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Andersons Caring for Older Adults

Holistically 6th Edition Dahlkemper


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Chapter 9: Culturally Specific Care

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. Which is NOT considered an aspect of culture?


1) Religion
2) Stories from grandparents
3) Non-physical inherited traits
4) Physical traits such as hair and eye color
____ 2. Based on census data and predictions about changes in the U.S. population, which is a true statement?
1) The number of Asians living in the United States will decrease.
2) The population of the United States will become more diverse and older.
3) The population of the United States will probably become younger and more assimilated.
4) The percentage of blacks living in the United States will increase more than any other
ethnic group.
____ 3. What health issue increases in black men between the ages of 15 to 34?
1) AIDS
2) Stroke
3) Cancer
4) Unintentional injury
____ 4. A black woman is experiencing fever and severe pain in her lower back and legs after flying a long distance
the previous day. Test results indicate anemia. What should the nurse consider that this patient is
experiencing?
1) Infection
2) Sickle cell anemia
3) Deep venous thrombosis
4) Transient ischemic attack
____ 5. Which are the two leading causes of death among Native Americans?
1) Suicide and AIDS
2) Cirrhosis and stroke
3) Heart disease and cancer
4) Unintentional injuries and diabetes
____ 6. What might the nurse expect to see when entering the hospital room of an ill Native American?
1) Cups being applied to the patient’s back
2) The patient and family facing east and praying to Allah
3) A shaman performing a healing “sing” with family members
4) The eldest member of the patient’s family asking questions and taking notes
____ 7. Which ethnic group has the lowest cancer survival rate?
1) Blacks
2) Hispanics
3) Europeans
4) Native Americans
____ 8. With which ethnic group are the practices of acupuncture and acupressure most closely associated?
1) Asians

Copyright © 2016 F. A. Davis Company


2) Blacks
3) Hispanics
4) Europeans
____ 9. The nurse is caring for a male Asian patient and needs permission for certain procedures to be performed.
How should the nurse approach the family members?
1) Ask a translator to obtain permission from the wife.
2) Go directly to the patient’s father and act in a very friendly manner.
3) Explain the patient’s condition to his wife and ask her permission for the procedures to be
done.
4) Acknowledge the wife but speak directly and formally to the patient’s father and mother
who are present.
____ 10. What do many Europeans believe about health care?
1) It is an unnecessary expense.
2) It is to be avoided at all costs.
3) It is the responsibility of the government.
4) It is the responsibility of the patient and the family.
____ 11. A 75-year-old Jewish patient sends a meal tray back with much food uneaten. How should the nurse respond?
1) Ask the family about the patient’s eating habits.
2) Explain that the food must be eaten to aid in healing and recuperation.
3) Tell the dietitian to send a kosher diet without saying anything to the patient.
4) Remark that minimal intake is being noted and ask if a kosher diet is followed.
____ 12. A middle-aged Hispanic woman does not want to take penicillin for diarrhea caused by an infection. What is a
likely explanation for this refusal?
1) The patient does not believe in the use of antibiotics.
2) The patient thinks penicillin would interfere with the herbs and spices routinely taken.
3) The patient considers penicillin a “hot” medication and diarrhea a “hot” disease and
believes that penicillin should not be used.
4) The patient considers penicillin a “hot” medication and diarrhea a “cold” disease and
believes that penicillin should not be used.
____ 13. An elderly Hispanic patient leaves after waiting for 45 minutes for an appointment that was scheduled for an
hour and a half earlier. Even though the patient is annoyed, what should the nurse respond to this situation?
1) Reschedule the appointment.
2) Suggest that another physician be chosen.
3) Say that the patient must be on time for the appointment and must wait if necessary.
4) Recognize the difference in time perception and gently explain the need to be on time for
appointments to receive the needed care.
____ 14. What should the nurse keep in mind when doing an initial assessment of a Native American?
1) Native Americans like to relate their personal history.
2) Many Native Americans find the personal questions asked during an initial assessment and
history offensive.
3) Many Native Americans rely solely on the Indian Health Care Services for health care.
4) Native Americans who speak English are completely comfortable with the U.S.
health-care system.
____ 15. A group of nurses is reviewing the care needed by a newly admitted older patient. Which statement represents
an ethnocentric view of this patient’s culture and ethnicity?
1) “Remember to check his dietary preferences before submitting each day’s menu.”

