. What is the most productive method of gathering assessment data regarding heritage?

A. Physical exam
B. Medical history
C. Blood analysis
D. Traditional beliefs and practices checklist

59. In initiating care for a client from a different culture than the nurse, which of the following would be
an appropriate statement?

A. “Since, in your culture, people don’t drink ice water, I will bring hot tea.”
B. “Do you have any books I could read about people of your culture?”
C. “Please let me know if I do anything that is not acceptable in your culture?”
D. “You will need to set aside your usual customs and practices while you are in the hospital.”

60. A home health client participates in cultural health practices that the nurse feels may be detrimental
to his health. In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing
care, what should the nurse do?

A. Explain the right and wrong of the client’s treatment and try to persuade him to follow the
scientific perspective.
 B. Have the client’s physician explain the care to the client in a firm but gentle manner.
C. Validate the client’s practices and understand that for this client, it may be beneficial to
continue with his preferences.
D. Try not to negotiate with the client by exploring his views and then provide relevant scientific
information.

MATCHING TYPE

Term Definition

61. Cultural skills - E

62. Folk Medicine - B

63. Space - F

64. Cultural competence - A

65. Time orientation - C

A. the ongoing process in which the health care professional continuously strives to achieve the
ability and availability to work effectively within the cultural context of the patient.
B. Those beliefs and practices relating to illness prevention and healing that derive from cultural
traditions rather than from modern medicine’s scientific base.
C. An individual’s focus on the past, the present, or the future.
D. Centered on the client’s cultural point of view and integrates the client’s values and beliefs into
the plan of care.
E. The ability to collect culturally relevant data regarding the client’s health in a culturally sensitive
manner
F. A relative concept that includes the individual, the body, the surrounding environment, objects
within that environment.

Reference: Berman, A. & Synder, S. (2016) Kozier & Erb’s Fundamentals of Nursing. 10 th ed. Pearson
Education, Inc