Copyright © 2016 F. A. Davis Company


2) “I think the way he wants some things done is really weird–we don’t do it that way.”
3) “Be sure to let his parish priest know he is here and wants to see him when he makes
rounds.”
4) “His spouse and children are coming in later this afternoon to discuss physical therapy
plans.”
____ 16. The nurse is caring for an 82-year-old black female patient. What should the nurse recall regarding this
patient’s life expectancy?
1) The patient can expect to live another 5 to 10 years.
2) The patient has exceeded the expected life expectancy for black females.
3) The patient has at least 3 more years before reaching the life expectancy for white females.
4) The patient has several years before reaching the expected life expectancy for black
females.
____ 17. The nurse is providing care to an older black female. Which statement should the nurse expect that explains
this patient’s health beliefs?
1) “It is God’s will.”
2) “My daughter will take care of me.”
3) “I’ll do whatever it takes to get better.”
4) “My doctor knows how to keep me well.”
____ 18. An older black female lives alone in a small city apartment and receives $900 a month in Social Security
benefits from which she makes Medicare payments and pays rent. How will this income impact the patient’s
health?
1) Isolated
2) Overcrowded
3) Could lead to malnutrition
4) Exposed to communicable diseases
____ 19. The nurse notes that a newly admitted older patient is Asian. What should be a priority question when
beginning the assessment of this patient?
1) Marital status
2) Country of origin
3) Previous profession
4) Number of children
____ 20. The nurse is caring for an older Asian American female. What should the nurse avoid doing when providing
care to this patient?
1) Addressing the patient as Mrs.
2) Discussing health care with the spouse
3) Keeping body parts covered during morning care
4) Telling the patient to stop doing something
____ 21. The nurse is observing the reaction of an older Hispanic patient after learning about a chronic illness. Which
response should the nurse expect the patient to make?
1) “I’m having bad luck.”
2) “I should never come to a hospital for care.”
3) “The doctors don’t know what they are doing.”
4) “It’s my husband’s fault I am the way that I am.”
____ 22. An older Hispanic patient will not take a medication because it does not work in sync with the hot infection.
What should the nurse do to first help this patient?
1) Document that the patient refused the medication.

Copyright © 2016 F. A. Davis Company


2) Ask for clarification on what are the hot and cold illnesses.
3) Explain that the concepts of hot and cold do not apply to infections.
4) Explain that the patient’s illness will get worse if the medication is not taken.
____ 23. An older white patient tells the nurse that the federation supplied all of his medications and paid for doctor
visits in his native country. Which cultural group is this patient most likely a member of?
1) Black
2) Asian
3) European
4) American
____ 24. What is a defining characteristic of a person from the European culture?
1) Extremely tall and muscular
2) Blond hair and blue eyes
3) Appearance of a typical American
4) Extended family provides health care
____ 25. The nurse notes that a newly admitted older white patient speaks with an accent. What should the nurse do
first to plan culturally sensitive care for this patient?
1) Obtain an interpreter.
2) Find out the patient’s country of origin.
3) Ask if a male family member is available to make health-care decisions.
4) Determine which family member plans to take care of the patient after discharge.
____ 26. The nurse is assisting in the distribution of breakfast meal trays in a nursing facility. Which food item should
be removed from the tray of a Jewish patient?
1) Toast
2) Bacon
3) Oatmeal
4) Orange juice
____ 27. On Saturday afternoon an older Jewish patient has 15 family members and friends visiting. What should the
nurse do to support this patient’s need for a support system?
1) Ask everyone to leave.
2) Enforce the two visitors per patient policy.
3) Suggest that everyone take 15 minutes each with the patient.
4) Invite everyone to the visitor’s lounge and transport the patient to visit there.
____ 28. During a visit to the reservation where an older Native American patient lives, the nurse observes a ceremony
being conducted for the patient’s newly diagnosed illness. What should the nurse recall about this culture?
1) The ceremony is to heal the illness.
2) The ceremony is to celebrate the patient’s life.
3) The ceremony is to prepare the patient for death.
4) The ceremony is to bring the family closer together.
____ 29. The leader of a tribe of Sioux Indians is admitted to the hospital for treatment of type 2 diabetes mellitus. The
tribal shaman arrives and asks for clean towels and water. What should the nurse do?
1) Provide the towels and water as requested.
2) Explain that the patient is too ill for visitors.
3) Explain that the patient was bathed earlier in the day.
4) Provide the towels but direct the shaman to use the sink for water.

Copyright © 2016 F. A. Davis Company


Multiple Response
Identify one or more choices that best complete the statement or answer the question.

____ 30. A black Muslim male patient with diabetes is recovering from a stroke. Which would be examples of
culturally sensitive nursing care? Select all that apply.
1) Provide a frankfurter instead of hamburger for lunch.
2) Substitute a ham slice with bacon on his breakfast tray.
3) Request that the pharmacy send only non-pork insulin for him.
4) Discuss his diet with him, asking him if he has any special needs.
5) Inform him that while he is in the hospital he must eat whatever is brought to him and take
the insulin given to him.
____ 31. What is true about elderly care in traditional Asian families? Select all that apply.
1) They are cared for at home by their family.
2) They are sent to nursing homes routinely when they reach a certain age.
3) They are placed in nursing homes only if they do not have family members to care for
them.
4) They are sent to nursing homes only if the older person does not want to be around small
children.
5) They are sent to nursing homes as soon as they become infirm or unable to contribute to
family life.
____ 32. Which characteristics should the nurse keep in mind that assists Asian Americans to be a healthier cultural
group? Select all that apply.
1) Higher income
2) Well-educated
3) Residency status
4) Live with extended family
5) Obtain driver’s license
____ 33. During an assessment, the nurse suspects that an older Hispanic patient is at risk for diseases of poverty.
Which health problems should the nurse be concerned that this patient is developing? Select all that apply.
1) Arthritis
2) Diabetes
3) Pneumonia
4) Malnutrition
5) Heart disease
____ 34. The nurse is planning care for an older Jewish patient. What should the nurse keep in mind that this patient
will consider as aspects of health? Select all that apply.
1) Good health is a right.
2) The holy book is used to heal the sick.
3) Maintaining good health is an expectation.
4) Prayer is used to make treatment decisions.
5) The use of modern medicine is encouraged.

Copyright © 2016 F. A. Davis Company


Chapter 9: Culturally Specific Care
Answer Section

MULTIPLE CHOICE

1. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 1. Define the differences between culture and ethnicity.
Chapter page reference: 162
Heading: Introduction
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 Religion is often considered a significant aspect of one’s cultural identity.
2 Stories from grandparents are part of non-physical traits which are a part of culture.
3 Non-physical traits are a part of one’s culture.
4 Physical traits such as hair and eye color inherited from parents are part of the person’s
ethnicity.

PTS: 1 CON: Diversity


2. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 1. Define the differences between culture and ethnicity.
Chapter page reference: 164
Heading: Ethnicity and Culture as Caring Behaviors
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 It is predicted that the number of Asians in the United States will increase.
2 It is predicted that the population of the United States between now and 2050 will
become older and more diverse.
3 The population of the United States will become older.
4 The percentage of blacks in the United States is predicted to remain unchanged.

PTS: 1 CON: Diversity


3. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 2. Identify health-care needs of black Americans.
Chapter page reference: 165
Heading: Black Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]

Copyright © 2016 F. A. Davis Company


Concept: Diversity; Violence
Difficulty: Easy
Feedback
1 AIDS is not increased in black men between the ages of 15 and 34.
2 Stroke is not increased in black men between the ages of 15 and 34.
3 Cancer is not increased in black men between the ages of 15 and 34.
4 Unintentional injury is increased in black men between the ages of 15 and 34.

PTS: 1 CON: Diversity | Violence


4. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 2. Identify health-care needs of black Americans.
Chapter page reference: 165
Heading: Black Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive level: Analysis [Analyzing]
Concept: Hematologic Regulation; Diversity
Difficulty: Moderate
Feedback
1 The patient’s ethnicity, symptoms, and laboratory test results should suggest the
possibility of sickle cell anemia more than infection.
2 Sickle cell anemia is a chronic inherited disease in which structurally defective
hemoglobin molecules lead to hemolysis, anemia, and pain in areas of the body where
the defective red blood cells block normal blood flow. It occurs mostly in blacks and in
some people from the Mediterranean region. In people with sickle cell anemia, a crisis
may be triggered by changes in altitude, dehydration, and infection.
3 The patient’s ethnicity, symptoms, and laboratory test results should suggest the
possibility of sickle cell anemia more than deep venous thrombosis.
4 The patient’s ethnicity, symptoms, and laboratory test results should suggest the
possibility of sickle cell anemia more than transient ischemic attack.

PTS: 1 CON: Hematologic Regulation | Diversity


5. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 7. Identify health-care needs of Native Americans.
Chapter page reference: 168
Heading: Native Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge {Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 Suicide is the seventh leading cause of death among Native Americans. AIDS is not
identified as being a leading cause of death.
2 Cirrhosis and stroke are the fifth and sixth leading causes of death, respectively, among
Native Americans.
3 Heart disease and cancer are the leading causes of death among Native Americans.

Copyright © 2016 F. A. Davis Company


4 Unintentional injuries and diabetes are the third and fourth leading causes of death,
respectively, among Native Americans.

PTS: 1 CON: Diversity


6. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 7. Identify health-care needs of Native Americans.
Chapter page reference: 167
Heading: Native Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Diversity
Difficulty: Easy
Feedback
1 Cups being applied to the patient’s back are more likely to occur with a Hispanic
patient.
2 The patient and family facing east and praying to Allah is more likely to occur with a
Muslim patient.
3 Many Native American tribes have a medicine man or woman, often called a shaman,
who may chant and sing or use incense to help the ill person get well.
4 The eldest member of the patient’s family asking questions and taking notes is more
likely to occur with a Japanese patient.

PTS: 1 CON: Diversity


7. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 7. Identify health-care needs of Native Americans.
Chapter page reference: 168
Heading: Native Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 Blacks have a higher cancer survival rate than Native Americans.
2 Hispanics have a higher cancer survival rate than Native Americans.
3 Europeans have a higher cancer survival rate than Native Americans.
4 The cancer survival rate among Native Americans is the lowest of any group in the
United States.

PTS: 1 CON: Diversity


8. ANS: 1
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 3. Identify health-care needs of Asian Americans.
Chapter page reference: 171
Heading: Asian Americans
Integrated Processes: Nursing Process: Assessment

Copyright © 2016 F. A. Davis Company


Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 The use of acupuncture and acupressure is most closely associated with Asians.
2 The use of acupuncture and acupressure is not most closely associated with blacks.
3 The use of acupuncture and acupressure is not most closely associated with Hispanics.
4 The use of acupuncture and acupressure is not most closely associated with Europeans.

PTS: 1 CON: Diversity


9. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 3. Identify health-care needs of Asian Americans.
Chapter page reference: 170
Heading: Asian Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Asking a translator to obtain permission from the wife is inappropriate because the
family member may ask medical-related or nursing-related questions. The nurse can
bring a translator to assist in communication.
2 Going directly to the patient’s father and acting in a very friendly manner is incorrect
because it is too informal and the wife should not be ignored.
3 Explaining the patient’s condition to his wife and asking her permission for the
procedures to be done is incorrect because the oldest family member makes the
decisions.
4 In many Asian cultures the oldest male family member (or if he is dead, the oldest
female family member) makes important decisions, such as decisions regarding an adult
son’s health. The wife is not to be ignored and the patient’s parents are to be addressed
respectfully.

PTS: 1 CON: Diversity


10. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 5. Identify health-care needs of European Americans.
Chapter page reference: 171
Heading: European Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 Many Europeans do not believe that health care is an unnecessary expense.
2 Many Europeans do not believe that health care is to be avoided at all costs.

Copyright © 2016 F. A. Davis Company


3 Because many European countries have national health-care plans with socialized
medicine, there is an expectation that the federal government is responsible for each
person’s health care.
4 Health care in the United States is seen as being reliant on family or extended family
groups.

PTS: 1 CON: Diversity


11. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 6. Identify health-care needs of Jewish Americans.
Chapter page reference: 175
Heading: Jewish Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Talking with the family is inappropriate and belittling to the patient.
2 Explaining that the food must be eaten to aid in healing and recuperation is
inappropriate and insensitive. The patient can be provided the necessary nutrients with
a different diet.
3 Telling the dietitian to send a kosher diet without saying anything to the patient does
not respect the patient’s wishes.
4 The nurse should tell the patient that it has been noticed that the food is not being eaten
and ask about dietary preferences. Inform the patient that if a kosher menu is desired it
can be provided.

PTS: 1 CON: Diversity


12. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 4. Identify health-care needs of Hispanic Americans.
Chapter page reference: 174
Heading: Hispanic Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Analysis [Analyzing]
Concept: Diversity
Difficulty: Moderate
Feedback
1 There is no information to support that the patient does not believe in the use of
antibiotics.
2 There is no information about the herbs and spices that the patient routinely takes.
3 Many Hispanics believe in “hot” and “cold” ideas about diseases and medications. A
“hot” medication, such as penicillin, should not be taken to treat a “hot” disease, such
as diarrhea. “Hot” diseases should be treated with “cold” medications and vice versa.
4 This is contrary to the hot-cold belief system.

PTS: 1 CON: Diversity

Copyright © 2016 F. A. Davis Company


13. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 4. Identify health-care needs of Hispanic Americans.
Chapter page reference: 174
Heading: Hispanic Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Rescheduling the appointment does not recognize the patient’s cultural differences.
2 Suggesting another physician does not recognize the patient’s cultural differences.
3 Saying that the patient must be on time for the appointment and must wait if necessary
does not recognize the patient’s cultural differences.
4 For many Hispanics, time is a relative concept and minimal attention is given to the
exact time of day.

PTS: 1 CON: Diversity


14. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 7. Identify health-care needs of Native Americans.
Chapter page reference: 168
Heading: Native Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Although Native Americans are great storytellers, they do not like to reveal much about
their personal lives to strangers.
2 Many Native Americans find the questions asked during an initial assessment and
history offensive and intrusive. It is sometimes wiser to ask younger members of the
family about a patient’s history.
3 Many Native Americans often are “lost” between the Indian Health Care Services and
other health-care services available in the United States.
4 Native Americans are often caught in limbo in terms of modern health care. They are
caught between their traditions and modern treatment—the shaman and the physician.

PTS: 1 CON: Diversity


15. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 1. Define the differences between culture and ethnicity.
Chapter page reference: 163
Heading: Introduction
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive level: Analysis [Analyzing]
Concept: Diversity

Copyright © 2016 F. A. Davis Company


Difficulty: Moderate
Feedback
1 Checking dietary preferences indicates cultural sensitivity.
2 Saying that something is weird because “we don’t do it that way” demonstrates
ethnocentrism.
3 Assisting to meet spiritual needs indicates cultural sensitivity.
4 Acknowledging the importance of family indicates cultural sensitivity.

PTS: 1 CON: Diversity


16. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 2. Identify health-care needs of black Americans.
Chapter page reference: 165
Heading: Black Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 Life expectancy for black females in 2010 was 3.3 years lower (78.0 years) than white
females (81.3 years). This patient has already outlived expectations.
2 The patient has outlived expectations by 4 years.
3 The patient has outlived white female expectations by 4 years.
4 The patient reached expectations for black females at age 78.

PTS: 1 CON: Diversity


17. ANS: 1
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 2. Identify health-care needs of black Americans.
Chapter page reference: 165
Heading: Black Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 Members of this group may express the belief that they do not have much control over
their health because it is part of a greater plan.
2 Expecting a family member to provide health care does not describe a health belief.
3 Stating that she will do whatever it takes to get better indicates self-control over health.
4 Stating that the doctor knows what to do indicates that health care is the provider’s
responsibility.

PTS: 1 CON: Diversity


18. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 2. Identify health-care needs of black Americans.

Copyright © 2016 F. A. Davis Company


Chapter page reference: 166
Heading: Black Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Analysis [Analyzing]
Concept: Diversity
Difficulty: Moderate
Feedback
1 It is unlikely that the patient will be isolated in a city apartment.
2 The patient lives alone so overcrowding is not an issue.
3 The patient has limited income, which she is using to pay for health care and rent. That
leaves little money for food, medicine, and other essentials.
4 The patient lives alone so exposure to communicable diseases is not likely.

PTS: 1 CON: Diversity


19. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 3. Identify health-care needs of Asian Americans.
Chapter page reference: 169
Heading: Asian Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Marital status is not essential when beginning the assessment of this patient.
2 Country of origin is important for this patient. Asian Americans are from a variety of
cultures, each with definite concepts and opinions.
3 Previous profession is not essential when beginning the assessment of this patient.
4 Number of children is not essential when beginning the assessment of this patient.

PTS: 1 CON: Diversity


20. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 3. Identify health-care needs of Asian Americans.
Chapter page reference: 170
Heading: Asian Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 In this culture older people are to be addressed with their formal name.
2 In this culture the oldest male is to be involved in health-care decisions.
3 In this culture maintaining modesty is paramount.
4 In this culture demands should never be made to the older adult because it is an insult.

Copyright © 2016 F. A. Davis Company


PTS: 1 CON: Diversity
21. ANS: 1
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 4. Identify health-care needs of Hispanic Americans.
Chapter page reference: 172
Heading: Hispanic Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 For older Hispanics, traditional beliefs concerning health do not readily work with
modern health-care treatments. Some traditional Hispanics think that good health is
“good luck.” When their health is not good, that is simply a mechanism of the “bad
luck.”
2 Blaming the hospital is not a traditional belief about health.
3 Blaming the health-care professional is not a traditional belief about health.
4 Blaming the spouse is not a traditional belief about health.

PTS: 1 CON: Diversity


22. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 4. Identify health-care needs of Hispanic Americans.
Chapter page reference: 174
Heading: Hispanic Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Documenting that the patient refused the medication will not help the patient.
2 The only way you will know what is “hot” and “cold” is to ask. Once this is understood
the nurse can plan care accordingly.
3 The concepts of “hot” and “cold” do apply to illnesses and treatments. This would be
inaccurate information.
4 The patient’s illness might get worse, however, this does not help with the patient’s
approach to treatment using the “hot” and “cold” approach.

PTS: 1 CON: Diversity


23. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 5. Identify health-care needs of European Americans.
Chapter page reference: 171
Heading: European Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity

Copyright © 2016 F. A. Davis Company


Difficulty: Easy
Feedback
1 Health care in the United States is seen as being reliant on family or extended family
groups. This would be consistent with black Americans.
2 Health care in the United States is seen as being reliant on family or extended family
groups. This would be consistent with Asian Americans.
3 Because many European countries have national health-care plans with socialized
medicine, there is an expectation that the federal government is responsible for each
person’s health care.
4 Health care in the United States is seen as being reliant on family or extended family
groups.

PTS: 1 CON: Diversity


24. ANS: 3
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 5. Identify health-care needs of European Americans.
Chapter page reference: 171
Heading: European Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
Feedback
1 European body structure is diverse.
2 There is no typical hair or eye color of a European American.
3 Most European Americans have white skin and are easily mistaken for someone who
has lived in the United States throughout his or her life.
4 People from the European culture are used to the government supplying health care.

PTS: 1 CON: Diversity


25. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 5. Identify health-care needs of European Americans.
Chapter page reference: 171
Heading: European Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 The patient speaks with an accent. An interpreter is not necessary.
2 The nurse needs to identify the patient’s country of origin to plan culturally sensitive
care for the patient.
3 A male family member being the primary decision maker is not consistent with the
European culture.
4 Extended family caring for older persons is not a characteristic of the European culture.

Copyright © 2016 F. A. Davis Company


PTS: 1 CON: Diversity
26. ANS: 2
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 6. Identify health-care needs of Jewish Americans.
Chapter page reference: 175
Heading: Jewish Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Toast is not forbidden in a traditional Jewish diet.
2 Traditional Jewish people are forbidden from eating pork. The bacon needs to be
removed from the meal tray.
3 Oatmeal is not forbidden in a traditional Jewish diet.
4 Orange juice is not forbidden in a traditional Jewish diet.

PTS: 1 CON: Diversity


27. ANS: 4
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 6. Identify health-care needs of Jewish Americans.
Chapter page reference: 175
Heading: Jewish Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 Asking everyone to leave does not support this patient’s need for a support system.
2 Enforcing the two visitors per patient policy does not support this patient’s need for a
support system.
3 Suggesting that the visits be limited to 15 minutes each does not support this patient’s
need for a support system.
4 Finding another area for the patient and family members and friends to visit is the most
culturally appropriate way to support this patient’s need for a support system.

PTS: 1 CON: Diversity


28. ANS: 1
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 7. Identify health-care needs of Native Americans.
Chapter page reference: 167
Heading: Native Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy

Copyright © 2016 F. A. Davis Company


Feedback
1 Guided by a shaman, a ceremony is used to heal the patient.
2 Ceremonies with ill individuals are not performed to celebrate life.
3 Ceremonies with ill individuals are not done to prepare for the person’s death.
4 Ceremonies with ill individuals are not done to bring the family closer together.

PTS: 1 CON: Diversity


29. ANS: 1
Chapter number and title: Chapter 9: Culturally Specific Care
Chapter/learning objective: 7. Identify health-care needs of Native Americans.
Chapter page reference: 167
Heading: Native Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate
Feedback
1 The shaman is someone who should be welcomed into the room of the person who is
ill. It is important for the nurse to obtain any items as requested.
2 Denying the shaman access to the patient does not support the patient’s cultural needs.
3 The towels and water might not be used for bathing. It might be a part of the healing
ritual.
4 It is inappropriate to only fulfill one part of the request. The shaman is a guest and is
present for a specific purpose to help the patient.

PTS: 1 CON: Diversity

MULTIPLE RESPONSE

30. ANS: 3, 4
Feedback
1. Frankfurters contain pork.
2. A ham slice, like bacon, is a pork product.
3. The pharmacy should be asked to send only non-pork insulin for this patient.
4. Many black Muslims follow the Halal diet, which means they do not eat pork or any pork
products. If he tells you that he follows this diet, you should discuss it with the dietitian, who
can ensure that he does not receive any pork or pork products.
5. Telling the patient to eat what is provided and take medication as prescribed is not providing
culturally sensitive nursing care.

Chapter number and title: Chapter 9: Culturally Specific Care


Chapter/learning objective: 2. Identify health-care needs of black Americans.
Chapter page reference: 165
Heading: Black Americans
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity

Copyright © 2016 F. A. Davis Company


Difficulty: Moderate

PTS: 1 CON: Diversity


31. ANS: 1, 3, 4
Feedback
1. In traditional Asian families elders are cared for at home by their family.
2. In traditional Asian families elders are not sent to nursing homes routinely when they reach a
certain age.
3. In traditional Asian families elders are placed in a nursing home only if they do not have
family members to care for them.
4. In traditional Asian families elders are sent to nursing homes only if the older person does not
want to be around small children.
5. In traditional Asian families elders are not sent to nursing homes as soon as they become
infirm or unable to contribute to family life.

Chapter number and title: Chapter 9: Culturally Specific Care


Chapter/learning objective: 3. Identify health-care needs of Asian Americans.
Chapter page reference: 169
Heading: Asian Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy

PTS: 1 CON: Diversity


32. ANS: 1, 2, 3
Feedback
1. Asian Americans have the highest median income of any foreign-born group. This factor
assists them in being healthier people.
2. Asian Americans are well-educated. This factor assists them in being healthier people.
3. Asian Americans obtain residency status. This factor assists them in being healthier people.
4. Obtaining a driver’s license does not assist them in being healthier people.
5. Living with extended family does not assist them in being healthier people.

Chapter number and title: Chapter 9: Culturally Specific Care


Chapter/learning objective: 3. Identify health-care needs of Asian Americans.
Chapter page reference: 169
Heading: Asian Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy

PTS: 1 CON: Diversity


33. ANS: 2, 4, 5
Feedback
1. Arthritis is not identified as being a disease of poverty for the Hispanic population.

Copyright © 2016 F. A. Davis Company


2. Diabetes is identified as being a disease of poverty for the Hispanic population.
3. Pneumonia is not identified as being a disease of poverty for the Hispanic population.
4. Malnutrition is identified as being a disease of poverty for the Hispanic population.
5. Heart disease is identified as being a disease of poverty for the Hispanic population.

Chapter number and title: Chapter 9: Culturally Specific Care


Chapter/learning objective: 4. Identify health-care needs of Hispanic Americans.
Chapter page reference: 174
Heading: Hispanic Americans
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Diversity
Difficulty: Easy

PTS: 1 CON: Diversity


34. ANS: 3, 5
Feedback
1. People in the Jewish culture believe that maintaining good health is an expectation, not a right.
2. The holy book is used to teach Jewish people to visit and assist the sick.
3. In the Jewish culture maintaining good health is an expectation.
4. Prayer is used to ask God for improvement of health or healing of the body.
5. In the Jewish culture the use of modern medicine is encouraged.

Chapter number and title: Chapter 9: Culturally Specific Care


Chapter/learning objective: 6. Identify health-care needs of Jewish Americans.
Chapter page reference: 175
Heading: Jewish Americans
Integrated Processes: Nursing Process: Planning
Client Need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Diversity
Difficulty: Moderate

PTS: 1 CON: Diversity

Copyright © 2016 F. A. Davis Company

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